Tag: care for someone with fluctuating needs

  • An Exclusive Look At The Challenge An Unpaid Carer Faces

    An Exclusive Look At The Challenge An Unpaid Carer Faces

    An Exclusive Look At The Challenge An Unpaid Carer Faces

    A lavender and heart soap image with the title of the blog over it. An exclusive look at the challenge an unpaid carer faces.

    As part of this year’s Carers Rights Day on the 24th November, I have taken over my wife’s blog and am going to provide an exclusive look at life as an unpaid carer, how I manage the challenge of balancing demands on my time and energy, and what has changed as our relationship evolved to include caring for one of us with a chronic illness.

    When Laura became chronically ill in 2014, read about this here, and it eventually dawned on me that my role as Husband, Father, best friend and confidante would now be expanded to that of prime and unpaid Carer, life would become a little more complicated, especially as this would need to be balanced with being the main financial provider in the household.

    My role as unpaid Carer covers a wide variety of tasks and activities. I will try to distinguish these from the roles of Husband and best friend, though I have to be honest, this is often difficult to do!  

    As an unpaid Carer for Laura, I need to consider her needs at all times, ensuring that her physical needs are met and that I am aware of those needs at all times of the day and night.  At a very basic level I need to ensure that Laura has taken her medicines, eaten regularly, has access to clean water and is washed and clothed every day.  

    I need to ensure Laura can access essential services, such as getting to a toilet safely. I need to be there to help if she falls or passes out, getting her to safety or calling the emergency services if needed. It sounds very mechanical listing it out but this is how I can distinguish my role as unpaid Carer from that of husband. As the person I love the most and have chosen to spend my life with, she is much more than just this list of needs.

    In addition, as Laura’s condition impacts her cognitive function, I handle the more complex elements of her care and help her organise and attend medical appointments and understand the risks and potential benefits of procedures to help her make decisions right for her. 

    As well as helping Laura with the more complex elements of her care, I also help her in her role as equal partner running the household, making sure she can perform her role in key decisions around finances, household maintenance, childcare and the general running of a family. 

    I also help her to understand what is happening when, and what decisions need to be taken.  As an unpaid Carer, I need to be mindful of Laura’s needs, breaking complex information down into easily understood pieces so she can make decisions that affect her and the family.

    What A Normal Day Looks Like For Me

    After my alarm I ensure the youngest is on track for college, then I’ll have a quick shower, and while brushing my teeth will check my work emails and calendar for the day.  

    My first caring concern is making sure Laura has her breakfast ready to take her medicines, so will prepare her favourite toast and marmalade, a cool cup of tea (too hot could burn her, or worse still melt a medicine capsule and release some horrid flavours!) and take her breakfast upstairs, to where I often have to wake her. 

    I’ll turn on her light, place everything she needs within reach, making sure the handle of the tea cup is where she can’t knock it over. I will then ensure she has her medicines, checking that she takes them, and has enough water for the morning.  

    Only then will I move onto my needs, getting dressed and ready for my day. Once she puts on her lifeline device, and has taken her medicines, I know she’s safe to be left as her medicines mean she often sleeps most of the morning.

    We are really lucky and have a paid Carer who attends daily around lunchtime. Read about how Sam fits into our team here. On the days when she is on holiday, or at weekends, I will give Laura a cup of tea close to lunchtime, and put out her clothes for the day, and prepare her some lunch.

    On the (thankfully) rare occasions that her condition and pain levels flare up, I will need to help Laura to shower, wash her hair, help to dry and dress her, as well as help with her access to her variety of beauty and medicinal creams.

    Throughout the day I am on hand to pick things up that Laura may have dropped, handle some cat related incident, or answer any questions when Laura is struggling to understand something.  As her Carer I’m there to listen to her emotional needs, be patient when her pain affects her mood, offer a listening ear, and a giggle or a hug. These are essential parts of caring for Laura and their impact cannot be underestimated.

    Let’s not forget our sons.  Eldest is now at University but youngest may well need picking up from college early, or late, depending on his schedule. I’m also there if he needs my taxi service for any appointments or social engagements.

    Later I will prepare dinner, again something our paid Carer will have prepared or put in the slow cooker. and sort any washing, cleaning or household task that needs doing.  I normally give the youngest the job of delivering Laura her dinner, which saves a trip up the stairs.

