I am going to write myself a letter to open when I turn seventy.  It's tentatively titled "Don't be a D*ck"  or perhaps more appropriately subtitled "Accept Help When It's Offered"
We're having the ongoing struggle with the folks accepting help caring for the mother.  We keep hearing "We've got it" and "When she gets better then we can..." when NEITHER OF THESE THINGS ARE TRUE.
I keep meditating on this topic, "I'm going to be there someday" "We all get old" etc. etc.  Kevin says that we can't MAKE them do anything and he's right. 
We are trying to get them signed up for a program that can offer them all kinds of assistance: someone to come in to help, food assistance, financial assistance, medicine management, etc.  The caseworker is the husband of a friend of ours and he called me today to say "Nope."  Because of the I'll Do It Myself! attitude, they won't get past the initial screening process. 
Here is a non-quick recap of what we're dealing with: 
We've had endless talks about Kevin's mom drinking water, because 
dehydration was one of the causes that landed/lands her in the 
hospital.  She always promises to try and then doesn't.  I think it's 
going to come down to the boys telling her they're not going to visit 
her in the hospital if she has to be hospitalized because she's 
dehydrated.  She acts as if we've asked her to set her hair on fire.
When she was admitted to the ER, the 
doctor stated that medication management has to change.  She wasn't 
taking her meds correctly and she was taking something she shouldn't be 
(laxative) and wasn't taking something that she should be. (cholesterol 
meds) My father-in-law does all the meds.  Here's the fun part: he 
doesn't read.  He literally holds the bottles and visually matches it to
 the paperwork.  But he doesn't know what he's reading (think heart meds
 vs. anxiety meds)   
Of course, we try to problem 
solve. We said we would buy pill boxes and help him get it organized. 
This way he only has to hand her the meds.  EPIC TANTRUM.  A list of 
nonsensical reasons why it won't work: the pills don't fit in the boxes,
 what happens if he runs out, it takes HOURS to distribute her pills 
(using an example of when she went to visit her sister) and we don't 
understand IT JUST WON'T WORK AND I CAN DO IT MYSELF!  (that last part 
is implied) 
The answer to this is You Can't Read.  But the boys 
can't say that, although I think they should. I'm not as worried about 
his pride when it's something this serious.  So, I walked away because I don't tolerate tantrums.  In fact, I've taken a wee break from them entirely.
We agreed to shelve the 
topic until the next day or so.   Two hours later, Kevin went over to check on 
them before we went to bed.  His father was STILL trying to figure out 
the meds.  The discharge paperwork wasn't formatted the same as the 
previous paperwork so he couldn't figure it out.  He was freaking out. Kevin texted me to 
come help.  I may have cursed.
I had to go over to 
figure this out without cursing, muttering or doing the I Told You So 
dance.  I was mostly successful.  Finally, I just took the paperwork 
home to figure out how to make this make sense to him. I cannot touch the meds physically 
because he has A System. And don't get him started on the one time that 
the ER docs "mixed everything up" and ruined his life.  MONTHS AGO.
The
 paperwork stated "Take two times daily" or "once daily".  While this is
 obvious to everyone else, it's not obvious to him; he spirals out with 
"But is it in the morning or the night? How do I know if she needs it?" 
 OH FFS.  Oh, and the nurses notated in the margins and with highlights when she had the last dose.
30
 minutes later, I created a spreadsheet with everything delineated as 
best I can for someone who doesn't read. I had also called the nurse at 
the hospital for help but they were busy.  I was finished by the time 
they phoned back and even then it wasn't the nurse we needed.  But she 
did say that my logic was sound in making the chart and entering 
everything correctly.
My sister-n-law managed to get the pills organized into pill boxes the next day without a PEEP from him, which makes me relieved and yet, still a little stabby. The next step is to register for Walgreens online and set 
everything up on auto-renew.  He insists this won't work because: 
reasons.
Swistle summed it up the best: "It's like, nothing can solve it because everything is going through the 
That Won't Work filter. The goal isn't to listen to possible solutions 
and see what will work; the goal is to pick solutions apart and "win" by
 proving nothing will work."
I
 guess the most frustrating part is that they need help and will 
sometimes will voice that need, but then he gets all stabby and shouty 
when anyone makes suggestions or tries to help.  Logic says just walk 
away and let him deal. But this is a safety issue (MEDICINE FOR THE LOVE
 OF GOD) and we can't do that. Logic also says that it's because he 
feels we're judging him and that he's done something wrong.   Because WE ARE. 
Then
 there's the fact that he is at risk of falling or being exhausted 
(requiring hospitalization) because he's the sole caregiver.  The 
reaction to this is textbook defensiveness.  We can't get him to 
understand that the consequence of him geting hurt or injured is they're 
both in a care facility. But to him, it's simply NOT POSSIBLE. We can rationalize that it's the loss of control and independence, but
 we can't get them to understand that the next stop is a care facility.
On a selfish note, and Kevin has used this rationale with them, at some point it has to be about US.  We're exhausted.  We're stressed.  We are spending our free time making sure that everything is taken care of.  When Kevin mentioned "Don't you want to do this so at least WE can stop worrying and having to come help?"  They just continue to insist that they don't need it and eventually everything will go back to normal.  He even told them (bless his heart forever) "Surely can't continue to clean your house, babysit the dog, and catch the ambulance forever.  That can't be her job."
Have I mentioned she's on oxygen 24/7?  That she doesn't like taking her medicine? Or eating?  YEAH.
So, deep breath. I am going to write myself a letter.  Maybe even include this post with it.  When I'm old, I need to remember to not be a jerk to the people that are just trying to help.
 
 
1 comment:
Aieeeeee, this sounds DREADFUL!
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