Friday, March 14, 2025

Family Caregivers: When Family and Friends Are Not There for Us

     It took me a long time to understand, realize, and grudgingly and sometimes bitterly accept that the people who are not there for us now were already not there for us. They were not part of our daily lives. They were not part of our weekly lives. And we were not part of theirs either. They were not invested in our lives, and we were not invested in theirs. Everybody has their own lives, worries, tragedies, families, and priorities. We are no longer the center of their universe, and they are no longer the center of our universe.


Family Caregivers and the Distance of Friends and Family

    People and lives spiral away as time goes by, growing more distantly apart. When they are no longer an integral part of our lives, we are no longer an integral part of theirs. They live their own lives, and we live ours. They survive without us being there, and we have survived without them being there.

    If we take illness and dementia out of the equation, how often were they coming to see the grandparent, parent, aunt, uncle, or sibling on a daily basis, weekly basis, or even yearly basis? Were they only visiting every holiday, or some holidays, perhaps once a year, or once every five years? On holidays, birthdays, or anniversaries, did they send a card or make a call?

    When you move away, that tree your family planted in the yard when you were a kid, you didn't take that tree with you. You didn't abandon it; you simply moved away from it. It survived without you, and you survived without it, independently. The same goes for that toy or stuffed animal that you loved as a child and now love again when you see it. You visit for a holiday, see it, love it again, and remember the good and bad times. Then you leave home and forget all about it until the next time you visit.

    Out of sight, out of mind. Out of mind, no longer on our priority list. Other things in our own lives take up that entire list. There often isn't room for another addition to it.

    I decided on my own to become the primary caregiver for my father. I made the decision. I made the choice. My father is at home, not at a care facility or nursing home; that was my choice and my decision; mine alone. I did blindly assume that everyone else, friends, and/or family, would change their lives to help with my father when we needed help and time. I assumed that he was on their mind as much as he was on my mind. I assumed that he would become one of their priorities because now he needed to be taken care of. I didn't consider that those friends and family have other concerns, other priorities, and other people they are responsible for, and to.

    People who visit only on the holidays, or once in a great while, when they have the time or feel that they have to, are exactly that: visitors. They come and then they go away.

    The same applies to me. It applies to my dad too. Neither of us were invested in the day-to-day lives of friends and family. Friends who do things with you, those are social friends. They do not come when there is nothing of benefit for themselves. They do not come for hardship; they come for fun or engagement, not to change an adult diaper. They are social friends, not blood and bone friends. Fair-weather friends, as we used to call them.

    I have come to realize that there is also a thing called fair-weather family. They are social family, coming for the holidays, coming for the occasional visit, sending a card, leaving a voicemail. They might have sympathy and concern, but that is on the surface. It is not deep down and life-altering concern, care, or love. They are distant - even if they are closely related.

They've spiraled away. They are still there, but they are not here.

    No one was here except on holidays and special occasions before, so why would they be here now because dementia comes into our lives? No one was visiting and helping before, when dad got older, frailer, and less wealthy. They have their own lives, their own worries, their own expenses, their own family, and their own friends. Those become their priorities, not the family members of the past who are not there daily in their lives.

    We family caregivers, we share about our troubles, our burdens, our failures, and our depression and anxiety. Our family and friends who are not caregivers tend to share more positives than negatives. They don't share their negatives with people they are not close to. I think most of us family caregivers used to do the same thing, before we became family caregivers.

    Their circle is bigger than our circle. We know what is in our circle. We don't know what is in theirs. They move off, form their own circle, and add partners and friends to their circle, who themselves have their own circles. They remain in our circle but also have their own circle and are part of other circles. They have parents and aunts and uncles, nephews and nieces, sisters and brothers that are now in their circle, but not in ours.

    Thanksgiving and Christmas are good examples of this: This year, they come to our house for Thanksgiving and go to their partner's family for Christmas. One year they can go to one, so they go there instead of here. It is a balancing act for them, and sometimes it tips in the other direction for a lot of different reasons.

    As much as I feel like it, I can't really fault people for not changing their entire lives just for me and my dad. They have their own lives, their own responsibilities, their own obligations to others who have no relationship to me or mine.

    I asked myself this seriously: If a sister of mine was married and her mother-in-law, who I only know fleetingly, a holiday-based relationship, had dementia and my sister and her husband were her live-in caregivers, would I uproot my life to help them? I will honestly say, no. I would not.

    My life, my circle, that is my priority. If a person is not in my day-to-day life, they are not a priority of mine. I do not have the time, the money, or the free emotional space to be able for it to be otherwise. I understand and do not expect it to be different for anyone else.

    It is frustrating, though. When we see and hear someone talk about going on vacation or doing something that doesn't include coming to see us, it can be annoying. But I have a clear enough mind to know that it is just not them alone, it is their own family, their kids, their friends, their business associates, who are part of that. Their priorities and responsibilities and needs are not the same as ours.

