Suggestions for “Sandwichers”
By Barbara Payne, MSW

Did you know that you are trendy? As a “sandwich generation” caregiver, you are firmly entrenched in one of the century’s biggest trends. Thousands of people are doing just what you are doing—taking care of your children while also taking care of an older relative-- in other words, sandwiched between two other generations. Who knew, just twenty or thirty short years ago, that so many of us would be doing this? We grew up assuming that parenthood would be in our futures; we never expected parentcare.

It is easy to see why this is happening. Women are postponing marriage and childbearing to a later age at the same time that people are living longer. It stands to reason that if you don’t have a child until you are thirty-five or older, you will most likely have a parent who is around 60 at that time. Add another few years, and you have a teenager and a parent who is now in their 70s. Age alone is not a predictor that your family member will need your care. But health, lifestyle, genetics, and luck certainly come into play. A fall, a serious illness, the death of a spouse, a stroke, and a host of other unforeseen reasons can change the dynamics of a family.

Whether you help by changing your parents’ tires or changing their Depends, you are a caregiver Just when you think your own kids are about to become more independent, giving you more time for yourself, you find yourself with responsibilities for your folks. Everyone deals with this differently. People do what they can. Most families do yeoman work for their older members. You should never feel guilt for what you can’t or don’t do. Just feel good about what you are doing to help, and look for other resources to fill in the gaps.

If you find that you have become the ham and cheese between the slices of bread, there are things you can do to make your life easier, and to make your caregiving role more pleasant for you and those around you.

1. Respite. Give yourself a break. Caregiving shouldn’t be all work and no play. Think of it as a job—and no job comes without time off. No boss can work you 24/7 forever. Learn that you are not indispensable. While others may not do exactly what you do, they can do something else to help. Even the care recipient enjoys a break from being the sole object and subject of one person’s attention. Schedule time off. Don’t leave it to chance—the chance will never materialize. Plan for respite. Call in favors. Set up a caregiving exchange with other caregivers just as you used to arrange play dates for your kids. Do not be afraid to ask friends and other family members to pitch in. Even teenagers can be utilized. Consider hiring a personal care attendant to come in on a regular basis. Then use your time wisely. Certainly this will allow you to do your chores more easily, but also, give yourself a mini-vacation. Even if all you do is take a nap, go for a walk or read a book, you are rejuvenating and refreshing your spirit. And every once in a while go for broke. Take a few days off. Run away to an island, or to your sister’s house. Go somewhere. You can make arrangements for your family member to have respite in a local assisted living or nursing facility with around the clock, professional care, activities, and social interaction with others their age. It just might seem like a mini-vacation to them, too.

2. Add fun to your lives. If your family member were in assisted living or a nursing facility, they would be involved in a plethora of activities designed to keep them involved and interested in the world around them. Many of these activities are centered on the kinds of things that were meaningful in their earlier lives. You can replicate this at home. It’s easy.

· Turn on the music. Even for people who are quite severely cognitively impaired, music speaks the universal language and often, people with musical talents retain their skills long past the time that they can manage other tasks. Music reaches parts of the brain that can recognize it. If your family member is able, sing and dance. Have a few spontaneous moments of pleasure. You can even dance with a person who is in a wheelchair. If dance movement is impossible, then sing and clap along. Have musical evenings with music from the 30’s and 40’s or their favorite era. Get out the kazoos. Bring on the drums. Sing your hearts out.

· Movies and Popcorn. Most people love watching movies. Either take your loved one off to the matinee or have one at home. Pop popcorn, eat jujubees and watch Bing Crosby and Bob Hope on the road. Schedule this in so everyone has something to look forward to.

· Meaningful Activities. Just because someone is old and frail, does not mean they need to sit all day watching TV or napping. Let them help around the house to the extent that they safely can. Modify the tasks to their abilities. Even cognitively impaired people can fold simple laundry, put out placemats, dry dishes, sweep the sidewalk, or sort coins. Remember that the point isn’t that the task needs to be done well. It is the doing and enjoyment that counts. Consider what your loved one used to enjoy doing, or what they did as a profession and come up with things that meet those interests. When you modify these activities, do not make them childlike. Just make them do-able so that the end result is not frustration. Giving people something they can succeed at enhances their self-esteem, and reduces boredom and the behavioral problems that stem from it.

· Play Games. If your family member is cognitively intact, play games that they enjoy. Whether it is Monopoly or Go Fish, it will pass the time pleasantly, and you will find that caregiving can be great fun. Get your kids involved. Get your caregiver support group to schedule “Game Night” and have two or three tables of options. If your loved one has memory problems or is unable to concentrate, simplify the games. The library at the Alzheimer’s Association has many books with ideas for games for memory-impaired people. Word Association, Name that Tune, simple crosswords, or games from their childhood can be modified to their abilities. Again, remember that the key is to have fun, not be tested on knowledge. Answers do not have to be right to be good. Spelling is unimportant. Perfection is unnecessary—laughing is a must.

· Have a Picnic. Make lunch special. If the weather is good, pack a lunch and go to the park—or even the back porch. On a cold or rainy day, spread a blanket in front of the fireplace and picnic in comfort. Forget the china and go for the paper plates. You will have fun and cut down on your work at the same time.

· Go on Outings. Plan to get out of the house together. Go for a walk. Go to the mall. Go to a movie. Go to the park. Go have lunch or dinner with friends. Go have fun together.

Care giving and care receiving should not be only about baths and meals. It should also be about being a family and doing the things that families like to do together. Adding some joy and laughter into a situation that potentially can be frustrating and stressful will sure make your life easier, and it will make your family member feel less like a burden and more like a very lucky person to have such a great kid.

Barbara Payne, MSW
ElderCare Strategies, Inc.
Geriatric Consulting and Care Management

READ ABOUT CAREGIVING FROM A DISTANCE HERE.