Category Archives: General

Dementia: 95 Today

It’s my mum’s 95th birthday today.  If I told her how confused, and frightened, Maureen was at the moment she would tell me not to leave her.  She would understand that I need to stay close to Maureen and can’t get to Coventry to visit her.

Mum would also tell me to do everything I could to minimise Maureen’s distress.  If she could she would help me make our home easier for Maureen to cope with. She would be round here like a shot to sort out what we need and what we don’t.

Unfortunately mum lives over 100 miles away and has dementia herself.  So I can’t call on her to help me this time.  However, I know she’s here in spirit, and would fully understand what I have to do at the moment.

Happy birthday mum: I’ll be down to see you as soon as I can.


	

Dementia: ‘Shaddap you face’

If there’s one thing that I could do at the moment that would really help Maureen it is to talk less and listen more.  Yesterday as I pressed ahead with solving the problems in my left shoulder I updated her after each phone call.  By the end of the day she was totally confused over what was going to happen next.  In fact she was so bewildered that she suggested we should take a tin out with us on our walk to collect money to help pay for surgery.

This morning I did more of the same.  Maureen asked her daily question, as she woke, about what I was going to do today.  Once again I did it again listing lots activities I had in mind, and left her totally confused.  All I needed to say was ‘potter around the house’.  What she needs to know is that I will be by her side all day.

So hopefully if I sing along with Joe today I’ll keep to my mantra of KISSSS.   His song might just remind me that Maureen is very frightened at the moment and needs reassurance that she is going to be safe.  She doesn’t need lots of complicated information about my shoulder or how I’m going to spend my day.

Dementia: Looking Back: Looking Ahead (Week 9)

 

In today’s post I’m only going to look back on yesterday: to consider if our approach to yesterday’s Special Day was effective.  The simple answer is a resounding YES as Maureen enjoyed her day and didn’t show any signs of distress.  Our strategy worked as the whole family worked together as a team to make sure Maureen had a good day.

Unfortunately, the story for my brother was entirely the opposite.  Jean my sister inlaw is beside herself with her experience of my brother’s birthday.  She arrived at his Nursing Home to find him still in bed at 11 am.  Staff told her they were letting him have a lie in as it was his birtday.  It took some effort to encourage the staff to clean him up, get him breakfast, and sort his room out.  When I spoke to her yesterday evening she was distressed by having, once again, to assert herself to ensure that her husband is cared for.

I am yet to have news of my mother’s day but I know family in the area would have done her proud.  I also know there is a lovely photo of mum in the entrance to her Residential Home about her 95th birthday on Wednesday.  I’m sure the Home will do their best to celebrate her birthday along with family members.

It is not easy for anyone trying to deal with the challenges of dementia.  Distress is only minimised when all parties work together.  The teamwork was exceptional for Maureen yesterday, and she had a good day.  I have no idea what went wrong for my brother.  I would be pretty confident that mum was well looked after.

In terms of looking ahead I’m optimistic that we have a common understanding that our prime focus is to minimise Maureen’s distress.  We cannot control her condition but we will all do our level best to create an environment which is supportive to retaining her independence.

There are a number of issues I now need to deal with to help me to continue to be an effective Care Partner.  My sleep pattern continues to give me real concern, as early morning wakening seems so firmly established.  Pain from my legs and shoulder add to my difficulties in staying asleep.  The former has been solved in the past; the latter needs research before I decide whether to manage the condition or go under the scalpel once again.

Dementia: Dealing With Special Days

Today is Mothers’ Day and my brother John’s birthday.  As readers of this Blog will know mum has mixed dementia; John has Alzheimer’s.  This post argues that with dementia in the room it may be sensible to let such days pass without special celebrations.  Maureen’s reaction to a Mothers’ Day Card yesterday supports this assertion.

Maureen and I have never placed great stock on celebrating Special Days.  For some years we have recycled cards and bought each other token presents.  When we used to go to Portugal for Christmas we always said that we had paid for each other’s holidays.  I have often said to Maureen that her ongoing presence is my present.  However, we respect that everyone has a right to celebrate events in their own special way.

