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Really when a person can't take care of themselves and it is a safety issue I feel there should be something in place to make it easier to care for ones loved one. This system we are in is so stupid and not good for anyone involved. How do you handle this?

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This process is so hard because hardly any of us have had any training, there is no mentor to show us what to do. And a majority of those who need help will argue that they don't need the help.

Then comes the cost of aging here in the States. I was like a deer in headlights when I found how much it cost to hire caregivers, and the cost of Assisted Living or that of a skilled nursing home.

Then we have senior citizens trying to take care of much older senior citizens. Those older seniors still view their grown children who are now experiencing their own age decline still as being in their 20's and 30's, and are surprised when we just can't do all that they want.... [sigh].

People marvel when one's parents live to be 100.... but fail to realize that means their grown children are in their 70's and 80's. That could mean one grandchild is helping to care for his/her own parents and grandparents.
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Giveup, in addition to freqflyer's observations, I have a few other thoughts. There are tools out there to help, but we don't know much about them. It is through forums such as this one that we hear what others have used to get past a point.
In most states, bed guardrails are illegal. But my MIL had need of something to grab on to to assist her in sitting up. The assisted living facility limited u s to one type, one we were not familiar with. BUT the Halo handle did work great and MIL loved it (once she stopped saying she didn't need it!)
So what is in place for your loved one? Is the home setting workable? One floor, easy access no throw rugs, grab bars in the bathroom, etc etc? Are there caregivers or family to help? Are there resources (looking ahead) for such things? Are POA papers and healthcare proxies in order?
Tell us more specifics and perhaps you may get perfect ideas.
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Oh how I hear you. The cost is out of reach for almost all of us. Doctors and nurses are too often clueless as to the emotional and physical toll on the caregiver and will sometimes make cold and uncaring comments. The insurance system is a nightmare to navigate, and until you've spent days and weeks on end sitting on hold waiting to once again explain your needs and be questioned about it you have no idea how soul killing it can be. Add to that the stress of taking care of your own children, a job, yourself. Add to that the impending grief associated with the death you know is coming. Add to that the utter loneliness of it all. Arrrgh. Well, we're all overwhelmed.
If I was going to take up a cause, it would be exactly this issue. We need better trained medical personnel, facilities that specialize in the needs of the elderly (not just assisted living and nursing homes, but like geriatric psych hospitals and the such), more discussion about how to support caregivers emotionally and financially, and an insurance system that knows what the heck is going on.
But I will say this: this site is a one bright light in all of it, so use it and lean on it for support.
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Threeboys, you triggered another idea for me to offer. Those of you that may be working for large employers -- ask HR if there is a 'Employee Assistance Program'. We were lucky to have this available to us and were able to call a single number, explain our needs and they get back to you with appropriate services and information. (The employer pays for this program so that employees can focus on their work)
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Another aspect is that we're so often on both the giving and receiving ends of the caregiving process. We're required to give so much to care for someone, but we also through no fault of our own receive criticism, not only from our family, but from ignorant people who know nothing about caregiving yet think they have the right to offer unknowledgeable opinions.

And we're not in positions of power. When I was working, I felt appreciated, making positive contributions to clients, and my work was respected. I'm not sure that's often the case in caregiving, even when our charges do express their appreciation w/o understanding the sacrifices that are made to accomplish that. We're not Energizer Bunnies but often are expected to beat like that cute little bunny with the drum and lots of energy.

What I find the most offensive are the "suggestions" and questions of these kinds: "you might want to do this", or "you should be doing such and such" or "why aren't you doing x, y or z??" I've often had to exercise great restraint not to respond with "why don't you either help or mind your own business!"
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I think a psychiatrist who was treating my husband got it exactly right. Medical science has moved ahead by leaps and bounds in the last generation. It is now routine for people to live into their 90s. But the social sciences have lagged far behind. We do not have the infrastructure to support an aging population. Laws concerning dealing with the elderly are a hodgepodge of rules established at different times for different purposes. Most of them are concerned with keeping the elderly from cheating on taxes; only a few deal with protecting the elderly. It is so complex that a legal specialty has emerged to navigate it.

An economic system that was designed to support people ten or so years after their retirement now has many living 30 years or more without producing income.

Perhaps the social sciences will some day catch up with medical progress. But right now it is waaaay harder than it should be to provide excellent care for the elderly.
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Jeannegibbs, AMEN. Nail on the head.
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It's perfectly true that many more people are living far longer, yes (and we ain't seen nothin' yet). But I'm not convinced that's the principal reason for provision being so erratic and sparse.

After all, children are nothing new. But social science and social services have yet to come up with a reliable way to protect them from harm, either, or ensure they get a fair start in life. Governments and legislators are not much good at delivering healthy social infrastructure, yet they've been cheerfully overpromising for at least sixty years. I think it's time we stopped believing they can do the job.
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GardenArtist has point regarding comments from other people such as relatives, friends, or co-workers.

