Tuesday, August 7, 2007

Putting our Elderly Out to Pasture

Nursing homes just scare me. They are terrible. CG's step-grandmother was put in a home by her children and my mil after her husband died. She is a wonderful Scottish lady who loves dogs and chatting with people. She reminds me of Mrs. Doubtfire. I never had a negative interaction with her and that's saying something for CG's family. Now she calls CG and I at home at odd times in the morning to say she has been kidnapped or is being held prisoner. It breaks my heart because we have no say.

Before I entered the family, another great-grandmother was also put in a home. She suffered from dementia or Alzheimer's. I was told a story where she was left in the home, only a few minutes drive away, against the objections of an uncle, at Christmas. The reasoning was it would ruin every one's Christmas and she didn't know any better. Having not met this lady, this story so hurt my heart.

Then there is my side of the family. My maternal grandmother, still sharp at 96, has become bedridden in the last two years. Before that, at age 93 years, she was still tilling and weeding her tomatoes and actively involved in her church. She's a dynamo as well. The difference is that she is still at home, surrounded by family, pictures, and her history. That's how it should be.




My ninety-six year old grandmother in her home of over 70 years


My paternal grandfather, well into his eighties, died of cancer with a medical bed in his dining room. Again, surrounded by the familiar and his large family. His wife, my grandmother also suffered dementia. She was moved to live with an aunt, and although we didn't see her as much as I would like, she also died with family. My great-aunt, my grandfather's elder sister, at over 90 years, was pulled out of a nursing home she put herself in originally. She had suffered a broken hip and dehydration while in their care. She came to live with my family since she had never had children of her own. While I'm not sure her quality of care was much better and she died soon from complications of the hip, I would like to think it was better to be around loved ones than strangers when you die.

So, reading this, you obviously know my slant. My question is why do we put out elderly out to pasture? When our children are difficult and in diapers, we would never dream of putting them in a home. Yet, the elderly, sometimes just as innocent of mind with the very same needs of our children--diapering, medications, doctor exams, feedings--get put away, out of view, as a nuisance. I believe my side of my family is the exception, not the norm. What is wrong with our society?

I guess this birthday is getting to me. It didn't help I recently watched an episode of The Closer (love Kyra Sedgewick) where lonely, elderly people were being murdered and nobody noticed. For most of these elderly, they had outlived family which is one of the only justified uses of a nursing home in my opinion. I know that both sides of my family have a history of living into their late eighties to mid-nineties. I would be horrified to be put in a home with family still capable of caring for me, as would I be if my parents were put in one. I have joked that I should tattoo my face so no self-respecting nursing home will let me in. Um, not so funny.

So, I think I will work harder now teaching my children the value of human life. Let them experience the richness of stories coming from the elderly. Maybe we'll call a local home and find someone who has no one to visit. I want to ingrain on my children that until the very last breath, a person is a person. A loved one is a loved one and I hope they remember that when I'm 90!

9 Witty Comments For Me:

Ferbit said...

*blinking back tears* This is so true and I wholeheartedly agree with you. They need to be with loved one till the end.

Beau said...

Old people always love it when young people come by. It is often hard on the little ones, but the the good that it does for older people is great.

Maybe we should just stop by an old folks home to chat.

When people get old, they start to break down and there are better places where they can be cared for. On top of longevity, your family is also pretty durable.

Leslie said...

This really hits home with me right now. My grandfather was recently moved to a nursing home. He has Alzheimer's. I wrote about it recently. I get what you're saying, but I don't believe we "put him out to pasture." I know this happens, but I can't believe that every resident of a nursing home has been tossed aside by their family. For some, this is the best option. For us, it was the only option.

My grandfather's condition had progressed beyond what anyone in our family could handle. This was a difficult decision that was made final when his doctor informed us that if my grandmother did not admit him, he would have to have him legally committed to a geriatric psychiatric facility (because of the harm he had done to himself and others). While no one is happy that he is there, we had to realize that no one was able to give him the appropriate level of 24/7 care he now needs. Does it mean we are through with him? Absolutely not. Not a day goes by that a family member is not there to spend time with him. Does it mean we love him or value him any less? Certainly not. It was a great act of love to realize we could not care for him like he needed and to give that up. It was hell for my grandmother to do.

