Caregivers Get Fit
get connected. be encouraged. improve your care.
Caregivers n. a person who cares for someone who is sick or disabled. OK, Webster (or more accurately, dictionary.com) aside. You are reading this likely because you caregive in some capacity. We all give of ourselves in some form or another sooner or later. YOU are here, though, because life has tossed you suddenly or gradually into the role of decision making in someone's life. Likely your aging parents but often, and no less important, taking care of a disabled child or spouse. Whether suddenly or gradually, your new role can be exhausting and draining to your emotional and physical health. Care giving becomes a part of most everyone's life at some point in time. It's not a matter of if but when. As a home health care physical therapist for 15 years, I've walked into 100's of homes and seen 100's of caregivers breaking under the daunting task laid before them. My first concern is your health. It's more important than your disabled loved one or clients health. Why? Your successful role will last only as long as your health does. The stresses involved with care giving are backbreaking and heart wrenching. The emotional tax that rests so heavy on your heart will rob you of sleep, nutrition and ultimately your own health! Learning more about this difficult task and coping with caregiver stress and guilt will make this important role more possible.
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caregiver beware!
Care-giving can be exhausting. Care-receiving can be depressing. We will be adding Exercise programs to our
online fitness training site
over the next few months so caregivers and patients can become stronger, healthier and more independent in their roles. New Exercise programs will focus on Caregivers and Patients and what you need to do for strength and health! For example: Bed to Wheelchair Transfers - Transferring a a patient from a bed to a wheelchair can result in injury to both the patient and the caregiver if one or both are weak and not careful.
- We will add an exercise program for Caregivers and for Patients teaching you everything you need to strengthen to be able to accomplish this transfer injury free and for patients to require less help, becoming more independent.
Stay tuned as we soon roll these programs out. You will find: - Improved strength
- Improved health
- Improved balance in your life
- More energy to meet the demands of care-giving
- Increased independence for patients to take control of their lives
- Better family/care-giver dynamics as strength begins to combine with teamwork
Care giving gives 24/7. Or at least until health breaks down and the few penny's left in the savings account are used to hire a replacement to provide some relief. However, even a few minutes at night may not bring sleep, robbing vital health. Without a regular, quality visit to the repair factory (a good night's rest!) you will be one with the reality of losing your own health. Let's take inventory of your own personal lifestyle before this all began. Take a few moments to jot down your weekly routine. Did it include:
Fresh Air
Sunshine
Physical Fitness
remember...
Health maintenance requires healthy living...now. Not when your health breaks down, before it breaks down.It's more than just physical health. Important as it is, the issues are much deeper. We are all broken people struggling on this battlefield called Earth. You live a stressful role now. Stress often overwhelms the system to the point of not being able to take even one moment to yourself. Let's
get fit now.
caregiver inventory
As caregivers, it might be time to take inventory of a few things. You often feel you are spinning your wheels, the days fly by (or drag by!) and you have no time to sip a cup of tea...Take a close look at the tips below and find small ways that you can begin to change your situation around.
Tip #1 Is your help necessary? You may find it very difficult, as a caregiver, to let someone struggle. Especially when they are "sick." Your loved ones likely have been very sick and the greatest challenge for you will be let your loved one do for themselves what they can. Often, though, with good intentions, we confine them to bed and do everything for them. Each day confined to bed by our well meaning care giving, means precious muscle loss for them resulting in more dependence and a downward spiral for their health.
Tip #2 Keep it simple Care can be rehabilitative i.e. stroke, total joint replacement, and diagnoses where measurable goals. Care can also be habilitative i.e. dementia and other diagnoses where specific "get well" goals are not an option. Rehabilitative recipients can be overwhelmed, depressed and humiliated over their inability to complete a simple task. Habilitative recipients can become angry or violent when asked to complete a task they are unable to. This can injure the patient or the caregiver and care must be taken to avoid this. A relatively simple command of going to bed will be better managed by breaking this down into simpler steps: Stand up. Walk down the hall. Turn into your room. Walk to your bed/chair. Turn. Sit. And then further break down these steps as you assist a habilitative patient in getting their night clothes on. This same command would also need to be broken down for a rehabilitative patient as great effort, thought and energy will go into each step and s/he will likely need assistance until strength, coordination and range of motion return.
