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Are you part of the “Sandwich Generation”–caring for growing children and aging parents?

Being the care giver can be both difficult and rewarding.  But it is often taxing physically and emotionally.

Emotionally, you are always on alert:  when the phone rings, or always listening for that sound of distress.  Your life is no longer your own, especially when you have to drop what you are doing or planned for the day to do for others.

Physically, you may not be sleeping well worrying about what needs to be done.  You may be lifting from bed to chair to car and back.  Or have to be available 24/7.

And who is taking of you?

I am sure you have heard this before, but it is true … You need to take care of yourself to be able to be at your best to care for others!

Here are some helpful suggestions:

  • Don’t be afraid to ask for help and take help when offered–you cannot do everything yourself
  • Practice good sleep habits to ensure plenty of good quality sleep
  • Set aside time for yourself, if it is only sitting quietly for several minutes a day
  • Exercise regularly to relieve stress and rejuvenate yourself
  • Feeling sad, scared, tired, angry and stressed is normal–find a good listener to share these feelings with
  • Let the little things go and focus on the big issues that really matter
  • Realize that no one is perfect and making a mistake is human
  • Be flexible and remember that there is more than one way to do things
  • Keep connected to your spiritual or religious foundation

We all tend to place our needs last, especially when there are others depending on us.  You can sustain this for a short time, but the healthiest way for those you are caring for and for yourself is to try to make time to take care of you.  Give yourself permission to make one small change for yourself and you’ll find that everyone wins!

Preparing for surgery is stressful enough, with all the potential complications associated with a fix of whatever’s wrong. But add to the mix, the possibility of postoperative delirium and it’s downright scary. For reasons we don’t quite know, this condition is most associated with joint replacement and heart surgery, particularly in the elderly.

Postoperative delirium occurs in 1% to 61% of patients following anesthesia. It’s characterized by confusion, disorientation, fluctuating levels of consciousness, altered psychomotor activity, and disturbed sleep-wake cycles. These symptoms usually occur on the first or second day after surgery and worsen at night. Underlying dementia can complicate the situation, as symptoms are often confused by the treatment team. This happened to a client of ours with early stage Alzheimer’s disease. He underwent joint replacement surgery and woke from anesthesia experiencing hallucinations and agitation so severe he required restraints. In the following weeks, he slipped into critical confusion and depression. Fortunately, with aggressive advocacy on our part, his symptoms of dementia were distinguished from the delirium and he is now on the mend.

Age, dementia drugs, and certain metabolic diseases increase the risk of postoperative delirium. Approximately 30% of cases are related to drug toxicity, an often preventable risk factor. Before surgery, disclose all medical conditions and drugs and ask the anesthesiologist about your risks. While it’s impossible to prevent postoperative delirium in all surgeries, being prepared will help you and your family pave the way for your best recovery.