There is a big problem among adult caregivers these days that they either do not recognize or no one is talking about. The problem is called depression and as many as 25% of all adult caregivers suffer from this condition which is twice the national average of the population in general. These figures are actually quite conservative as many senior social agencies that provide resources to caregivers believe. In addition, once the caregiver’s duties are done with (usually due to the loved one’s death), depression can still occur or linger on.

Of all the adult caregivers, it seems that those who deal with dementia and Alzheimer’s disease in their loved one has a higher propensity for developing depression with it occurring in women twice as likely over men. The act of caregiving itself is not the cause of the depression but rather the feelings that stem from prolonged care. By the same token, not everyone experiences depression during the caregiving process either.

Why Depression Can Occur

Providing the best care to your loved one can mean giving up your own free time and making emotional and physical sacrifices. There is sometimes no time to call your own when you can decompress and relax. Always being in the “on” position can take its toll, even with the most efficient, competent person. It is quite normal for feelings of anger and resentment to crop up. There is also a feeling of loneliness and sadness in addition to anxiety and fatigue. Add those guilty emotions you have for even feeling these things and it is no wonder depression has become quite a problem among adult caregivers.

If you have never encountered depression before in others, you may perceive it as a weakness in yourself and ignore your feelings. This unbalanced feeling is not healthy and not only can it take a toll on your relationship with loved ones but also on yourself. Denying you have these conflicting emotions just makes things worse because you cannot will them away. Sometimes, you also may not realize you have depression because this condition manifests itself differently from one person to another. Plus depression symptoms do change in a situation over time. Here are some signs that might signal a depressive state:

1.  A feeling of fatigue all the time is one signal of depression that no amount of sleep will solve. In addition, depression can also cause changes in your sleep patterns. Either you will want to sleep too much or you do not get enough.

2.  Eating habits may change. Some people turn to food to try and assuage the feelings of guilt and frustration causing weight gain while others get a nervous stomach and do not eat enough because the food upsets them.

3.  Loss of interest in many activities that were once fun and neglecting personal relationships are both signs of depression. Feelings of inadequacy are quite common as well.

4.  Depression can manifest itself into actual physical symptoms that cannot be attributed to any other ailment. Headaches, non-specific pain on the body and digestive problems like irritable bowel syndrome are just a few of these physical symptoms of depression.

5.  Permanently ending things through suicide is one of the most drastic problems in depression in caregivers because they feel they have no escape and no where to turn.

If you feel any or all of these symptoms of depression, you should know that you are not alone. Do not shoulder the burden any longer. Seek help through friends, family, church, counselors or even your doctor. Do not hold things in but rather confide in someone. It takes time to bounce back but do what you can to make that happen. Participate in activities that were once favorites – and force yourself if you have to. Think positively too. Slowly you will feel the weight being lifted off your shoulders and the days will be brighter. However, you have to take that first step to do something about the depression.

Assuming the role of caregiver for a loved one can be challenging and with the amount of stress and aggravation that comes with the job, you would think that the caregiver would rather turn the loved one over to a nursing home or other organized care facility. However, the opposite it true! While the trials and tribulations of caregiving can be quite intense, most of the time caregivers are grateful to have had that time with their loved ones. They report that it is an experience they were glad to have, despite the problems – financially, emotionally and physically. For them, the positive experiences far outweighed the negative and they would choose the caregiving role over again over institutional care. Here are a few of the reasons why:

1.  Life and responsibilities get in the way of maintaining close ties sometimes with family members so when one requires the need of a caregiver, you should view it as an opportunity. Daily care of the loved one entails personal contact so you often end up engaging in long conversations about anything and everything.

There is opportunity to talk about the important things in life as well as the inconsequential ones too. You get to know each other better and learn about family history. You can laugh together and share stories about family as well as forge new memories together. Talking openly and honestly about caregiving decisions and what the future holds will cement not only those familial ties but create a newfound intimacy that is priceless. If there has ever been a time to reconcile differences or seek forgiveness, this would be it.

2.  Caregiving, while it may fall to one person in particular, still has a way of forging bonds with other family members such as siblings who may share in the concern of the loved one. Collaborating with family forces communication, first to benefit the loved one who needs care and then it extends into other familial realms. You just might end up learning more about your family and appreciating the differences that everyone brings to the table. While deciding on caregiving responsibilities can be heartbreaking and stressful in certain situation, it also has a way to bring families together.

3.  Making a difference in someone’s life, especially a loved one like your parent, can be quite satisfying. Yes, it can be tiring, emotionally draining and nerve wracking at times but at the heart of it all, there is a strong love and need to give back the support that loved one always gave you. You may view the opportunity to take care of a loved one as a gift because the time you spend with them could not be recouped if they lived in a nursing home or some other institutional care. Many caregivers report that their families benefit through stronger familial ties with the loved one and positive ideals and principles are indoctrinated in their children.

4.  A whole new world is opened to you when you assume a caregiver role. All of the sudden you will find that many others around you are serving the same role and you are not alone. Through support groups and meetings, you will meet new people and learn so much about health care advances as well as tips on making your job easier. You end up forging new relationships that could last for years.

Playing the role of caregiver can be quite rewarding. However, as your loved one’s condition starts to decline, there is a fine line between the benefits of caregiving on your own and seeking an institution of some kind that could offer better care. Consulting with your loved one as well as your family and the doctor is important. Conditions such as Alzheimer’s disease could end up requiring 24 hour supervision, something you may not be equipped to handle. Knowing when institutional care is necessary is part of the growth process for a caregiver.

