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How do I, or should I somehow let the family know about how mom is feeling and how overwhelmed she feels? She feels depressed and I need to help her but I am not sure how to.

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What is your professional relationship? Do you work for an Agency or Private Pay? If through an Agency let them know and they should contact the family. If Private Pay who pays you? If one of the children that is who I would contact.
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Some really good advice here on practical steps that can be helpful and supportive.

Is Wife under a doctor's care for depression? Has she been diagnosed? None of the suggestions people have offered would be harmful -- going to a support meeting can indeed provide suport -- but also realize that true clinical depression is a serious illness and usually takes more than DIY efforts to manage. If she is now getting treatment, perhaps it needs to be adjusted. If she has never been diagnosed or treated it might be time for that. Her family should know about your observations.

There is another possibility here. She may be experiencing anticipatory mourning. When your spouse has dementia you watch them leave you bit by bit. Memory by memory. It is natural to feel grief. And if people are trying to cheer you up all the time without acknowledging your legitimate feelings, that can just add to the stress. (I speak from experience.) This is another reason meeting with other caregivers of persons with dementia is supportive. They get it. Few others do.

You are kind to be concerned. Yes, share your observations with her family.
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How should you let the family know? I would start with the easiest family member, and keep it brief. ‘I am getting concerned about (Mom), too. What do you want me to do? Talk to you about it, or do you want to call a family meeting? I think I may be seeing aspects that don’t crop up for you.’ You don’t want to take over, or to give that impression. It’s not the best way to go, for anyone involved.
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Definitely get the family involved. They should always know how things are going and if they just don't care, then possibly find out if you can, if she was once involved in her Church or is there someone she once had as a friend that you can contact and have that person visit. If you are hired as a caregiver through a company, then discuss that with them and they could be helpful.
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A good support team is a must, Just talking was a great relive. visiets from friends and relatives who just sit with her for a while is a great show of support . Missing  fameliey  was very stressful .
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When an aging couple experiences a serious decline of one of the partners, the needs of the other one is often overlooked. Often, they are overwhelmed, don't eat well, don't sleep well, and become isolated. It is totally human to feel depressed in this situation. Her needs must be considered. I say, contact the family, because she could benefit from their support. Little things can make the difference. Regular phone visits centered on her can help her feel supported and inform the family of her state of mind. She needs to have socialization, sunshine, and to learn coping mechanisms to think forward. Plus, feeling useful in another way can give her purpose. Maybe, she could meet regularly with a social/philanthropic group whose mission may give shape to each day. She may also need a medical evaluation to ensure that her depression isn't a sign of something more.
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More than anything find a weekly support group. Spilling your guts to a group of people going thru same & understand where she is. Call alz assoc. They have 24/7 hot line. One person said they talked at least an hr w her. They understand. Also can give where there are support grps. Go at least 3 times before judging. Speaking from experience. We even go to lunch after.
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You sound like a professional caregiver to me - I had a friend who had an insurance policy that provided him with a 24/7 caregiver. Is this also what you are doing?

Absolutely tell the family of the wife/mother's needs. You are hired to care for the husband, so I am guessing you cannot leave him alone. Call the family and tell them that someone needs to come care for the mother. At the least she needs to be professionally evaluated by a physician. Being evaluated is Step One. Then, if needed, the physician can either prescribe something for depression or he can submit the forms for her to be assisted too.

Good luck hon, it's not easy being a caregiver.
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Does she attend support meetings at all? A community of others in similar situations can be helpful for all members. If she is craft oriented, a group of people who knit (for example) can be a source of friendly interaction. Does the family visit the couple? Does she have transportation or drive herself? And yes, the family should know about their mother's depression. As should her doctor. There is help for her and your thoughtful concern for her will help her get it.
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care, good answers here already. Yes, I vote that you should tell them, just say “here are some phrases she’s said to me, I thought you should know.”
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I actually schedule things for my parents. They have two events a week, one is the movie at the library and one is at church where they have respite care. During that time my stepdad can go out and do errands or he can stay with her. I'd like him to do more but I'm just trying this strategy little by little. Their tendency is to isolate so I'm trying to include them in family things with my kids even though they aren't always interested. I make sure he leaves the house at least once a day, takes a walk, goes shopping, etc. I think this is very common.
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Caregiver57, one has to imagine that your friend and his wife never planned on this being part of their retirement, so it must be so very tough on both of them.

How often to you help with caregiving? Can the husband be left at home for a certain amount of time? If yes, maybe you and the wife can go out and do things just to get out of the house.... or is she afraid to leave her husband? Does she like gardening? I know just going to Home Depot and seeing all the flowers can brighten my day, even if I don't purchase anything.

I know I bring this up often on the forums here, would the husband and wife like to work on a family tree? You can start with having the wife get out photo albums and going through them. If she comes to a photo where she is wondering what happened to that person, that would be a good time to introduce her to Ancestry.com where she could possibly find that information. One has to pay a membership fees, but it is well worth it :)
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You can start by talking to her. Are you caring for her? What are her circumstances? Are you close to her or not so much? Are your sibs available for support? Come back with some more information and you will get better answers.
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