I read a lot of these posts and from time to time get some good ideas / suggestions. However, sometimes when reading some of the questions / answers - I feel we are suppose to do everything possible to try to better the person's life with their disease. I'm finally trying to realize this is the course of life-decline-death. I'm beginning to understand we are doing some of the things for ourselves - not necessary for the best interest of the person with the disease.
My husband was originally diagnosed with Parkinson's disease in 2002 (from agent orange - Viet Nam). As the disease has progressed, the neurologists have given a diagnosis of Progressive Supra Nuclear Palsy. He was diagnosed with Mild Cognitive Impairment in 2014 and is scheduled to be retested later this year - as he has obviously declined. He also is clinically blind - as he can no longer open or keep his eyes open. He has been a trooper and never once has said 'why me'. He is not ready to give up on life and still wants to be as active as he can under his circumstances.
I keep him busy most days of the week. For example -- (there is minor variation depending on the day / classes offered throughout the year, etc.)
Monday - he goes to two Parkinson classes at the MAPC (music therapy and boxing)
Tuesday - I try to save Tuesdays for doctors appointments and/or hydrocycling (bike in the pool)
Wednesday - he goes to Ballet Arizona and does a Parkinson's Dance class / then Ability 360 - for a workout
Thursday - he has PT / OT and speech/swallowing therapy
Friday - for cognitive - he goes to the Musical Instrument Museum for a 1.5 hour class and tour rotating with the Phoenix Art Museum for a 1.5 hour class and tour and then comes home for extensive stretching
Saturday - Ability 360 - work out in gym or aerobics workout in the pool
Twice a month - massage (in the home)
Sunday - rest
and then we start all over again
Exercise has always been important to him and then when he was diagnosed with Parkinson's, it was important for him to continue - to help stay as strong as possible.
From time to time, I ask him if he wants to continue to go - or cut back - as it is getting harder and harder for him (and me) to do so. It's not me that is pushing him to go - it is him wanting to go - and not wanting to give up.
I feel his time away from home is good for him - or he would sit at home in front of the tv listening to it (since he can no longer see) or listen to his books on tape. I feel getting out in the car - some interaction with other people (even though it is minimal - as he doesn't talk much any more) is good for him.
However, we all know he (or any of our charges) is/are not getting better or even holding his/their own, but continuing to deteriorate.
When is enough - enough? When do we (as caregivers / carepartners) stop trying so hard and back off. We cannot fix any of this.
Evaluate what makes it easier and harder to accommodate his preferences.
Take a week to consider what you prefer and want out of life... your preferences.
Evaluate what makes it difficult to accommodate your preferences.
List all the people, agencies, resources, and finances available to help... contact them! Get others to help with making both of your lives easier - transportation, bathing, respite for a few hours (so you can do things you want/need to do)…
His life is important, but so is yours. Make these years together workable and more enjoyable... not a burden.
You may want to talk to an attorney to look at what assets you have and how all of that works with Medicaid, whether a division of such into trusts might be pragmatic, etc. The wife of a dear friend of ours has early-onset Alz. It has been at least 10 years, and he is now only about 70... but he had everything sorted out early in so that he wasn’t left destitute and his wife could be in care through Medicaid when he could no longer care for her (which he did at home until it wasn’t safe and she no longer knew him).
I know it it seems like one more stress. But it might help you to have a plan that includes help and reprieve, but also knowing that your future is protected as well.
I am sorry for your situaiton and understand completely.
There is a time to lift one's foot off the pedal. When my husband first got sick, I was on a full blown MISSION!!!!!!! I was wonder woman who would stop at nothing to make him better.
A few years ago, I decided that if no one was beating my husband or mother (yes, her, too!) or stealing their money, then it was all good.
Since then I do as little as possible for the maximum benefit. I place a great priority on taking care of myself because they never will and I can't help them unless I am ok. If I am ok, then life is good for them.
Now back to your question: When? Different in each case, I am sure, but know that it is necessary and common and you will figure it out.
Hugs!
It's clear you care deeply for your husband. I admire the drive and dedication you both have had in following such a creative and disciplined routine each week. On the other hand, it doesn't sound like there is much time for you to do something for yourself or to disengage from the care role.
