Participating in research is a great way for your Person with Parkinson’s to feel they are helping in the search for a cure.

Way back when my husband was first diagnosed he decided that he wanted to take part in as many  research projects as possible. He didn’t expect any amazing cures to come along for him, but the hope was that he could have an impact on the future of Parkinson’s. Maybe his participation would mean that our kids or grandkids wouldn’t face this same journey. He was in several movement studies, cognitive studies, and still participates in one looking at long term PD. It has added value to what was a rather bleak outlook as he can see the data being gathered on him and so many others is making a difference.

It is important for me to do what I can too. I just, as in 30 minutes ago, finished the PPMI Scratch and Sniff Test. I am not sure what they are looking at, but it was an easy way for me to be involved in Parkinson’s Research as a non-patient. I mentioned above that it research is one way for my husband to feel he is fighting back, the same applies to me. I don’t want to leave this world without knowing that I did everything I could to help put an end to this awful disease that took my father from us and will one day take my husband. I don’t want to see others facing the same challenges when there may be a cure.

Getting involved isn’t difficult. If you are interested in learning more about opportunities for you or your loved one to participate in life changing research studies, click on one of the links below. Perhaps there is a reason my father and my husband were both diagnosed. Perhaps my contributions to research, however small, will one day bring us to a cure. I can only hope.

https://www.parkinson.org/blog/science-news/cell-replacement https://www.parkinson.org/advancing-research/our-research/research-spotlight https://www.michaeljfox.org/your-role-parkinsons-research or for something more local https://www.ohsu.edu/brain-institute/patients-parkinsons-disease-research

Caregiver surveys are a great way to understand where you are on your journey and decide if you are taking good care of yourself too.

We got a message from the agency that provides our in-home care today. They have revamped some of the materials provided in their Client Information Packet and wanted to share the updates. I found it interesting that 2 of the 11 pages were dedicated to my role in my husband’s life. They had included a Caregiver Burnout survey and a page with suggestions on how to deal with it.

The questions in their survey ask for simple True or False answers, not always easy to provide since my feelings are often based on the type of day my husband is having. They range from “I feel emotionally drained” to “I feel trapped and hopeless”. The following page gives pointers, nothing I haven’t seen before, including using relaxation techniques, exercising, making time for you and getting help. At least they do acknowledge that making time for me can be difficult, after all that’s why I contacted them in the first place.

There are many on-line options for evaluating where I am on the Caregiver Burnout continuum. I do like to take a look at them occasionally as a way to check in. My scores never get better, but taking time for reflection helps me appreciate the challenges I face as a Parkinson’s CarePartner and helps me prepare for decisions I may need to make along the way. I can’t be effective in self-care without first being realistic and self-aware about the impacts on my life. The surveys, no matter how generic, can help.

My favorite survey is the Zarit Caregiver Burden Interview and can be downloaded here.

Don’t create barriers to living life that stop you from actually doing it.

Our recent beach trip showed that life goes on regardless of where we are and encouraged me to reconsider thoughts on travel. I had decided that it was just too much work to try to go somewhere especially since all we would be doing is sitting in the hotel room reading. If that’s what it’s all about, we might as well stay home and have all of our accommodations. What I wasn’t considering was that as long as we’re at home I can’t just sit and read, there’s always something to be done. The beauty of being away is that someone else takes care of those things that have to be done instead of me.

I am rethinking some of the barriers I have created around our lives. I had forgotten the premise that I should always assume we can, rather than can’t, do those things that make life richer. It’s important to be open to opportunities for joy even when they come with what seems like overwhelming challenges because we are more capable than I sometimes give us credit for. My husband has always had a can-do attitude, I need to refresh and recommit to mine.

Yes, my role as CarePartner doesn’t change with our locale, I take it with me. But I get to leave so much else behind that it becomes, dare I say, easier. I am not going to plan any big trips to Europe, that would be beyond us now. However, local day trips and occasional overnights might just work their way back into our plans. Maybe that road trip to Yosemite we’ve been talking about for years? And the more we do it, the easier it will become. PD has taken a lot from us, maybe it’s time we took just a little bit back. 

Acceptance is an important component of being able to remain positive in spite of the changes caring for someone with Parkinson’s Disease brings to your life. 

I’m not sure how long it took me to actually accept my husband’s diagnosis, perhaps I am still trying to get my head around it. After all, things seem to change for us on a daily basis. What I do know is that recognizing and understanding the enormity of some of the impacts on our lives has been difficult. I also know that if I’m not able to accept the challenges he faces, I can’t support him as fully as I want.

It’s a tough road as a Caring Partner. I am asked to be prepared for whatever this diagnosis might bring. I won’t say I don’t have a clue because I do. I’ve seen what it did to my father. I ‘ve watched other friends on their journeys. I know that there is a chance my husband will develop dementia as things progress. I know that his physical needs are going to get bigger and that one day I may not be able to manage. I know that he is not going to get better, this is a chronic diagnosis that will be with us for the rest of his life.

