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Young Caregiver Need Lots of Advice

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I posted a more narrow topic in the End of Life forum, but I have a lot of other issuesthat I could use some advice on. I'm 22, just graduated from college and have been taking care of my dad (71, with liver cancer for about 10 months). Because of my dad's alcoholism, he's alienated himself and there aren't many other people that are willing to help out in his time of need. I have other siblings, but I am the only one that actually grew up with my dad, and we have the closest relationship. My dad was a particularly difficult person even before the effects of age and sickness, so he can really be a handful. This aside, I know that it is really hard for him to accept help from me because he has always been so independent. I want to respect his independence and keep his spirit as alive as possible, but there are so many times where I want to "make" him do things that he won't.

Incontinence: He almost never makes it to the bathroom without an accident, either on himself or on the floor. He has enlarges prostate and I have talked to his primary care doctor about it, but she didn't have any suggestions. I bought him some depends, but he refuses to wear them. He will occasionally use the hand urinal. This is compounded by the next issue.

Bathing: He won't bathe, at all. I've bought transfer benches, spray hoses, handle bars, all the things that are supposed to help make him feel safer, but he won't do it. We recently got a home health aid but he won't let her bathe him either. He is really filthy, and I've pleaded with him for months, and he's say yes and then changes his mind at the last minute. I have no idea how to address this. I've asked him if he just wants me to help him in and out of the shower, that way his modesty is respected, but he says he can do everything himself.

Eating: He's reverted to a 5 year old's tastes in food: cookies, popcorn, soda, hot dogs, etc. He won't eat anything green, and lately hasn't been eating much at all.

Sleeping/ Apathy/ Depression: He sleeps all day. He's always slept a lot, but would get up and watch tv for a while. Now, he sleeps most of the day, not even waking for meals. He also has very little interaction. I work full time, and am gone most of the day. He was going to a senior center in our area,but complains about being around "all of the old people".  He only likes to hang out with my (college aged) friends.

Personal Guilt: Sometimes I'm pretty hard on myself because I can't take care of EVERYTHING, all of the time. It's still a struggle for me to care for someone else when I'm still getting the hang of taking care of myself. Then I feel guilty for not remembering to make him a lunch or for not making him breakfast because I am late for work, etc. I can't fuss at him for not taking his meds because sometime I forget.

I'm not really sure if there's anything you all can do to help me, but I feel better already just getting it out.

Thanks


 
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Bless your heart, you do have so much on you. I know it's hard,but, try not to be so hard on yourself. It sounds like you really are doing a wonderful job with your Father. Most people your age would'nt even take the time, plus just the level of thought you put into his care says alot about you and your giving heart. I too, started at a young age with caregiving, not in the same capacity that you are, but  my Father became ill with lung cancer at the age of 57. I was 20. I went over and helped my Mom care for him and all of his final arrgs. prior to his death 7 months after his diagnosis. Since then, I have pretty much had alot of responsibility with my Mom. She was always a housewife, never drove or worked outside the home. Now, I am also a full-time caregiver for my 87 year-old Aunt, along with part-time caregiver for my 76 year-old Mom. It has been a journey. Filled with hard times and times I will always treasure.

