Wednesday, 10 September 2008

Old, sick, carers

Caring for the old, caring for the sick and disabled, these are relatively common situations. However, some attitudes need challenging. What about a situation in which the carers themselves are sick and elderly ?

If a couple have been together for some considerable time, then it is not unlikely that, as they grow older, first one and and then the other will develop the ailments of old age. If one is substantially worse than the other, then what could seem more natural than that their partner becomes their carer ? It may appear to be natural, but is it really reasonable ? If someone is elderly and unwell, how are they supposed to care effectively for another person, whose needs may be very complex and demanding ? Apart from any lack of skills and aptitudes, they are already deemed to be beyond the age when they are fit to undertake full-time work. That is why they are retired. Caring for an old sick partner may take much longer than a 35 hour week and be much more demanding and stressful.

As our population ages, this is becoming an increasing problem. It needs to be addressed as a matter of urgency. Is caring for the frail and unwell elderly a social responsibility, or a responsibility for the extended family ? Extended families are less likely now to live in the vicinity of their family elders than ever before and this trend is likely to continue. Moreover, they may be unable or unwilling to provide this care. In some cases they may even be looking for support themselves from their family elders !

This care must surely be seen as essentially a social responsibility. At the moment this responsibility is, largely, not being discharged. There are, of course, more general issues of managing an ageing society to confront. As an elder myself, for example, I do not hesitate to ask if keeping people alive beyond the time when their quality of life makes it worthwhile continuing to live, is a good thing to do ? A civilised society ought to accept the responsibility of caring for all those who need it. To the extent that it doesn't, our society cannot be deemed to be civilised.

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