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The challenge of caring

By Elaine Dowell, and reviewed by Alina Ellerington, Encephalitis International

Who are the carers?

If you are the main person providing care to someone recovering from encephalitis, you may suddenly find that people are calling you the ‘Carer’ where before you were that person’s wife, husband, parent, friend or child.  You have got a new and highly responsible role, but it can take a long time to find out what that role means for you and for your family. It is important to acknowledge that this is likely to have a significant effect on you, and you too will need support.

It can take a long time, perhaps quite a few years, before you know how much your relative or friend will recover. In the early months you may have no idea of what the future holds, living from day to day, keeping an open mind and staying hopeful.  You may find that you are grieving for the person as they used to be, while being happy that they have survived. You may be wondering what services are available to help you in your new role and how to access them. Maybe there are children to bring up, a job to do or worries about lost income.

Coping with the consequences of encephalitis can be highly stressful for the whole family.  Spouses may have the added stress that they have no-one to share their role with. In dealings with those providing and planning services, make sure that they take the needs of the whole family into account, and that they take them seriously. You may feel as though you are being a nuisance, or demanding.  However, professionals should understand that it is in everybody’s best interests if the family is supported as a whole, and the individual needs of all family members are taken into account.

Understanding the effects of encephalitis

When your relative is saying something irrational, difficult or challenging, step back, take a deep breath, and think about what is behind it. How much do you know about your relative’s injury and the effects it has on thinking, information processing, remembering, mood and ways of expression?

A child recovering from encephalitis may have a number of special needs, in terms of education, social, emotional and functional development.  Unfortunately, the support for your child may not always be there and you may find yourself becoming the primary expert and advocate for your child. This may be in addition to bringing up other children. While you may not want to take on the role of a therapist, and it may be inappropriate to do so, that extra understanding can help you steer a smoother path through the hard times, and can be really helpful to your relative and the whole family.

It is important that you gather as much information as possible about the encephalitis and its difficulties by asking the professionals involved, the Encephalitis Society and any other voluntary organisation. Getting in touch with other people/carers of people affected by encephalitis and sharing experiences may help alleviate feelings of loneliness.

Carers’ rights

  • Carer’s Assessment of your own needs and/or respite care if you are age 16 or above and provide a “regular and substantial amount of care” for someone age 18 and over. The assessment is provided by the local authority. They decide what type of help and support you need based on your personal circumstances. More information about the assessment is available on Carers UK website 
  • Financial help such as Carer’s Allowance, Carer’s Credit, help with council tax help with fuel cost, help with NHS health cost, budgeting loan and other help from the local authority. Detailed information about all this financial help is available on Carers UK website 
  • Parents of disabled children under 18 and carers of an adult who is a relative or lives at the same address as the carer have the right to request flexible working arrangements. However the employer is not bound to grant these requests, but they must give business reasons to justify the refusal of these arrangements.
  • All employees have the right to take a ‘reasonable’ amount of time off work to deal with an emergency or an unforeseen matter involving a dependent.

How Encephalitis International can help

Encephalitis International provides help and support through these difficult times by offering the following services:

  • Helpline +44 (0)1653 699599. This is manned during office hours Monday to Friday, 9 am-5 pm. There is an answerphone for out of office hours and callers can be called back at a time that suits them. Alternatively you can email your enquiries at support@encephalitis.info
  • Connection scheme a scheme putting people in similar situations in touch with each other.
  • Team Encephalitis Support Volunteers who have been trained and accredited by the Society to provide local support.
  • Society’s meetings and events which may be day or weekend events.

Other sources of help

  • Most GPs surgery run a ‘carer support group’ or have connection with a council-run carer information service.
  • Carers UK have information about the practicalities of caring and ways in which you can ask for help
  • Carers Trust provide access to desperately-needed breaks, information and advice, education, training and employment opportunities
  • ‘Coping with Acquired Brain Injury.  A Carer and Family Guide’ by  Headway Ireland
  • ‘The Selfish Pig’s Guide to Caring’ by Hugh Marriott (ISBN 0954423313) available to buy from Amazon

 

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FS021V3 The challenge of caring

Date created: July 2000; Last updated: March 2017; Review date: March 2020

Disclaimer: We try to ensure that the information is easy to understand, accurate and up-to-date as possible. If you would like more information on the source material the author used to write this document please contact Encephalitis International. None of the authors of the above document has declared any conflict of interest which may arise from being named as an author of this document.

Carers' stories

Being a carer for somebody who had encephalitis has a big impact on everyday life, friendship, work or education. You too may need support, feel cared for and most importantly to look after yourself.

We have asked some or our members who care for people who had encephalitis about their experience and we put together the film below. We hope you find their advice useful.

THANK YOU to National Lottery Community Fund and UAP Ltd for funding that supported the production of this video!

For our carers’ stories, please click here.

The Encephalitis Podcast - An Interview with author Catherine Jessop

Author Catherine Jessop joins Dr Ava Easton to talk about her excellent new book Pulling Through: Help for Families Navigating Life-Changing Illness. On Boxing Day 2016, Catherine’s husband, Alan, had his first devastating seizure as a result of encephalitis, thrusting the Jessop family into an unknown world. In her book, she shares advice and inspiration on everything she has learned, with chapters clarifying medical terms and explaining tests and scans as well as explaining some of the financial and legal issues around illness. Catherine also focuses on the emotional side of having a relative with a brain injury and how it affects the whole family, sharing her own thoughts on how to look after the mental health of both patient and carer and the power of nature, humour, music and optimism. This is an excellent chat about an excellent book – enjoy! Pulling Through: Help for Families Navigating Life-Changing illness by Catherine Jessop is available from https://www.amazon.co.uk/Pulling-Thro…

Abi Morgan

Playwright and screenwriter Abi Morgan joins Dr Ava Easton in this edition of the Encephalitis Podcast.

Abi, who is perhaps best known for the films Suffragette, The Iron Lady and Shame, is now an author, having recently published, This is Not a Pity Memoir.

The book tells the story of her husband when he develops Anti-NMDAR encephalitis, the impact his illness had on their family, and also Abi’s own illness.

Ava said: “I devoured this book. It’s incredibly written, profoundly insightful and, at times, brutally authentic. But also, as Abi says, not a pity memoir, but a love story.” We hope you enjoy this wonderful conversation!

This is Not a Pity Memoir is available from all online good bookshops.

Page Created: 11 December 2023
Last Modified: 9 October 2024
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