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On the last track, we discussed four core concepts of regaining normalcy after a stroke. These four core concepts are understanding dressing apraxia, the structured dressing technique, the energy management technique, and rebuilding physical intimacy.
On this track, we will discuss four important factors for a caregiver of a stroke victim to consider. These four factors are disabling with kindness, TEA, meanness, and complaining. We will also discuss the family task chart technique.
Factor # 1 - Disabling with Kindness
Factor # 2 - Transient Emotional Attack
Elaine stated, "Dad has always been such an easygoing man, but these days I don’t know what to do! I was cleaning last week and noticed his slippers were getting ratty, so I threw them out and got him new ones. Later that day he asked where they were, and when I told him I threw them away, he burst into tears! There was no comforting him!" As you have experienced, stroke victims often experience very labile moods from euphoria to despondence. I feel that a caregiver who is not prepared for this instability of mood may be more emotionally challenged by caregiving.
Factor # 3 - Meanness
I stated to Elaine, "even though it is very difficult, it is important not to react in kind to the meanness of your father. That will only make matters worse. Try to count to ten or twenty and do whatever it takes to remember that this, too, will pass if you do not exacerbate the situation." I practiced several progressive relaxation and relaxation breathing exercises Elaine could use to cope with outbursts of meanness.
Elaine also indicated that, perhaps out of an increased consciousness of his own mortality, Richard had been talking about ways he could donate things or money to charity. I stated, "Perhaps one way you can address your father’s tendency to be mean by encouraging these charitable activities to remind Richard of how much he still has to give."
Factor # 4 - Complaining
I stated to Elaine, "You’re right. even though you’re always there to listen, if you complain to yourself you cannot cheer up yourself or your father." Elaine was obviously taking a positive step by seeking counseling, but I also assisted Elaine in finding a local support group for stoke caregivers so that she had an additional place to discharge her negative emotions.
Elaine frequently complained about feeling overwhelmed by the number of tasks she felt she needed to balance in order to take care of her father. Although Elaine’s husband and children, as well as her brother, had offered to help her either by participating in Richard’s care or by helping her with regular household tasks, Elaine expressed difficulty delegating. I suggested that Elaine and her family use the family chart technique to help Elaine conserve energy by delegating effectively.
Technique: The Family Task Chart
I suggested that Elaine have a family meeting once per week for the family to create a family task chart for the following week. The following month, Elaine started, "the task chart has really helped. When I know I need help keeping up with everything, I don’t have to chase people down to find help, it’s already on the chart. I’ve actually had some relaxed time to spend with my father, and I feel a lot more in control."
Think of your Elaine. Would the family task chart help him or her feel more in control and organized regarding his or her caregiving activities?
On this track, we have discussed four important factors for a caregiver of a stoke victim to consider. These four factors are disabling with kindness, TEA, meanness, and complaining. We will also discuss the family task chart technique.
Peer-Reviewed Journal Article References:
Gaugler, J. E. (2010). The longitudinal ramifications of stroke caregiving: A systematic review. Rehabilitation Psychology, 55(2), 108–125.
Pendergrass, A., Hautzinger, M., Elliott, T. R., Schilling, O., Becker, C., & Pfeiffer, K. (2017). Family caregiver adjustment and stroke survivor impairment: A path analytic model. Rehabilitation Psychology, 62(2), 81–88.
Perrin, P. B., Heesacker, M., Uthe, C. E., & Rittman, M. R. (2010). Caregiver mental health and racial/ethnic disparities in stroke: Implications for culturally sensitive interventions. Rehabilitation Psychology, 55(4), 372–382.
This CD set has covered such topics as: Smooth communication, getting up when you’re feeling down, time orientation strategies, adapting the home, affirmation statements, energy management, and the family task chart.
Other Home Study Courses we offer include: Treating Teen Self Mutilation; Treating Post Holiday Let-Down and Depression; Living with Secrets: Treating Childhood Sexual Trauma; Interventions for Anxiety Disorders with Children and Adults; and Balancing the Power Dynamic in the Therapeutic Relationship.
I wish you the best of luck in your practice. Thank you. Please consider us for future home study needs.
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