Have you ever sat in a coffee shop and “overheard” a neighboring conversation? If that is something you like to do, but feel guilty about eavesdropping, tune into the Jen and Joji Podcast.
Jenn and Joji Podcast
Here you will hear the chitchat of two (Millenial?) friends as they share their thoughts about a wide variety of topics, such as perfectionism and sobriety. The podcast I chose was BURNOUT, and although they largely spoke in general life terms, the conversation touched on and applied to the specific topic of CAREGIVING.
Jenn is an elementary school teacher whose entire nuclear family–both the spouses and their two young children–are overcoming a bout with coronavirus. Jenn noted that they now have SUPER ANTIBODIES. Jenn expressed that their COVID experience was like a “mini 2020” because of their return to quarantine status.
Joji is a nurse who had just experienced an overwhelming week, which consisted of work (an unusual 5-day shift) in conjunction with a week of caregiving (a responsibility she and her siblings share on a rotating basis). By Friday she felt like she was hitting a wall, noting that it felt like a train was barreling down on her that could not be stopped.
Respite care helps caregivers avoid burnout by taking time away from the senior-care environment. It helps prevent the depression that develops when caregivers do not make time for a well-rounded personal life. Again, respite care falls within the realm of family responsibilities and provides another good opportunity for friends or volunteers to help. But if these resources are not available to you, paid services are accessible in-home through independent caregivers and home-health agencies, or out-of-home at assisted-living or nursing-home facilities, adult day centers, and family respite-care homes.What to Do about Mama? p. 184
These experiences led Jenn and Joji to talk about burnout and how to cope. They touched upon the following:
Signals of burnout:
- Losing patience and being bothered by the “little things”.
- Turning to alcohol, rationalizing that you “deserve” it, then feeling worse afterwards.
Self care as a ways to deal with burnout:
- Use positive self-talk that does not assign an emotion to your feelings.
- Acknowledging that you are burned out and taking time to “pause”
- Learning to let go and not expecting yourself to be “perfect”
- Establishing basic healthy habits (such as eating right, exercising and getting enough sleep)
Relationships and asking for help:
- AT HOME
From your spouse and children (it’s a good way for them to learn independence)
From your siblings (as in sharing the responsibilities of caregiving)
- AT WORK
From your Boss and Co-workers.
Remember you are a TEAM
“I learned how to say, ‘NO,’ in addition to knowing when to say, ‘Yes.’”
What to Do about Mama? p. 267
Your tribute to your father is touching. Although I do not follow any particular rituals in the mourning of my father, something I have done for nearly 60 years, I find that every milestone crossed is accompanied by the thought: I wish he could have known ______, or experienced _______, or that we could have shared _____. His death, and the circumstances surrounding his death were formative to who I grew to be as a person. The pain of losing him never goes away completely, and I know by now that it never will.
Cherish your memories and be thankful you have them.
Today Papa did not turn 73
Today is Papa’s birthday.
In Jewish tradition, we tend to commemorate the dates (on the Hebrew calendar) of our loved ones’ deaths, rather than their birthdays. Same goes for historic figures like our Jewish sages of the many centuries.
Generally, as somebody who deeply appreciates and respects his people’s traditions, I tend to think of them as frameworks for expression of human experiences. I don’t believe that they were designed by or mandated by God, but I do believe that they reflect and are the culmination of many, many centuries of Jewish wisdom.
But the truth is that I often find our traditions to be… lacking? No, not quite lacking… insufficient? At least – insufficient for me. The practice of reciting the mourner’s kaddish on a daily basis during the first year of mourning for a parent was –…
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Jigsaw Puzzles. Not everyone enjoys them—but I do. I especially love doing puzzles with my grandchildren. “Puzzling” was a frequent activity when they were young–the times before they got too scheduled to while away the hours with Grandma, and before I was in competition with screen time.
