Living with chILD
Living with chILD may look different depending on your child’s age. In each of the sections below, we provide basic information about oxygen therapy, nutrition, and day-to-day life management of chILD. This information is just the start. The best way to start this journey is often to talk with other families who have learned how to live with chILD.
Learn how to connect here.
Your Child
Treatment for the many types of chILD have some differences, but some major goals remain the same.
- To help every child breathe easier.
- To give them good nutrition for growth and development.
- To protect them from illnesses that could make chILD symptoms worse.
- To support the wellness of each child and family.
Please select your child’s age below:
Your Family
A chILD diagnosis doesn’t just affect your child. It affects the parents, siblings, and other family members in many ways. The following sections explore ways to think about caring for yourself and your family.
Caring For Yourself
Managing stress
Caring for a child with special needs often causes stress. There are good days and bad days…good moments and bad moments. It can be very hard to care for a child with special needs. Parents often struggle with hard feelings. You may feel scared and alone. These feelings are normal. Here are some things to think about as you learn how to live in this new role.
- Try to take the days and moments one at a time.
- Try to focus on the positive.
- Create a daily routine – map it out! This will help your family thrive, despite the demands of chILD.
- Create a master sheet that covers a 24-hour period.
- Enter each of your daily to-do items on that sheet…sleeping, bathing, meal, and medicine times, etc.
- Mapping this out ahead of time will better equip you to do it.
Managing Guilt
Caring for a sick child often causes guilt. Do you ever wonder if you did something wrong and now your child is paying the price?
- Chances are, you did all you could to give your child the best start in life.
- It’s not your fault if things didn’t turn out the way you’d hoped.
- Even if you have regrets, it doesn’t help your child to worry about what you wish you could change about the past. This can cause you harm as well.
- Try to let go of the guilt and move forward. Do the best you can now. Some things are beyond your control.
Being Around Other Children
It can be hard to be around families with healthy children your child’s age. It can highlight the differences between where your child is now and where they could have been without chILD.
- Don’t expect your child to learn and grow at the same rate as others.
- Children with chILD use extra energy to breathe. They may get tired faster when trying a new skill.
- Your child may need more practice than others.
- Delays in learning and growing may cause you to feel sad.
One parent chose to see it this way: “Sometimes they creep and crawl in small steps along the path of life, but so do caterpillars and look what they become.”
Managing a Social Life
Having a child with special needs can make it harder to enjoy the social life you once had. Friends and other parents may not understand what you’re going through.
- Try to ignore thoughtless comments and pesky advice that may come from others.
- Find people and activities that make you feel happy and supported.
Thoughts About the Future
It can be scary to think about the future when your child has a chronic illness.
A parent once said, “…parents just want to know what lies ahead for their child as they live with a chronic lung disease. Will they make it to kindergarten? Will they make it through high school or college? Will they marry and have children? Will they even make it through the night?” You may be scared, thinking, “What if the worst happens? How will I cope?”
- Counselors trained to work with parents of chronically ill children or the death of a child can help provide support.
- It can also help to connect with other parents of children with chronic illness. They may be able to provide support and advice about how to cope.
- Plan ahead. Look ahead for curves in the road and create a Plan B (and a Plan C!). The more prepared you are for whatever the future holds, the less fearful you’ll be.
Grief
Grief is a normal response to the loss of something we value. When a child develops chILD, everyone grieves! Parents grieve over the loss of how they hoped things would be. They grieve over the loss of their lifestyle. People grieving can be angry, crabby, edgy, or nervous. They can be sad or teary. They might feel tired or heavy. It might be hard for them to stay focused, and they might forget things. They might yearn for what they’ve lost or think about the past a lot.
Self Care
Taking care of yourself is one of the best ways you can take care of the ones you love.
- Set aside time every day to read something you like. Phone a friend, play some music, chat on-line, or do something else that’s calming.
- If you can, hire a sitter every week or two and treat yourself to time away.
- You may have to limit yourself to one or two sitters that have the extra training needed to safely care for your child. You may have to train them yourself, but it’s worth it. Treat yourself to a meal out, a movie, time with friends, or even the chance to run some errands alone.
- This is a link to a sample babysitter checklist: https://www.care.com/media/cms/pdf/Checklist_SpecialNeeds.pdf
- Another option is to get your body moving. The hormones released during a workout can boost your mood. If you can’t get to the gym, try taking a brisk walk (even if it means pushing a stroller), using a workout video, or doing simple stretches and sit-ups on the floor.
- Social workers, counselors, and ministers can be helpful resources.
- Sometimes the best moral support and most helpful advice comes from other moms and dads who have dealt with chILD.
Despite these measures, many families still feel stress, guilt, sadness, fear, and grief. A mental health professional may be needed to help process all of the changes your family is facing.
Caring for Your Partner
Having a child will change the dynamics between partners. Having a medically complex child can make this even more difficult. The child’s needs may go to the front of the line and the partners’ needs may need to wait.
