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fizzgig

(24,146 posts)
Mon May 9, 2016, 10:05 PM May 2016

i need some advice on being a longer-term caregiver

my husband is recovering from a nasty bout of pneumonia that landed him in the hospital over the weekend. the infection was so bad that there is a possibility he will be on oxygen for two or three months and i'm going to have to provide for us in every way.

the monetary stress we'll face once the bills start rolling in is one thing, but my bigger concern is how i can be the most effective in caring for him. he is only 38 and is having a hard time wrapping his head around this, especially since it's been years since he has had anything worse than a mild cold. he woke up early this morning, yelling about how being on they oxygen just isn't going to work and really isn't an option and i can tell he's already getting depressed about it.

how do i help him understand that he was very, very sick and this is what he needs to get better? how do i help him understand that these things happen without rhyme or reason? i didn't handle this morning very well because he woke me out of a dead sleep with his upset, i just yelled back at him that he doesn't have a choice and to just get used to the thought (and i feel like such a jackass for it).

i already talked to him about me making an appointment for him to go to someone, but he flat out refuses to do that. how do i get him to understand that just getting out and sitting in the sun at the park for a bit will help him feel better? how do i get him to eat? how do i get him to do anything but sleep?

i need to know how to be patient with him, i need to know what i can be doing for him, i need to know what i can do to keep myself going and keeping up with everything around the house while caring for him and working full time at a job i hate. i'd go back to my therapist but there just isn't going to be money for it.

i've already started trimming a bit of fat from the budget and can do enough trimming that we should be able to scrape by provided the rent doesn't go up too much with our next lease (moving is out of the question). my dad said he will help us a bit and i'm sure we can get a bit of help from my in-laws. the only assistance we qualify for is the food bank, so i'm going down there this week to get us signed up.

i'm posting this here because it's more heavily trafficked than the lounge and i'm really at a loss right now. i've been fighting tears

i'm going to go hang out with a friend for a bit but will be back later to check on this. thanks in advance, duers, you guys are a good lot.

74 replies = new reply since forum marked as read
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i need some advice on being a longer-term caregiver (Original Post) fizzgig May 2016 OP
Is your husband a veteran? Skwmom May 2016 #1
he's not fizzgig May 2016 #23
Your primary care physician can prescribe anti-depressants Major Nikon May 2016 #2
he refuses to engage in any manner of mental health treatment due to one bad experience in his 20s fizzgig May 2016 #22
As someone deathrind May 2016 #3
Very good advice. Jerry442 May 2016 #6
Way too true - Delphinus May 2016 #53
Expect the patient to not be a hall of famer either lagomorph777 May 2016 #74
the taking it one day at a time is not a strong point for me fizzgig May 2016 #25
First, to answer we need to know his prognosis ? Trust Buster May 2016 #4
he's going to be ok fizzgig May 2016 #27
There is light at the end of the tunnel. This is doable IMO. I am the sole caregiver of an elderly Trust Buster May 2016 #49
Check the Health 'dept,' elleng May 2016 #5
good idea fizzgig May 2016 #28
I think I know what he's feeling. When I was even younger than he is, pnwmom May 2016 #7
thank you for your perspective fizzgig May 2016 #29
And you can try "active listening." pnwmom May 2016 #33
I am sorry mercuryblues May 2016 #8
"Laying in bed is not acceptable." This advice is wrong for someone who is dealing with pnwmom May 2016 #38
The reason mercuryblues May 2016 #58
Duh. I just told you about blood clots, and then you told it back to me. pnwmom May 2016 #70
I'm so sorry you are going through this. Texasgal May 2016 #9
Oh my god, laculose hell riderinthestorm May 2016 #11
Yup... Texasgal May 2016 #14
Thoughts and prayers, Texasgal! pnwmom May 2016 #34
He needs the sleep. He's a day out of the hospital w severe pneumonia? riderinthestorm May 2016 #10
yes, this Viva_La_Revolution May 2016 #13
Try to get as many friend or family to help just watch him. I had no family or friends when I moved Katashi_itto May 2016 #12
I second this... Phentex May 2016 #52
Exactly, even if for just an hour or two. Anything helps. More eyes on the paitent the better. Katashi_itto May 2016 #55
he has a few friends who can come hang out with him fizzgig May 2016 #65
Good! Yes, try to make sure he has good coverage Katashi_itto May 2016 #67
Do you have a 2-1-1 service to call? Sweet Freedom May 2016 #15
i didn't even think of 211 fizzgig May 2016 #60
There really is no rehearsal for this, is there? madamesilverspurs May 2016 #16
thank you for chiming in fizzgig May 2016 #61
wow, all beautiful. Gold Finch is a handsome devil. oldandhappy May 2016 #17
No advice hibbing May 2016 #18
He is going through the five stages of grief. tavernier May 2016 #19
i had not thought about this in terms of grief fizzgig May 2016 #64
Make a list of your emotionally supportive Ilsa May 2016 #20
I'm wishing you well. roody May 2016 #21
TONS OF SLEEP and liquids first of all 2banon May 2016 #24
You will need lots and lots and lots of patience. jeff47 May 2016 #26
If he has been sick for awhile and not able to go outside, he could really be low on Vitamin D. greatlaurel May 2016 #30
vitamin d is a great idea fizzgig May 2016 #66
So much good advice here, I'm bookmarking this thread. mountain grammy May 2016 #31
My best to you and your husband. peace13 May 2016 #32
Well, I am taking a different tack HERVEPA May 2016 #35
I agree with this. Of course in the early days of acute weakness and healing, he needs to rest enough May 2016 #51
+100. nt raccoon May 2016 #59
Some good advice here Frances May 2016 #36
I don't know if it helps tomm2thumbs May 2016 #37
First - hugs to you! Solly Mack May 2016 #39
thanks for chiming in fizzgig May 2016 #62
I'm better. Thank you for asking! Solly Mack May 2016 #69
Let him sleep all he wants. KentuckyWoman May 2016 #40
as a former spousal caregiver of almost 2 decades, this is great advice! eShirl May 2016 #50
you are very right in that he is, rather than was, sick fizzgig May 2016 #63
You nailed it. He IS still very sick, and there's nothing abnormal about how they're both pnwmom May 2016 #71
I am a caregiver and it's exhausting, I will not lie. The most important thing you can do for jillan May 2016 #41
It's not easy, I promise you, but it is 10000% worth it. raven mad May 2016 #42
I'm with the folks Iwillnevergiveup May 2016 #43
Oh, Fizzgig, this is so hard. Hekate May 2016 #44
+1. n/t pnwmom May 2016 #45
Hopefully the hospital gave him discharge instructions pnwmom May 2016 #46
Think about your resentment of his illness--AND, take care of yourself! Peace Patriot May 2016 #47
The single most toxic and misery-creating aspect of being bedridden is constipation. Peace Patriot May 2016 #48
Psyllium husk roody May 2016 #54
You have been given great advice in this thread... Phentex May 2016 #56
Get him some good pot - snooper2 May 2016 #57
Yeh, rght. He's on oxygen. L et's add a bit of smoke to his lungs. HERVEPA May 2016 #68
What does he like doing that's non physical? lunatica May 2016 #72
If your hospital has a social worker they might be able to help. nolabear May 2016 #73

