cover of episode Dad's End of Life is Getting Ugly

Dad's End of Life is Getting Ugly

2024/12/28
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Robin: 我父亲的认知能力下降导致他变得易怒和难以预测,这给我的母亲带来了巨大的压力和身体伤害。我们尽力满足他希望在家中去世的愿望,但他的行为已经超出了我们的承受能力。他不断地呼喊我的母亲,即使只是为了微不足道的事情,这导致我的母亲在试图回应他的呼唤时摔断了鼻子。我们已经请了家政人员帮忙,但父亲只想要我的母亲。虽然我爱我的父母,但我不知道该如何处理这种情况,如何平衡父亲的愿望和母亲的安全与健康。 我父亲以前很能赚钱,但不是一个情感丰富的父亲。现在他变得如此依赖母亲,这让我感到非常难过和无奈。我们尽力满足他的需求,但他的行为已经对母亲的身体健康造成了损害,这让我感到非常痛苦和自责。我们该如何在这种情况下既照顾好父亲,又保护母亲的安全? Dr. Laura: 首先,你不能保证临终阶段的快乐,这是一个不切实际的想法。你应该专注于如何帮助你的家人度过这段艰难的时期,而不是试图强求快乐。你的父亲的行为源于他的恐惧和不安全感,这在临终阶段是很常见的。你需要寻求专业人士的帮助,而不是仅仅依靠自己。 我建议你雇佣专业的护理人员来满足你父亲的需求,这样可以减轻你母亲的负担,并防止她再次受伤。即使你父亲因此而生气,那也是可以接受的。重要的是保护你母亲的安全和健康。同时,你应该为你的父亲和母亲寻求心理咨询师的帮助。咨询师可以帮助你的父亲处理他的恐惧和不安全感,也可以帮助你的母亲处理她自身的压力和情感。 你的母亲表达了希望你父亲去世后生活会好转的想法,这是一种正常的情感反应,并不意味着她是一个坏人或坏妻子。重要的是要让她知道这种感觉是正常的,并且她不必为此感到内疚。你需要帮助你的母亲处理她的情感,让她知道她不必独自承担这一切。

Deep Dive

Key Insights

Why is Robin's father becoming increasingly demanding and unpredictable?

Robin's father is experiencing cognitive decline, which is causing him to be angry and unpredictable. His condition is worsening as he approaches the end of life, leading to heightened fear and insecurity.

What incident highlights the physical danger Robin's mother faces due to her husband's demands?

Robin's mother fell and broke her nose while trying to respond to her husband's yelling. She was on the toilet and caught her foot in her pants while rushing to attend to him.

What specific request did Robin's father make earlier in life regarding his end-of-life care?

Robin's father explicitly stated that he did not want to live with dementia, having witnessed his own parents suffer from the condition. Despite this, he is now experiencing cognitive decline.

What solution is suggested to manage Robin's father's demands and protect her mother?

The recommendation is to hire a care worker to act as an intermediary. This would prevent Robin's mother from being overburdened, even if it means her father may become upset.

Why does Robin's father insist on having his wife attend to him?

Robin's father is scared and feels more secure when his wife is present. His fear of death and cognitive decline drives his need for her constant attention.

What emotional burden is Robin's mother carrying regarding her husband's condition?

Robin's mother feels guilt and grief, even expressing that life might be better after her husband's death. These feelings are normal but weigh heavily on her.

What professional support is recommended to help Robin's family navigate this situation?

A counselor specializing in gerontology and end-of-life care is suggested to help Robin's father manage his fears and insecurities. Additionally, Robin's mother should also seek counseling to address her emotional burden.

Shownotes Transcript

Translations:
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Thanks for listening to my call of the day podcast. You can hear my live radio program Monday through Friday from 2 to 5 p.m. Eastern Time on Sirius XM Triumph 111. Robin, welcome to the program.

Okay, so I am a family lawyer. I prepared my parents' advance directives with very, it was a very long discussion. And one of the things that they asked is that no matter what, they want to die at home. And we talked about all the things you can imagine might happen.

And before, when my parents were younger, they took care of my paternal grandparents until they died. And they both had dementia. They saw what happened. And my dad made a specific request. I don't want to live like that ever, ever. And now he is. And of course, where we are, you know, end of life.