It is quite normal to feel overwhelmed when faced with assuming the role of caregiver. There are a number of people in this country who are now taking care of their parents in their declining years. You may have actually been a caregiver for years without realizing it before an accident or event changed your perception. Do you feel you are even a caregiver? Here are some signs that indicate you soon will be if you are not already:

1.  Your once vibrant dad is now being plagued with a lot of little health problems, nothing earth-shattering or life-threatening – but enough to hamper his lifestyle.

2.  You find your loved one’s bank statements and unpaid bills laying on their desk unopened when they were once really diligent about paying on time.

3.  Loss of interest in the hobbies or regular socializing your loved one normally does. Perhaps your elderly dad’s workshop has not been opened in a while or that weekly card game has now become a thing of the past.

4.  Regular household chores are not being done such as mowing the lawn, washing dishes or fixing a leak in the sink.

5.  There is not an adequate food supply present to feed your ailing parent or they become inattentive when cooking or baking, burning food.

6.  Grooming has become slack and your once polished parent is now a bit disheveled.

7.  Being distracted and inattentiveness in your loved one are also signs that you may soon become a caregiver.

If you feel that your parent may almost be ready for a caregiver, talk with them about it. Involve your aging parents in the process so they have some input in their own care. Of course, if there is some cognitive impairment in your parent, it is still important to include them in the decision-making. This will make them feel included and not so isolated about their situation. Help them navigate the internet on the computer so they can read for themselves the positive benefits of caregiving.

Once your role as caregiver is inevitable, create a job description so you know what to expect from yourself and get your loved one’s input as they will be the recipient of this care. Get other family members, friends and neighbors lined up and on board to serve stand-by for those times when you need help. If you do not have much of a support system, look into local home health care agencies or companions, depending on your loved one’s needs. Be sure to stick to the guidelines you set up for yourself and respect your time off because you will need it to recharge your internal batteries.

You do not have to shoulder the burden of caregiving alone. Check with the AAA, the Area Agency on Aging and look for a local office. They and many other entities like them can provide you with leads on home companions, nursing assistance and even assisted living facilities or adult day care. Know what your options are now before immersing yourself in the caregiving role.

If possible, involve your aging parent in your caregiving decisions. If you plan to use an adult day care, take them on a tour of the facility to ensure there will be enough activities to keep them engaged. Interviewing for a home health care nurse, allow your parent to meet with the interviewee. This will give you a chance to see how well they would interact together.

Find a positive spin for all of these caregiving changes in your aging parent’s life. If a companion is coming to the home to help cook and clean, tell your parent that now they don’t have to worry about those two chores, they have more time to visit with friends or indulge in a favorite pastime. All in all, the most important thing you can do is involve your loved one. Of course screen all possibilities first to weed out the chafe but take into consideration your loved one’s opinions. After all, they are the recipient of your caregiving efforts and should have a positive experience.

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Making the decision to move an elderly parent in with you is not one to jump into lightly. There are many things to consider including how your parent feels about the whole situation. You would be making drastic changes to your lifestyle as would your family. The family dynamic and roles will change causing tension and worry.

The decision to be your parent’s caregiver inside your own home is not always clear cut. First of all, you need to decide (with your parent) whether or not there are intermediate steps to take before making the big leap. Could you afford a caregiver to live with your parent? Can your parent even live alone safely? How comfortable do you feel with the role reversal? There are many things to consider first. Here are some questions that may crop up in the course of making that caregiving decision:

The Family Dynamic

First of all, many aging parents may feel they do not need any help and might resist moving in with you. How are you planning to talk with them about it? You need to be prepared with a list of reasons why they can no longer live alone. Also, your family will be changed as well if a parent moves in with you. How will your ailing parent integrate with your family? How will your spouse and kids feel and in what way will their lives change? You will need to talk with your family to even see if moving your parent in is the right thing for everyone involved.

You need your own personal time and space but how will you get them with a parent to take care of in your home? What would your limits be in caring for your ailing parent before a nursing becomes the better choice? How dependent will the parent be on you beyond the food and shelter and can you fulfill those responsibilities? Will any siblings feel resentful if you are the one taking care of your parent?

Modifying your Living Space

When the decision to move a parent in to your home comes into play, do you have any idea where to put them? Will one of your family members be displaced from their room and cause resentment? Can a spare room, home office or den be converted successfully for your parent? Would building an addition to the home be possible so no one loses their personal space? How about home modifications for any assistive devices? Would you have to build a wheelchair ramp, install special door knobs or railings?

Consider the “baggage” your parent will be bringing with them. Can you handle their yapping lap dog or precious kitty? Could you handle questionable personal behaviors such as smoking or drinking? What about having friends over? Can you handle your parent’s many friends coming over to visit?

Time and Money

Time and money are other aspects to consider when your parent moves in so you can care for them. How do you handle your finances as well as theirs? Should they offer to pay some rent or contribute to groceries? What should be the division of expenses? How will other family members such as your siblings feel about the financial aspect? Will you have to change jobs, reduce your work hours or quit all together to serve as caregiver to your parent?

If you do have to work, how will your parent care for themselves during the day? Will you hire a companion? Do you have any inkling on how you plan to juggle your needs, that of your spouse and kids in addition to your parent? How will the division of labor be spread out?

Other Considerations

Some parental caregiving may require with personal issues. Could you handle spoon feeding your parent? What about bathing them or changing their diaper should they have incontinence? Do you know what to expect in regards to your parent’s health and what to do in an emergency? Would you be able to take care of yourself so that you do not burn out serving as caregiver? If you need time to yourself, are you willing to hire a nurse or someone for respite care?

You have got to look before you leap into any situation regarding proving parental caregiving in your own home. There is not just one party (your parent) to think of but many, so delving into all of those questions above will help you make your decision.