Grandmother's Role And Emotions
When A Grandchild is Ill

Valerie Kay, Psy.D.


A child's serious illness is like a pebble dropped into a pool of water, forming concentric circles that spread far beyond the center. The child is the center; the parents, the next ring; and grandmother, a third ring. The parents are the primary decision makers for their child. Grandmother has to accept this, no matter how much she might like to have more involvment in decision making. It is frustrating to feel that her greater experience and wisdom are not always welcome. But she recognizes that her role, instead, is to empower and nurture the sick child’s parents, while also administering love and care for the grandchild.

It is a time of great tension and turmoil that exacerbates whatever tensions already exist in any relationship between a parent and adult children. As an elder, the grandmother's role is to be mindful of this. Despite her own anxieties and fears, she must try not to take personally the anger sometimes directed at her by the worried parents of the sick child. She knows they have nowhere else to direct it and, fair or not, she is a safe target because they know her love for them is secure. She recognizes she must do what she can to be helpful without being a hinderance. But grandmothers are human and have human emotions. She's frightened, too, and can't always be strong, understanding and patient. This, also, is important for her to acknowledge.

Lydia is the grandmother of a very sick child. Sometimes she feels overwhelmed by her grandchild's illness. Her precious grandchild is seriously ill. The whole family worries and at times everyone experiences a sense of powerlessness. There are times when Lydia feels as if she is walking on a tightrope, as she tries to cope with her own emotions, the emotions of her adult child and the needs of her sick grandchild.

Although it is not a rational response, she thinks that as an older person who has lived a full life she would willingly sacrifice her own life if it could protect the life of this innocent child. The overwhelming desire to protect her from the disease and from anything that would threaten this vulnerable child’s health any further makes her feel helpless, even as she knows it is impossible.

Accustomed to speaking her mind, Lydia is torn between expressing her own wisdom and sensing what the child's parents are willing to hear. She has opinions that include candor with the medical providers and attitudes about traditional and complimentary medicine. However, she feels she must suppress her own voice because she doesn’t want to add to an already stressed and tense family situation. Lydia knows that her role in this family situation lies in a more outward ring of circles, after the young child's parents.

When Lydia is given an opportunity to vent her frustration in her sessions with her life coach, she explains that she wants more information than the parents feel they are ready to absorb. This grandmother feels that because she has lived longer than her adult children, she has had much more experience with grief and issues of death. She feels that she needs to be prepared both for a healing and also a possible outcome that her adult children are not able to consider. Lydia understands and respects that her grandchild’s parents can only envision recovery; she knows,also, that her primary focus is, and must be, on recovery and healing.

Lydia earnestly explains, “I believe the grandmother’s role is to empower and nuture the family. The young parents' job is to take care of their children”. She adds that she doesn’t want to come across as a “know-it-all”. Yet she feels frustrated because she can see issues that escape the sleep-deprived, preoccupied parents. She has learned to express her opinions and to question medical authorities. She says, “Aging sometimes gives confidence in one’s wisdom. I don’t have to have a medical degree to know that asking questions politely, yet firmly, should not be threatening to the doctors.”

But she knows her adult children may not have the same opinion, nor do they have “my perspective; they are too close to the forest to see the trees. So I help in whatever way they can accept. I am happy to cook for the family. I can do the on-line research they don't have time to do. I can care for the other children and help them not to feel neglected, with so much attention directed to the sick child. I can be a calming presence to my grandchild when she's frightened by medical procedures that frighten her parents, too. This gives me something useful and helpful to do. I may be the third ring of the circle, but it's important, too. It surrounds and contains the first two rings."

Lydia credits the help and support she has received from her coach for strengthening her sense of maturity and stability. She knows that an illness creates additional stress on a family. She admits her wish for more control over the whole situation; with good humor she acknowledges that this is “wishful thinking”. She admits that the yo-yo emotions are hard for everyone.

Laughingly, Lydia confides that sometimes, when she hasn’t heard from her adult children, she creates scenarios of doom in her head in the absence of the most recent information. She adds that sometimes the adult children demand what she feels is excessive attention from her. She admits that on occasions she feels both pushed and pulled by her children. Her husband, George, points out to her that, of course, there are times when she is not even on her children’s radar. Gently, he reminds her that her children have too much that occupies their minds. Sometimes he strikes a chord when he points out the message she sends to her adult children: that she is strong, independent and capable of taking care of herself. She rarely allows her vulnerability to be seen by her offspring. However, now the family is facing a major crisis and she is using too much energy to keep her feelings suppressed.

George is not the biological father or grandfather of her children and grandchildren; he has never had children of his own. Lydia and George have been married eight years. He enjoys a respectful and healthy relationship with Lydia’s three adult children. He is kind and playful with the grandchildren. Nonetheless, Lydia feels he cannot possibly really understand her feelings. In moments of her despair, she frets that she can barely understand her own feelings. She nods in agreement with George that it might be next to impossible for anyone else to understand what she feels.

One evening Lydia and George watched a television documentary on the high incidence of infections and errors that occur in hospitals, which was followed by a news report about the increased episodes of West Nile Virus. Her anxiety increased by the television news, Lydia said, "Oh, I wish I could wrap her safely in a bubble to protect her from all the dangers that surround her."  George’s attempt to calm her only fueled her sense that he is not a mother and these are not his biological children.  As her worries and anxieties increase, Lydia feels even more helpless and inadequate. When this occurs, she is learning to do what she can do, instead of focusing on what she can’t do. She is also learning to ask George for assistance instead of making him the scapegoat for her frustrations.

Lydia is making strides in taking one day at a time. She acknowledges that although she has invested years in becoming more self-aware, she often forgets that she needs to allow time for some things to work out. She says that while she fears what this illness is doing to her precious grandchild’s body, she also knows everyone is doing the best they can. In addition to helping the parents, she will also continue to encourage the sick child’s highest dreams for the future.

Above all, Lydia is recognizing the importance of having a place of her own where she can freely express her real, often contradictory, emotions, without judgment. Although it doesn't come easily to her, she needs to allow others to be there for her and to ask for their help. Just as her children need this of her, so she needs it herself in order to continue to give this to them for as long as it's required.

One of Dr. Kay's areas of specialization in her coaching practice is with family members and caregivers of children and adults who are seriously ill, as well as with individuals with serious and life-threatening illnesses. Her office is in San Francisco, CA and she is available for phone consultation within California. She may be reached at (415) 409-1564

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Dr. Kay:

When Grief Overwhelms: Do You Feel Understood?


Communication Between Aging Parents and Adult Children: How A Life Coach Can Help


The Mother's Dilemma: Mothers, Weddings and Emotions

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