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  3. Caring for Family, Caring for Yourself Whether you choose to be a family caregiver or the job is thrust upon you by circumst

Caring for Family, Caring for Yourself Whether you choose to be a family caregiver or the job is thrust upon you by circumst

admin2013-07-11  39
问题                     Caring for Family, Caring for Yourself
    Whether you choose to be a family caregiver or the job is thrust upon you by circumstances, your most important responsibility beyond caring for your ill or disabled relative is caring for yourself.
    Too often, family caregivers are reluctant to "abandon" their patients, even temporarily, or trust others with their care. But a caregiver should not feel guilty about looking out for No. 1.
    Self-care is not a selfish act. It’s an essential act, because a caregiver who burns out, who becomes overly stressed, exhausted or ill, is no help to anyone. There are many ways for caregivers to protect their physical and emotional health, and a growing number of organizations that can help. Sometimes all you need to do is ask.
Avoiding Burnout
    While people who work for a living typically get lunch breaks, coffee breaks and weeks of vacation, a family caregiver has no such relief built into the job. Yet it would take a superhuman to meet the demands of caregiving 24 hours a day for any length of time without breaking down.
    Here are some ways to protect against caregiver burnout, including suggestions by groups like Strength for Caring and the Family Caregiver Alliance:
    Arrange for an evening or afternoon out one or more times a week. Ask a relative or friend to fill in for you. If you have a cellphone, you can always be reached if a problem arises that requires your know-how.
    If it is very difficult to get out, invite people over to talk, knit, have tea, cook, play bridge, work on a puzzle, read a play, discuss a book—anything you might enjoy that can be done at home.
    Comfort yourself by taking time to relax for a small part of every day. Take a warm bath, read a good book, watch a favorite program.
    If there is someone who can take over as caregiver for a longer period, or if you can afford to hire a temporary worker, arrange a weekend or week away occasionally.
    Factor regular exercise into your caregiving responsibilities to help maintain your physical and mental health. If you cannot leave the house to exercise, buy, borrow or rent indoor exercise equipment or get exercise videos and work out in front of the television.
    Eat regular, nutritious(有营养的)meals. Groceries and restaurant meals can be ordered by phone and delivered to your door. Prepare large recipes of favorite dishes that can be frozen in individual portions and reheated. Think main-dish soups and stews. Consider asking friends, neighbors or nearby relatives to each supply a meal a week or, if there are enough cooks in the neighborhood, a meal a month.
    Keep healthy snacks and drinks on hand, like fresh and dried fruit, yogurt, nuts and nut butters, cut-up vegetables, low-fat cheese, fruit and vegetable juices.
    Don’t cheat on your sleep. If the person you care for awakens you or keeps you up during the night, be sure to take naps when the patient does. If anxiety disrupts your sleep, ask your doctor about medication that can help you get the rest you need. Or try an over-the-counter remedy or a glass of warm milk before bed.
    Don’t neglect your own health care, including flu shots, dental checkups and cleanings, and routine physicals. If you have trouble remembering to take your own medications and supplements, use a Monday-through-Sunday pill container or a daily checklist. Don’t postpone a doctor visit if you develop a troublesome symptom.
    Be cautious of the signs of depression. Take it seriously if you become easily annoyed; cry over minor upsets or nothing at all; feel overwhelmed or helpless; lose your appetite; cease enjoying things that used to give you pleasure; or find yourself sleeping too little or too much. Sometimes just talking things over with a trusted friend or someone who has also been a caregiver can bring relief. But don’t be afraid to seek professional counseling.
    Consider joining a caregiver support group. If there is none in your area or you are unable to get out to one, try an online support group. Nearly every problem you might encounter as a caregiver has been experienced and solved by others. You should not have to reinvent the wheel. A Web search for "caregiver support group" will lead to links to organizations like the National Family Caregivers Association and its Community Action Network, and the Family Caregiver Alliance and its online support group.
Finding Outside Help
    As with any task, being prepared for the unexpected as a family caregiver can go a long way toward success. You don’t want to find yourself like Mrs. R, who cared for her dying husband but was never told what to do if a problem or troubling symptom arose.     Start by asking the patient’s doctors and nurses for guidance about the expected course of the illness or injury and what resources will help you cope. Ask what medical and practical devices might be helpful—a special toilet seat, for example, or a wheelchair, hospital bed or feeding equipment.
    Inquire, too, about community-provided transportation, like New York’s Access-a-Ride, that can provide free or low-cost door-to-door service to and from medical appointments.
    Ask friends and neighbors for help with tasks like housework, home repairs and paying bills. Make a list of everything that needs to be done and when, and match tasks that can be farmed out with people capable of doing them.
    A neighbor might be willing to take out your garbage or bundle your recycling. Another parent might be able to take your children or grandchildren to school and pick them up after school. Perhaps a relative or friend with woodworking talent could build a ramp(斜坡)for the patient’s wheelchair. Most people are happy to help those in need, so don’t be shy about asking and don’t refuse help when it is offered.
    Another approach to helping family caregivers was pioneered by a group called Lotsa Helping Hands. In partnership with dozens of national nonprofit organizations, this group provides a free service for family caregivers by bringing together community members who can help with meals, rides, childcare and other activities of daily living.
If the patient keeps disrupting the caregiver’s sleep, the caregiver can ______.
选项 A、find a replacement in the daytime
B、take quick naps when the patient goes to sleep
C、cheat the patient on sleep
D、give an over-the-counter remedy to the patient
答案B
解析
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