Major Nikon

(36,827 posts)
2. Your primary care physician can prescribe anti-depressants
Mon May 9, 2016, 10:09 PM
May 2016

So rather than going to see a specialist, which he may not want to do, you can just see your regular doctor for a prescription.

SSRIs are available in generic form, are very safe, and are quite effective for short term depression.

fizzgig

(24,146 posts)
22. he refuses to engage in any manner of mental health treatment due to one bad experience in his 20s
Tue May 10, 2016, 12:00 AM
May 2016

he gets angry and defensive at the mere implication that he might be depressed, but i will revisit the issue at a later date if this lasts as long as it could.

it frustrates me to no end, but i know it's not the right time to really push the issue.

deathrind

(1,786 posts)
3. As someone
Mon May 9, 2016, 10:13 PM
May 2016

...who spent the better part of the last ten years caring for my mom during her terminal illness and my grandmother after my mom passed.

Take it one day at a time.

Don't forget about you.

Focus only on what you can control.

Be patient.

I wish you the very best and hope for your husband to have a full recovery.

Jerry442

(1,265 posts)
6. Very good advice.
Mon May 9, 2016, 10:21 PM
May 2016

Remember also that life isn't a Hallmark Hall of Fame movie. Caregiving, no matter how much you love the person receiving the care, has its dark side. You will have bad days, but it doesn't mean you're a failure. It just means you had a bad day.

Godspeed, fellow caregiver.

Delphinus

(11,840 posts)
53. Way too true -
Tue May 10, 2016, 09:00 AM
May 2016

this is not a Hallmark Hall of Fame movie. This is tough, hard work and sometimes it makes you want to beat your head against a brick wall.

lagomorph777

(30,613 posts)
74. Expect the patient to not be a hall of famer either
Tue May 10, 2016, 03:28 PM
May 2016

Illness brings out the worst in people.

As a caregiver for 30 years, I can testify to that.

Hopefully he is young enough and strong enough that in 2 or three months, the ordeal is over. Look forward to that!

Though it is possible to survive 30 years as breadwinner and caregiver, I often question whether it is better to be alive. If I thought there was a high probability of the situation resolving in a few months, I'd be over the moon with joy. Latch on to that!

fizzgig

(24,146 posts)
25. the taking it one day at a time is not a strong point for me
Tue May 10, 2016, 12:08 AM
May 2016

thank you for the reminder and the advice.

 

Trust Buster

(7,299 posts)
49. There is light at the end of the tunnel. This is doable IMO. I am the sole caregiver of an elderly
Tue May 10, 2016, 06:58 AM
May 2016

parent with dementia. There is no light at the end of that tunnel which makes me feel hopeless. Perhaps, you can find a documentary for your husband to watch of people who's prognosis offers no hope to help him with perspective.

fizzgig

(24,146 posts)
28. good idea
Tue May 10, 2016, 12:09 AM
May 2016

i poked around for what might be an appropriate group for this but didn't consider those two. thanks.

pnwmom

(108,995 posts)
7. I think I know what he's feeling. When I was even younger than he is,
Mon May 9, 2016, 10:24 PM
May 2016

I had a sudden, unexpected hospitalization for a life-threatening health issue. And I happened to be pregnant -- so there was that, too.

What a shock. I realized afterwards that I'd just assumed that because I had always been healthy, I'd stay healthy -- at least till I got much, much older.

It was traumatic to realize how quickly things can change, and that you can cross the line from perfectly healthy to being at risk of death. Rationally, of course, I'd always known that. But it's not the same when you've experienced it.

What didn't help me was having people tell me it was going to be okay. Because it was NOT okay.

The people who were most helpful just listened, heard and accepted my fear, and agreed that the whole situation SUCKED.

What I think your husband needs most from you is validation. and acceptance. Let him know that you TOTALLY get how awful this is, and that you HATE that it happened to him, and you HATE that he needs the damn oxygen machine, but you will be there wilth him, and so will your families, every step of the way.

