caregiving

Have Courage and be Kind

 

This piece originally appeared at TheCaregiverSpace.org

ALS,Caregiving,Grief,Disney,Cinderella

Photo: Cinderella (2015)
Walt Disney Pictures

 

“Have courage and be kind” is one of those wonderfully memorable movie quotes to live by that is so simple yet so profound.  In the 2015 action version of the Disney film, Cinderella receives this advice from her dying mother.

My husband, Ben, was truly courageous in how he handled his ALS throughout his six-year battle. He pushed himself to keep doing things like walking, using his computer and eating until he absolutely could not do them anymore. It helped him emotionally and, I believe, physically, too. I was his hands at times, and his mouth when his speech became impaired. He maintained a good sense of humor, especially when I got creative with the food processor to make meals for him when chewing and swallowing were difficult.

People also called me courageous and it never resonated with me. I didn’t have to deal with that disease and dying.  But, I’m finally realizing that as caregivers, we are, indeed, courageous in dealing with the many changes in our lives and in the lives of our loved ones, and in helping them deal with these changes. We compassionately provide care. We provide comfort and cheer when they seem out of reach and hard to feel. We have conversations that are so difficult about things we wished we would never have had to consider. In my case, I had to face a future that would not include Ben. But, so importantly, we need to be kind in the midst of these very stressful and emotional situations. It may seem obvious, but it isn’t always easy.

From our own perspectives, Ben and I were both overwhelmed by the amount of help he required, the way his world was shrinking and how our lives were changing forever. Our relationship was shifting from husband and wife to patient and caregiver, and that did not come easily. We didn’t always handle it graciously. Our feelings got hurt, our patience was tried, our moods sometimes were sad and depressed. There were times when I wondered what happened to my kind and loving Ben. To be fair, I’m sure he felt the same way about me. Sometimes we would try to talk it through, and sometimes it was just too difficult. Something would bring us to a loving center–and it was usually something simple, yet kind–a smile, a thank you, or when he couldn’t speak any longer, a long blink, which was our sign for a kiss.

I still have to remind myself that ALS affected Ben in so many ways and that underneath the difficult behavior was my real Ben and his real Abby. The rough times often made me question whether I was a good enough caregiver, and that has stayed with me. I got angry that he did not express appreciation for and was very critical of my caregiving at times, but then got angry at myself for thinking that my feelings were important relative to his needs.  Then, I questioned if I deserved any appreciation because maybe I was not doing a great job. I have been reminded frequently to be kinder to myself. Maybe my courage is now found in facing the memories with love but also with honesty.

In addition to the dynamics of our relationship, there were the times we had to deal with various professionals regarding his care. These were not necessarily medical professionals. They were often administrators who advised on health insurance and financial paperwork, or a variety of social and other services. There were so many questions, such confusion, and overriding fear about his future. We both had to courageously persist to ensure good care and financially sound advice. Some people were kind and helpful, and others were not. My dad taught me long ago that you get more with honey than with vinegar, and kindness did come in handy, even in keeping me calmer, though it did not necessarily lead to better information. That was a constant struggle. But, when things are not going very well, and you are tired and scared, and you feel like you repeated yourself too many times and are not getting any useful help, being kind does take a lot of effort!

Maybe it seems odd to say that at times I had to remind myself to be kind. After all, I like to think of myself, as I think many people do, as a kind woman. But, when you’re not at your best, physically and/or emotionally, kindness is not always the first quality that comes to the surface. I do know that with Ben and me, when we stopped to remember the love, especially when we were frustrated to tears, the kindness did invariably come through in the caring. And, it made things better.

Cinderella’s mom gave her very good advice!  I call that kind of inspiration pixie dust for caregivers (and for everyone else, too).  Ben and I loved all things Disney, and as a caregiver and in grief, I found much comfort in quotes like this one. And, by the way, I thought this was a beautiful remake of the animated version.

Chicken Little Has a Big Message!

ALS, Caregiving,Disney,Grief

Chicken Little (2005)
Photo: Walt Disney Pictures

On this day, November 4, in 2005, Walt Disney Pictures released “Chicken Little.”  I think it’s a cute movie that also has good messages about acceptance, believing in yourself and never giving up in fighting for what you believe in.