    Once we are all tidied away after dinner, I like to enjoy an evening watching TV with Laura, where we will chat about our day, catch up on anything important and just enjoy each other’s company.  Before bed-time, I ensure Laura’s bed is re-made, she has her nightwear to change into, has taken all of her medicines for the day and has enough water to drink. I make sure she has a small packet of biscuits to combat nausea if it comes on in the night, and that she has her ‘ice hat’ which she normally falls asleep with, as it helps manage her pain.

    As Laura can at times be prone to passing out, I tend to sleep lightly, always being alert to when she uses the toilet or if she needs me in the night. Should anything happen, as her unpaid Carer I can help to get her to safety.

    Did I mention work?  I am very fortunate to be able to work from home, and have access to work communications on my mobile phone too.  As a Systems Director I manage a small team of data managers across Europe. It is complicated work, and draws upon my many years of experience.

    I have many virtual meetings with people around the world, periods of intense concentration, people to support and invariably problems to solve.  I tend to think of my working hours as 8am – 4pm but this flexes as needed around my caring responsibilities. I am always able to catch up in the evenings in that window between dinner and time with Laura.

    My main responsibilities as an unpaid Carer are that Laura’s needs are first known and understood. These change daily and it is so important to never assume I know what these needs are, but rather ask Laura to ensure her voice is heard and that her needs are shaping her care.  

    Then it is to ensure these needs are met, from medication, food, water, cleaning, clothing to medical appointments, setting up household systems and communication with the family and support network.  As Laura’s prime Carer, being with her and on hand to help 24 hours a day I take it as my responsibility to consider how I can help to meet these needs wherever she requires my help.

    How Caring For Laura Impacts My Well-being

    Having hopefully painted a picture of how my day-to-day life works, and my main caring responsibilities for Laura and our family, I also have to think about myself! The transition to accepting the role of unpaid Carer for my wife has not been an easy one. Realising that our family life would be changed forever affected me tremendously.

    I am quite a positive person, always looking for solutions and trying to find the best in every situation, but seeing the person I love the most in so much pain, and their life going from a busy Mum and teacher, to being bed-bound and struggling with the simplest of things really hit hard, especially as I felt so helpless.  

    Being Laura’s unpaid Carer has been hard emotionally, and my mental wellbeing has suffered. Adjusting to a new life, while grieving for a lifestyle lost, with all the freedoms and spontaneity being compromised by putting someone else’s needs first took me through a difficult emotional journey. 

    Finding my role as Carer, however, gave me a focus and activity that I could understand in helping to work with something I couldn’t find a solution for. Realising that being an unpaid Carer was my way of helping, coupled with being the Father/Husband/Earner helped me to reconcile with a problem that I couldn’t solve, and adjust slowly to our new life.

    I have always been able to find positive perspectives, and I am thankful that I still have my wife, that we are together and we’re able to support each other through this transition in roles, and most importantly provide strong role models for our sons.

    My physical well-being has suffered a little over the years, especially as my work is quite sedentary, being office based, and with the onset of years and being overweight I am definitely not as fit as I used to be. When your partner is mainly bed bound, inevitably time spent together is also a sedentary experience too. So a renewed focus on fitness and activity is my latest goal in trying to address my well-being needs, and make sure I am fit enough for me, and importantly for Laura too!

    How My Caring Role Affects My Work-life

    My work-life as an unpaid Carer has had to become ever more flexible.  As I say, I am very lucky in that I can work from home, and flex my time around work and caring responsibilities.

    The main thing though is that I have to be a strong and confident advocate for my needs. What I mean by that is that I am always clear and confident in communicating how I will be the best employee while also balancing the needs of those who rely on me.

    I am always open and honest about my role as an unpaid Carer and when I am available and not. My employers don’t suffer from compromising with the time I need to dedicate to my caring duties. In fact, my employers benefit from my perspective, approach to prioritising, time management and ability to focus wholly on any problem or solution I work on.

    Being aware of ‘reasonable adjustment’ rights in the workplace is also something that has served me well. When I became a Father I worked compressed hours to care for my sons one day a week, which was so valuable to us as a young family, with high childcare costs. It ensured we felt we had balanced time and it became a real cornerstone for what I wanted in my work life, especially as an unpaid Carer for Laura.

