Help! I'm a Caregiver: A Book of Helps, Comfort, Insights, and Encouragement
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About this ebook
Have you recently become a caregiver, or perhaps are considering it as a profession? Or have you recently been one for a time and are experiencing the stress and anxiety that most often accompany it? Then you are in need of this book.
Caregiving is a very stressful role and occupation for many reasons. This book will acquaint you with the many aspects involved and will frankly deal with the areas as well that are often embarrassing to discuss.
It will offer help and guidance along with spiritual comfort to both caregiver and patient as both navigate these difficult waters. And it will offer practical suggestions to make this journey run smoother.
By the time you finish the book, you will come to see that caregiving is a calling and that caregivers should be thanked and celebrated for being willing to fulfill this vital role. And celebrate and thank them we will, as well as thanking God for giving the strength and support to be one.
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Help! I'm a Caregiver - Ernest M. Tegeder
Caregiving as a Profession
Caregiving as a profession exists because it is needed, and it cannot always be provided by a family member. The reasons are obvious as there may be no family member available or the nature of the caregiving may require training and physical strength beyond the available member’s capabilities. Or the member available might have to hold a job outside the home.
Professional caregiving runs the gamut from deep bedside care of a hospice or near-hospice level to physical therapy needed to help one keep operating on a physical level in day-to-day living.
It can be needed due to illness recovery or ongoing debilitation or recovery from injury or accident. Looking at this from a Christian perspective, our present bodies are subject to injury, illness, and deterioration due to aging.
This is the physical side of things, but there is also the emotional and mental as well. Someone who can no longer perform what they once could will likely be impacted in some way mentally or emotionally or both. As a caregiver, this must be recognized and managed as part of ongoing care.
An example of this would be an athlete whose skill has declined to a point they can no longer perform on a competitive level even though they might not be what one would call disabled. But because of whatever injury or illness or age their competitive decline no longer affords them the notice
or sports coverage once enjoyed and this often leads to emotional problems. What once brought that individual fame and high income no longer does, and this then can impact the individual’s identity and self-worth. It’s not that the athlete is in need of therapy for a career-ending injury as much as counseling and acceptance of this new phase in their life.
This is a mild example, of course, and most of us do not reach a level of that kind of fame and notice, but as time goes on, we all face decline and adjustments in some aspects of our abilities at the least. And the caregiver themselves may someday require the very care they are now giving. Even doctors who care and cure must acknowledge their own mortality. Or to put it another way, even doctors get sick.
So as a caregiver, you might find the larger of the two aspects of care required, physical or emotional/spiritual to be the latter and may be even more impactful than the physical side. What your own personage brings to the relationship may be even more impactful in the care and healing process than even the physical side of it.
To ignore the emotional/spiritual nature of a human being is not to recognize the fact that we are body, mind, and spirit, and as such, each one impacts the other.
What then are the things that a caregiver can bring to the patient? They are cheerfulness, humor, hopefulness, respect, concern and interest, as well as developing creative ways to express these things. All of them, in reality, have a spiritual dimension side attached. Getting to know the patient and what makes them up as a person conveys to them that they are still viable as a person and have something to share and give. This is very healing, and many a caregiver will attest to receiving as much from a patient as they have given in care.
However, as warm and fuzzy and good feeling as this is, there is a downside to it that one must be aware of. Caregiving is one of those professions that can be a downer for the giver. It is not always easy to walk away from the job each day and not bring some of it home. Or if it is the home where you live, keeping it home and internalizing it. Like policework, military, and a few other professions, your job can impact your life at home or away from the job. In the later chapters, we will deal with how to maintain your own healthy outlook. But before we leave this matter for the moment, recognize it is not wrong to have troubling thoughts or emotions—and that having them does not make you a bad person. In fact, it is more likely you will experience troubling thoughts, and we’ll deal with that later on.
When I was in my final semester of undergrad college, having already secured a teaching position (and a waiting job in September), a course was required called Teacher in School and Community that dealt with all aspects of exactly what the course title indicated. Some of them came as a surprise, one of which was preparing for retirement. Really? And I hadn’t even taught my first day! Well, I realized there was more to the job than met the eye. And now having been retired with thirty-seven years of public school music education behind me, I could add a few things of my own.
Did the course discourage me in any way? Not really. I was idealistic and anxious to teach. However, all jobs have negatives and positives, and it’s good to be aware of them ahead of time. And from my vantage point now, would I, if just starting out, elect to go into public education? Well, it’s a different ballgame now (and world) and I think much tougher—mainly from the societal and social aspects—and I’m glad I don’t have to make that decision. For me, the years I taught were rewarding, all things considered. But one thing is certain, teachers, like caregivers, will always be needed.
Doctors—The Caregiver’s Partner
Doctors—where would we be without them? It’s been said medicine is an art as well as a science. I believe this to be true as there are so many differences patient to patient and people in general. We all don’t develop the same illnesses. But before any treatment can begin, there must first be a diagnosis. A broken arm or leg, cut, abrasion is obvious, but when it comes to internal medicine, it is a different story.
The body has many systems that must all interact digestion, endocrine, pulmonary, vascular to list the main ones. Within these systems are subsystems that must interact properly. When a physician orders blood tests, he/she is looking at the indicators and parameters to see if the various systems chemical and otherwise fall between accepted norms. Based on these and patient blood history, the physician will make decisions and diagnosis as to the patients’ condition treatment, medications, further tests, and may recommend a specialist.
Once treatment decisions have been made and medications prescribed the torch,
so to speak, passes to the caregiver who then must supervise and see that the meds are gotten and administered properly, and if physical therapy is recommended, seeing to it that the patient follows through with that assigned to homework.
One easily sees that caregiving begins with the physician and proper caregiving cannot take place until the patient is properly diagnosed, and a caregiver cannot prescribe medication or treatment.
Sometimes the human body is likened to a machine of sorts, and seeing a physician might be likened to take one’s car, which is not running properly to a mechanic. If you have a good mechanic, be thankful and if you have a good doctor, a thousand times more so.
Yes, if you’ve ever been helped or cured through a doctor’s care you should be thankful—we all should. Practicing medicine today is not easy, nor is it easy becoming a physician. Most people know this, that it takes years to become one—and that is to get to the point of residency. When one successfully completes that, one can be considered a physician. But a good doctor will tell you the learning is just getting started and never really stops.
The public, though, usually has two basic questions regarding medicine today, The first being why are there so many specialties? And the second, why are there so many tests?
The answer to the first is that as medicine has advanced; it becomes quite difficult to know everything about everything. All specialties have nuances of diagnosis and treatment, not to mention keeping up on the latest in one’s field. And speaking of a nuance. It was a foot doctor who spotted a symptom of Parkinson’s in my wife’s stiffening and cramping toes. This was not the doctor’s field, but his observation and leading proved to be correct.
And in answer to the second point, better for the patient to have one too many tests rather than a missed diagnosis. Plus, while this might sound a bit humorous, there is always a lawyer ready to jump on the case. This does the physician’s reputation no good.
On this point, doctors must carry a very high malpractice insurance premium in the event of a misdiagnosis and/or treatment. Doctors are human too, and it can happen. But it is always to the patient’s benefit to have any test the doctor feels is necessary. And running a practice is not easy as you have the expenses of staff, equipment, and that insurance we just mentioned
All this is something most patients, perhaps, are not aware of or not give it much thought. But a practice is not just patients; it is an office of medicine
that must be run like a business and, as such, comes with its supply of headaches. Some doctors have left practice because of it. Those that remain should be applauded.
And before we close this