This quote felt like a caregiver’s cheer. As a caregiver, there were so many times that I felt that the sky was falling around me.  There was, of course, Ben’s actual physical deterioration as his ALS progressed. My increasing caregiving responsibilities were stressful, as was watching Ben struggle, knowing that it wasn’t going to get better but trying to deny it. The emotional toll that took on him was devastating to witness. My giving up was not an option, because Ben needed my help! And, if he wasn’t giving up, even as ALS took away his ability to walk, use his hands, swallow and ultimately, talk, then neither was I!

To be honest, the idea that “every day is a new day” could often be scary. Every day posed the possibility of a new problem. At the same time, every day did present an opportunity for things to be okay, or stable. We hoped for that and there were many good days.  Good days could be times when we had a lot of laughs, or Ben was comfortable, or I was able to transfer him easily and without pain (to either of us), or I made a tasty pureed meal in the food processor. Good days were days without frustration, resentment and sadness. Good days were days that we both felt that I was in control of all that needed to be done.

What did I do when I felt like the sky was falling? Sometimes I gave in to the emotions and cried and that did somehow leave me feeling better and calmer. At other times, I needed to take little “mind breaks.” Computer games and surfing the web often proved to be a good distraction. Watching movies, especially Disney ones, also allowed me to escape while still being present. Writing, whether in my journal, or in my book of Disney inspirations, also helped me to focus and sometimes to work out my feelings. I do find that a nice cup of tea also helps me to slow down and regroup.Emails and texts to my friends helped ease loneliness and reassured me that I had a network of support. I couldn’t go out very often, so keeping up with friends in this way allowed me to feel connected to the world. Sometimes I just sat on the sofa with Disney, my cat, while Ben watched TV in the other room. I needed space and there isn’t much in our tiny NYC apartment. And, if Ben was comfortably settled, a bubble bath was a really great retreat.

In grief, I find that this quote also resonates.  The pain and loneliness can be awful and the idea of shaping a new life can seem impossible, but I never give up and indeed, after a little more than a year, I feel like I’ve cautiously stepped back into life. I certainly have my setbacks, but I know that every day is a new day, and some are better than others. I try to acknowledge every baby step I take as I heal. Indeed, it was a leap forward to go to London and celebrate my birthday last month. It has been a hugely comforting realization that Ben and all of my memories- the carefree, loving ones as well as the ALS and caregiving ones- will always be a part of me.  The future is still daunting, and the present is still lonely and sad, but I have more pleasant days and feel more optimistic now.

I suggest to other caregivers that it’s very important to identify things that make you feel better when it seems that the sky is falling. A network of support is also crucial.  Make a list now, before an emotional crisis, of people and places that you can turn to. Maybe some of my ideas will help you. I wish I knew about the Twitter chat support groups while Ben was still here. I find them useful now, too. If there are things that help you, please share them in the comments. For now, listen to the little chicken’s message!

Keep The Faith

The Rescuers (1977) 
Walt Disney Productions

Faith. It’s just so important. Whatever it means to you- religious or otherwise-it doesn’t matter.  As Rufus explained to Penny in this scene of Walt Disney Production’s The Rescuers, faith is not something tangible, and it’s hard to explain, but it’s that feeling that things will be ok. We all need, and want, to feel that, and sometimes it takes a real effort.

When Ben and my dad were ill, I had faith that they were getting good care and that they knew what was best for themselves. Every day I had faith that we could get through even a challenging day. On some days that took a lot of energy and it took my Disney-est thoughts to keep the faith.

I had to have faith in myself, that I was a good caregiver and could patiently provide the comfort, compassion and care that they needed throughout their illnesses without falling apart. Faith in myself was something I had a hard time with. I still do. I look back and I do believe that I handled things as well as I could, with love and compassion. As I recall and write about my caregiving experience and the situations I had to tackle, I feel my faith in myself growing stronger. I hope that all caregivers take the opportunity to write, talk, creatively express yourselves, and think about all you do and all that is expected of you in this role. Let this bolster your faith in yourselves, the people you care for, and the support networks around you.

Now, I have faith that Ben is in a place where he can breathe, walk, run, eat, talk and play the keyboard and guitar as much as he wants.  I have faith that he is hanging out with my dad and they are watching over me. And, on most days, I have faith that I will forge a new life while always honoring and respecting their memory.

