Category Archives: General

Dementia: Action Man Saves The Day

I have mentioned before that Maureen often says to me: ‘what’s the plan Action Man ?’ Once I had the news from the Review Meeting: a diagnosis of moderate to severe dementia along with advice that a prolonged stay in the Care Home would be counter-productive I took on the mantel.

As I sat holding Maureen’s hand I saw the distress the chaotic atmosphere of the Orchid Suite was causing.  I realised what I needed to do: get her home as quickly as possible without upsetting anyone..

I do not have the space or energy to detail how I negotiated her early release from the Care Home.  It is fortunate that it is the start of the month and there was plenty of credit on my Mobile.  What I would like to do is pass on my thanks to all those people who gave us such excellent support in our hour of need: family support along with a local commitment to looking after carers and their loved ones shone through.

Maureen remains in considerable pain this morning.  Every time she moves in bed she is moaning in response to the discomfort she feels from her injured back.  It is fortunate that I cajoled her to have an x ray yesterday evening and we know that nothing untoward has happened.

We decided earlier this morning that today would be ‘Maureen’s Official Birthday’ as she didn’t have time or energy to open a single card yesterday.  Despite an early morning reminder she has forgotten that her youngest son Colin will be here later.

 

 

Dementia: Person-Centred Care Personified

I arrived at Maureen’s Care Home this morning to find her with a black eye, a cut on her nose and pains in her back.  Her account of what happened does not tally with the information I was given by care staff.  When I attended Maureen’s Review Meeting I was told she has moderate to severe dementia and staying in the home could exacerbate  challenges from her presntation..

Maureen is now home and sleeping on our sofa with the blessing of the Home Treatment Team.  It will take me a while to secure a Care Package to protect our well-being: getting Maureen home has been the priority.

For years we have not bought each other birthday presents as our motto is ‘ your presence is my present’.  On Maureen’s 78th birthday today’s action may just take the biscuit and she has just had four with her ‘first decent cup of tea for days’!

Dementia:Have I Upset The Apple Cart?

Image result for Have I upset the apple cart picture

It is possible that my visit to see Maureen yesterday has unsettled her.  The Care Home have been in touch this morning on another matter and told me that she was very disoriented last night and didn’t go to bed until 5 am.  I have agreed to contact them after lunch to discuss whether to visit today.

Following a conversation with Melissa from the Home Treatment Team we have agreed not to celebrate Maureen’s birthday tomorrow.  There seems little point in reminding someone who is waiting for warmer weather before she can don a skirt or thinks Christmas is around the corner that it is her birthday.

 

Dementia: Seeking Explanations

I was very grateful that Marie from the Home Treatment Team found time to phone me last night to tell me that Maureen remains settled.  It is important to remember that this is a Crisis Team which is often stretched to the limit responding to situation far worse than ours.  That is why we need to minimise our contact with them and respect the nature of their work.

I was so pleased to hear that Marie had been able to take Maureen out for a walk.  She will find it very difficult if she is deprived of the fresh air she seeks whenever she gets the opportunity.  Marie tells me that Maureen has not lost her sense of humour doubting that I have been doing some Spring Cleaning: ‘fat chance of that’ she replied to explanations about where I was and what I was doing.

I suddenly realised this morning the answer to what Margaret from the HTT asked me on Friday evening.  She wondered what might have triggered the events of the previous day when Maureen accused Sarah of ‘picking her up off the streets and imprisoning her in a strange house’. The hints are there from later in the day when she told me that Chloe was trying to get her to shower and wash her hair.  Quite simply: Maureen is fed up with being told what to do.  To her it must seem like a return to a previous life where she says she was bullied and manipulated for years.

Maureen wants her independence back so that she can exercise choice in her life.  She may have dementia but that is not a reason rob her of independence. Once she settles and the antibiotics sees off her infection we need to explore how to give her the independence she craves.  How fortunate Maureen is being supported by a HTT team that delivers person-centred care by seeking triggers for presentation rather than medication to control behaviour.

I managed to squeeze in a late evening visit to Cleefest.  I only heard a tribute to Abba but managed to see ‘The Saturday Night Bee Gees’ on stage.  They didn’t cover one of favourites from the Brothers Gibb so it my belated post on my Good Music page.

 

Dementia: Good News

I have just had my second telephone conversation with staff at Maureen’s Care Home and they report she remains settled.

We have agreed that I will not visit today and will review my presence tomorrow morning.

I have also agreed to drop off a ‘This Is Maureen’ briefing sheet for staff later this afternoon: more detail will follow in the next few days.

In the next few days I plan to sort out some pressing matters and take rest so I am able to face whatever lies ahead with confidence.

Dementia: In Safe Hands

As the Home Treatment Team prepared to take Maureen to a Care Home yesterday Amanda turned to me and said: ‘this is a positive you know’.   I reassured her that I saw things in that way and thanked her for the sensitive way her and Margaret had eased Maureen into accepting she needed more support than I could give her.

