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Anticipatory Grief

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There is another type of grief, something hospice professionals call anticipatory grief. This differs from what I call early grief (others may have a different term). Anticipatory grief is more like the grief one feels as the death of a loved one nears and we start to grieve what we know will be their loss. What will we do without them? How will we keep on living? We are looking ahead to the loss we know is coming.

The early grief I’m speaking about is far more subtle, and can be horribly damaging to our mental and physical health if we don’t address it. It creeps up on us as the small losses build – both those of our loved one and those of our own. For them it’s a loss of function and independence. For us it’s the loss of their independence, as well. Also, it’s the loss of time for ourselves, time for our jobs, even time for our children. It’s an insidious feeling, akin to – and often accompanied by – depression. It’s a kind of grief that we need to identify and perhaps get professional help with, or at least the help of a support group. For if we live for years with this unrecognized grief, as we witness loss after loss before the actual death occurs, we will kill off a part of ourselves. Our physical and mental health may suffer irreparably.

The well of grief is deep. We need to watch so we don’t drown under this sorrow before we even acknowledge it’s there. We need to be reminded that we caregivers, too, are suffering.

Yes, the grief before and after death is huge. But the subtle ache, as we watch the slow fading away of a loved one, is grief worth recognizing and bringing out into the open. Statistics say 30% (some indicate more) of the caregivers die while they are caring for a loved one. That is before the loved one dies. Early grief is part of this dynamic. We need to be a friend to ourselves and get help, before we become one of those statistics.


For over 20 years author, columnist and speaker Carol Bradley Bursack cared for a neighbor and six elderly family members. Because of this experience, Carol created a portable support group – the book “Minding Our Elders: Caregivers Share Their Personal Stories. Her sites www.mindingourelders.com and www.mindingoureldersblogs.com include helpful links and agencies. Carol’s column, “Minding Our Elders,” runs weekly, she speaks at many caregiver workshops and conferences and has been interviewed by national radio, newspapers and magazines.

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Comments (1 to 5 of 49)

JoanT said
Mar 5, 2008

Carol, the unrealized grieving for the loss of what might have been in the caregiver's life is a serious issue. We choose to do what we need to for our loved ones, but in doing so we also choose not to do what we might have for ourselves or our remaining families. For example, many caregivers choose to stay home and take care of a LO instead of going back to work to help with the family finances and prepare for retirement. Or we care for an elderly LO while there are still young children at home who usually need more of our time and attention. Others end up giving up hobbies and opportunities to grow and enrich themselves--not in frivolous areas, but in areas of real value. Many new empty-nesters end up filling that nest with caregiving for an aging parent who needs help. The joy of finally getting to that empty nest stage is replaced by the sobering realization that another season of caregiving has arrived.

Prioritizing the good/better/best choice for helping our loved one can often mean setting aside things that are good/better/best for our own lives. And thus grief and stress step in. We're doing what we chose to do, and gladly, but there is a personal cost.

Your thoughts on support groups and getting help are very important. Grieving for our personal loss, even for a season, is something that we need to recognize and acknowledge as something valuable that we chose to give up.

We wouldn't change the decision to be our loved one's caregiver, but we need help with the grief. It's a subtle thing.

I hope this makes sense. :-)

Blessings,
Joan
Caregiver at Home
http://www.CaregiverEncouragement.com/

Andrea said
Mar 12, 2008

my mom is in the "moderate"stage of alzheimers.she is still at home with my dad.
I know what carol is saying about grief.I already feel it and coming to terms with
the "long good bye".I feel we have already lost her in so many ways,her spirit,her interaction within a group of people,as her daughter,it's a different kind of lose,it's hard to explain but as I am now a wife and mother with little ones,I along with my brothers will assume the role of "parent" in the future.as time goes by,I may be able to express myself and feelings more clearly.

MindingOurElders said
Mar 13, 2008

You both have eloquently expressed what most of us go through. I hear from many who thought they would retire and live a part of their lives as a couple, perhaps traveling, only to find themselves back into caregiving.

Yes, we make our choices out of love. But we have to take time to understand what we are giving up and to deal with that. Otherwise, we may be laying groundwork for deep resentment, and not even be aware of it. Talking it out with those who understand can do wonders.

Thanks so much for commenting.
Carol

Andrea said
Mar 13, 2008

6yrs ago,my mother in law passed away from cancer,it was horrible to watch her suffer,and just this past xmas eve,my father in law passed away of a stroke.
we were always there for my husbands parents.we have already discussed my involvement in the care of my mom.I live out of town,so I can't be there all the time,but my husband is so loving and caring and he knows that there will be times when I've got to be there for my parents.It is very important to have a wonderful spouse.As I mentioned before,I have two little ones,so I don't ever want to take away valuable time from them either.It is so difficult to watch your parents age and go thru tramatic life altering events such as alzheimers.

AgingCareEditor said
Mar 13, 2008

Andrea, you're right: having the support of a wonderful spouse is a blessing. His love and understanding will help get you through the tough times (as I'm yours helped him when his parents were ill)

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