Ten Things I Learned About Caregiving From Mary Poppins

Since today, October 1, marks the 81st birthday of Julie Andrews, I will devote this post to Mary Poppins, the consummate nanny who taught me many things about caregiving. “Mary Poppins” was the first movie I saw in a theater and it remains a favorite, as does Julie Andrews.

A kind yet stern and always magical nanny, Mary Poppins added whimsy to life while addressing all of its practicalities and mishaps. She got Jane and Michael Banks to use their imaginations and see beyond the confines of their nursery.  They were safe in her care, learned the importance of rules but also how to challenge them, and, because she knew just how to step in, they built and strengthened relationship with their father. She knew how to meet the needs of the Banks family better than they did. Now that’s what I call a great caregiver!

Here are ten lessons about caregiving that I learned from Mary Poppins:

  1. “In every job that must be done there is an element of fun.”

Mary Poppins 3

There were days where there was nothing fun in the actual tasks required in Ben’s care due to ALS. But, those silly moments that made us laugh amidst the sadness are the ones that still stand out.

  1. “Worrying won’t help anyone.”

Mary Poppins 4

Even as a worrier, I know it’s true. It doesn’t help. But, if it helps you to picture worse case scenarios and create plans if necessary, go for it. Just don’t dwell! Trust Mary Poppins. It doesn’t help.

  1. “Just a spoonful of sugar helps the medicine go down, in the most delightful way!” 

Lyrics to live by! I was there for a reason, and that reason was love and compassion. There’s the sugar. It made the awful, embarrassing tasks “swallowable.”

Click to play:

  1. “Never judge things by their appearance…even carpetbags. I’m sure I never do.”

Mary Poppins 7

Because a person needs a caregiver does not mean they become irrelevant. When people would come to see Ben and talk to me as if he wasn’t there, I would redirect them to include him in the conversation, even if I had to explain what he was saying as his speech became more impaired. His brain was still very active. He mattered. I did not let anyone make assumptions about his capabilities or ideas. Always let the person know they matter. Because they do.

The same goes for people who judged our relationship. Whatever people thought of me, or of Ben, and our caregiving situation, we were the only two who were actually in our relationship for sixteen years. In any caregiving situation, particularly within a family, there are dynamics that only those involved can really understand. You can have opinions, but tread gingerly when it comes to offering advice, even if it is requested.

  1. Sometimes a little thing can be quite important.

Mary Poppins 1

A smile, a thank you, a kiss, remembering something special. I’ve written about how Ben and my relationship felt like it shifted from husband and wife to patient and caregiver. It was in little things like holding hands, sharing memories, or “inside jokes” that we were brought back to who we really were as a couple before ALS.

  1. Best foot forward. Spit spot.

Mary Poppins 6

It’s all you can do. And, when you’re dealing with a lot of crises, you can’t take a lot of time to ponder. As I’ve said in prior posts, I often had to “just keep swimming,” even though I belly-flopped, but I always put my best foot (or fin?) forward!

  1. Let’s go fly a kite

All at once you’re lighter than air
You can dance on the breeze
Over houses and trees
With your fist holding tight
To the string of your kite

Mary Poppins 5

OK, we couldn’t really do that. But, we had to maintain a sense of fantasy and whimsy that could take us outside of our reality, at least for a few moments. The trips we took to Walt Disney World were always magical, and they took on a special meaning after his diagnosis. Those trips were the kite that took us briefly away from reality. Now, I can look back on those memories with gratitude and a bittersweet delight.

  1. It’s a jolly ‘oliday with Mary

Oh, it’s a jolly ‘oliday with Mary
Mary makes your ‘eart so light!
When the day is gray and ordinary
Mary makes the sun shine bright!
Mary Poppins 2

Ben teased me that I loved to use the word “whimsical.” But, I enjoyed bringing whimsy into his homebound life. I often arrived home with shopping bags of “treats”- new tshirts for his collection, a gadget that I thought might help him, a new ingredient for our culinary adventures into pureed concoctions. It always made him smile and laugh. That made the “sun shine bright” for both of us!

  1. Supercalifragilisticexpialidocius

It’s a great word. Covers a lot of territory. It especially made me chuckle to myself when a bevy of not such nice words were going through my head!  Try it.

Click to play:

  1. “Mary Poppins. Practically perfect in every way.”

