Last week the Military Caregiving Concentration team presented on the topic of Give Care, Take Care. The webinar included tips for military professionals and caregivers working with wounded service members in areas of autonomy and decision-making ability, Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), and finally learning to take care and give care. The goal of the presentation was to provide basic knowledge and some critical thinking skills so caregivers can effectively “give care” to their wounded warrior, while “taking care” of themselves.
Below we will briefly review lessons learned from the event. Remember, you can still view the presentation and receive continuing education credit and a certificate of completion by going to Give Care, Take Care.
Autonomy & Decision-Making
When a service member becomes wounded our first instinct as a caregiver is to take on all responsibilities and decisions. However, we often forget the importance that is placed on making one’s own decision and choices and how to respect the autonomy of the warrior as a surrogate decision-maker. Independence and self-esteem are promoted when the service member is able to have a say, even when the decision is simply to pick out an item of clothing for the day. Caregivers must be able to assess and recognize the services member’s abilities which will ultimately encourage the individual to feel that he/she still has some form of control.
ADLs & IADLs
ADLs are basic tasks which must be accomplished to function independently such as bathing, eating, dressing and undressing, toileting and transferring and positions. IADLs are tasks which support independent function and support life but are NOT necessarily critical. Examples of IADLs include grooming and hygiene, walking, cooking, grocery shopping, managing medications, etc.
When a wounded service member is unable to perform these activities, caregivers must step-in to provide assistance. These activities do not come without their challenges and is where the “give care” and “take care” theory comes into play.
Give Care, Take Care
The term “give care” is simply stated–caregivers are providing care through assistance with various ADLs and IADLs. A few examples of caregiver strategies for “giving care” when it comes to eating include:
- Beware of food hot enough to burn if the service member has weakness, shakiness or problems with grip.
- Make sure service member’s mouth is empty before each subsequent bite.
- Don’t rush the service member while he/she is eating.
In order to “give care,” “caregivers must learn to “take care” as well. By learning “take care” strategies, caregivers not only provide enhanced care for the service member but will increase their own personal well-being. For example, learn to practice good body mechanics and know your limitations to providing care.
While caring for a service member may seem a natural extension of one’s relationship, basic tasks associated with caregiving can become challenging and daily activities that were once simple may result in new approaches to care. For an in-depth look into decision-making, ADLs & IADLs, and giving and taking care, checkout the full presentation at Give Care, Take Care.
This post was published on the Military Families Learning Network blog on September 23, 2014.