    In the past I have been able to represent the needs of parents and Carers in setting up and running an award-winning colleague network, something I will forever be immensely proud of, as well as being a role model for other leaders with caring responsibilities.

    What My Support Network Is Like As An Unpaid Carer

    My support network is small but strong. I have relied at times on my father-in-law for contingency taxi or childcare. My emotional support though is what gets me through the tough times, with close friends to lean on, and becoming close to Laura’s paid Carer. 

    I am also part of a band, and music is such an escape valve for the hurricane of emotions I balance in my life. The release it gives me to just have to think about the next note in a song, comfortable in the knowledge that Laura is happy and safe, means that the emotional elastic band gets a chance to flex and not snap.

    Most importantly though, is the network of support we have created as a family.  We focus on the positives of life, balancing against the challenges and we remain solution focused. It feels like we work well as a team, each supporting the other. As a whole our family life is happy and fulfilled, which nourishes us all as we each achieve our ambitions.

    If I Could Have One Wish Granted To Make Caring Easier…

    I would wish that all of my wife’s illnesses and conditions would be alleviated and we could go back to a time where chronic illness was not a part of our family life. This is not wholly true, though, as we have all learnt so much about who we are as individuals, what great teamwork looks and feels like, and how we all can work together to succeed in the face of adversity.

    Having the role of Carer is a badge of honour and pride for me.  I feel like I am helping my wife succeed in being the best version of herself, and that my role as her unpaid Carer also helps me be the most resilient, empathetic, understanding and above all most caring version of myself that I can be.

    A Powerful Perspective Of Life As My Unpaid Carer

    It’s been wonderful, challenging and entertaining to read my husband’s perspective about his role as my Carer, especially being one who isn’t paid at all. It’s eye-watering to read about the list of jobs he has to do in the morning before work, whilst I lay sleeping or waking casually to the smell of toast. I can honestly say I’ve never thought of it that way and this will hopefully help me to be more patient and show my gratitude even more than I do already. 

    My lack of awareness comes from both being in bed, isolated from the real world for the majority of the time, and due to my brain condition. My brain reacts to the extra pressure in my skull, the same way it would if I had a brain tumour so I can struggle to see things from others perspectives unless they tell me repeatedly how they feel. 

    I also think it’s partly down to the husband-wife relationship. Come on, you know we don’t always listen to what our spouse says! However, Joel hasn’t told me about a lot of what he’s written here about how he felt transitioning into the role of an unpaid Carer. 

    I was very unwell at the time and could not hold a conversation or retain any information. Thankfully my brain surgeries have allowed this aspect to right itself quite well so I can now take this on. I just wish I’d asked Joel how he felt more, I knew he was struggling of course, but I didn’t know how much. 

    I too am able to look at the positives of our situation now and know we’ve been able to teach our sons so much more about how to flex and grow to cope with challenging situations. As a team, we’re unstoppable and that includes my paid Carer Sam, who often acts as my proxy in the physical activities of running a household. I couldn’t be prouder of Joel and the boys for how they cope with ALL the challenges they face as unpaid Carers. 

    I would like to thank Joel for taking the time to write this piece, guided by my questions that came from this year’s Carers Rights Day campaign. Each year Carers Rights Day helps carers in the community know their rights and find out how to get the support they’re entitled to. The West Sussex Carers Support page says: 

    “This year our campaign will focus on the ways in which Caring Costs unpaid carers. From carers’ well-being and ability to access health services, to costs to their finances and employment options, to the current cost of living crisis which is being felt even more acutely by carers throughout the UK.”

    National Carer support organisations that help unpaid Carers know their rights are:

    Carers UK

    Carers Trust

    The UK government also have support materials for Carers

    There is also information on the new Carers Leave Bill that was passed in October 2022 here. We’ve found our local carers organisation very helpful, and highly recommend searching what is going on in your local area this Carers Rights Day. 