We don't get to just say, he didn't want to do this, so let's give him his wish. Just not an option. So now we all live in the same house, and my father is extremely demanding on my mother, who her problems are more physical and his are more cognitive. And most recently, so basically he just yells for her constantly, and she comes running,

And I directed the kids, if I'm not there, if Pa yells, go find out what he wants. But all he wants is to get Grandma. Go get Grandma. And it could be for nothing. You know, just look at this commercial on TV and so forth. Most recently, he was yelling for her. None of us were at home.

And she was on the toilet and she tried to get up to go run. She caught her foot in her pants, legs fell and broke her nose. And I, and I've, we've brought in house help. They helped clean the house and so forth, but he only wants her. And, you know, I listened to you. I want to make these last days happy for both of them.

I just don't know what to do. And additionally, I'm just as a side, we love grandma. We love her. She was, dad was a great dad. He was an earning dad, but he wasn't an emotional dad. You know, he wasn't a guy that ever, okay. He wasn't a girl. I get that. First of all, you can't make these last days happy. That's sort of a silly thing to say. You can't make them happy.

I know.

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For a clean, you can feel good about, all you need is all free clear. And of course he wants her. He's scared. He's scared. Yeah. And I am not an attorney, but I bet if I were, I could take what you wrote to court and have it quashed. If it demonstrates, if I can demonstrate, and you know I'm going to be right on this, I can demonstrate that following it is deleterious to her. Yes. Yes.

I could. Like a bug. I could do that. You'd be quashed like a bug, and that's why you should not be the attorney, because you're also the daughter. Right. But yes. So the guilt quotient is big here. But right now, if he's of sound enough mind that he knows where he is and who she is, I would have, if I were in your predicament, as you have established it, I would recommend that you have a care worker.

I can't go get her now. She's napping. I can't go get her now. She's on the toilet. I can't go get her now, but I can do this for you. But he wants her. He's scared about death and he wants her. He doesn't want to feel alone. He doesn't want to be scared. And having her there makes him feel more secure. But we cannot run her like this. So we'll have to have an intermediary and let him be a little pissed off.

He gets really pissed off. Because, yes, I understand, but for the sake of him not being pissed off, we can't make her life shorter. Right. She could have hit some other part of her head and be dead right now. Yes. Yes. So this has to stop the way it is. And if he gets pissed, so be it.

He's scared. Maybe a counselor coming in to talk to him. There are counselors whose expertise, older people, last stage of life, cognitive problems. There are therapists who help people in that state. So we can help him deal with his fears, his insecurities, which are normal to have at time like this when your brain is going and you know you're dying. So get him some help in two ways. A counselor who works with gerontology as their expertise and

study of older people, whatever, and a helper to bring him his needs to be met. You don't have that already. There are bonded nurses, assistants. There are all kinds of things, people who do this. We have it. There are companies which do this. And if he's going to be mad, let him be mad. She shouldn't have to pay the price because you're all scared about him being mad.

Well, and she doesn't want him to be mad, right? It's important to her. Of course, she feels guilt too. So she needs to be sat down with a counselor too. This needs to be dealt with with people who can help explain and give people freedom. As much as she wants to help him, because she's catered to him too, her whole adult life. Whole life. Some part of her wishes he'd shut the hell up also. But she's never going to say that except to a counselor.

Yes, and she said a couple of weeks ago that she's having this feeling of maybe it'll be better when he dies, and it's causing her tremendous guilt and grief. If I were there when she said that, I'd relieve her of all that. How? Well, I'm a therapist, one. Number two, I would tell her it's totally normal.

Totally normal. Totally reasonable. It doesn't mean you're a bad person. It doesn't mean you're a bad wife. It doesn't mean that you don't care about him. It means it's true. As sad as that is. He didn't want to do this. He never wanted to live like this. Okay, ma'am, please don't keep trying to tell me something. Nobody wants to live like this. Duh. Yeah. But these are the things that I can recommend at this point. And I wish you all well.

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Millions of unpaid family caregivers look after their loved ones, a true labor of love. This season, Halion, maker of brands like Advil and Centrum, has supported three caregivers with $10,000 from renovating their homes to make their loved ones comfortable to taking on extra shifts at work so their family can rest easy. Each individual goes above and beyond in the way they care.

Hear the winner's stories now by visiting BeThereWithCare.com. Contest ended November 15th. Official rules at BeThereWithCare.com.