When dementia is a feature in lives then a different perspective needs to be taken on matters.  I have sent cards to my mum and brother.  Neither of them would know it was a Special Day unless they were reminded: John doesn’t know his own wife any longer, mum knows us if we prompt her.  I would suggest that every day is a special day for someone with dementia: reminding them that they have forgotten a Special Day may be unwise.

The arrival of a Mothers’ Day card here yesterday caused Maureen distress, rather than pleasure.  She couldn’t read it, and was unsure who it was from.  She then said ‘I can’t remember what he looks like any longer’. The card has now been stuffed in her handbag inside a calendar from last year.

In my view it is better to let such days pass without any form of acknowledgement or celebration.  I will visit my mum and brother (pictured above) next weekend.  It will be unkind to spend more than half an hour with my mum.  With luck she will manage to stay awake.  Hopefully she will let me hold her hand.  It doesn’t matter if she doesn’t know who I am as long as she feels safe and loved.

My visit to see John may be even shorter.  He will look at me and smile.  I have no idea if he knows who I am.  Again I will hold his hand and show my appreciation of the kindness he has shown me throughout my life.  If some of his ‘lovely ladies’ that look after him are around his interest in me is likely to be minimal.

Every day is Special whenever I’m able to visit Coventry and see my family.  I realise how lucky I am that they have been such great support to me in the last 70 years.  If National Express are on time, and local buses are on schedule, I might even get to see my sisters, daughter and her family: that would make it a really Special Day.  

Dementia: Saturday’s Sprinkle of Gratitude (Week 4)

We are extremely grateful for the support we receive from the National Health Service.  I posted praise for the good service we receive from our Medical Centre yesterday.

Yesterday morning, Maureen’s examination went well.  She was so relieved that things are fine.

I had my scan on my left shoulder in the afternoon.  I have a tear in my rotator cuff that may need surgery.  We are both very grateful that we are to be able to call on the NHS whenever we have concerns about our health.

Maureen was a revelation in her preparation to see her G P.  She showered and was ready in good time for her appointment.  We have all been concerned with her reluctance to shower and wash her hair in the last few weeks.  I’ve heard carers try to cajole her in that direction on many occasions without success.  Yesterday she did it of her own volition with minimal assistance.

She was a different woman yesterday morning: up and on the go at a time when she would normally be reluctant to get out of bed.  Having a purpose for the morning clearly made a difference and provides real food for thought.

Dementia: Superb Service From Our Medical Centre

Once again I’m posting to praise the superb service we always get from Clee Medical Centre. Maureen asked me to get her an appointment this morning.  I phoned shortly after 8 am and fathomed my way through a new automated service.  Dr Ravinder Munjal her G P phoned me back within half an hour to arrange a consultation at 11 am.

I don’t know how they do it but Clee Medical Centre are able to offer exceptional availability of Medical Practitioners at a time when it is difficult to recruit staff in North East Lincolnshire.  We continually count our blessings for the support we receive from all staff at our Medical Centre. 

Dementia: Stick To Plain English

I have been concerned lately about how much Maureen has been sleeping: last night her short doze on the sofa came to my rescue.  Around 9 ‘o’clock ‘I Iost it’, and a rather heated exchange took place. I had been dozing myself whilst watching T V, and awoke as Maureen came into the room.  Several misunderstandings took place in our interaction, and I ended up telling Maureen to go away in my best Anglo Saxon.  A short while afterwards I tried to dig myself out of a big hole, and Maureen suggested I might like to sleep in the car.

It is possible that I had waited my moment to tell Maureen to ‘go away’, as she had used the same parting shot as I left for London a couple of weeks ago.  If revenge is sweet I was certainly not experiencing a warm feeling at all:  in fact quite the opposite for needlessly upsetting the apple cart. If Tim, one of my nephews had been with us last night I know what he would have said: ‘language Uncle Paul’.  He wouldn’t have liked me talking like that to one of his ‘Favourite Ladies’.

I let Maureen doze for half an hour after my expletive and then played Prince Charming.  Sleeping Beauty woke up with no apparent memory of my misdemeanour.  It’s one of the few occasions when I’ve been grateful for the consequences of dementia on Maureen’s memory.

