Showing posts with label physical health. Show all posts
Showing posts with label physical health. Show all posts

Would You Stay With This Person If They Were Disabled?

“A disability is not inability.” Unknown

It is hard when you are young to imagine what it is like to grow old. When we envision the future, it is not us trying to get around with a walker or needing care to meet our bodily functions. We may vow to grow old together with visions of being the active seniors featured in ads for senior living facilities and not for extended care homes that have round-the-clock nursing care.

We marry a young healthy partner with the knowledge we will both age, but may not have the commitment to handle whatever the world throws at us. I have been witness to marriages where one partner suffers a medical incident that challenges the commitment to through sickness and health. In my youth, I met a man in his thirties that was in an extended care facility. He had come there after suffering brain damage in a fight. He was always very calm and polite, but mainly just sat and smoked cigarette after cigarette, never participating in any activity. His wife had divorced him following his injury. I can’t speak to if they had a good relationship prior to this incident, but it saddened me that it seemed he was just dumped in this place. But what would I have done in her place?

Medical science has increased our lifespan and, as such, we are far more likely to have one or both partners suffering from something that leaves us with less than our full capacity. Given this, at some point in their lives, many couples will face this question. In most situations where this comes up, the couples are elderly and have been together for many years. In these cases, the marriages often survive, though it may look very different – perhaps with one partner at home and the other in a care facility. Studies confirm that if an injury or chronic illness happens when the couple is young, the marriage is more likely to fail.

The word disability covers a wide span of circumstances. Steven Hawking is wheelchair-bound, but a genius that contributes much to the world. Some disabled people have no more than deafness. Some are just missing one limb. Others are in a persistent vegetative state. What disabilities would too much for you to handle? Could you attend to bodily care like wiping your partner after toilet use?

While it may seem gruesome to delve into disease and death, it is this very person you are committing to that will likely have to make important decisions should anything happen. You might even want to put your wishes on paper. Terri Schiavo certainly didn’t marry thinking about the vegetative state she would be in six years later at age twenty-six. Terri’s husband and parents spent the next fifteen years in a legal battle to determine her fate.

The chances of something awful happening when you are young are small. Often, when something happens, it is more treatable and temporary. Marriages survive all manner of crises with the right mindset and commitment. “Some people said their partners were instrumental in their recovery, which they acknowledged could be difficult. People often depended on partners for emotional support and sometimes for physical care, and some needed them to be supportive and to give them hope throughout their recovery,” says Healthtalk.org. We continually grow and change in our relationships and they often don’t look like what we once dreamed. They say you need to fall in love over and over again with the same person. Healthtalk.org went on to report, “People sometimes felt their partners needed to grieve for the person they’d lost and accept that things were different now.”

No one knows until they find themselves in this place and even then, might be tortured over the choice. The statistics tell us that should someone develop a disease or severe injury happens during their marriage, the likelihood of divorce increases. Economists postulate it is due to the loss of future income, but I feel it can go so much deeper than that. Pondering this question might have you looking hard at the reasons you want to marry in the first place. Depending on the disability, it isn’t just income you are losing. It can be someone to help with household chores, it can be someone costing you money in terms of medical supplies and nursing costs, it could be a loss of a sex life. Would having a partner that needs extra care and attention cause you to not get out of marriage what you are after?

We can’t know for sure what the future holds, we could get hit by a drunk driver walking into work tomorrow and be paralyzed. What we can do is look at the family to see if there are illnesses like Alzheimer’s or Huntington Chorea that have a genetic component. When you are finding out your partner’s medical history, you are also looking out for your children and future generations.

Let’s be honest... Our vows say: for better, for worse, in sickness and in health, but most people aren’t interested in the worse or the sickness. That is why the divorce rate is so high.

Is There a Family Member that May Require Extra Support?

People will sooner aid a sick dog lying on the sidewalk than to try to find shelter for a sick person. It's too much to deal with.” Michael Zaslow

Some of us come with baggage in the form of relatives potentially needing a helping hand. Not all people are created equal, nor do we all have the same opportunities. It is not unusual to see families providing additional support to a member when their life circumstances hit a rough patch.

Some have siblings with handicaps, mental health issues, or drug use that may render them, at some point, needing a place to live or aid in finding the social assistance they need to maintain a roof over their head and food in their stomach. It can be a bit like having another child. Some also have relatives that are perpetually a bit low on funds or need bailing out of jail.

