Saturday 13 October 2012

Caring..at home or away


No-one chooses to become a carer, how many of you would take on a role that keeps you working 24/7 around the clock 365 days a year, has no holidays, no sick pay, no rights, no margin for error and absolutely no salary… in fact it costs you to do the job, costs you in money, costs you in terms of your job, your friends, your health… no, nobody chooses this role.

However, every single one of us could become a carer at a moments notice…. either as a result of a catastrophe such as a motor accident, or by the slow and insidious development of a debilitating condition, which comes on slowly then one day has reached the point where it needs around the clock support.

Your loved one has a cold… you get them a drink… you look after them… that’s caring… One day, for a growing number of people, that caring becomes essentially a full life consuming around the clock job… and you do it without question, because you do look after your loved ones. It is some time later, when you have lost your own self and become a carer, that you realise that you are just that, a carer.

There is an army of carers out there, in fact it is estimated that carers, like you and I, actually save the state some £119 billion per annum… that is a lot of money… a lot of carers.

For so many people, their caring role doesn’t give them a single moment to be their self, to be anything but a carer.. and it doesn’t stop when you sleep, because you are aware every second of the support your loved one needs from you. You do all those jobs that your loved one wouldn’t dream of letting you do under other circumstances….

I am a carer, I care for a loved one who has suffered psychotic depression over 8 years or so, and now she has dementia… she has been in hospital for the last three years, and once the service providers get their act together and agree who does what, she will go to a nursing home. This means that for the  last three years my caring role has been easier than for many people… I don’t have to dress her, feed her, wash her, attend to her toilet issues… none of that… I don’t have to worry about giving medication, making sure it is all up to date. I don’t have to stay in home every hour unless I can get a family member or friend to sit with her… yes, it should be pretty easy. I know I am better off in this respect than dear friends who have cared for loved ones with Motor Neurone Disease, Emphysema, Cancer and the rest,,,, because I can come and go as I please, and don’t have those same pressures of actually looking after her every last need.

However, nothing is that simple is it… my situation is frankly appalling… I am not looking for sympathy, that does not help, but could use some understanding… that is all most carers look for.

When you are caring for someone who is in hospital, has been in for years, who will never come home however long they live… will move on to a nursing home, you don’t have the day to day caring stuff to do.

But it is still your loved one, you still love them, and likely they still love you… but you can’t be together, you are living apart, a few miles apart geographically, but living apart by immeasurable distances in reality. You only meet when you go to the hospital to visit… that’s 3 or 4 times a week for me now, about an hour a visit… so 3 to 4 hours a week with the person that means everything to me, but is no longer that person.

You still care, love, want around the clock, 24 hours a day, that doesn’t change… there is a painful loneliness in that… with friends, wherever you are, you are thinking your loved one should be with you… feeling guilty that you are enjoying something which they can’t, even though they are doing nothing, not far away.

When you are together… the love is still there… friends who have been to the hospital with me say they are touched by the obvious love between us, but it can only show at times through the eyes, through a look…  there is nothing else now, those silly little things you used to do and say together… they go through your mind… you say little things, do some of the little things… but there is sign of remembrance, no gentle melting response, and none of the little gestures and words coming back.

In fact they haven’t spoken an intelligible word for over two years, and rarely even manage an unintelligible one. You think they recognize you, but that would be the last defeat, not being recognized, so you are convinced anyway.. but the reassurance is hollow.

You spend time with your gorgeous grandchildren, and they mean so much to me, as do our children, and you love being with them, but you also find half of your mind is occupied by the fact that she is not enjoying the same thing… you tell her about them, you occasionally see a look of longing… but rarely… sometimes a smile… but rarely, more often the same blank expressionless stare… the one that leaves you feeling lost, frightened and helpless…

The pressures are always there… round the clock.. at least if they are at home you have the comfort of being able to help, I say comfort, I know it is desperately hard work… but sometimes you can crave it to ease the nagging loneliness.

Awful as it sounds, I wish she had died when she became this ill… I can’t bear to think of her just sitting… sitting… not communicating… don’t know even if she has thoughts… I don’t know if it helps that the hospital staff tell me she is often tearful after I leave… yes, me too, but I can deal with it, I can write and talk, does this mean I should go more often? See more of her… I would like to but I find it so hard to see her like this, I don’t think it would help… but then I feel awful because I don’t. go more often.

Whatever the situation, being a carer is a bloody awful lonely role…