I have already waxed lyrical about the HTT in previous posts by reflecting on their person centred style of care.  There is no doubt in my mind that Maureen is in safe hands: I wouldn’t have let her go otherwise.

Yesterday was the second time I had visited her Care Home and my earlier positive hunch was confirmed.  What Maureen now has is residential care under the auspices of the HTT: it doesn’t get much better than that.

I think it is likely that I have met or spoken to most members of the HTT.  Gilly the Manager of the Team spent an hour and a half with us the weekend before last.  Maureen’s medical treatment will be overseen by Dr Kokton; an excellent practitioner who we know and trust.  I therefore have every confidence that there will be a positive outcome from Maureen’s time in the Care Home.

It is unclear how long Maureen will spend in the Care Home but  it is reassuring to know  she is in safe hands as we try to figure out which way to go on this unforgiving journey.  

The HTT is a Crisis Team with a very demanding brief.  We are very fortunate that Maureen is now under their direct care: we need to leave them to get on with their job. That means I take their advice on when to make my first visit to see my wife.

Maureen is with others whose condition is much further progressed than hers.  Care Home personnel are responding to demanding situations from the beginning to the end of their shifts.  I made my one and only call to them last night to hear she was settled.  I have told the Care Home only to phone me in an emergency.  We all need to be patient and await a positive outcome from Maureen’s time in the care of the HTT.

There is much clearing up to be done here after the events of the last few days and many personal things I need to focus on.

I will continue to blog details of how things are going.

 

Dementia: I Count My Blessings

Apparently Friday is always a busy day for our Home Treatment Team: today has been no exception.  They arrived as scheduled at 5 pm and an hour later Maureen was quite happily going with them to a local Care Home where they have dedicated beds for assessing clients.  I checked the place out this morning and selected Maureen a room with a good view of the gardens.

It has helped that two of Maureen’s aunties have similar infections and she is keen to avoid problems with her kidneys.  Staff from the HTT visit the Home every day and will advise me how things are going and when it is sensible for me to visit.

As always I count my blessings that we enjoy such excellent support in the Grimsby and Cleethorpes area.

Dementia: Early Morning Mayhem

I was awoken at 2 am by a racket going on downstairs.  Maureen was shouting all sorts of abuse at someone who was’ holding her prisoner in a strange house’.  In short the night sit has not gone well and I have only had a couple of hours’ sleep; which is more than Maureen has had in the last 24 hours.

It is fortunate that the Care Agency sent such a skilled carer to do the night sit.  Sarah is relatively new to Home Care and she is a natural with her calm considered manner.  I hate to think what might have happened if Maureen had not been handled by such a skilled practitioner.

I do not have the time or energy to detail what went on from 2 am.  It took us a long time to calm Maureen down and we summoned support from a number of quarters.  She is totally exhausted now: medical intervention may be needed so that she can get some much needed rest.

I will speak to social services this morning to try to find a way forward that gives me the rest that I need so I can continue to look after Maureen in our own home.

 

Dementia: ‘You Are Not Alone In This’

I have just returned from an appointment with Dr Munjal to discuss my sleep deprivation and Maureen’s presentation.  I will meet with him on Wednesday to give a progress report on my Carers Assessment meeting on Monday.  Then it has got even better with an E Mail confirming that a night sitter will be here from 10 pm until 7 am tonight.  It’s so helpful to have a Specialist Social Worker who understands dementia and goes the extra mile to support carers.  Hopefully I will be able to pack myself off in the spare room and leave the carer to support Maureen and get a good night’s sleep.

The services here reflect something that Margaret from the Home Treatment Team said to me yesterday: ‘you are not alone in this Paul’.  It is reassuring that there is so much support to call upon here: in  other areas of the country there is little or nothing.

 

Dementia: Bribery and Corruption?

On Monday I made a mistake and turned up an hour early for a physio appointment, so I went off to do some shopping.  I joked with the receptionist that I would bring her an ice cream on my return.  She was rather surprised when I returned with a pack of six.  It was a small way of saying thank you to staff at St Hugh’s Hospital for the treatment I have received  over the years.

Harrison House, the local Mental Health Unit, is across the road from St Hughs and I decided to drop them off some ice cream as a thank you for helping me to recover from a period of feeling suicidal some years ago.   They were delighted with my offering and I joked with staff that I thought they might be better than Prozac on such a warm day.

This afternoon I am due to see our G P and I hope to extend my efforts of ‘bribery and corruption’ to staff at our Medical Centre.  I also plan to do the same at our local Pharmacy who have already been trying to persuade Maureen to take her antibiotics this morning.

It is lovely to be able to help staff cool off in this hot spell as we show our appreciation for the sound support we receive from so many quarters in Cleethorpes.