I remember when I was grumbling about driving my parents [90's] all over hill and dale, a co-worker said to me that my parents had taken care of me when I was a baby..... to which I said "that is true, except my parents weren't 65 years old when I was a baby".
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Giveup, for me that is a hard question to answer without being political. All of the answers here are great. I sometimes wonder why the US has not kept up with caring for their elders like other countries do. I've seen so many programs on TV that explain how and why they take care of their parents or elders. Yes, they pay more in taxes, but they are glad to do it. The problem in this country is that doctor's charge exhorbitant fees because they get sued all the time for the smallest things. And drug prices here are outrageous! Why? Because of greed. Don't get me started! It would be nice if our politicians realized just what we go through on a daily basis to care for our loved ones.
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Coralmae, I have seen where voters will vote "no" to upgrade the schools or build a library in their area, I can't imagine them voting "yes" to higher tax rates to take care of the elderly and the families where there is a special needs child. I would pay a bit more, but in some countries the taxes are closer to 50% of your income for universal health care. Yikes.

You know I was just thinking the other day, I wish people would ban together and make home films as to what it is really like to take care of an elder, and have all of those in Congress and the current President view these films. Of course, we wouldn't be able to use an elder with dementia, because they can't consent to be filmed, so actors would be needed. I think too many people think life looks like the commercials for meds for Alzheimer's, everyone smiling and hugging.... [sigh]
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I hate those commercials FF....they are so insulting to care givers who know better. Plus the health care workers in those commercials always look like they have fresh, crisp uniforms on and serene expressions when in reality they usually look harassed and tired.

Here in Vancouver, Canada, they air these news stories celebrating seniors who have run marathons and are working well into their eighties. It's almost like they are trying to say "see, if you had taken better care of yourself, this would be you too" Why not air stories about the care givers who despite all the odds being against them are trying to provide a dignified end of life for their loved ones without the help of the government.
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I think another factor is that the US is youth oriented. Older people don't have the same level of respect that some countries, such as certain Asian countries, have for their elders. Native Americans had that respect, or at least they did before the whites suppressed their culture. (BTW, I'm white, but glad that my ancestors weren't any of those who abused another race in the processing of subduing it.)

FF makes a good point; it's not easy to provide extensive caregiving when we're in our 60's, 70's or sometimes even older than that.

There was a recent (PBS?) showing of a film on dementia, with interviews of a few families dealing with it, as well as one of the NE states that had a very, very limited health base to support any treatment. One of the women featured was caring for her mother with dementia, had also been diagnosed as having a genetic predisposition for it.

She went to Washington, and I believe testified at a hearing. But she also met a few legislators, including a man who had experienced it in his family.

If the Senate and Congress had more members with experience in dementia, as opposed to younger upstarts who are more interested in power plays, there might be more attention given to funding and research for it.

Gershun, well said. I despise those syrupy, cheerful commercials with glowing, rosy faces and happy dispositions. They convey a false and primarily fictitious representation of older life and older care.

Too bad someone doesn't have the guts to make a film of someone portraying so many who gaze with unseeing eyes, literally catatonic, sitting in their chairs for hours staring but seeing only a dismal future for themselves.
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I know it's not true for everyone here, but I could have at least tried it longer with Dad in my home if my 3 siblings had been any help at all. Add to that, he had 13 grandchildren, all adults with busy lives, but still... my children and two nephews -- none of the rest even visit. And all are local except one and an OTR trucker. Forget the government; it's our job, and we're not doing it. Well, some of us are... I visit Dad in MC every day and take care of all dr appts, meds, finances, clothes--everything & still no help of any kind.
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Dear talkey,

I can relate. It is hard caring for an elderly parent. There are so many factors and really no easy answers. It feels like a no win situation to me. I can't imagine many elderly parents thinks to themselves, I want do burden my adult child. Some want to stay home till the bitter end if possible and who can blame them? Who likes change? I kept my dad at home till the end, but in hindsight, was that really the right decision for him? Would he still be alive if he had the care of a nursing home? We all do the best we can, my friend. Please know there are supports out there in the community and we mustn't be afraid to find them and use them.
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I work 50+ hours a week and still feel guilty when I have to leave early to take my mom to the doctor

I have intentionally not taken all my vacation days for years now so that I can have a reserve for when I'll need them for mom's care
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CounrtyMouse, there really have been major improvements in the structures we have for protecting children. Perfect? OMG no. but really far from Dicken's England. And it isn't always government that instigates the changes. Labor Unions are responsible for child labor laws.

But for dealing with dementia we are starting almost from scratch -- kind of like being back in Dickens time. And BTW Dickens himself was instrumental in exposing inhumane practices, and that is the first step in getting change. Maybe we need a popular novelist to expose the flaws in the present system. It wouldn't be very cheerful reading, though would it?

We've always had people who lived into their 90s and even past 100. But when they are fairly rare in a population they can be dealt with case-by-case. With the aging boomers we have an entirely different scenario. We need changes to our infrastructures. We need a global vision and not piece-meal band-aids.
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What gets me is that they have so many commercials about poor children in other countries that you can sponsor for pennies a day and let's not forget the animal commercials that show gross pics of starving and mistreated animals that you can sponsor, but nothing about how the elderly can get good treatment. I sympathize with these other commercials and have often given donations to the animals. Then they keep bugging you for more money! Jeannegibbs is correct when she states that more infrastructures are needed and that we need something more than a band aid approach.
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