Puzzles provided a chance for the kids to focus quietly. I could observe the working of their minds–how they use their understanding of the pictures to place their pieces into the puzzle. It was an opportunity to engage them in thoughtful conversation. Initially they worked by trial and error, but as they matured they used color, shape and those clues from the picture to put the parts into the whole. But still, they manifested their mischievousness when they squirreled away a piece so they could be the one who “finished” the puzzle—always the one that I was specifically looking for, I might add.
During a visit with my brother in 2018, we went to the movies to see The Puzzle. When Agnes asked Robert, her newfound competitive-puzzler-partner, what he loved about doing puzzles he replied: “Life is messy, there’s nothing we can do to control anything. When you complete a puzzle, you know that you have made all the right choices.” Oh yes, I thought, now I get it.
So my interest was piqued when The Caregiver Space featured a recent article entitled “On the consolatory pleasure of jigsaws when the world is in bits,” by Melanie McGrath, which appeared the January 20, 2021, Psyche Newsletter.
When the call came to say my mother had died, I was working on a jigsaw of Joan Miró’s painting The Tilled Field (1923-24). Like many others, I turned to jigsaws at the start of the pandemic as a way to manage stress, and symbolically reimpose order on a chaotic world. We take our consolations where we can and, as I continued with the puzzle in the days after mum’s death, its tactile qualities, the spicy smell of ink and card, and the small satisfactions of placing each piece where it belonged, grounded me when the world was in bits – both outside and within.
Since her diagnosis of dementia 15 years ago, my mother, too, had been disintegrating, as it were, piece by piece. At each of my fortnightly visits, some further part of her seemed to have newly dropped away, leaving gaps so raw and cruel that I sometimes had to remind myself to focus on what remained. COVID-19 put a stop to my visiting the nursing home where she spent the final decade of her life. We tried FaceTime ‘get togethers’ but my mother was blind as well as in late-stage dementia, so these felt like one-way affairs – mum’s eyes half-closed, her face unresponsive, her body giving every impression of lifelessness. At the time of her death, I hadn’t seen her for four months, and her image had begun to fade in my mind.“On the consolatory pleasure of jigsaws when the world is in bits” by Melanie McGrath
The day after we saw the movie, I got out a jigsaw puzzle to do with my brother. (Evidence suggests that jigsaws help older people retain visuospatial memory.) However, this experience made evident how my brother’s brilliant mind was beginning to yield to the effects of his recently diagnosed dementia.
Since COVID-19 I have been unable to do puzzles with my grandchildren or to visit my brother–at least not for the time being. As I sit at the dining room table doing a COVID Puzzle, like Melanie McGrath I think,
“When bereavement leaves us in pieces, how do we put ourselves back together?”
Caregiving is timeless and the related topics of conversation are timeless, too. I thought I’d revisit some of my blogs from 2014-15. They are, after all, they still relevant today. Stay tuned!
On September 10, 2020 The Caregiver Space discussed an article that appeared in the Guardian. Would you want a robot to be your relative’s carer? The point of the article was that people need human relationships involving empathy and attachment and that robots do not satisfy that need in caregiving situations. Read more in the Guardian.
My reply? Well, of course not! But that doesn’t mean I wouldn’t use a robot as an assistive device—just like a cane, walker, or Emergency Response System.
What do you think?
End of life. While we all know that it’s coming—someday—it is something we tend to ignore, until the moment it gets right up in our face and we can deny it no longer.
Snubbing death has become a real challenge in the midst of the pandemic.
I learned to deny death early on in life. Because of that, there is still within me the lasting impact of unresolved childhood grief. The death of my father, with all its surrounding circumstances, probably had the greatest formative impact on who I grew up to be.
“Daddy went away, never to return home. No last phone call. No last touch.”An Unremarkable and Imperfect Grandma (Life Stories and Life Lessons) p. 95
So as a young adult I made a purposeful change to be candid and straightforward. This is the person I became; it does not always serve me well.