    Finally I want to publicly share how grateful I am to Joel for everything he does for me, everything he sacrifices and mostly everything he does to put a smile on my face, and my son’s face every single bloody day. He is an incredible human being and I love him even more after reading this article. In our 25 years together he has only ever shown me kindness and generosity and this seeps through the words on the page here. I am so honoured that you’ve shown another side of me to those who take time to read this blog. I appreciate you taking even more of your precious time to write about your perspective as my unpaid Carer

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    ✋ Hey there! I hope you’re feeling stronger now. If so, sharing the love will help me help other mums with chronic invisible illnesses.⬆  Hit one of those sharing buttons or save these images to Pinterest and I will do a bed-bound happy dance – there’s an image for you!

  • 6 Reasons To Be Grateful For My Amazing PA This Good Care Month

    6 Reasons To Be Grateful For My Amazing PA This Good Care Month

    How Will The New Guidelines Affect People With Chronic Pain In The UK

    The NICE guidelines for managing chronic pain in the UK only recommend CBT; ACT; antidepressants; Acupuncture and exercise programmes. Pain relief is no longer recommended, although changes should be managed with the patient. Instead we’re losing quality of life because the guidelines for the chronic pain treatment UK is unclear. 

    6 Reasons To Be Grateful For My Amazing PA This Good Care Month

    Every July Hertfordshire Care Providers Association (HCPA) raises awareness of the caring profession in the UK, hoping to boost recruitment, thank those in social care and break some of the stigma attached to caring. Read about it here.

    During Good Care Month those who are cared for and caregivers share their stories. I want to illuminate Carer’s skills and qualities when working with vulnerable adults. Having a government assisted Carer has changed my family’s lives as it gives everyone a break from the harsh reality of life with a disabling condition.

    Unpaid care is becoming more common with the pressures on the care sector but social care can change lives for everyone, including unpaid carers already in place. This blog is a look at being an unpaid Carer from the perspective of a friend who cares for her husband.

    This blog is mainly a thank you letter to my amazing personal assistant (PA) or Carer, Sam. I share the reasons I’m grateful for her in my examples of the 6 Carer’s skills I see as a gift. My aim is for other Mums to feel that having a Carer isn’t giving in or not an option for them. 

    This open letter will surprise Sam but I want to shout from the rooftops about how she supports me and my family and recognise how grateful I am personally for how she employs her expertise to give me the support and friendship I need as a younger adult client. 

    The guidelines are written for patient care by a committee of healthcare professionals. I’ll break down the guidelines and share how they affect patient’s quality of life from the perspective of medical professionals and those in the chronic illness community

    Why My Carer’s Skills Are An Excellent And Valuable Gift

    The latest NICE guidelines recommend group based exercise, psychological therapies (ACT or CBT), antidepressants and acupuncture. Pain killers are no longer recommended for managing chronic primary pain.

    Dear Sam,

    As the author Amy Leigh Mercree once said “Kindness can transform someone’s dark moment with a blaze of light. You’ll never know how much your caring matters.” These words are so important for you, and every dedicated caregiver, to hear from the person you care for. 

    How often do the people you aid get the chance to tell you exactly how valuable you are to them? I’ve needed care for nearly 8 years, due to a rare and debilitating brain disease. I feel privileged to have the support of a professional Carer and feel incredibly lucky that that person, for the last 5 years, has been you. 

    I learnt of Good Care Month this year. As I feel strongly about shining a light on what Carers do, so when I saw a suggestion to write a thank you note to your Carer, I knew I had to write an open letter. This is my way of raising awareness of Carers skills and worth.

    Accepting you need help as a 37 year old Mum with chronic illness is tough. There are many stigmas around social care and caregivers but those linked to care for those in the 18-64 age group, stand out to me. There’s an even stronger barrier for me as a Disabled Mum. 

    One reason for this is that younger adults are more likely to receive local authority assistance for learning disabilities and mental health issues than physical disabilities. This means that most Carers who’ve worked with me haven’t really known how to engage with me or my family or I’d feel them pitying me. 

    I love that you’ve never done this Sam, you simply treat me like an equal. What you do for me and my family means so much more than I can write. However, some things are just between me and you, and can’t be shared in an open letter. So let’s just say that what I love most about you is our shared filthy sense of humour! 

    This Good Care Month, I’m sharing just 6 of the reasons that make me value you as my Carer:

    1. Building Strong Relationships

      As parents, it means so much that you’ve taken the time to build strong connections with us all, especially our boys. We all feel we can be ourselves and the boys don’t feel like there’s a stranger in their home and safe space. Feeling we can be ourselves is a gift. 

