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brown out, the stage before burn out


swilkinson

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Hi everyone, I am feeling sad and lonely and blue and a lot of other things today. It is the big let down season after Christmas and New Year is over and before "real life" starts again. It is the time when you clean up the house, throw away the wrapping paper, find a spot for the presents you got and go back to doing mundane chores.

 

I have been having some trouble in relating to the people here lately. Don't get me wrong, I love Strokenet and all the wonderful people I have met here. I just wonder if we are on the same wave length at the moment. I have found a new site run by the UK Alzheimers Association called Talking Point and have been reading there. I think now that Ray's dementia is more of a problem than his stroke deficits so I need to know how to deal with the dementia.

 

With dementia you don't get better, you don't get stronger, you don't get recovery. Dementia needs to be managed, by the caregiver, as he/she is the one dealing with the strange behaviour and by any people helping the caregiver. There needs to be routine, rest, calm and regular meals, medication etc. Dementia patients past a certain stage need a lot of direction, a lot of attention and minimum fuss and I think that is where Ray is now.

 

I had the break of two weeks but it wasn't a rest as I went right on doing all the things I usually do. My fault as I thought if I worked in the mornings and rested in the afternoons for a while that would be the same as going away for a while. Of course it wasn't, I was still getting meals, doing housework and with the Christmas season coming up doing extra cleaning jobs and shopping, shopping, shopping, shopping. I was very proud of all I achieved but of course it came at a price - brown out.

 

Brown-out is a term used here to signify that time before a power black-out when the lights flick on and off, there is low energy and you can't exactly do anything. It gives you a chance to get the emergency power system going if you have one and get out the candles but nothing more. You can't actually do anything, there isn't enough voltage. And that is a problem if it goes on too long. No-one fixes a system that is still working just a little bit.

 

I am feeling unsupported. In real life here I have a lot of people calling on me. As an ex-telephone counseller people who know me and are desperate for answers say: "ring Sue, it's better than nothing" and so they do. One friend recently was so hysterical on the phone that I hung up twice before I realised who it was, screaming and crying at the same time doesn't make for easy communications. Her mother is dying, of lung disease, this is complicated by the fact that she has dementia and the medical staff can't cope with that. The answer to my friend is to stay by her mothers side 24 hours a day. Oh yeah. And so she is exhausted physically and mentally. Honestly I can't help in that situation. Even sitting and listening to her on the phone is not much help.

 

Ray has increasing incontinence now and we are having disrupted nights as I am changing the sheets half way through the nights often two or three nights in a row. I can't understand why this is suddenly happening as there doesn't seem to be any changes in medication, food intake, anything that I can see as causing this. Maybe he has a low grade infection of some kind but he seems fine until dinner time and then it starts. Is it the dementia? I don't know. I am just hoping it goes away again.

 

I have only so much to give. I need support myself and that isn't available at the moment as my dementia support group that I look on as support for me is in recess. There is a bit of fighting going on in Ray's stroke support group so that is only hobbling along at the moment. I seem to have to call on all my inner resources to keep from going into a black hole. Maybe I need an anti-depressant for myself? I will go to the doctor in a week or two and discuss that.

 

This is a bit of a vent but it is how I feel right now. That's how life is sometimes, not going well all the time. It doesn't mean I can't cope, just that I am coping at about 30% of how I usually do. Miss Pollyanna seems to have gone on summer holidays and left Miss Grumpy in her place. Thanks if you read this and are feeling some sympathy. I know you all have such kind hearts. But sometimes what I need is someone to put strong arms around me and give me a hug. In real time. And that isn't happening right now.

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Well sending you virtual hugs... Do you have an old cardboard box.. and some old dishes.. take the box onto the drieveway and throw some old plates in there and break them...

 

I have some cement patio stones. someone took broken pottery and made little patterns (mosaic in the cement)...

 

Why we push so hard on ourselves.. and get exhausted.. instead of taking that needed break? We want everything to be just right. I will have to come up with some craft project with "dust bunnies".

 

There are so many support groups, but not so many for CareGivers. CG's can't make a schedule.. kind of hard to tell the one you are taking care of.. you can't have any care between one and two as it is "Me" time.. You can make a routine as much as possible, but unplanned for events happen.

 

I am sorry you are getting hysterical phone calls. maybe you can leave a recording on the answering machine.... You have always been there for everyone in need...

now when it is "YOUR" turn where are they????

 

Putting the "bling" of the Holidays away, then end of a year and the beginning of a new one.. yes i could see a brown out.

 

is there any chance of just getting a clean urine sample .. and getting it to the Dr's office to see if Ray has a UTI beginning? Does cutting down on his liquid after a certain hour help any? You definately don't want to dehydrate him.. Have you tried the "chux" pads they are blue plastic on one side.. and kind of like diaper material on the other. Or maybe an adult diaper at bedtime.

 

Interrupted sleep is definately hard on you, and anyone would be Miss grumpy...

 

 

hugs and warm wishes.. Bonnie

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Sue,

 

I too wish I was in "real" time to hive you a huge hug and a shoulder to lean on. Bless your heart, you keep plugging away. Perhaps his dinner needs to be a lighter fare so it digests easier and there's not that much "waste" - just a thought - or perhaps something to firm up bowel movements so he can control better.

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Sue, I hear you loud and clear, I would suggest ene-fiber to firm up his bowel, works well for my dad. I too am feeling this way, you are not alone.