One partner may not feel cared for, may withdraw, or may pick fights just to be noticed. It is common to feel love, jealousy, and guilt at the same time. This can hurt the individual and the partnership. With the busy task of caring for the medically complex child, spouses may not see each other’s pain.
Protect your relationship! Devote time to care for each other. You don’t have to fly off to an island for a week. Sharing small, loving moments day after day can reduce stress and help keep the relationship strong. Carve out a few minutes every day to connect. When you’re apart, try to talk at least once daily. And don’t limit your talk to business. Add “love talk”, too (“I’m so glad I’m married to you!”). When you’re back together, hug and greet each other first before turning your focus to other things. Touch each other. Keep romance alive. Love and respect each other, sharing these things in ways that speak to each other. Be partners in love as well as in child raising.
Being a parent can be one of life’s most rewarding journeys. As parents of a child with special needs, this journey will be even more intense. Couples open to this chance to grow will find their partnership enriched. Remind each other often that you love each other, you love your children, and you can thrive together in the toughest of times.
Caring for Other Children
In an average two-parent household, when one child needs a parent’s focus, there is another parent who can focus on other children. Sometimes children with chILD need both parents at the same time. This may leave other children feeling left out, jealous, ignored, or unloved. In single-parent households, the parent is stretched quite thin.
This results in stress for the parent and siblings. Try to spend time alone with your other child or children every day. Activities can include reading, playing, talking, or something else the child enjoys. Build this into your daily routine. If the healthy sibling enjoys helping to care for the child with chILD, let them.
Support your children in sharing their feelings. Share your own feelings to show that you’ve been there. Explain that you are busy because children with chILD take extra time, not because they are “special” or more important. Every child is important. Make sure that the sibling has something fun to do outside the home like a preschool or other day program, sport, or fine arts interest. It is good for them to have something they can call their own.
This is a link to The Sibling Support Project https://siblingsupport.org/. Ask your medical team about other programs to help support siblings.
Dealing with the Loss of a Child
In some cases of chILD, the worst happens and the child dies. Find a way to honor and cherish the memory of a child that has passed. Have a memorial service, set up a lasting memorial (like planting a tree in their name), or keep a journal of your thoughts and feelings. The loss of a child touches us like nothing else. Their lives stay in our hearts. In some ways, we grieve longer over the death of a child because we are also grieving for all the lost hopes and dreams. Children teach us lessons about ourselves. It honors that child to keep your heart open to those lessons and free from being bitter. Life is a precious gift!
Financial Help
On top of the worry and fear that comes with chILD, many families struggle with the money needed to care for their family. Here is some information about financial help for families with low income or medical disabled children.
- Family Assistance used to be called Aid to Families of Dependent Children (AFDC). It’s for people who can’t work and have no other income. Family Assistance gives some money every month for a few years or less. It may be managed by your state’s Department of Human Resources (DHR).
- Food Stamps (SNAP benefits) are for low-income families. In most states, you can apply at the same place where you apply for Family Assistance. Find out if you qualify: https://www.usa.gov/food-stamps
- Supplemental Security Income (SSI) is managed by the Social Security Administration. It is for people with low to middle income who are disabled, and it includes children. The Social Security Administration looks at health problems and income to see if a child should get SSI. The web site is www.ssa.gov. Many people think that if they have a job or private insurance, they can’t get SSI for their child. Not true! You can apply for SSI at any time, but the Social Security Administration is large and it may be hard to get a call through.
- Private Health Insurance is often offered by employers to employees. No two policies are alike. Children should be added right away or parents may have to wait for the next sign-up time (open enrollment). In the last few years, many new laws have made it simpler to get and keep health insurance. The social worker at the hospital or your child’s doctor’s office can help you see if your child is eligible for your health insurance.
- Public Health Insurance (Medicaid) is managed by the Center for Medicare and Medicaid Services. Their web address is www.cms.hhs.gov.
- The State Child Health Insurance Program (SCHIP) was designed with the goal of expanding health insurance to children whose families earn too much money to get Medicaid but not enough money to get private insurance. SCHIP is also managed by the Center for Medicare and Medicaid Services. Their web address is www.insurekidsnow.gov.
- Title V (“five”) is a program under the Social Security Act managed by the Maternal Child Health Bureau. Its purpose is to advance the health and safety of mothers and kids of all ages, plus kids with special needs. To learn more about and take part in the programs funded under Title V and take part in them, visit the Title V Toolbox found at the Family Voices website www.familyvoices.org.
It can be a challenge to get benefits for your child. You might feel like giving up. No matter what you are told over the phone or in person, you have a legal right to apply on behalf of your child. Government assistance programs and insurance issues can be confusing! Don’t be scared by terms you don’t know. Contact the social worker at the hospital or your child’s doctor’s office for help.
Author(s): Maria Santiago Eng Reviewer(s): Katelyn Krivchenia Version: 1.0
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