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Q & A<br />

Caregiving for an elderly person who struggles<br />

with an illness or depression takes a toll on<br />

the caregivers. Remember, caregivers need<br />

care, too. These suggestions will help you provide<br />

effective and compassionate service and support<br />

to your elder, while maintaining your own physical<br />

and mental health.<br />

Q: My 70-year-old aunt has arthritis with<br />

wrist pain and is in a wheelchair. Can you<br />

recommend some ways to arrange her<br />

home environment?<br />

A: When designing the home environment<br />

for an elder with wrist pain, focus on basic<br />

actions that require wrist twisting, turning,<br />

pushing, and pulling such as turning doorknobs,<br />

opening and closing drawers, and<br />

twisting faucets. These benign activities can<br />

become painful, impossible tasks to elders.<br />

Consider installing easy to use doorknobs<br />

and swivel faucets that don’t require twisting.<br />

Ease of access is a must for physically challenged elders, whether<br />

being able to walk or being in a wheelchair. Improve accessibility with<br />

wide doorways (at least 90 centimeters). Clear areas so a wheelchair<br />

is able to pass through easily. Sliding doors take up less room. Doorframes<br />

should be at least one meter wide. Outside access to the home<br />

and the inside, should ideally have no steps or stairways unless there<br />

are elevators or ramps.<br />

Reduce the risk of falls and leg and foot injuries with uncluttered<br />

floor plans. You might want to remove unnecessary items that create<br />

tripping hazards. To accommodate functional living needs and wheelchair<br />

mobility, choose wheeled cabinets and furniture that you can<br />

move quickly and easily.<br />

Q: Caring for elders in addition to other<br />

life responsibilities is stressful. How can<br />

caregivers deal with stress?<br />

A: Caregiving can take a toll on your health,<br />

relationships, and state of mind, eventually<br />

leading to burnout. How does one practice<br />

healthy caregiving?<br />

Ask for help. Do not try to do everything<br />

yourself, which is a sure path to stress and<br />

burnout. Spread out the responsibility.<br />

Give yourself a break, grant permission to take<br />

care of yourself. Get enough rest. Try to do<br />

something that you enjoy, every day, for at<br />

least 30 minutes each day.<br />

Practice acceptance. Everyone has a limit.<br />

Accepting that you need time off doesn’t make<br />

you a selfish person. Looking after yourself<br />

ultimately benefits the person you’re helping.<br />

Focus on what you can do, not on what can’t<br />

be done. Sometimes you cannot help feeling<br />

bad about the situation you’re in. Rather than<br />

stressing out over things you can’t control, stay<br />

positive and focus on the way you choose to<br />

react to problems.<br />

Take care of your health. Don’t skip medical<br />

appointments, eat healthily, and exercise<br />

regularly.<br />

Q: How can I help my depressed mother who resists my help?<br />

A: Helping a depressed<br />

person requires a deep<br />

understanding. He or<br />

she may need to seek<br />

professional help. But<br />

getting a depressed<br />

person into treatment<br />

can be difficult when<br />

the negative ways of<br />

thinking lead him or<br />

her to believe that life<br />

is hopeless. Family<br />

members giving emotional support to the depressed person<br />

makes a big difference.<br />

recommends that you:<br />

Do not try to “change” the depressed person. Be a good listener,<br />

ready to offer support with unconditional understanding.<br />

Patience and care are key.<br />

Encourage and support without showing any annoyance or<br />

frustration.<br />

Stay positive, with both positive words and positive actions,<br />

to inspire the person to see a brighter side of life.<br />

Encourage participation in activities. Invite the person to join<br />

you in uplifting activities. Be gently persistent if they decline.<br />

Have realistic expectations. Even with optimal treatment,<br />

recovering from depression doesn’t happen overnight.<br />

If your loved one happens to be less anxious with you around,<br />

maybe you can be the one to suggest getting a check-up, so the<br />

doctor can rule out any medical causes of the depression. Refer<br />

your loved one to a mental health medical professional. Your<br />

unconditional support throughout treatment will be a stabilizing<br />

force for the person to get better.<br />

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