And once he feels that you are really listening, and really accepting of all that he's feeling (which might take multiple conversations), then maybe he will consider your advice to ask the doctor for a med to take the edge off his anxiety and depression. Which OF COURSE he is feeling after the trauma of his illness.

Also, if he has allergies or has ever had asthma, this might be the time that asthma rears its head. So if his cough persists, he might need a trip back to the doctor to make sure he doesn't have asthma that needs to be treated now, too. (Sometimes it can be triggered by pneumonia. That has happened with me, too.)

GOOD LUCK! And feel free to P.M. me if you want to discuss this more.

P.S. I just realized that I forgot to say anything about YOUR shock and trauma, which was no doubt considerable. Don't beat yourself up about losing it this morning. You have been suffering, too. I'm glad you have been in touch with family and friends. Let them help you now.

fizzgig

(24,146 posts)
29. thank you for your perspective
Tue May 10, 2016, 12:12 AM
May 2016

i really needed to hear it. he's not much of a talker as it is, but i will definitely listen more and say less.

pnwmom

(108,995 posts)
33. And you can try "active listening."
Tue May 10, 2016, 12:37 AM
May 2016

Carefully listen to him, and then repeat back to him what you hear he's saying, so he knows you get it. And that you're accepting what he's saying.

There's a ton of info about this on the web -- this is just the first one I found.

http://psychcentral.com/lib/become-a-better-listener-active-listening/

As hard as it was for me, it's probably even harder for a lot of guys to feel helpless, because they've been taught forever that their role is to be the strong one, always. So that is adding to the trauma for him -- and for you, too. You probably never imagined yourself in this position, at your age, suddenly facing the loss of his income. Of course that's scary.

But the hopeful side is that this just happened -- you're both still reeling from the shock -- but you're not going to feel like this forever.

Try to take walks or pet your cat or call a friend or do whatever is is that helps you feel calm. But the emotions you and your husband are going through now are completely natural. You've just had your world turned upside down. Of course neither of you is at your best. You both need time for heeling.




mercuryblues

(14,539 posts)
8. I am sorry
Mon May 9, 2016, 10:34 PM
May 2016

that you are going through this.

To help relieve your stress and his, sit down together and come up with a plan of action. What he needs to do to get healthy and this will take some time. Set goals for 1 month, 3 m, and 6m and reevaluate at those times what works and what else can be done.

Laying in bed is not acceptable. That is how he will get sicker, not better. Even if all he does for the next week is get up and sit in a chair, ok. not great, but ok. Watch some baseball. He needs to start moving..go to the mailbox. Let him know you are in this together and together you will win. Cheap outdoor entertainment like high school baseball or even free concerts in the park. Google free things to do in your town.

If he is not eating that well, it is normal. Antibiotics will mess with the taste of food and appetite. But he does have to eat, so pre prepare meals that you know he loves. Make a big pot of Chicken noodle soup and put them in single serve dishes. He can warm some up while you are working.

Enlist the help of your parents and his. It might be sneaky but his dad or a nearby friend can ask him to go to Lowes and help them find a certain something they need. Just to get him up and about.

Get your rest. So if he does wake you again, you aren't crabby.

pnwmom

(108,995 posts)
38. "Laying in bed is not acceptable." This advice is wrong for someone who is dealing with
Tue May 10, 2016, 12:50 AM
May 2016

Last edited Tue May 10, 2016, 02:35 AM - Edit history (1)

a case of pneumonia serious enough to land him in the hospital -- and he just got out yesterday!

This man needs rest, adequate nutrition, and plenty of fluids right now. Especially if he doesn't rest well at night -- which is hard with pneumonia -- he'll need naps during the day. Sitting in a chair is fine, and he needs to get out of bed enough to reduce the chance of a blood clot, but he doesn't need to drag his oxygen supply out for a walk to the mailbox or a trip to the park or Lowe's. Not yet. He's still very ill.


mercuryblues

(14,539 posts)
58. The reason
Tue May 10, 2016, 09:47 AM
May 2016

they get you out of bed after a surgery is so you don't get pneumonia and blood clots. I am not talking doing a 5K I am saying get out of bed and into a chair, walking to the mailbox. As he progresses he will be up to doing more, like Lowes.

They make small portable oxy tanks for carrying over the shoulder like a bag that last for several hours. Walking/exercise will help increase his blood oxygen levels and help get him off the oxygen tank.

Many people have depression issues after a health crisis. That is normal. As he gets better his depression should also.

pnwmom

(108,995 posts)
70. Duh. I just told you about blood clots, and then you told it back to me.
Tue May 10, 2016, 02:41 PM
May 2016

But, despite what you said, most of the time he can spend in bed, if that's what he wants to do. Just the normal things a person would do, going to the bathroom and sitting up to eat or watch TV, will be fine.

He could also wiggle his toes and wear support stockings. But his poor wife doesn't have to turn him out of the bed when he's barely home from the hospital. And he doesn't have to walk to the mailbox or go outside at all yet.

Texasgal

(17,048 posts)
9. I'm so sorry you are going through this.
Mon May 9, 2016, 10:36 PM
May 2016

I hear you though. My husband is dying from liver failure.

We are currently on a transplant list but he is slowly dying. He only weighs 112 LBS and his over all health is teetering. He also has issues with all his meds and does not want to take what he needs. It's a constant issue and has come down to very loud and crappy conversations.

My only advice is to keep up with is meds and doctors appointments. Keep reminding him about life and love.

In our situation I remind him constantly that someone will have to die for him! The least he can do is take his fucking meds. It's been a nightmare! Atleast we are now #10 on the list here in Central Texas. Hopefully he will soon be transplanted.

