Taking care of carers
It came as no surprise to me to read this week that unpaid carers are sacrificing their own health to look after a loved one. It substantiates the evidence we at Epilepsy Society have also gathered, that carers looking after people with epilepsy often neglect their own health needs.
Given there are six million unpaid carers in the UK today - one in eight people – this is a significant section of society whose health needs are potentially at risk.
In this week’s survey, released to coincide with Carers Week, 83% of the 3,400 respondents said they had suffered physical health problems and 87% said caring had been detrimental to their mental health.
This reflects our own findings earlier this year when we published the outcome of a project funded by the Department of Health’s Reaching out to Carers Innovation Fund. The project gave us a unique opportunity to dedicate time and resources to seeking the views and experiences of carers of people with epilepsy. It allowed us to focus on identifying the information and support needs of carers, and understand why caring for someone with epilepsy is different to caring for someone with another condition.
What became clear from our research is that epilepsy, which directly affects more than half a million people in the UK, is a condition that poses unique challenges to carers. Seizures can happen spontaneously, out of the blue and without warning, which means the need for care cannot be predicted. Often the term carer is linked to people with disabilities, but the term disabled does not easily fit with epilepsy.
People with epilepsy may also have other conditions, involving additional care needs. Seizures can be infrequent or unwitnessed by others, so epilepsy can be a “hidden” condition. This means other people might not see the need for care. Some local authorities providing social services, for example, may not always recognise epilepsy as a condition that has particular care needs. In addition, living with epilepsy can have a psychological impact - stress, depression, mood changes or frustration - which may also affect their carer.
The care needs of someone with epilepsy can be a wide spectrum from needing a little help now and again to having full time intense or complex care needs. Support may include:
- keeping them safe during a seizure
- calling for medical help, or giving first aid or emergency medication
- helping with their routine of taking anti-epileptic drugs
- acting as a representative or advocate for the person, with their doctors or others involved in their care
- joining in with activities that might pose a safety risk if they were to have a seizure, such as swimming
Epilepsy Society is committed to giving carers a voice and support; carers need to feel confident that these services are providing appropriate and personalised expert care.
Almost half those who responded to our survey said they would not consider finding out about respite care to give themselves a break. This is no doubt linked to the fact that respondents felt there was a lack of knowledge and understanding about epilepsy amongst the services set up to help and support carers, such as social care and respite services.
Carers Week has underlined our commitment to keep the needs of carers firmly in sight when delivering on our vision of a full life for everyone affected by epilepsy.
* Epilepsy Society has a dedicated carers section on its website.
Comments ...
I cannot agree more with Graham Falkner's comments. The findings of their survey match my experience completely. After 40 years of living with someone with complex epilepsy I still find myself jumping internally everytime I hear a strange noise close by (it might be a seizure starting which I need to respond to!). My daughter now lives in residential care where they understand living with the condition but epilepsy is still part of me too.
I suffered a nervous breakdown fifteen years ago, tried to get help and understanding etc but apart from family did not find anyone else who understood the 24x7 stress that living with someone with complex epilepsy causes. I do not think that I really understood what was happening either. I just thought it was my fault - I certainly never thought of myself as a 'carer'. When eventually things came to a head a few years ago, social care still did not comprehend what stress living long-term with someone with a complex medical condition puts on a family. In the end, being now on my own, I had to refuse to have my daughter living with me any more (with her present) before they took any action at all. You can only imagine what effect that had on my relationship with my daughter who I love dearly and who I now visit as much as possible. I do so hope that this kind of story becomes a thing of the past but I will not hold my breath!
Thank you Judith for powerfully and honestly sharing your personal/family experience of living with epilepsy and the lasting impact it can have on all concerned. We’re very grateful for your interest in the VODG blog.
As a Private Domiciliary Care Company, that has chosen not to be boxed in the list of the Local Authorities Preferred Providers , we have the taken the luxurious decision of not providing 15 minute calls, as we consider them nothing but bad practise! How can anyone profess to be acting in the best interest of the Service User when expecting a Support Worker to visit, pop a meal in the microwave, make a drink, tidy a kitchen area after using it, check the well being of their Service User and then write an accurate record of their visit? On the other hand, when providing a 30 minute visit, our Team Members cook a meal of fresh meat and vegetables, make a drink, chat with their Service Users, tidy round and know that they have left someone secure and feeling cared for! No Comparison!
15 minute calls should be abolished along with the insistence that our elderly population are alright with the provision of just a pop in service, a lack of nutritional dietary provision and a lack of dignity. I say again Bad practise!
We have also had the first hand experience of being told by a prospective Service User when assessing their needs for self direct support, that the LA has told them they cannot use our Company, as we are not on the preferred list, and are too expensive! This was soon rescinded by them when I emailed the Commissioning and procurement officer with information from their own website, and copied in our local CQC Inspector! It cannot be denied that an overwhelming desire of not wanting to conform to the LA's scheme of care provision by these preferred providers has left us out in the cold in our local area, but if providing quality care by team members that are paid well, listened to and trained extensively is our outcome, then we will carry on regardless!
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