It really is no wonder that I have a hard time accepting this is what our lives are going to be. It is no wonder that sometimes I have to fight back tears as consider the life we should have had. Yet, as difficult as acceptance may be, the alternative is much worse. So, I find a way to accept and move forward in gratitude because I get to share my life with a wonderful man. Whatever that life looks like, we’ll make it work.                                                                                                                                                                                                

Make sure that paid helpers in your life, and especially the agency they work for, understand their value.

Monday was International Nurse’s Day, a good time to recognize the Certified Nursing Assistants who provide care for my husband. I was able to give thanks to our Monday helper but, unfortunately, our Wednesday caregiver called in sick. The agency didn’t have a replacement and their scheduler apologized for the inconvenience. While I truly do appreciate the help, her apology didn’t set well with me because I am not sure she understands what not having them here means to me. It goes so much beyond an inconvenience, they have become my lifeline.

Without a caregiver I missed my yoga class, a key component of my self-care program. I go with a friend so it’s also a social experience for me. I missed my weekly trip to the grocery store and had to rethink my menu plan to make sure we were covered. I will have to fit shopping in another day while my husband is at an exercise class and it will be rushed which adds stress to my life instead of taking it away. All of the household tasks our Wednesday helper normally does for me will either have to wait a week or I will have to do them myself, again adding stress. Most importantly, that midweek break that I have come to depend on is gone.

I have tried to express the importance of these activities to everyone working at the agency and will again let them know how disappointed I am at losing their services this week. I know they are struggling to find good Caregivers and understand that they cannot control when folks need a day off. I just want to make sure they understand that it is so much more than just an inconvenience. Perhaps then they will try a little harder to have the support available when we need it.

Making wise travel decisions will look different as the years pass and your loved one progresses in their illness.

We just got home from a few days at the beach. When we were first together we travelled often, this is the first time away from home in over a year. I thought this might be a good time to share some tips on what made our trip good and what could have been better.

If I asked for my husband’s input, his first response would be “keep it close and short”. He wasn’t excited about going, but I finally convinced him that it would be okay. I chose a resort at the coast, two hours away by car, that had studio rooms with ocean views. Valet parking helped us with arrival and departure and the on-site restaurant with all day room service meant less hassle for mealtimes. Having a kitchen was good for us since we both like to snack. And, while we were there I got him to admit that it wasn’t so bad after all. But he was ready to come home after just two nights, not the three I had reserved.

Accommodations look different to someone who doesn’t live with a disability. I called ahead of time and asked a lot of questions. I was specific about my husband’s challenges and the basics we needed. A room advertised as being ADA compliant usually means they have installed grab bars and a walk in shower. It doesn’t necessarily mean that the grab bars are in the right places. In this case they were situated between the shower and the toilet. They fit within the space allowed but it was not the most useful arrangement.

I tried to take any tools we might need to have a safe and successful trip. My husband depends on a walker at home so even though he might have preferred his cane, the walker came with us. I brought everything we needed for personal grooming. I know that he really missed having his transfer pole by the bed, but I am not sure the hotel would have let me install one anyway. The first day is always going to be spent resting and figuring out how to make things work. I keep in mind that outings in a strange environment may be beyond our capabilities. I didn’t have an agenda for this trip other than getting away and that really seemed to work best.

We had a lovely view of the ocean in a room that was comfortable and, for the most part, accommodating. I was able to take short walks on the beach while my husband stayed in the room with a good book. There was a patio on the ground floor that lead out to the beach. We spent some time there enjoying the sun and watching for whales. Life was a bit more complicated than being at home but we managed. Will we go again? Let me get back to you on that in about a year.

When you feel the need to yell (and you will) step back and take a couple of deep breaths. Your loved one may be upsetting you, but it is a disease at the root of your anger.

I HATE PARKINSON’S DISEASE AND ALL OF THE STUFF IT BRINGS WITH IT! I said stuff but know I was thinking of another “S” word I worried might insult some folks. You are welcome to use whatever word works best for you in your situation. Over the years I have posted lots of positive comments on the wall behind my computer. Things to make me feel better and keep me motivated in the moment. This one is a new one and it is going up as soon as I finish writing this blog.

It’s not an original thought, Connie Carpenter Phinney, CarePartner for her husband who has had PD for more than 20 years, opens her workshops by having everyone in the room yell “I hate Parkinson’s!”. When my husband and I belonged to a local gym that specialized in Rock Steady Boxing for PD, one session had us throw balls at a wall and call out the reasons we hate this disease. As a CarePartner I hear regularly, it’s okay to be mad at the disease just don’t take it out on your loved one. I just want to say that there’s a lot of hate that has built up over the years and it’s DOGGONE hard not to let it come out sometimes! Again you can replace the “D” word with one of your own, whatever works for you.