You have my complete understanding and sympathy!

 

riderinthestorm

(23,272 posts)
11. Oh my god, laculose hell
Mon May 9, 2016, 10:49 PM
May 2016


Of course he resists. Its awful awful.

My sister is 6 years from her successful kidney liver transplant.

I am completely empathetic. BIG ((((hugs))). Good luck.


Texasgal

(17,048 posts)
14. Yup...
Mon May 9, 2016, 10:57 PM
May 2016

Lactulose. He hates it and refuses to deal with it until he starts getting nutty.

Thank you! We hope this will happen soon... he is bad shape.

 

riderinthestorm

(23,272 posts)
10. He needs the sleep. He's a day out of the hospital w severe pneumonia?
Mon May 9, 2016, 10:44 PM
May 2016

Jayzus, let him sleep.

If he can handle some time napping in the sun, great. But do know he's got a fair few days still where getting up to use the toilet is an accomplishment.

 

Katashi_itto

(10,175 posts)
12. Try to get as many friend or family to help just watch him. I had no family or friends when I moved
Mon May 9, 2016, 10:49 PM
May 2016

to New Orleans. I had a triple bypass.

After the hospital. At home, I passed out and was on the floor for two days. I managed to pull myself to water.

So seriously try to get help or call a social worker.

Phentex

(16,334 posts)
52. I second this...
Tue May 10, 2016, 08:57 AM
May 2016

someone who can come by for a few hours to help here and there can be a huge relief.

Sweet Freedom

(3,995 posts)
15. Do you have a 2-1-1 service to call?
Mon May 9, 2016, 10:57 PM
May 2016

I'm familiar with it for elder care but I think they put people in touch with appropriate services and may be able to offer some guidance.

madamesilverspurs

(15,809 posts)
16. There really is no rehearsal for this, is there?
Mon May 9, 2016, 11:08 PM
May 2016

That goes for both of you, by the way.

In my own case, I've been on oxygen for over 15 years, thanks to a number of contributing causes. And, yes, it took some getting used to! For me, it's permanent, but I've known many people for whom it's a temporary necessity. When questions have arisen (over equipment, breathing tricks, healing protocols, etc.) I've contacted the hospital's respiratory therapy staff. They can't diagnose, but they can point in the right direction. Are you in PVH neighborhood? My experience with them was excellent; these days I use NCMC. Your oxygen provider should also have respiratory therapist on staff; when I first started, the therapist came to my home on several occasions to make sure the equipment was regulated to my needs; she was always willing to explain and answer. Another avenue I've found useful is pulmonary rehab; it's basically "gym class" for people with breathing issues, temp or permanent. Breathing exercises, who knew!

It's a rough thing to realize that your world has been turned upside down, if only for a time. Human beings just aren't geared to deal with sudden change; even people who hit the lottery have been known to have the same response as someone whose house has burned down. Give yourselves permission to speak with those whom I call "tour guides" -- people who know the territory, who've been there and done that; doing so will help to avoid some nasty missteps.

PVH should have an office for connecting patients with community organizations that can offer guidance and counselling; explain that you aren't trained to be a caregiver, that will help them direct you to the right helpers. Sometimes local interfaith associations have lists of helpers. And there's "GoFundMe" if you need help to pay for caregiving assistance.

As for the food bank -- I was privileged to work at ours for a year. It was and will remain the best job I've ever had. Terrific staff, and they are inter-involved with all kinds of community helping organizations. Ask! They know people who know people.

Above all, hang in there. Adjustment takes time. And it could just be that, by the time you've fully adjusted, things will be almost back to normal.

PM me if you need to, I'll be thinking of both of you!

fizzgig

(24,146 posts)
61. thank you for chiming in
Tue May 10, 2016, 10:18 AM
May 2016

the shock really is a big part of this and there will be a lot of adjustment time. he sees a pcp today and i will ask him as well. he goes to the pulmonologist for a follow up early next month and i'm anticipating rehab as well.

i am feeling so far out of my element right now that i don't know which way is up.

the food bank here is great but i didn't think to ask them about other resources.

i hope you are well, friend.

hibbing

(10,109 posts)
18. No advice
Mon May 9, 2016, 11:29 PM
May 2016

But thought I would just wish you both the best. I have read through the comments and there are quite a few excellent suggestions. Helping elderly parents is the only experience I have.


Peace

tavernier

(12,401 posts)
19. He is going through the five stages of grief.
Mon May 9, 2016, 11:41 PM
May 2016

The five stages, denial, anger, bargaining, depression and acceptance are a part of the framework that makes up our learning to live with loss. Usually we think of this as a method we all go through when there is a death, but as a nurse I can tell you that all patients who have lost a certain amount of control in their lives due to illness go through the same process.

Have patience, have an open ear, and keep your support system, your sense of humor, and a bottle of wine close by. You are also going through this process and talking it out wth friends will help.

Ilsa

(61,698 posts)
20. Make a list of your emotionally supportive
Mon May 9, 2016, 11:43 PM
May 2016

Friends and family. Talk to them ahead of time about your concerns that you could develop "caregiver fatigue". (I felt it as a flight response when I was overwhelmed.) Let them know that you'll tell them and ask for help if it starts overwhelming you. Then they'll know when they absolutely must step in to help both of you. I think it's best to be prepared. And who knows? Maybe they'll find time to offer you help so you can take a break.

I wish you both well. Patience is a trait you must develop, so keep the long game in mind, but only take it a day at a time (sounds nutty, I know).