Tip #3 Encourage activity Whether rehabilitative or habilitative care, movement and activity are essential to increase independence and decrease complications that can creep up due to inactivity. The caregiver needs to encourage or help the patient do activities that put the major muscle groups through a full range of motion. Rule of thumb to remember is this. Sometimes joints can be so tight that the muscles aren't strong enough to move them through any range of motion. Move a limb through a range of motion but also ask your loved one/patient to help you. This allows them to work on strengthening the weak muscles through a full range of motion. Over time, little bits of consistent strengthening will add up to increased independence. The sweat of exercise no matter how difficult is far more worth the efforts than consequences of immobility. These include skin break down, pneumonia, constipation, swelling, weaker muscles, urinary problems, osteoporosis and blood clots. Any of these over time can cause death.
Tip #4 Train when needed When it comes time to learn and regain lost functions and abilities, it is vital that the caregiver learns what to do and how it must be done before they can teach the recipient. Over caring must be resisted as it is easier to go ahead and perform the task instead of allowing the recipient to struggle along, learning and getting stronger in the process. Dignity is gold during these times. Control has been lost and most patients will do anything to get any sense of control back. Strive for patience in the learning process of the care recipient.
Tip #5 Encourage use of assistive devices Assistive devices encourage independence. Mobility aids like walkers, wheelchairs, canes and crutches are designed to assist in patients ability to get from point A to point B. Sensory aids include vision and hearing aids as well as dentures. Various other aids assist patients in bringing back their previous enjoyment of hobbies like gardening, painting, reading etc. Physical and Occupational Therapists are trained health care professionals able to teach caregivers and patients about these devices and how to use them
Tip #6 Recognize the need for dignity Caregiving can be time consuming and frustrating. Caregivers must remember to provide patience and care in a way that preserves dignity. Consider these pointers to enhance dignity: - Close doors when privacy warrants
- Avoid excessive exposure
- Allow choice in various areas
- Allow participation in care to vary on some days
- Keep clothes changed for incontinent patients
- Regular hair dresser visits
- Daily shaves
- Frequent manicures
Walk the sensitive line of encouraging independence yet stepping in to help when patient's attempts are not adequate.
Tip #Skin safety Skin condition tells us more about health then we realize. The largest organ of the body is prone to skin break down with immobility. Skin will dry with age and needs to be kept clean and well lubricated. Frequent position changes are crucial. Bedsores can develop if redness develops on bony parts and is not relieved. These can be very painful, impair mobility even more and take a long time to heal.
Natural Home Remedies
is the best investment to know how to take care of these health issues without the side effects of medication.
Tip #Monitor nutrition Many times patients have trouble chewing or swallowing. This an come between a well nourished body and one that breaks down under the stress of poor nutrition and sickness. A registered Speech Therapist can help you decide which foods to puree and which ones to thicken to help swallowing and prevent chocking. The elderly typically eat smaller meals making it necessary to fix 6 smaller meals instead of 3 larger ones. Your physician will be able to help you decide if a nutritional supplement will be helpful. For additional insights on nutrition,
visit this trusted source for information on the Holistic Health therapies of Nutritional Supplementation and Homeopathy
Tip #8 Emotional Health We are all insecure to some degree in health. When sick or injured we need increased acceptance and love from the family. Patients often go about obtaining that in manipulative ways. Be aware of this but there is no need to point it out now. Injury and disease can cause increased isolation and withdrawal - paving the way for depression and more health problems later. Try to pull together as a family in times of need. However, do only what you can. Discussion of a short stay at a rehab facility or skilled nursing facility may be necessary to maintain your health as a caregiver. Be leery of making "I'll never..." promises to each other while young and invincible. I've seen too many spouses agonize over promises broken because a patient needed more care than the spouse could give. Talk early in life about later in life options for giving and receiving care... this will save a lot of heart ache later in life!
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