I am now in my seventh decade and find myself confronted by loss with increasing frequency. The thought of losing those who I love without the opportunity to see them again or even to say goodbye has intensified from fear to terror due to the coronavirus.
I encourage all of you to rethink your attitudes about end-of-life care and death before you find yourself in the situation where there is no going back.
11 Inspiring Quotes to Help You Rethink End of Life Care by Easy Living, August 31, 2020
This excerpt refers to quote NINE below:An Unremarkable and Imperfect Grandma (Life Stories and Life Lessons) p. 111
Because the extent of his illness had been kept from him, so many other opportunities were lost. I am quite sure there was much more that he would have liked to say to help guide me into adult life. As it was, he didn’t even have the chance to say, “Goodbye.”
- ONE: At the end of your life, you will never regret not having passed one more test, not winning one more verdict or not closing one more deal. You will regret time not spent with a husband, a friend, a child, or a parent—Barbara Bush
No matter what your life stage there is benefit from thinking with an end-of-life mindset.
- TWO: In the end, it’s not the years in your life that count. It’s the life in your years—Abraham Lincoln
“Quality of life” is vital to end of life care.
- THREE: It’s not what you have at the end of life, it’s what you leave behind that matters—Stedman Graham
What legacy will you leave behind? How will you be remembered? What values did you impart? What impact did you have on others?
- FOUR: Our worst fear isn’t the end of life but the end of memories—Tom Rachman
How will we be remembered? Make memories loved ones will cherish.
- FIVE: I wanted a perfect ending. Now I’ve learned, the hard way, that some poems don’t rhyme, and some stories don’t have a clear beginning, middle and end—Gilda Radner
Life does not always go the way we want. Unpredictability is both the struggle and the beauty.
- SIX: In the beginning of life, when we are infants, we need others to survive. And at the end of life, we need others to survive. But here’s the secret, in between, we need others as well—Morrie Schwartz
We neglect to consider all the ways we need others throughout life and all the ways we are needed, even as we near the end of life.
- SEVEN: Culturally, now, we’re really tight around death, and as a result I think people miss out on a lot of the beautiful aspects of the end of life process that can be very helpful for the grieving process, that can be a really beautiful part of transition of life that we don’t get to experience because it’s not in the conversation—Chrysta Bell
When we avoid talking about end of life, we deny ourselves the opportunity to be involved in our end of life care. Confront what is happening. Talking about your feelings and making your preferences known benefits both you and those around you.
- EIGHT: Have a conversation with your family about your end-of-life wishes while you are healthy. No one wants to have that discussion… but if you do, you’ll be giving your loved ones a tremendous gift, since they won’t have to guess what your wishes would have been, and it takes the onus of responsibility off of them—Jodi Picoult
Or: “End of life decisions should not be made at the end of life.” Give your family the gift by planning ahead and sharing your wishes for end of life care. If you wait until the crisis is upon you, it may be too late for you to express your wishes.
- NINE: Having the choice at the end of my life has become incredibly important. It has given me a sense of peace during a time that otherwise would be dominated by fear, uncertainty, and pain—Brittany Maynard
Choice is vital in end of life care. A sense of choice through advance care planning helps reduce fear and uncertainty and gives peace.
- TEN: You matter because you are you, and you matter to the end of your life. We will do all we can not only to help you die peacefully, but also to live until you die—Cicely Saunders
In trying to deny or hide from death, too many miss out on the palliative care available for better living during the process of dying.
- ELEVEN: The end of life deserves as much beauty, care, and respect as the beginning—Anonymous
In summary of end of life care.
This excerpt refers to Quote TEN above.What to Do about Mama? p. 171
A hospice group supplied my mother-in-law with a transport chair so I could get her out of the house to go to the senior center, and with travel oxygen so she could go to the beach with her daughter. In other words, although hospice eases the process of dying, it also facilitates and encourages the process of living.