This HuffPost Canada page is maintained as part of an online archive.

Ask Elizabeth: How Do I Care for my Dad with Parkinson's?

"How do I care for my dad as his physical health deteriorates? His Parkinson's is advancing and he needs more and more help. I feel unprepared and anxious, but I want to be able to care for him as long as possible."
|
This post was published on the now-closed HuffPost Contributor platform. Contributors control their own work and posted freely to our site. If you need to flag this entry as abusive, send us an email.
Open Image Modal
Shutterstock
the daughter embraces the...

Daughter, plus caregiver and nurse; we may think about our parents getting older, but when they start needing more support are we really prepared? Does it seem to creep up on us?

Natalie Strouth is a nurse with Saint Elizabeth and the information specialist behind Ask Elizabeth, a free caregiver support service. Saint Elizabeth, a home health care company, has been a trusted name in Canadian health care for more than a century and is a national, not-for-profit, charitable organization.

In her weekly column, Natalie answers your questions about caring for a family member or friend who needs extra support -- and caring for yourself as a caregiver.

Send your question to askelizabeth@saintelizabeth.com

Catherine asks: How do I care for my dad as his physical health deteriorates? His Parkinson's is advancing and he needs more and more help. I feel unprepared and anxious, but I want to be able to care for him as long as possible.

The shift from our parents caring for us to us caring for them is a difficult one, but you are not alone! Many caregivers report that they feel better prepared and less anxious when they are equipped with information about the skills and tasks that may be required of them as caregivers. Here are some key tips to begin providing the practical help your parents need:

1. Ask for help. Many caregiving tasks and skills may be new to you, like lifting and moving someone or coordinating medical care. These skills are sometimes far more complex than they initially appear. For instance, driving an elderly person to an appointment is not just about hopping into the car and going for a drive - it may involve dressing the person, transferring them into and out of a wheelchair, into the car and out again, and avoiding potential safety risks. This activity requires many different skills! Ask health care professionals lots of questions, such as a nurse, personal support worker, or occupational therapist, as they have knowledge and experience with these tasks.

2. Create a support team of family and friends. They are wonderful resources, especially if they have been through a similar situation. Your brother who lives further away might not be able to drive to medical appointments but he can organize important financial and legal documents. Your friends can be a sounding board when you feel overwhelmed. Support groups and local community support organizations are also great resources for learning new skills and sharing experiences that will help you gain confidence and ease your worries.

3. Safety first. Looking at your loved one's physical environment can reveal many opportunities to make life easier and safer for them, and to increase your confidence as a caregiver. There are many assistive devices and mobility aids designed to make tasks such as transferring, walking, eating or bathing more efficient and comfortable.

4. Involve the person you care for in making decisions. Respect the person's choices, even when you don't agree with them. As long as there is no risk of danger to themselves or others, it is important to support them in making their own decisions.

5. Try not to focus just on the physical needs. People still need to feel connected to others around them and to participate in activities just like they did before they became ill or lost some independence. By making them feel part of normal household and social activities, and by encouraging hobbies such as music, games or crafts, you may also have some much-needed time for yourself.

Reach out and learn as much information as possible to feel confident and empowered in your caregiving role. Caregiving may last a few months, or several years, so you need to take care of your own health too. Hopefully your support system will include immediate family, but remember that home and community care services can help, as can online support communities.

The important thing is to find what works for you to provide the best possible care for your family.

  • Care-ring Voice is a free, bilingual program that offers learning sessions by telephone on a range of topics for caregivers and families.
  • Visit the Parkinson's Society website for information, education and support services.
  • Get your FREE copy of Saint Elizabeth's family caregiver guide, Caregiver Compass.

Send your caregiving question to askelizabeth@saintelizabeth.com. Answers may appear in an upcoming weekly column.

Ask Elizabeth does not offer legal guidance, nor does it answer questions about personal health issues.

7 Tips For Caregivers
Let The Person Speak(01 of07)
Open Image Modal
When an ill person brings up subjects that make you feel uncomfortable, it's natural to want to squelch the discussion or rapidly change the subject. However, it's very important to listen unselfishly and avoid responding with, for example: "Let's not get into that right now. Can't we discuss something more pleasant?" or "Do you really think it's helpful to dwell on this topic?" (credit:Alamy)
Know When To Say "I Don't Know"(02 of07)
Open Image Modal
Whether the patient asks a spiritual or theological question that catches you off guard or she wants to know about the side effects of a medication, it helps to learn how to be noncommittal without seeming evasive. You don't want her to think that you don't care or that you're hiding something, and you definitely don't want to offer misinformation that might do more harm than good. (credit:Alamy)
Don't Hesitate To Call In Spiritual Help(03 of07)
Open Image Modal
Even for people who weren't very spiritual or religious throughout most of their lives, it's natural to experience spiritual anxiety during a serious illness. And it's also natural for this anxiety to lead to questions that caregivers might find difficult or even overwhelming. If your loved one asks, for instance, 'What's next? Will prayer help? Why did God let this happen to me?' it's best to call in a qualified cleric. (credit:Getty)
Let The Tears Flow (The Patient's And Yours, Too)(04 of07)
Open Image Modal
Just as most of us are not comfortable with chronic illness, we are also not comfortable with crying. When tears appear, we tend to whip out a tissue and murmur something along the lines of, "It's okay. Don't cry." From now on, continue to pass the tissue when your ill loved one starts to tear up, but don't pressure him to stop sobbing. Tears are a natural emotional release for emotions ranging from anger to sadness to fear, and can be very therapeutic. (credit:Alamy)
Resist The Urge To Spout Platitudes(05 of07)
Open Image Modal
When your loved one is uncomfortable, upset, or worried, you might be tempted to utter platitudes like, "Everything will be okay," "I know how you feel," "God has given you a long life," or "It's God's will." While we hope that these phrases will be a quick fix to problems we'd rather not deal with, the truth is that they're trite and meaningless. What's more, sugarcoating reality doesn't fool most people, and it certainly doesn't spark positive change. (credit:Alamy)
Respond Constructively To Anger(06 of07)
Open Image Modal
Anger is a natural human emotion, and it's important to recognize that chronically ill people have a lot to potentially feel upset about. Understandably, many patients are angry that they are so sick. Plus, their pain and energy levels might make them less patient or less able to handle stressful situations. Therefore, it's not unusual for caregivers to be on the receiving end when their loved one's fuse blows for any reason. (credit:Alamy)
Seek To Connect Heart To Heart(07 of07)
Open Image Modal
Understanding how and why an illness is getting worse and more painful is intellectual. But experiencing it is a very visceral and emotional thing. The patient needs for you to connect with him on a heart-to-heart, gut-to-gut level, not just a mental one. (credit:Alamy)
-- This HuffPost Canada page is maintained as part of an online archive. If you have questions or concerns, please check our FAQ or contact support@huffpost.com.