      You’ve thrown yourself into being a part of the team, realising that this is our way of having some control. We take pride in working together and as we prioritise listening to each other and solving problems together, you prioritise this too. Sam, you’re part of our family because, honestly, you’re as much of a weirdo as we are. 

      For others caring for adults under 65, please take the time to look at the family as a whole. One of the most valuable Carer’s skills is to build good relationships. If you’re coming into the family’s space make sure everyone feels comfortable when you’re there. 

    2. Helping With The Little Things

      By taking care of my needs you help me stay organised so I manage to stay on top of things. The small things you do for me matter, such as, getting my clothes out, ensuring I have enough water and helping me get dressed. This allows me to save my energy to use elsewhere. 

      You making lunch for me is the difference between me being able to write or needing rest on my better days. I can be Mum AND focus on my goals when I have energy, which is why this matters. I can’t imagine trying to keep everything straight without your help, although your clumsiness is an add-on I’m not sure I asked for – teehee! 

      Some skills are just a part of the job but this Good Care Month is the perfect time to recognise just how crucial doing the little things are for those of us with chronic illnesses and disabilities. Creating a routine is pivotal so that we don’t have to ask you, which takes energy itself. 

    3. Having Emotional Support

      Sam, you’re a huge support during tough times, whether I’m feeling low, having a pain flare or just need someone to talk to, I know you’re there for me. You’re switched on to how I am when you walk into the room; a rare gift that only those closest to me have. Being aware of this calms me as much as your excellent cuddles do. 

      We’re so lucky to have found the right fit with you, it hasn’t always been this easy. Knowing you’ll make sure I’m taking care of myself takes some of the pressure off of Joel. This just makes me value you more and so you’ve become like a sister to me. 

      Being emotionally supportive is one of the most vital Carer’s skills. As a sick and Disabled Mum, there’s always something to worry about and being ill is exhausting. Being aware that communication with a Carer will be easy helps every family member’s mental health.  

    4. Lending A Hand

      You’re always willing to get stuck in Sam, be it normal jobs around the house or the odd jobs that come up. Being mindful of this helps me take care of myself. I love sending a recipe and being sure you’ll prepare or cook dinner as my proxy, giving Joel one less job.

      However, it’s even more important to notice the things you do for us if Joel has a meeting or is away on business, like cleaning up after the cats, picking the boys up from school or taking me to appointments. Of all these Carer’s skills, this has the biggest impact on family life. 

      In Good Care Month it’s important to appreciate the smaller things as these often just happen. If someone has become part of the family, there’s often an open offer to grab essentials or check in when off duty. As long as boundaries aren’t crossed then this is a real gift. 

    5. Creating More Life Balance

      Sam, you help me create more balance in my life, both emotionally and getting the balance between work, goals and rest. For me, being certain that my family has less chores helps me feel less of a burden, supporting my mental health. It also gives my family more balance. 

      You help me keep a positive attitude by making me laugh, even if it’s you being daft. Yes this hurts when I’m in pain but it’s what I need. If you’re having a bad day you still make sure we giggle at something. Having you around is a tonic and we appreciate you more than you know. 

      A Carer’s skills at bringing more opportunities for life balance into the life of the person they’re caring for is incredible and important to mention in this Good Care Month blog. This is an unexpected outcome for the whole family, especially when things are tough.

    6. Supporting Goals and Dreams

    Sam, you take on board my goals and future vision when I’m speaking to you about unrelated things or even thinking out loud. You know my goals, such as building up my social life, and you’ve seen the frustration I feel when my illness holds me back. 

    This year my social worker helped me get back to swimming again regularly but I can only do that with your support. I look forward to our swim sessions, being confident you’ll keep me safe. To top this all off, you’re an amazing friend and I can’t imagine going through life without you by my side.

    This isn’t something you naturally consider when hiring a PA, but it makes such a difference to my life that I have to mention it. Be it having help with planning a rare trip out, holiday packing or talk of things you dream of or aspire to, a Carer can help you achieve. 

    Beyond these 6 Carer’s skills I want to thank you for the extra gifts you bring that are personal to us, Sam. You listen when I wander down my Wonderland rabbit hole chats, aware that my brain has to get from a to b, even if there’s a long detour. I appreciate your patience. 