Getting upset, however, doesn’t do much good. In fact, it is harmful for me to let my emotions flair so I am trying to come up with alternative actions. Waiting until I explode isn’t the best plan, the moment things start to escalate is the best time to act. If I recognize what’s coming I can slow my breathing, refocus my brain and remind myself that whatever he is doing, it isn’t intentional. Taking a physical step away can separate me from the anger and allow me to find compassion instead. Then later, when I am in a better mental space, I write in my journal. My words rail against the disease that is ravaging my husband and destroying our lives. I say all those things I had to bite back in the moment because I know it’s a safe place for me to express my feelings. Sometimes I go back and read what I have written, more often just getting it down is enough. Then I am ready to put the smile back on and move back into the role of loving CarePartner. That’s who I want to be for my husband and what he deserves after all.

Sometimes living the life you have gets in the way of living the life you want. Unfortunately, the easiest way through is accept and move on.

It’s a Sunday afternoon and I have been trying for hour to sit down at my computer and write a blog for tomorrow morning. First it was laundry that needed to be done. Second was a trip to the drug store for essentials I missed when shopping earlier this week. Third was the realization that I needed to clean and set up the BBQ if I planned to cook on it for the first time this year tonight. Fourth was when a hose under the sink came loose and flooded the cabinet while I was trying to clean said grill components. Of course all of these were being done while keeping an ear out for my husband should he need any assistance. It’s been a crazy day but the good news is that it gave me a topic to discuss.

How often do I get up in the morning with a plan that includes time for self-care only to see that plan go right out the window. Parkinson’s doesn’t care what I want to do, it only cares what havoc it can cause in my husband’s life and my day. If it isn’t the PD getting in the way it’s all the extra household chores that I have taken on because of it. It seems like no matter how hard I work nor how much I get done, there is always more. Being a CarePartner is a fulltime task when you add in all of the items I get to do because my husband can’t anymore. And I don’t even get to complain about it because it might make him feel bad!

What I finally realized is that unless I simply accept that life is crazy and find a way to let some things go I will never get time for me. I did finish two loads of laundry around making a quick trip to the drugstore. If I missed anything while shopping it will have to wait until next week. Right now I have the grill pieces soaking in a cleaning solution. I will go rinse them in a while and call it good enough. I dealt with the flooded cabinet but the wet towels are still in the laundry room, they are for tomorrow. I finally told my husband that I needed a few minutes to put together a blog and disappeared into my office. He knows that if he needs me he can call, but not to call unless there’s blood and there better be a lot. I am going to get this blog done and ready for posting.

Opening your mind to new capabilities sometimes leads to unexpected rewards. It’s important to look outside your comfort zone when facing new and unexpected challenges.

I wrote these words so long ago that I can’t remember even what happened that caused me to write them, but they continue to prove themselves true. It happened again on Tuesday when our television cable box died during the evening news. Of course it was just at the time I was supposed to start cooking dinner, yet getting it fixed suddenly had to become my priority. Being the only one in the house who can do certain tasks doesn’t mean I want to do them or feel that I am capable of doing them. Often I surprise myself.

When disconnecting and reconnecting cables and turning everything off then on again didn’t work, I realized it was probably time for newer equipment. Thankfully the local cable store is open until 7 pm. I turned to  my husband and let him know that we were going to go ahead with dinner so we didn’t disrupt his schedule. Then I would run to the cable store and see if they would just replace the old box. Dinner dishes and kitchen clean up could wait until he had his TV connection back. It was nice to have a plan of action.

The young man at the cable store assured me that I could do the job. When I questioned my abilities, he simply asked, “Can you read? If you can read the instructions, you can do this.” As it turned out, he was right. It did take a couple of tries and a wrong connection before I found the right combination but we were up and running well before our programs came on that night. And my husband, who had been supervising turned to me and said “good job.” Beyond finding I really could manage this unexpected challenge, I think his gratitude was the best reward of all.

Travelling can be challenging as your loved one’s Parkinson’s symptoms progress. Pre-planning can sometimes make things better.

Please notice that I said better, not easier. At a certain point in this journey everyday life becomes more difficult. When you travel you are simply choosing to take those challenges with you. Our last trip was a couple of nights during the holiday season over a year ago. We went to a resort about an hour away. It was a quick reminder of why we don’t go very often. However, I am also remembering trips that we have enjoyed in the past. Perhaps it can be worth the extra effort, so I have booked a few days at the beach.

Since I know we can’t take every modification with us I am working on a list of essentials we must have. The resort has valet parking to make arrival and unloading easy. I requested a room with handicap accommodations, close to the elevators, and with an ocean view balcony. I called ahead to make sure the room is appropriately equipped for someone with mobility issues. There is a restaurant on site which does room service and our room has a small kitchen so means meals and snacks should be covered. We will be in a queen bed rather than our king, but I think we can make that work for a few nights.

My husband is anxious about going, it’s hard leaving all of our comfort at home. I am trying to help him understand that it will be okay. This trip has no agenda and will simply relocate our normal activities. If he wants to sit in the room and look out at the ocean all day while he reads, it’s okay with me. I have no expectation for long walks on the beach or shopping in the local gift shops, I simply want a peaceful getaway for both of us. I hope that is what we end up getting.