Good luck!

roody

(10,849 posts)
21. I'm wishing you well.
Mon May 9, 2016, 11:45 PM
May 2016

I care for my extremely elderly father who can be a bit of an asshole. My best bet is to say little or nothing in response to his assholiness.

 

2banon

(7,321 posts)
24. TONS OF SLEEP and liquids first of all
Tue May 10, 2016, 12:04 AM
May 2016

Is bacterial or viral?

What kind of pneumonia is it?

What did the doctor say he needed?

was he given antibiotics to deal with infection?

Was he on oxygen at the hospital and if so, why was he released so soon?

Forget about taking him outside at this juncture, if he's supposed to be on oxygen then for the next few days maybe longer he needs bed rest and the liquids.




jeff47

(26,549 posts)
26. You will need lots and lots and lots of patience.
Tue May 10, 2016, 12:08 AM
May 2016

NOTE: I don't know him at all. This is my experience from dealing with my grandparents and their failing health. He may not fit this at all.

He's going through a lot. And he's likely to be angry at the universe that he is going through it.

For things like oxygen, gently remind him of what the doctor said, and keep insisting that he use it. He's mostly mad that he needs it, and is expressing that anger. More or less say, "Yeah, it sucks. But you need it because of (detailed reasons from the doctor). So put it on.".

It is going to give you a ton of stress, and a lot of crap to deal with. But unleashing it on him will not help. You will have to be like a sponge, and just suck it up in front of him. And like a sponge, you can go wring it out elsewhere. Get out regularly. Schedule it, and make sure you actually do it. And do them long before you are feeling overwhelmed.

The breaks are how you can rejuvenate from helping him. Whatever you can come up with to unwind away from him. And be conscious of letting the stress and annoyances out of you. Even if that means yelling at clouds.

greatlaurel

(2,004 posts)
30. If he has been sick for awhile and not able to go outside, he could really be low on Vitamin D.
Tue May 10, 2016, 12:19 AM
May 2016

There is a blood test for it. Low Vitamin D really messes up the brain. His docs have been focusing on the pneumonia. You should talk to his family doctor about this when you get a chance. It is a little issue, but just something that is not his fault so maybe he would consider taking the Vitamin D supplement his doctor can subscribe. It really helps one's mental outlook.

Good luck. There is a lot of good advice in the responses. Be sure to get some help, so you do not wear yourself out. My old family doctor told me when my family was going through some very tough health issues that I had to take care of myself or I would not be able to take care of anyone.

Hope your husband starts feeling better very soon. The oxygen will allow his lungs to heal from the pneumonia. It is important for him to follow the medical advice. This has to be very rough on such a young man.

Take care and get well soon to your husband.

mountain grammy

(26,655 posts)
31. So much good advice here, I'm bookmarking this thread.
Tue May 10, 2016, 12:27 AM
May 2016

I have no advice, since the time I was a long term caregiver, it was awful. Some of these posts, wow, wish I had someone to reach out to at the time. Sending you good thoughts and wish you and your husband a good recovery. Good luck.

 

peace13

(11,076 posts)
32. My best to you and your husband.
Tue May 10, 2016, 12:31 AM
May 2016

I was a caregiver for five years and my best advice to you is...
*surround yourself with positive people.
*Try to stay rested
*Try to eat healthy food
*Maintain some type of physical exercise, even if it is a YouTube exercise video. Even if it is chair exercise.
*If you and your husband don't currently meditate search YouTube for yoga Nidra. This is guided meditation without any movement. This is amazing. It will help with the stress. He can do it too!
*It sounds like you have a good support system. Take people up on their offers to help. Schedule visit so that you can have some down time.
*sit in a chair, feet flat on the floor, roll your shoulders up down and back. Hands on lap. Relax every part of you, face , neck, shoulders and on down. Now breathe in through your nose slowly and exhale through your nose slowly(count to yourself for even breaths). Do this at least for five breaths when you feel stressed or need a break.
*Contact his doctor to make sure that you know of any and all available resources for help.

I found that if I could do these things the frustration and negativity of others was more manageable. He is so lucky to have someone to care for him. You are doing an amazing thing. Care giving is like being on a jet when the oxygen masks drop down. We have to take care of ourselves so that we are able to help our loved ones.

I send love, and hugs and healing energy for both of you.

 

HERVEPA

(6,107 posts)
35. Well, I am taking a different tack
Tue May 10, 2016, 12:38 AM
May 2016

He needs to know it is not only about him. It is also about you, and your life and your health.
It's understandable for him to be depressed.
It's not OK for him not to try do do anything, as in seeing a doc and getting meds.
Sick or not, he has responsibilities in your marriage too.

enough

(13,262 posts)
51. I agree with this. Of course in the early days of acute weakness and healing, he needs to rest
Tue May 10, 2016, 08:16 AM
May 2016

and recuperate. That's his sole responsibility for the moment.

But the idea that you must look forward to an indefinite amount of time where your existence is totally subsumed under the weight of his unhappiness is a recipe for disaster for you, for him, and for your marriage.

I say this from the experience of long-term personal caregiving for my elderly parents, both with dementia. I think caregiving can become almost traumatic in the situation where the caregiver feels completely at the mercy of the demands of the patient. I did not deal with this well, and it only ended when they died. It took me several years to recover my physical and mental health after that experience.

One thing to keep in mind is that the recovery process may not take as long as you and he are expecting. His attitude will have a lot to do with this. He's young, and his mind-set may change a lot as his physical health returns.

Frances

(8,547 posts)
36. Some good advice here
Tue May 10, 2016, 12:44 AM
May 2016

My heart goes out to you as a caregiver holding down a full time job.