Mary Poppins 8

I tried, and often beat myself up too much for feeling that I was not a good enough caregiver. It’s a great goal, and always important to remember that we all define “perfect” differently, and that the definition may vary by circumstance. I hope that, at least at times, I was Ben’s Mary Poppins.

All photos: Mary Poppins (1964), Walt Disney Productions.

GreatCall: Technological Pixie Dust for Caregiving

Big Hero 6 (2014) Walt Disney Pictures

Big Hero 6 (2014),  Walt Disney Pictures

 

Click here for holiday savings!!

Imagine having a personal inflatable healthcare robot with a database of your medical details, like Baymax from Disney’s “Big Hero 6.” As of now, that possibility lies within the creative minds at Walt Disney Pictures, but hopefully it will eventually become a reality.  While we wait for that technology to evolve, we are fortunate to have a company like GreatCall, which offers sophisticated yet accessible mobile and urgent response devices that assist and give peace of mind to caregivers and the people for whom they care.

I’ll use my own experience to illustrate what I consider to be the power of GreatCall’s products. I was the primary caregiver for my dad, who was in his eighties and living alone with cancer, and, at the same time, for my husband, Ben, who had ALS. One of my biggest fears was not being around for, or aware of, an emergency. We did have our routines for phoning and texting while I was at work, but there were the times I couldn’t reach them, and those were times I lived in panic. That’s where GreatCall would have eased our worries.

GreatCall's Jitterbug Smart, Jitterbug Flip, Lively and Lively Wearable

GreatCall’s Jitterbug Smart, Jitterbug Flip, Lively and Lively Wearable

One product with outstanding features is GreatCall’s Lively, an urgent response device that connects directly to a 5Star Agent for immediate assistance. Unique functions that grabbed my attention are fall detection and GPS location. Like many people, Ben did not want to admit that he needed help, though we both worried about falls. There was more than one instance where although unharmed, Ben had ended up on the floor or could not lift himself from a chair, and was waiting patiently for me to return home. With this device, I could have gone online or used my smartphone at any time to track Ben, and I would have been alerted to any falls, or an agent would have contacted me, either through the fall detection service or if Ben called for urgent care. That would have been a huge relief!  When Ben finally did concede to the use of a medic alert system, it had to be connected to a land line, and the speaker was not always nearby, which posed problems particularly as the ALS increasingly affected his voice and speech. In comparison, the Lively does not need a land line connection, has a built-in two-way communication function, and it can be worn around the neck, on the wrist, or carried around on a keychain. It is accessible even to a person who is not tech-savvy, like my dad.  The Lively Wearable version of this device can be worn on the wrist and includes a fitness tracker option that can be managed with a smartphone connection.

GreatCall also offers mobile phones- the Jitterbug Smart and the Jitterbug Flip– which offer the features and style you would want in a phone, but with helpful adaptations like voice typing, yes/no prompts for programming and larger screens and buttons. These features would have helped my dad, who rarely used his cell phone because he had trouble with the technology and the small buttons. ALS compromised Ben’s dexterity, so these phones would have helped him as well. The Jitterbug phones also come with the 5Star Medical Alert feature, an emergency button that connects immediately to a National Academy of Emergency Dispatchers agent.

In addition to impressive products, I love that GreatCall considers and integrates the caregiver’s concerns into its products and services.  Through a smartphone, tablet or computer, I could have used the caregiver’s app to check on Ben or my dad or known their locations via GPS technology (also invaluable to anyone caring for someone with Alzheimer’s Disease or any form of dementia). It is even possible to check the power level of the devices. This is a tremendous support system. All caregivers need that!

There are no annual contracts or cancellation fees but the services you receive vary by the plan you choose. Options include 24/7 access to urgent care, a GreatCall link for family contact, a personal operator, daily Med-Coach tips (including prescription updates), daily Check-in calls, weekly wellness expert calls, brain games, and product replacement guarantees for stolen, lost, or broken items, fall detection and a fitness tracker.

They may not be able as adorable as Baymax, but GreatCall products are high tech caregiving solutions designed to empower people to feel independent and engaged in life while assuring their caregivers of their safety. I call that a whole lot of pixie dust!

For more information about Great Call’s products and services, click hereClick here for holiday savings!!

Baymax, Big Hero 6