
I guess I'll go first with this one.
The thing that stands out the most for me about MIL with alzheimers.......
Everything is ALL ABOUT HER. I could cut my arm off and be bleeding on the floor right beside her and she would worry about who was going to bring her a cookie.
I am treated as" a nothing" in her world.
Then I feel guilty for thinking she's an old battleaxe.
Well that's my confession.
How about yours?
Anyway. The other side of the coin, though, is that every time the government (any government) decides to get excitable about care standards it costs money. Over here, just for example, they decreed there would be no shared bedrooms. Residents were no more to be crammed into accommodation and denied dignity and privacy. Cue lots of pious self-congratulation from the G&G (great and good).
Well, now. For one thing, being alone in a strange new place does not suit everyone. Some people - I stress the some - do better if they have a room-mate because, as Piglet says, "it's much friendlier with two." Surely the ideal is to offer a choice? Not any more!
And for another, can you imagine the rebuilding needed, and the horrible Lego annexes stuck on to fine old stately houses to expand the number of rooms just to continue the business - and what did that cost?
For their next trick, they laid down a minimum width for all doorways to ensure compliance with disability discrimination legislation. I'm all for equal access, but some of these homes are in listed buildings - widening a doorway in an 18th century house is not something you can just call in your local handyman for. Who paid for that?
Criminal records screening for anyone employed by or volunteering at the facility - quite right, but who's paying?
Minimum training standards backed by formal recognised qualifications - again, not something you'd argue against, but it's not free.
Also, with those last two, they don't actually help much. You can be a complete bitch and unsuited to the care vocation and still be a long way short of a criminal record. Similarly, those minimum standards are pretty bloody basic - and they don't measure attitude in practice. I wouldn't even mind that so much if the people announcing measures like these weren't so smug about them and apparently so unaware of their very obvious limitations.
I don't know what the answer is - I fantasise about an undercover inspection force doing ninja-style surveillance - but I wish there was a lot more cost:benefit analysis going on.
I agree with you that caregivers need to develop a life outside of caregiving, not that that is always easy. Even a few hours a week immersed in something else is good for you and helps you not to define your life only as a care giver.
I love it when I talk to someone about high costs of elder care and I get talk about how much the employees cost and how the companies have to make a profit. I realize that if you train people to think that way, then there's not much you can't get by with.
I have really become disillusioned with the US. It seems like a few people want all the resources and look upon the ordinary people as parasites. The ordinary people pay proportionately more taxes, but then are told they need to stand alone and not depend on anything from the government. And people have come to accept this.
There's also the flip side, which is frontline healthcare workers who make hardly any money and get the worst jobs around.
So many resources are wasted on people who would have died a long time ago were it not for the marvels of modern medicine. And so many resources are withheld from people who just need a little bit of help to keep themselves sane and their heads above water. It makes me weary just thinking about it about what a mess we are in and how much worse it will get.
Someone around 24/7 or when we do get alone time it lasts for 5 minutes. Loss of privacy is number 1 with me.
I think the primary difficulty is perhaps that the alternative to people living long past their natural shelf life is... their not living so long. It's not an easy sell to an aging electorate, is it?
So assuming that the issue as a 75th birthday present of ice floes, tickets to Switzerland or whatever means becomes fashionable for our generation doesn't really take off as government policy, we're left with the same questions - only now harder to answer.
How much?
Who's paying?
Where will we find the workforce?
You're right, it is unsustainable, and you only have to add up to see that. So what is the well-managed, humane and ethical alternative?