I am a caregiver for an elderly person; I was introduced to another person in a similar situation.

It's been a comfort to both of us to be able to vent about our caregiving responsibilities to each other.

Would it be possible to find a support group for yourself online?

I am in a completely different age group than you are, but I can empathize with your feelings when you were waked from a sound sleep to deal with your husband's anger. I have had that happen to me several times, and I was very impatient. I wish I had not been, but I was. So you are not alone in that respect.

tomm2thumbs

(13,297 posts)
37. I don't know if it helps
Tue May 10, 2016, 12:47 AM
May 2016

I tend to look for advice on YouTube, from reasonable sources, but it often answers some general questions without having to be over-saturated by websites initially. (for example only):

tips for caregivers - longer term care - caring for yourself so you can care for your loved one



american red cross training - basics on more care issues - may not apply, but just using as example of what is out there


just pulling a couple as reference, understanding that the health issue may not be the same, but some caregiving issues can be common. Searching on YouTube might let you explore on your own before picking a few videos that seem more helpful. Not giving medical advice, just trying to suggest some options for learning. I'd look for videos that are from sources that are reputable. Sometimes one little tip, like how to help someone into bed, can be a lifesaver!

Best of luck and hopefully you can keep a written diary to vent, which worked for me as I was helping with family member over a long treatment program. Getting your frustrations out, even by pen, can be a great help sometimes.

One helpful tip, we had a keyword/phrase for when things got stressful that either person could say (can be something silly, but a word/phrase that stands out on its own that means, basically, 'timeout' *let each person pick their own). Ours was 'this is important'... When spoken, the other person knows they need to listen 100% to the other person for 5 minutes (absolutely no interrupting them or defending yourself, etc) because they are getting really frustrated and they want to be heard. It tends to break the emotional spiral without starting a conflict...

Big huggs for what you are doing!!!




Solly Mack

(90,787 posts)
39. First - hugs to you!
Tue May 10, 2016, 12:56 AM
May 2016


Some people, myself included, resent being sick. Feeling weak. Our own bodies have betrayed us in the worst way possible.

We get angry. Ugly angry. Unfortunately, we take it out on those we love. I am so sorry when I do it and I'm betting he is too.

Be good to yourself - so you can be more patient with him. Allow yourself the time to gather your own wits - take a walk, stretch, read - whatever it is that gives you peace.

Let him rant - to a degree. Let him know you understand he's angry and he has the right to vent - he just doesn't have the right to be angry with you. Also remind him that it isn't forever and he'll be back to his old self, more or less, in a very short time. It could have been worse.

I wish you both all the best!

fizzgig

(24,146 posts)
62. thanks for chiming in
Tue May 10, 2016, 10:21 AM
May 2016

i hadn't thought about the aspect of him feeling betrayed by his body. we have been very healthy our whole time together and this is a whole new world for us.

how have you been?

Solly Mack

(90,787 posts)
69. I'm better. Thank you for asking!
Tue May 10, 2016, 01:08 PM
May 2016

Illness brings a whole new level to marriage. It can be very trying on everyone involved.

Time, patience, and love - with a lot of respect and all the reserves you have - is needed.

My best to you both!



KentuckyWoman

(6,694 posts)
40. Let him sleep all he wants.
Tue May 10, 2016, 01:06 AM
May 2016

It's not that he WAS very sick. He IS very sick. They don't hand out oxygen tanks to people who WERE sick. He'll take his oxygen to the park and get some sun when he's ready. If you have to, call his best friend to come drag him out.... but be sure he's really on the mend first. If he really goes down in the dumps get his friends and coworker and family involved. You know who perks him up......

As far as both of you being a bit rattled... give yourselves a break. He's 38. No one expects a husband of 38 to be a pain in the butt for months on end. He didn't expect that either. In the 60's or 70's or beyond it comes with the territory but not as often in the 30's.

Next time he's cranky and you want to yell at him back then just yell at him back Yell at him how much you love him and how glad you are he didn't die. Yell at him you have faith you two can get through this. Yell at him he's sexy with or without the oxygen tubes. Yell at him some idiotic thing about how he can't be mad, it's national dog hair day. Something... whatever works to defuse and refocus.

You two will have a lot of trials coming because of the lack of emergency funds and this big hit. You'll need to figure out how to make the illness the common enemy instead of fighting each other if you are going to have the energy and creativity to get it done. Being miserable in your job doesn't help. Until you can actually make a change in that department maybe try every day forcing yourself to write down 3 positive things about your work day. I know it sounds silly but miserable is a mental thing. Maybe pushing your mind to think positive will help a little bit at least.

My husband had his first heart attack at 39. Was out of work 8 months. We did not end up in bankruptcy but I still don't know how. We also learned how to work together a lot better than we did prior. Now he's 68 and we've gone through 3 more heart attacks, 2 strokes, 2 cancers for him and 1 for me. We stand. At the end of the day that's what matters.

fizzgig

(24,146 posts)
63. you are very right in that he is, rather than was, sick
Tue May 10, 2016, 10:26 AM
May 2016

thank you for that perspective. i have never dealt with anything like this before and have to keep reminding myself that we are still in present tense.

pnwmom

(108,995 posts)
71. You nailed it. He IS still very sick, and there's nothing abnormal about how they're both
Tue May 10, 2016, 02:49 PM
May 2016

feeling.

