Tag Archives: Diane Rellinger

Caregiving for spouses and partners

By Diane Rellinger, Michigan State University Extension

 

Becoming a caregiver for your spouse or partner can have a profound effect on your relationship.

 

Traditional marriage vows tenderly express commitment to love each other through the best that life brings as well as well as through the worst of times. As the journey of life continues, spouses and partners confidently face a barrage of changes and transitions together. Over time and through partnership efforts routines, roles and expectations naturally become established.

Identifying role changes and challenges

Changes in the physical, mental or emotional health of a spouse or partner can have a profound effect on relationships. This can include one partner taking on the role of caregiver of the other.

 

Regardless if the caregiving role developed gradually or if circumstances occurred that changed life instantly, navigating daily life and assuming and accepting the role of caregiver includes navigating both good and bad days. Grief, loneliness, anxiety and exhaustion are all natural feelings that spousal caregivers can experience as they tirelessly try to meet the needs of their loved one. Assuming unfamiliar tasks that their spouse usually completed previously and adding daily care responsibilities, often while still employed, is stressful and can take a toll on a caregivers’ health.

The isolation associated with caregiving

Spouse and partner caregiving is a labor of love. Loyalty is a significant factor that drives caregivers. Spouses often believe they should tackle caregiving single-handedly and do not readily accept offers of assistance from family and friends. Caregivers may feel they can provide the best care for their spouse and do not ask for additional help even when they are feeling overwhelmed. Most care recipients prefer their spouse to be their care provider. Yet care recipients are often dealing with multiple and ongoing health changes that make their own behaviors and needs unpredictable and sometimes challenging. Care recipients may experience a wide array of feelings like anger, grief and depression that spousal caregivers have to attempt to navigate on a daily basis.

 

Caregivers may experience varying degrees of guilt as they navigate and mourn the loss of what once was normal, and grapple with life as it is now. Pouring oneself into the daily care of another can also lead to isolation as caregivers slowly pull away from social engagements to spend most of their time at home. As a spouse or partner attempts to care solely for their loved one the risk of injury and other negative health factors can begin to appear in the caregiver, which can be amplified by age. It is typical for a spousal caregiver to neglect their own self-care in pursuit of immersing themselves in caring for their spouse.

Caregivers benefit from community resources and support

Every spousal or partner caregiver should be aware that they can equip themselves with new skills and knowledge through education and community support. This can help caregivers confidently provide care with sufficient help and also maintain their own self-care.

 

Most caregivers and care recipients experience continual transitions in their relationship and Michigan State University Extension highly encourages caregivers to seek support and help to find systems that benefit both individuals. There are evidence-based community programs designed to assist caregivers, including spousal caregivers, to maintain their own mental, emotional and physical health. The Powerful Tools for Caregivers program designed specifically for caregivers will increase self-care habits; build confidence in handling numerous caregiver responsibilities like making difficult decisions, dealing with challenging emotions and finding local community resources. To learn about the Powerful Tools for Caregivers program in Michigan contact your local MSU Extension office.

 

Does the fear of falling restrict your daily activities?

When the fear of falling fills your mind with negative thoughts and prevents you from participating fully take action to renew your confidence and strength.

By Diane Rellinger, Michigan State University Extension

 

The fear of falling is a common and prevalent concern for many older adults whether they have experienced a previous fall or not. Factors such as stamina, mobility, chronic illness, balance and strength can affect how a person thinks and feels about their ability to be active. When the fear of falling causes a person to restrict their daily activities and unplug from things they enjoy, it is important to recognize and evaluate the situation to regain the confidence to be as mobile as possible.

 

Do not let a fear of falling stop you from getting outside and doing the things you enjoy. Courtesy Michigan State University Extension

Recognize your fears and concerns about falling

 

First be honest with yourself and identify your thoughts, concerns, and fears about falling. Try to name the feelings you experience. Do you often worry about falling? Are you overly concerned if you fall, someone else will have to take care of you? Has a previous fall shattered your confidence? Have you bought into the belief that falling is inevitable? Are you thinking self-defeating thoughts or feeling hopeless believing you can do nothing about the situation? Do you feel you have lost the power to control your life? Are you concerned that you just have to accept this is how you feel? Are you afraid to tell anyone about your fear of falling?

 

Recognize the effects these fears and beliefs have on you               

     

After you have identified your specific fears and concerns pause and recognize how these fears may be affecting you. Are you experiencing stress or anxiety, if so how often? Are you experiencing negative thought patterns because of your fear of falling? Are you making different decisions and changing your routine? Have you stopped getting out of your home and declined to attend activities you enjoy? Do your fears interfere with doing daily basic activities around your home? Do you feel you should just do less so you do not fall? Are you sitting down often and noticing changes in your strength or feeling fatigued? Are you cautious about sharing your fears with family, friends and your health care provider as they might not understand and believe they will not be able to help?

 

Challenge your negative thoughts and replace with positive thoughts  

 

After you pinpoint your specific thoughts and emotions and discern how these potentially negative thought patterns have crept into your life, pause and look at the situation differently. You need to face the truth that being sedentary is not the answer — it only leads to continued loss of balance, strength and flexibility and increases the potential for falling. You have the ability within yourself to make positive changes. Fears, especially non-rational fears, need not rob you of a full life. Our minds are powerful and reframing our thoughts can significantly improve our beliefs and self-confidence. Turn your negative thoughts into positive thoughts. Stop buying into negative self-defeating thoughts, which are harmful. Positive constructive ideas can transform you. Look for simple solutions so you can re-engage in activities you enjoy. Do not hesitate to ask for accommodations to make getting out of the house a comfortable and safe experience. Advocate for assistance and enjoy the things you love to do.

 

Enroll in a community program to find support and tools to overcome the fear of falling                                 

 

Be proactive and locate evidence-based fall prevention programs in your community to assist you in learning strategies to maintain a sense of control in your life and the ability to fully participate. Fall prevention programming builds confidence and strength and staying active encourages independence and fun. You can incorporate tips for fall prevention to make your home a safe as possible. Contact your local Michigan State University Extension office for information on A Matter of Balance, Tai Chi for Arthritis and Walk with Ease programs.