How can I help a loved one who has coronary artery disease?
you have a family member or other loved one who has coronary artery disease(CAD) or has just returned
home from the hospital due to a complication of CAD, you may want to know what you
can do to help. Your loved one may be able to do fewer normal activities and may also
need a great deal of encouragement and emotional support. This article provides some
guidelines on helping with daily activities and offering emotional support to loved
ones who are recovering from CAD-related hospitalization.
What if CAD turns into end-stage heart failure?
Your loved one may need special
assistance if CAD leads to heart failure. Heart failure typically results
in a weakened heart, one that cannot pump blood in sufficient quantities to the body.
Often, people with end-stage heart failure are not able to perform all the tasks and
activities that they did in the past with ease. And they may rely on you for both
emotional support and physical assistance. As you read this article, you may want
to think about how you may help a loved one in either situation: recovery from a CAD-related
hospital stay or the later stages of heart failure.
How can I help with daily activities?
People who have CAD may have a lot
of physical limitations because of angina symptoms or shortness of breath with exertion
or because of severe weakness. These people may rely on others for help with relatively
simple but important tasks. If your loved one experiences trouble with daily activities,
you and your family may choose to assume a large role in managing his or her day-to-day
life. Some of the ways in which you can help are listed below.
for and preparing food. Most people recovering from surgery cannot leave their
house on their own to shop for food and therefore depend on others for what they eat.
If you can, ask neighbors and friends to help with grocery shopping. Also, you may
be closely involved in the preparation of heart-healthy food for your loved one during
recovery at home.
Providing a clean environment. Cleaning the house
may be too difficult during recovery. But a clean environment can be important for
both mood and health (to prevent infections). Caregivers should consider cleaning
the house regularly or hiring a maid service. Also, the temperature and humidity of
the home should be controlled as precisely as possible. The physical discomforts of
recovery from surgery often get worse during hot, humid days, and air conditioners
should be used during the summer, if possible.
Driving. For the first
3 to 6 weeks after surgery, or if your loved one can no longer drive because of chest
pain or pressure, irregular heartbeats, fainting spells, or other complications of
CAD-related heart failure, you may need to drive him or her to frequent doctor appointments.
Most people with severe heart disease require multiple medicines to control their
symptoms. Having a family member organize medicines into a special pillbox with one
or more compartments for each day of the week can prevent the person from forgetting
to take any medicines or taking them incorrectly.
How can I provide emotional support?
Being a full-time caregiver may be an
unfamiliar role for you and one in which you never imagined yourself. There are several
things you can do to help provide the emotional support that your loved one needs
at this time:
Offer encouragement. Adopting lifestyle changes recommended
for people with heart disease can be difficult. If the person you are caring for cannot
comply with a strict diet or exercise regimen, encourage him or her to start slowly
and build up to the ultimate goal over time. You may also offer to alter your own
diet or lifestyle to encourage healthy behaviors. This is particularly true for smoking,
since it can be nearly impossible for an individual to quit smoking if there is another
smoker in the home.
Help. Offer help, but encourage your loved one
to remain active. Even though people who have just been hospitalized have physical
limitations, they should still try to stay active as long as this does not cause undue
strain. Getting moderate exercise and completing tasks around the house can often
be done safely and will help the person you are looking after feel better both physically
and mentally. If you are concerned about what level of activity is appropriate, speak
with the doctor who has been the most involved in your loved one's care.
if you can participate in doctor visits.Offer support by sitting in on doctor
visits and taking notes. Your loved one will be better able to remember important
instructions if you help keep a record.
Be realistic about the future.
Your loved one may be facing a serious situation. You can help prepare for the future
by helping review insurance policies, wills, and finances.
wishes of the person you are caring for. Discuss living wills and other advance
directives, and be clear about wishes concerning artificial life support in case you
should be called upon later to make this important decision.
Why is it important to also look after myself?
Looking after a loved one
who has CAD can be mentally and physically challenging, especially in the end stages
of the disease. There are steps you can take to help make the situation more manageable
for yourself. Remember that you will be an effective and loving caregiver only if
your own physical health and mental outlook remain good.
Enlist help when
you need it. If possible, involve other family members or enlist the help of a visiting
nurse. You may also hire a food delivery or housekeeping service to help with cooking
Take time for yourself. Offering care can be stressful and time-consuming.
To make sure that you do not burn out and that you can continue to provide love and
care, it is very important to make time for activities you enjoy.
support if you need to. Caring for a loved one who is recovering from a major procedure
and who has a chronic disease can be emotionally difficult.
If you are
having difficulty coping with your feelings, you should not feel ashamed or embarrassed
about seeking advice and counseling from appropriate sources, such as other family
members, trained mental health professionals, or religious advisers. Look for peer
groups. You may be able to find support groups for people with caregiving responsibilities.
Talking to other people who are in similar situations may be a valuable way for you
to share your concerns and also to gather information.
When should I seek outside help?
Some families cannot assume care for a loved
one who has severe heart disease without enlisting outside help. Economic stresses
may be overwhelming and, if all the family members are at work, adequate at-home supervision
and care for the patient may not be possible. Also, some people require more care
than their family can be reasonably expected to provide. In these cases, you may consider
placing your loved one in a long-term care facility.
The available long-term
care options depend on an individual's level of independence and need for nursing
supervision. Some people will still be able to do basic activities on their own but
may need assistance preparing meals and sorting medicines. Such individuals may be
well cared for in a supervised living facility where food is provided and staff is
available to assist them, if needed, but where routine nursing care is not provided.
people with severe heart disease may have difficulty performing basic activities and
may be better served in a nursing home where the staff can assist them with eating
and bathing. In these more closely monitored settings, nurses can track your loved
one's symptoms and ensure that he or she takes medicines appropriately.
important for people in these facilities to feel that they are still a part of their
family. Frequent visits by family members or day trips to the family home help a lot
to improve the loved ones' emotional health.
At first, you may think that paying
for this care will be prohibitively expensive. But there may be options available
to make the cost more manageable.
Staff Primary Medical ReviewerRakesh
K. Pai, MD - Cardiology, Electrophysiology Martin
J. Gabica, MD - Family Medicine Adam Husney, MD
- Family Medicine Specialist Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
This information does not replace the advice of a doctor.
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