You remind me of your sister. I still remember her fondly.

jillan

(39,451 posts)
41. I am a caregiver and it's exhausting, I will not lie. The most important thing you can do for
Tue May 10, 2016, 01:12 AM
May 2016

yourself is to realize that when he is being difficult do not take it personally. Once you realize that he is being difficult because he is in pain, it will be sooooooo much easier to deal with.
The person I care for gets violent at times. When I don't handle it well is when I take it personally. But when I take a breath and realize this person is in pain, then I can run and get meds, whatever else I think she needs.
It's the hardest lesson to learn, but the most important one for both of you.

Next, if you feel like he needs to be seen by a doctor there are doctors that will come to your house. (Hoping you have insurance) Google, make some calls, tell people what you need and you will find that people are helpful (Nurses hotlines are great!). If they can't help you they may be able to refer you to someone that can.

If he's sleeping a lot, his body just may need the sleep. Be thankful - lol. When he's sleeping you can catch up on what you need to do around the house or even lay on the couch and watch a movie.
About eating - try Ensure or other meal replacements. If you have a blender, frozen fruit mixed with some oj and a handful of spinach makes a delicious smoothie... a tablespoon of honey makes it even better. It's cheaper to make smoothies than buy ensure. Frozen fruit makes it taste better than fresh fruit.

Remind him this is only temporary and one day you will look back at this as a bad memory.

Hope that helps!

raven mad

(4,940 posts)
42. It's not easy, I promise you, but it is 10000% worth it.
Tue May 10, 2016, 01:24 AM
May 2016

AARP and many other organizations have great information for you, on line and in person. Many, many, many states have assistance that lets you bring in a nurse, practical nurse, nurse's aide and others experienced in this type of care. They also have a LOT of good folks working the the social work field who can guide you toward grants, etc. AND!!! Now, some states supplement income.

I had to take off work for almost 10 years to care for my father-in-love, as there were few provisions then. The most difficult part is the stress and worry and fear of the caregiver; you MUST remember that if you don't take care of yourself, you CAN'T take care of him.

Most communities have free or nearly free CPR classes, Red Cross lifesaving classes, etc. Take advantage of them.

You'll be in my thoughts.

Iwillnevergiveup

(9,298 posts)
43. I'm with the folks
Tue May 10, 2016, 01:25 AM
May 2016

who suggest BOTH of you need a bit more time to process this illness. Apparently your husband just got home from the hospital, so it's probably still a shock for him to deal with how sick he actually is. And for you, it must be a shock to realize how much unwelcome responsibility has been placed on you.

Having cared for both my folks for 5 years, what helped enormously was finding 3 or 4 people with ousized ears who could tolerate my feelings of resentment combined with guilt. Talking (and sometimes crying) with them really helped, even over the phone.

Sleep is a blessing...if your husband is sleeping a lot, our bodies don't lie. He needs it. As far as eating, no one usually starves to death by choice. Strongly agree with the suggestion to push soup because that may be all he can handle right now.

Definitely talk to the hospital social worker to take advantage of every service that's available to you. Does someone check in on him while you're at work? Maybe he'd be more apt to take advice/suggestions from health care providers.

Most important: understand that this too, shall pass. Your husband will gradually feel better and you will be able to resume your normal lives.

Please check in with us again. I feel optimistic you'll have progress to report.



Hekate

(90,824 posts)
44. Oh, Fizzgig, this is so hard.
Tue May 10, 2016, 01:41 AM
May 2016

I'm sorry I have no advice --- just a hug and a prayer

A message to all who contributed: this the best of the DU community as I have always remembered it and how it should be. Remember this, and be kind to one another in the year ahead. I'll try to do that too.

pnwmom

(108,995 posts)
46. Hopefully the hospital gave him discharge instructions
Tue May 10, 2016, 02:39 AM
May 2016

with information like this publication from the NIH. It's normal to feel really weak and exhausted when dealing with a serious case of pneumonia, so you shouldn't let that scare him or you.

And just the feeling of not being able to breathe induces its own anxiety. I know!

But he's got good care now, and he's young and basically healthy, so he will get better.

https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000017.htm

Peace Patriot

(24,010 posts)
47. Think about your resentment of his illness--AND, take care of yourself!
Tue May 10, 2016, 03:44 AM
May 2016

Long time caregiver here. I've seen many family members so exhausted by their efforts to give loving care to a sick or elderly family member, that they literally end up dumping the ailing one at a long term care facility and fleeing, sometimes never to return! And the tragedy is, they will feel so bad about themselves later! They do not recognize the exhaustion that home care can inflict on the caregiver--the physical exhaustion, and mental and emotional exhaustion--combined with resentment and guilt that is buried too deep, that they can't allow themselves to recognize.

You need to take care of your own physical and mental/emotional needs. He is in no condition to take care of them for you. He's too sick. This is so-o-o-o important! Your mate cannot help you at this time. You've depended on him to be your friend and he CAN'T do that right now. He needs ALL his physical and mental/emotional strength to heal. So you need to get help from others! Let friends/family give you breaks and TAKE THOSE BREAKS. And feel good and righteous about it. "This is MY TIME," sort of thought.

I don't know about support groups (where you can vent, and get advice). Maybe you should go to a movie instead, or take a beautiful walk, or get your hair done, or take a friend out to dinner, and forget about your husband for two hours. A support group is just more him (focusing on him and his illness and/or what it's doing to you). You need to get away! Do something for you!

And he, of course, resents his illness, big time. I have to say that this is typical of men (as opposed to women patients). Resents his helplessness--really resents it, hates it! And he is obviously taking it out on you. This is no surprise to me at all. I see it (and experience it) often. But do know that it is NOT personal. He is just a "bad patient" (as old nurses used to say). He can't help himself--he is a man being pissed off at being sick. He will be himself again when he is not helpless any more. There isn't anything worse for some men than feeling helpless and dependent.