Although I was never responsible for the every day care of my grandfather, I can say from the little experience I had with being responsible for him that it is nothing like caring for a child in diapers. My toddler has never ripped the front door off our house. My toddler has never hit someone so hard it broke one of their bones. My toddler has never jumped out of a moving car, then wandered in moving traffic on the highway. My grandfather has done all of these things. He is a grown, strong man who is otherwise very healthy. I cannot restrain him. It took three police officers to pull him out of traffic that day.

Additionally, there are some folks who prefer professional care to family care for one reason: dignity. They'd rather not have their loved ones doing some of the private things they can no longer do for themselves. This was the case for a number of nursing home residents I came to know through my father's nursing home ministry.

Nursing homes can be a scary place. They can also be a great service and comfort for those who needs them. It bothers me to think of my grandfather as "being put out to pasture." Taking care of family is my highest priority - I'm a stay at home mom and my parents (one of whom is not well) live with me. Taking care of family is what I do every day. Knowing that I could not take care of my grandfather is something I feel terrible about.

I don't completely disagree with what you're saying. I just have a different perspective, I guess.

Scout's Honor said...
This comment has been removed by the author.
Scout's Honor said...

Beau: I agree there are other places that can care for the elderly people, but do they make the elderly feel cared for in their last weeks, months, and years?

Leslie: You make some very salient points of which I had not even pondered. How does one keep a loved from harm and harming others? It sounds like in your grandfather's situation, there were some very real medical issues that required care.

I don't for a minute think every person in a nursing home is there because they were tossed aside. I even mentioned there are times when parents outlive their children where nursing homes are a good alternative.

I guess I was speaking more about my own desires and the elderly women in our family who are/were really no danger to others who were put some place more convenient. I just don't think convenience should come in when it comes to family. There are life-changing financial and time sacrifices involved that often people are not willing to make. My aunt has taken off work and a cousin stays with my grandmother in her home so my grandmother can be where she is most comfortable. It's a sacrifice.

As for caring for the elderly, as a 16 year old, I did care for my aunt. When my parents went on a vacation, I became her sole caregiver for over a week. My aunt did need diapers changed. She needed to be spoon fed. She wandered at night and I would follow her around. I was the one who took her to the ER, and was yelled at for not getting her there sooner by the doctor. But, in my heart, I'm glad she was with me and not in a sterile experience. I treated her with every dignity; I think I personally would rather have my child/grandneice help me than a male orderly. Again, that is my preference.

That said, it's sounds like your family is doing everything to make it not be a sterile experience. Your grandfather must know on some level how much he is loved. I am sorry to hear what he's been through and your family has gone through. It sounds like you kept him with you as long as you could, and now still keep him with you.

As you said, it was the "only option." That is my key point I hope to make. I think for some families, it's not the only option, just the most convenient. You seem to understand that by caring for your own not well mothe rin your own home. I applaud that.

I guess your grandfather's experience is not what I was referring to and I hope you didn't take offense at my post. I love your blog (I will go now to find your post about your grandfather) and I love that you come to mine.

Peace.

The Insane Writer said...

I am a CNA and have had my fair share of working in nursing homes. They are all BS. I don't reccommend them and I feel sooo very badly for those who's families insist that their elderly they be there. Sigh.

Leslie said...

I appreciate your return comment. I hope I didn't seem too defensive. With everything being so fresh and new with my grandfather, the emotions are right under the surface. Like I'd said, I just felt like I had a different perspective. I'm usually not such a windy commenter or commentor - whichever it is. You know what I'm saying.

the mad momma said...

this post was very touching... i have often heard people say that when we put our kids in daycare they return the favour by putting us in old age homes. and these people, who you speak of, didnt have that option 70 years ago. its becoming a common feature in india and mine is a lone dissenting voice. why is it so hard to take care of family - old or young? what else does family mean?

Anonymous said...

My mom is a baby boomer and she is 60 years old and puts money away every month to have a nurse come into her home when she can’t take care of herself anymore. At first I thought it was wasted money…but not so much anymore. I feel it is necessary to start putting money away for long term health care...sooner than later. What are Baby Boomers to do, due to the shortage in Nursing care?
See article on Dailycents.com at http://blogs.dailycents.com/?p=803

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