Ann

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Big hug for you Sue...

I understand what you mean being browned out. Caregiving is a 24 hour a day responsibility. Dave doesn't have some of the problems Ray does, but it is still hard to be "there" all the time. I can't go to the store and leave him alone... his kids talk the talk, but are always busy if I ask them to sit for 1/2 an hour, so I can grocery shop. But they do know how to ask for certain material things ... "just in case dad dies" nice of them wouldn't you say!

I wish I could be there for you and give you a hug or just to sit and have a cup of tea with you and talk.

Get yourself to the Dr's and discuss possible anti depressants if it is needed.

 

hugs Anne

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sue,

everyone has shared good suggestions for helping with ray......i believe an answering machine to "screen" hysterical phone calls is a super idea. i too, wish i could give you a hug in real time.

i understand you only have so much to give and the well is quickly going dry......please do go to the doctor and discuss your feelings. also, is there any chance of getting care right now for ray...say a 3 day respite? if so, could you book in somewhere totally by yourself...no phone or anything? sleep, eat, get a massage and just do nothing but nurture your battered soul?

here on the other side of the world i can feel your exhaustion......please do what you need right now for yourself. i cannot even put it into words, but ray and your mum would want you to take care of yourself. :friends: kathy

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Sue:

 

I also wish I could be with you, in Real-Time, and give you a hug. I can feel your pain, frustration, 'brown-out'.

 

Just to comment on Dementia, I used to work in an Assisted Living Home for Dementia patients. I was in the kitchen (imagine that). It takes a 'special person' to help these people. I remember several who were in the advanced stages - loss of memory, forgetfulness, bathroom forgetfulness. After three months, I really felt 'emotionally drained. And this WAS after my stroke.

 

Sue, I believe in a previous blog, you had mentioned that eventually the day might come when it was a reality to place Ray in a nursing home. I believe that maybe that time may have arrived. I don't mean to be critical, but that might be a reality.

 

Yes, I have been following your blogs, reading with interest the trials and good times you and Ray have had together. But I believe you also know that placing Ray in a home will be a good move, helping yourself to get back to a 'normal' routine. YES, it might be a hard decision to make, I feel for you, but you are mentioning how all the 'extra situations' are creating more stress on you and thereby making you depressed.

 

PLEASE don't take me the wrong way, I'm NOT telling you what to do. But I am just concerned with your 'mental being' and just how everything tends to be 'wearing you thin'.

 

Take care, and I'm sure you will make a right decision.

 

 

Denny :friends: :friends: :friends: :friends:

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Oh, Sue. Your blog broke my heart. You must start taking care of yourself or you AND Ray will be in a nursing home. I agree with Denny, it may be time to think of putting Ray in a place where he can be taken care of.

 

It is a difficult decision, but sometimes it is the best solution. I am not sure how that is done in Australia. In our country, if one does not have the resources, the state will help pay the cost.

 

And definitely get an answering machine to screen calls. I have done it in the past and it is an easy way to avoid unpleasant calls.

 

I'm sorry I can't give you a real one-armed hug. :friends:

 

Vi

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sue, i cannot agree with the others more. you have done a wonderful done in caring for ray for all these years. but i too have worked with dementia and alzheimers patients. it is a very demanding job, stressful and heartbreaking to watch a loved one go through. you need help and if you can't get that help with family or friends. maybe ray does need to be placed somewhere for that help. i wish i didn't have to say that. definitely get an answering machine too.

i too wish i was there to give you a great big (((((hug)))). a dr visit is a good thing for you right now. we cannot always do everything ourselves everytime. you know how much you are loved here at strokenet and we hate to see you this way. you do need some pampering big time. god bless you and ray, please do take care of you too. keep your chin up. love and hugs, kimmie

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Sue:

 

I have one strong arm & with that I an giving you ton of hugs. I have seen my mother dealing with my father's dementia without any outside help. when my father died my mom for 2 years was behaving as if she was jetlegged the whole time, we had wondered whether she had gone senile that time. I agree with others by placing Ray in some kind of facility does not mean you are not his caregiver. you will still need to manage his care in the facillity. except instead of just one sue there will be more people helping out. Sue realize this you have taken care of him for 9+ years. There should not be any embarassment in admiting you need help from skilled nursing facility now. you need to take care of yourself or else both of you together will be in skilled nursing home.

 

Asha

 

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Thanks to you all, for the virtual hugs, the advice, the love and concern. I said 'till death us do part" and I am not giving up at this stage. As I said - I need more help to look after Ray at home and that is what I need to express loud and clear to anyone who will listen.

 

No, it is not time to put Ray into care it is time to put my brain into gear and figure out a way around this. I need to alter the way I do some things, maybe see if I can get some of his meds changed again as that might be the source of some of the troubles. I will enquire bout the fiber, that sounds like a good diea.

 

We had a clean day yesterday and that helps - no washing to do. I know Ray can't help this, his body is betraying him again. And Fred, you know how that feels though yours is physical.

 

A few of my real life friends have been asking if it is time for me to find a facility for Ray and the answer is "NO!!". There will come a time but this is not it.

 

One thing I have to do is limit the time I give to others as far as bearing their burdens goes. I love to help but have to think about the cost, the hysterical phone call was just the last straw as far as that was concerned. I know it is taking too much of my strength propping other people up now.

 

So another day, another opportunity to get on with life.

 

(((Hugs))) from Sue.

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