IN THE MEANTIME, find a mental image, say, of his anger flowing past you like a gentle, warm breeze (it barely touches you, barely influences you, and it's okay, it's just a natural phenomenon); do what you are able to do for him, physically and emotionally, and, when you need to, WALK AWAY: get out of the house, go to a gym, take a walk, visit somebody else, go to a movie, go buy a good used book, just don't stay there in a situation of mutual resentment and mutual exhaustion (him because he's sick and has no reserves, and you because you've had it with his resentment of his illness.

I have sort of a libertarian view of other peoples' bad attitude toward their meds or other doctor-ordered remedies (like oxygen). I use as many tricks as I can to get sick people to do what's best for them. But after a certain point, the human spirit must be respected. If they won't rally to their own continued existence, there is nothing that a nurse, caregiver or doctor can do. It's up to them.

Give your husband that freedom and that respect. Don't be snippy about it (like, "You want to die? Fine!", or "You want to get sick again? Fine with me!&quot . Give him space to rally himself. He very likely will, on his own. But if he doesn't, you need to accept the fact that he doesn't want to do the things he needs to do to get well. You can give him this respect lovingly and while caring for him as well as you can. But you can't make him get better. He alone can do that.

I'd say, back off a bit. He's just out of the hospital, so you don't know how his illness and his attitude toward it are going to play out, long term. Give him a few weeks, at least, to gather his strength and his spirits. If he's obdurate about care, don't press him too hard. Just offer him what you think he needs, and if he turns it down, don't insist (or come back later, just once, and gently offer it again). He may have a relapse, but that may be what he needs to face up to his illness, himself.

And please, please know that this is too much for one person--you--to bear up under alone. You need help--practical, physical help--and the kind of help that will free you for rest and recreation.

Don't end up like the people I described above--totally exhausted, and in a totally fed up state that you yourself will some day regret.



Peace Patriot

(24,010 posts)
48. The single most toxic and misery-creating aspect of being bedridden is constipation.
Tue May 10, 2016, 05:16 AM
May 2016

I should have mentioned this above. I'm adding it here so you'll notice it. Take the advice of someone who sees this problem all the time. Constipation is often the root cause of depression and certainly of bad temper in a bedridden patient. And it sounds like your guy is the kind of man who wouldn't want to admit it (more dependency issues). So be proactive. If he is in bed for even just a week, it's a very good chance that he will become constipated (he probably already is), and that will color his entire outlook--creating a constant bad mood--and it can curb his appetite and retard his desire to sit up or walk when he should otherwise be ready to move around more.

Also, the heavy antibiotics for pneumonia will wreak havoc with his intestinal flora and fauna. He may need pro-biotics (to replace good intestinal f & f), or real yogurt. The likely result of heavy antibiotics will be constipation. (His bowels won't be processing food very well, and his lack of activity will further slow down his digestion.) But diarrhea could also occur. Potato soup is good for diarrhea. Try to find out if one or the other is occurring--constipation or diarrhea--and always be cautious with remedies, trying a little bit at first.

For constipation, give your husband a half a small glass of prune juice every morning, if he will drink it--or, if not, try alternatives: a small portion of stewed prunes, or stewed dried apricots, or a prune or two in yogurt, or a couple of chopped up prunes used like raisins in a fruit salad or with cereal; or watered down prune juice (to cut the taste if he doesn't like it); or a couple of tablespoons of prune juice in a fruit smoothie (taste disguised); or other dried fruits, or lots of different fruits fixed various ways in his diet.

Our grandmas knew this about sick, bedridden family members--they almost always get constipated. They often used castor oil as the remedy. But the taste is pretty bad to most people. (That's why Mary Poppins sings about "a spoonful of sugar"--governesses of that era regularly forced a teaspoon of castor oil down their young charges' throats to keep everybody "regular" and in a good mood.)

Not a pleasant topic, but THE most important topic for the bedridden! I guarantee that!

Phentex

(16,334 posts)
56. You have been given great advice in this thread...
Tue May 10, 2016, 09:06 AM
May 2016

just want to wish you well and hope you know that you can vent and look here for support.

You need to rest too or we can send Skittles over.

lunatica

(53,410 posts)
72. What does he like doing that's non physical?
Tue May 10, 2016, 03:15 PM
May 2016

Watching movies? Get Netflix for 7.99 a month and he can watch tons of movies. He can do some binge watching on favorite shows. You'd be surprised how much fun that is. If that's what he likes it will definitely take his mind off himself. You can play the movies on the computer or get it hooked up to the TV pretty simply and inexpensively.

Does he play video games? They're also very cheep to rent and it'll keep him busy for hours and days. You can probably get a Play Station 4 or something for rent from the video game stores.

Does he frequent sites like DU? that can keep you involved for years and years and hours a day.

Does he like to read?

If you can somehow have him doing things he's always loved he'll probably heal even faster.

Talk. Talk about everything. Make him laugh if you can. Watch comedy programs. Laughter saves people. Brings them back to life.

And you need all the above too. If using amusement to escape is what is called for, then go for it. this won't last forever.

nolabear

(41,991 posts)
73. If your hospital has a social worker they might be able to help.
Tue May 10, 2016, 03:25 PM
May 2016

People, some more than others, can lose perspective and get very emotionally labile as a side effect of illness. The body is stressed and it can stress the thought processes. You and your husband both need to know that and be patient with rough thoughts that come up. A hospital social worker might be able to point him to someone he can just have a conversation with. Or you. Even a crisis line if you have one isn't out of the question.

Good luck. It's hard sometimes to realize that after a crisis your job IS to heal and help your body work well again.

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