I walk daily by homeless people, some due to mental health issues and some through drug addiction. I wonder about their families. Did they try to help, but just became exhausted or have they turned their back on them? What would you do if this was a part of your partner’s family?

It may be something you are just used to if it is your own family and it’s all you ever knew, but if this is your partner’s family, you may not want to be so charitable. It is important to look at your partner’s family make up to see if there is a member that may, somewhere down the line, require help from you both and discuss how this may play out and what you both are willing to do or give.

Look too at what diseases run in the family. This will give you an idea of what you may face down the line. If there is a history of Huntington's, your partner and their siblings each have a fifty percent chance of inheriting this disorder. It presents in middle age after people have had children. Would you be willing to have a sibling inflicted with this live with you or take over the care of their children?

Most young people have their parents still around and though it may be very far in the future, they may need your help down the line, much as they took care of you as a child. There are cultures where the parents will be readily taken in and others where a care home is found. Though this may be decades away, it is good to see how you each feel on the topic. There is little worse than having a mother-in-law you abhor suddenly sitting at your breakfast table every morning.

Do not assume that you will each do for your own family. You may find that you take in a family member, but it is the opposite partner that ends up dealing with it. The wife is driving her mother-in-law to the doctor, the husband has the credit to co-sign a loan for his wife’s sister. If or when things go badly, it then becomes an issue between the wife and husband.

My mom was diagnosed with cancer only when it reached the stage where nothing could be done. She didn’t have long to live. At that moment, the most important thing in the world to me was to spend as much time as possible with her. I sat at her bedside, I slept on a cot at the foot of her hospital bed. I did this for the two weeks she had left. Is this something your partner would support you doing? Would they take on childcare and put up with the loss of two weeks of income?

Some of this may seem like an easy yes, but what if the family member is one you have had a troubling past with? It is always easier said than done. You may find after opening your home that the dynamics are far more irritating than you imagined or harmful to the dynamics of the family unit. Maybe your brother-in-law starts hoarding in your home. Maybe your niece is stealing from your wallet. Maybe you can’t keep up with bills because the loan you co-signed is not being repaid. It is always good to have ‘what if’ conversations with your partner. There may be a very different desire to help and if you can get on the same page before there is an issue, you will be able to better navigate any storms.

Extra Support - Worksheet

 

  1. Would you loan money or give money?

  2. Under what circumstances would you give money to a family member to pay necessities?

  3. If you made a loan and it wasn’t repaid what lengths would you go to to get it back?

  4. Would you put your own future at risk to help (i.e. taking a loan or putting it on a card)?

  5. Would you give up on luxuries (e.g. tropical vacations) to help?

  6. Would you co-sign on a mortgage or car loan? If so for who?

  1. Would you give bail money to a family member?

  2. Would you help them catch up on child support?

  3. Are you willing to pay their fines?

  4. Would you pay for drug rehab?

  5. Will you provide aid and money to a sibling going through a divorce?

  6. Would you add a person to your cell plan that was not in your immediate family unit?

  7. Would you let a family member turn on utilities in your name?

  1. Would you lend money to your child’s girlfriend or boyfriend?

  2. If there was a teen pregnancy would you pay for the raising of the child?

  3. Would you take in a niece or nephew to prevent them from going into foster care? For how long?

  4. Is institutionalization ever okay in your view?

  5. What problematic genetic conditions run in your families?

  6. Would you take over the care of a special needs sibling when your parents can no longer do so?

  7. Would one of you give up a job to act as a caregiver?

  8. Would you be a guardian of a mentally ill or disabled family member?

  9. What do you consider a disability worthy of help (e.g. social anxiety)?

  10. Would you consider buying a house with a rental suite to house a family member at no cost?

  11. Would you let a family member live with you short term? Long term?

  12. Would you take in a person escaping domestic violence even if this may present danger to you?

  13. When your parents are old and frail will they live with you?

  14. Would you pay for housing or an aide for an aging parent?

  15. If an incident like COVID was hitting seniors homes would you bring a family member to isolate with you to hopefully protect them?

  16. Are you willing to drive your aged in laws to appointments and take them shopping?

  1. Would you be willing to do personal care for an aged relative like changing bandages or bathing?

  2. Would you keep doing what you were to help if it became harmful to your family?

  3. Would any of these situations extend to friends? If so how close of friend?

Are You the Flower or the Gardener in Your Relationship?

“People in relationships are either flowers or gardeners. Two flowers shouldn’t partner; they need someone to support them, to help them gro...