    Thank you for driving more slowly when I’m in your car. I know you find it hard because you let me know every 10 minutes of the journey! I’m grateful for the effort you go to (and the panic that follows) when I’m nauseous and ask for something to eat you’ve never made.

     

    I wish I’d known 8 years ago what I know now. I felt I wasn’t sick enough for support and didn’t know what skills or qualities I needed to look for. Some Carers haven’t been right for us but thankfully you fitted in immediately and it’s a gift that we found you when we did. 

    My aim for this letter is to show how, when these 6 Carer’s skills are used well, a Carer is an invaluable resource. I hope PAs and Carers consider how to develop these in their own practice and that we break the stigma that Carers are only for ‘old people’.

    This Good Care Month, I also want to acknowledge those who could receive care. Your concerns about having a PA as a Mum are valid but know that excellent Carers are out there for us. I now see care as an opportunity to have someone help me be a more engaged Mum. 

    Looking back at the quote I shared at the beginning of this letter, I hope you can all see that having the right support matters. Sam, your kindness does allow light into some of my darkest moments and this means more to me and my family than you’ll ever truly comprehend. 

    I want you to know you’re a vital and valuable member of our team. Thank you Sam for all you do for me, Joel and the boys.

    Yours, Laura 💜💜

    In Conclusion…

    Good Care Month aims to raise the profile of the social care sector and promote career opportunities. It’s important because it’s a chance to give Carers the recognition they deserve. It takes a special kind of person to work in social care with these Carer’s skills. 

    The core qualities a Carer needs are passion, courage, dedication and compassion. One day it could be you needing care or caring for a loved one, so I want to make it clear that caring isn’t just wiping arses. However you may find yourself in strange situations, so a sense of humour is the quality I rank highest.

    Unpaid Carers are another topic but I want to mention it as the 2 hours of support I get each weekday from the local authority gives respite for Joel and my sons. They can take a break without any guilt and Joel feels assured as he knows I’m not alone and isolated. 

    My children have become young Carers and it’s fascinating to hear their perspective, which you can read in this blog I wrote recently. They’ve developed compassion and empathy, which are skills for life, and the way we communicate as a family has evolved greatly.As a family we’re found that the root of good care is in building strong relationships and working as a team so everything else falls into place. I hope I’ve shown that having a paid PA or Carer as a young Mum is worth it, if you take time to find the right fit for you. 

    There are so many Carer’s skills that I haven’t highlighted here but at the core is the ability to listen as everything is built around the needs of that person in their specific situation. Sometimes a Carer is faced with difficult decisions and this deserves our praise and respect. What is key is that the Carer works with us on our goals and priorities.

    If you would like some support with planning your wellbeing priorities please download my free guide to setting achievable goals that you can work on with your Carer.

    “As #GoodCareMonth comes to a close, it is important to recognise the silent care and compassion given every day in households, care homes, hospitals, hospices, and schools up and down the UK.” Read about what is happening in social care right now here.

    — Unknown (see link below)

    Read more in this Good Care Month Article by UK Community Foundations

    Carers deserve our appreciation everyday, however, I’m glad to have had this opportunity to show my appreciation for Sam. Learn more about Good Care Month here and find out how to get involved yourselves, I hope these photos show how much joy can be found by having a Carer.

    Best Wishes to you all,

    Laura 💜

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    ✋ Hey there! I hope you’re feeling stronger now. If so, sharing the love will help me help other mums with chronic invisible illnesses.⬆️  Hit one of those sharing buttons or save these images to Pinterest and I will do a bed-bound happy dance – there’s an image for you!

    P.S. if you’re a Carer or looking to hire a paid Carer or are given the opportunity to do so by your social worker, find out what you need to know with these resources: 

    Are You A Carer – www.england.nhs.uk/commissioning/comm-carers/carers

    Carer’s UK – www.carersuk.org

    Carers Trust – carers.org

    Support for Carers – www.nhs.uk/conditions/social-care-and-support-guide/support-and-benefits-for-carers

    Young Carers – carers.org/about-caring/about-young-carers

    Carers Mental Health www.northtynesideCarers.org.uk/looking-after-your-wellbeing-as-a-Carer