            I know first hand how hard some of these issues can be for you. It's kind of like switching roles, but you still want to respect him and give him as much dignity as you possibly can. It can be a hard balance. As far as the incontinence, I too am dealing with this with my Aunt, not quite as serious as your Dads situation though. My Aunt also refuses to wear the disposable undergarments. It is so frustrating, and hard not to feel angry when they have all of the accidents. We know they can't help it, but we know they can make it easier on themselves and us. As far as the bathing,I can relate to that too. Which is really a tough one. As hard as it is, I think you are going to have to muster up some courage and have a serious heart to heart with your Dad. Tell him how much you love him and how difficult it is for you to bring these things up,but that you know you have too. Explain to him that if you can't come to some sort of agreement on the incontience and the bathing issues, as much as you want to care for him, you might not be able to. He may have to go to a nursing facility. You can only handle this for so long and it will began to drag you down. I do know this from experience. Hopefully, he will make the right decisions, or you will have to. Especially since you have noone to help..........................As far as his eating habits go, I can't say for sure where he's concerned, but alot of cancer patients don't have alot of appetite. They lose their taste for many things. I remember my Dad wanted milkshakes, or some days there would be certain things he felt he wanted to eat. Personally, I think if he's eating something, even if it's not the most nutritional food, maybe let it go. See if his Dr. thinks this is wise advice for him. They may even want you to use some type of vitamin supplement to help with what he's not getting..........As far as the sleeping and depression, they kind of go hand and hand. Is he on any kind of medicene for depression? Does he sleep at night too? How far is he into his illness? When you mentioned that he only wants to be around your college age friends, it kind of reminded me of my Mom. She lives in a retirement apartment building. I remember when we first moved her in she said she thought to herself, " what am I going to do here with all these old folks"? I thought that was hilarious! I guess somehow, even though they are older in their body, their minds still feel young. Probably being around your friends gets his mind off of his situation. It is true that alot of time with the older crowd of friends, some tend to sit around and talk about their ailments and sad stories all of the time. Younger people, maybe still represent life in the positive aspect. They don't gripe all of the time. Not that all seniors do. This probably does'nt make you feel better, but it was the first thing that came to my mind where people and interaction are concerned.

              I know I have'nt been much help, but I do sympathize with your situation. I know how you feel, and I do admire you for giving up so much to be there for your Dad. I know he is grateful for you too. Take Care, I'd like to know how things work out for you, and I'm always glad to lend an ear.

                                                                                                   Melissa


 
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I wish I had found this discussion forum earlier! I feel so much less alone just hearing from people that can understand exactly how things are. Lately, I've been feeling him sort of 'slip away' spiritually, and I was getting so worried that i took him to the urgent care center at the VA. I'm glad I trusted my instincts because there was blood in his urine when he gave a sample. He also had an infection in his lungs. I have to say, I was so dissatisfied with the service we were given. The VA is usually slow, but I've usually found them to be pretty caring. No one seemed to think the blood was a big deal. They pretty much gave us an antibiotic and sent us on our way. I even called back to make sure the doctor understood that it wasn't just a tinge of pink, but real blood, small clots, and that he was in pain during urination. All they said was if I was unhappy, I could bring him back to emergency room for revaluation (after we'd spend 6 hours there). This healthcare system is awful! He has medicare part A but that doesn't cover doctor's visits or ER fees. If I were to reenroll him in Part B, it wouldn't start coverage until July! I dont' know if he's even going to be alive in July!

After I spent the whole day with him, he seemed more like himself, which makes me think it is depression and loneliness that is making him withdraw. Which makes me feel bad for not being home more. While I don't want to sacrifice too much of my own life, I want for his final days to be as comfortable as possible. Its a tricky balance.

Again, I truly appreciate the responses, its weird, I feel a kinship with a screen name on a discussion board, but hey, it works. :)

 


 
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Hi Again,

              I know, it is kind of weird is'nt it? Relating to a screen name. I've never really even participated in one much until I recently found this one.

              It sure is sad that our veterans are'nt taken better care of than your recent experience. Does your Father not qualify for some type of indigent care? I don't know what part of the country you're in , but, it's medicaid here. I believe if he could qualify for that, his medical visits would be covered. Check with your local health department about such a program. Sometimes even the hospitals have some type of program like this, they don't advertise it of course, but you can inquire about it.

             As far as the time you are spending with him, you are doing the best you can, and yes, balance is such a tricky part to caring for someone, especially without feeling like you're losing yourself...................By some small chance? Would your Dad maybe be interested in having a pen pal? Just to write back and forth as a friend? My Aunt really wants to find someone who likes to do this. She enjoys writing short notes, and sending cards. This helps with her loneliness and depression. It's a constant battle for her too.

              Take care, Sweetie, Melissa


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