    Drifting, spiraling away, doesn't mean estrangement. Not completely. I love and care for many people who I don't really know what their current day-to-day life and concerns and worries and burdens are. I am there, but not here with them.

    If they are not here with you now, they will not be here with you later. And vice-versa. That is a very hard pill to swallow.



If you read all of this stream of consciousness, I appreciate it. I am sure other people have other thoughts on this, different feelings and opinions. I am open for enlightenment and honest open dialog. This is a tough subject to wade through. 

Saturday, July 20, 2024

A Few Hours in the Family Caregiving Life - The Toilet Saga

  

Iconic Me

   When I got my dad up today he had contents in his adult pullups. I put down waterproof pads on the bed and floor and undressed him. I had him clean himself up as much as possible to prevent any droppings when he walked, then had him go sit on the toilet to finish any unfinished business that he might have. After that, I had him step into the shower to clean him off. A shower is best for that kind of wet and dry mess on an adult.

After the shower I had him out by the sink drying him off. He said that he was feeling the urge to go again, so I had him return to the toilet. He sat there a while, but nothing was coming out except for natural gas. Eventually one little nugget came out. So, I had him step back into the shower for a quick wash down.

As I was drying him off he said that he felt the urge again. So, back to the toilet we went. Nothing but gas was coming, so I went to the kitchen and brought him back a little glass of warm prune juice. He drank it and we waited a while. Nothing. Nada. I had him step back to the sink and wiped him and dried him. Once again, he felt the urge, and I said, “No, we are not doing that again. Let’s wait and see.”

I got him dressed and had him go to the kitchen for his midday meds and glass of water. I know he needs enough fluids in his system in order to be able to defecate properly. I could tell by the cloudy urine in his leg collection bag that he was not hydrated enough yet. That is very common when first getting up after sleeping all night. Gotta watch that carefully.

I made him eggs and bacon and mixed fruit and coffee for his late breakfast. I went back to his room and made his bed, discarded the pads that were soiled, got the shower mats and towels up hanging to dry, bagged up the trash, and so on.

The usual daily stuff.

From rise to me shining the sink taps it took 2 hours today. That is not always the case, but some days it takes longer than other days. It was 2 hours of solid activity for me. I never stop moving. I even descaled my Mr. Coffee coffeemaker with vinegar and water while I was waiting for things to get moving for my father in the bathroom. I cleared out the dishwasher, washed down my cutting boards, and cleaned the air fryer basket.

I walked some boxes down to the big trash compactor outside while my father sat on his toilet for the 2nd time. It is very hot and humid outside. I was sweating by the time I got back inside. Now I need a shower. But I needed that anyway after dealing with my dad today.

I can tell you this from experience: Bathing and drying a child is easier than bathing and drying an elderly person. I do not have children myself, but I remember from when my nephews were kids and from when I helped some friends with their kids over the years. Kids are easier to deal with because they don’t weigh much, you can move them around and lift them up without worrying about breaking them. Their skin is smooth and not wrinkly: Elderly skin is not easy to wash and dry; Too many creases and crevices and looseness. It is a pain in the rear, so to speak. It hides things that you find later, things like soap and water and poo.

Adult poo is not the same as kid poo. It isn’t. I am sure most of you know that. What you don’t know is that one day your poo is going to be that kind of poo too, even if you don’t take any meds and are a healthy-type person. Your poo will be old poo, even if it is new poo. 😛

Life is interesting. My life for sure is interesting. The idiom, "May you live in interesting times." is sometimes said as a curse, but it can be something good too. It is not a curse at all. What it actually means is may your life not be boring. My life is not boring. It is tedious at times, for sure, but not boring. I am not a boring person except to those people who are boring people, but who don't realize that they are boring people. They think they are interesting, when in fact they are more of a pain in the arse than they are interesting.

Life is not boring unless you are a bore. I am not a bore, but I do admit to being a pain in the arse.

Monday, January 8, 2024

The Consideration of Myself - A Poem

Consideration of Myself - Poem


The Consideration of Myself

I have lived,
I have loved,
I have dreamed,
I have won, and I have lost.

As I have aged, I have become less,
Yet, at the same time, I have become more.
I discovered that I am human in all the ordinary ways —
A fleeting thought, a whisper among countless voices.

My uniqueness is an idea never forgotten,
Yet never mine to claim.
I am myself, yet I am all,
Alone, yet never separate.

I am a note in a melody,
A ripple in a great tide,
A shadow in the morning light,
Present, yet indistinct.

In my reflection, I see myself.
In my reflection, I see others.
I have lived, I have loved, I have dreamed —
And in that, I have become everything.


Poem, by M. W. Van Dyke 

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