From my experience taking care of my husband, you go through many phases. As time goes on, you have to gauge what you need to be happy in your own life apart from his care. This is a very personal decision and will probably change over time. It sounds like you are ready for a change or adjustment in the effort you devote to his care, while supporting his desire to maintain this routine.
There are other resources (e.g., subsidized vans or hired helpers) who could transport your husband to some of these activities. Hired helpers could also stay with him in the home at times to help or support him while he exercises, or just to be there for safety reasons.
But, I'm sure you can figure these kinds of solutions out. The hardest part is deciding to do it. It does sound like you're ready.
Without loving yourself and your needs, you won't be able to sustain the situation. Start with looking on yourself with compassion and the rest will follow. This approach has worked well for me, and has enabled me to give my husband the energy and love he deserves. I wish you well.
It’s been 14 years and counting of caring for mom at home. She has Parkinson’s disease. It never gets any easier. I am preaching to the choir with you. You certainly have your hands full.
It’s hard to know how to handle all of this. Certainly hard for the Parkinson’s patient and just as hard for the caregiver, just in a different way. I’m trying to figure it all out too. I hope we both find what is best for everyone involved. I don’t have answers for you but please accept my caring and support for you and your husband. Keep me in your prayers and I will say a prayer for you and hubby. Hugs!
On another note - you say your hubby can’t keep his eyes open. WAs he ever tested for myasthenia gravis? This would be the ocular form of it. Since you see a neurologist, ask him about it. There is treatment for this. How is his swallowing? Can he smile? Just curious.
Blessed by your great answer. Thank you.
I pray constantly for discernment & to recognize Gods promptings in making decisions re: my husband. Sadly many family members & friends don't understand (?) how much caregivers are consumed with all it takes to take care of a loved one. They don't have to understand but I ask mine to accept what is and I don't need nor want comments or advice on how I should do what. My two daughters help me financially because they are blessed with means to if and when I've needed it. Physically not much. They have jobs and responsibilities of their own. They've asked "how do you do it mom, your so strong!" My ans: "Only by the grace of God! Give Him the glory, I can do all things through Christ who strengthens me." I'm not superwoman but I know and believe that by seeking His will in all we do He will direct our steps. 😇
Nanabinx
Many of us wait and waited too long...until we're burned out, resentful, even angry.
Wisely: I see someone posted the Serenity Prayer
God, grant me the serenity to accept the things I cannot change,
Courage to change the things I can,
And wisdom to know the difference.
...take it to heart...for YOURSELF or you will certainly leave this earth before he does! Accept what you cannot change.
Latest statistic: 70% of caregivers over 70 caring for loved ones die BEFORE the person being cared for....a sobering wake up call!
My Dad and i talk about "soul care"...
Sometimes Dad goes onto the other side of the home for a few hours to get away or I do...but when I do, Dad doesnt stay glued to mom, but he is visible so she knows she has not been left alone. Other times, we join her...but we make sure mom has something to do...tv, magazines, which she loves even if it is new everytime she reads it...or mom loves watering plants and folding clothes and she loves to roam the home room to room looking out the windows...and she likes to chk on things. We keep it sweet and simple. She loves to sit and listen to aidible books and she snoozes which is good for them and healing because it takes a lot of energy for them to just even process their days now.
I am getting my own place in a year...but am taking things slowly. Just having to pack up my life and relocate was big enough for me right now. I have no desire to set up again immediately and reestablish myself...so i kept the main thing the main thing...which is Mom and supporting Dad...later, I will get a place which gives me something to look forward to. Dad will be fine because i will be in the same town...not hours away as before trying to chk on them.
It may be healthy for some of u...to go ahead and start dreaming and planning your life after caregiving even though the end is nowhere in view of your commitment. u remember as a kid...how u dreamed ahead and it gave u hope as a child?! Start a scrapbook of what u want your life tolook like later.
I have just had to start letting my
Husband do more for me. So I know it's going be harder now.
I think this can only be answered
Has he had enough. Does he want
to spend what time he has left
At Home with Family who will
Love Talk & Stroll with him till
His time comes ❤