I’ll try to stick to plain English from now on!

Dementia: Finding Her Husband

This post is an update from last night’s –Whatever Next? – when Maureen told me she was waiting for her husband to come and take her home:

It didn’t take me long to settle her and to be seen as her husband again.  Just by chance I came downstairs singing a Bing Crosby song that her dad used to sing to her, and that did the trick.  Suddenly Maureen remembered who I was and was happy to go to bed.  She told me she was glad I was back as she had been wondering where I’d go to. Subconsciously I was working to the mantra of Paul Martin, my Counsellor, who has schooled me on how to ‘minimise distress’.  His tapping on the shoulder technique has worked wonders on many occasions.

I was referred to Paul by my G P.  He works at Clee Medical Centre on Wednesday’s.  He has his own Practice for the rest of the week.  Paul has helped me to ‘think my way out of depression’.   Without his help I may well have been on medication for life – the prescription of a Psychiatrist.

When I happened to mention to Paul that Maureen had dementia I didn’t believe my luck. His initial experience had been as a Mental Health Nurse working with patients who had dementia.

Last year during one of our sessions Paul asked me if I’d ever considered blogging.  I looked into his suggestion, and with the support of various people put my toe into the water.  His suggestion has been transformative, as blogging has become a cathartic pursuit. I’m amazed at the number of people from all around the world who continue to support us on this journey.  How fortunate I am that Paul Martin is on the staff of Clee Medical Centre.

I was also in touch with the Alzheimer’s Care Resource Centre in my hour of need.  They provided prompt advice to; stay calm and accept her reality.  Blogging and the Internet are such helpful resources as we travel on this journey.

Dementia: ‘Being A Care Partner: I’ve Got It Now!’

I’ve got it now the solution to all my struggles of being a Care Partner for Maureen.  All I have to do is go next door sit on the stairs, pour out all my troubles to Kate and ‘Hey Presto’ things change.  A couple of hours after I unburdened myself to my neighbour Mrs Dementia had scarpered and Maureen was back home.

Towards the end of the afternoon I mentioned that I needed to go to the Post Office.  Before I could say ‘Jack Robinson’ Maureen had her boots and fleece jacket on.  Just for once we both had gloves on and braved the cool air without too much discomfort.  On our return we added further distance to our walk to see the Holiday Camp coming to life as the season is about to begin.

As we prepared our tea I fired up the record player and we sang along to Johnny Nash. We continued singing along with the odd move on the kitchen floor as we tidied up after our meal.  Just before kick-off Maureen decided that it was time for bed.  She returned downstairs at half time and I mentioned that we were already 1-0 down.  I accompanied her upstairs and helped her into bed in time to hear the second-half .

Things didn’t get any better in the second half as are keeper spilled the ball and we ended up losing 2-0.  I’m wondering if ‘Mogga’ needs time on the stairs to sort the Sky Blues out.

One other result of sitting on the stairs’ that is quite amazing.  When I returned to bed after a loo visit Maureen calmly said ‘who’s that’?  No loud scream or upset at all.  So it appears my time in the naughty corner paid off perhaps I’ll have a chat about football on Saturday morning.  If I don’t do something soon it will be another season in Division One for Coventry City.

Dementia: ‘Know Thee Place Lad’

The words of the ‘Beast of Bolsover’ came to mind this morning when my neighbour said I could sit on the stairs and talk to her.  I needed some wise counsel and as as Kate used to be a head teacher I duly took my place.  I’d better set the record straight here: she was standing in the hall blow drying her hair at the time, prior to a lunch date.

Kate has a sharp mind on many issues and understands dementia from supporting her mum.  I needed to talk to someone about ‘Sleeping Beauty’s’ reluctance to move herself from the sofa.  We chatted as Kate put the finishing touches to her appearance.  She is always prepared to share her experiences after years of supporting her mother.

We concluded that this cold and damp spell was the problem, rather than Maureen.  As I said to Kate as I was leaving; only those who have a lunch date or a doctor’s appointment would venture out in this weather.

I can’t recall being put in the naughty corner when I was in Primary School.  Despite being retired for a while now Kate still knows where to put pupils when they are attention seeking: Dennis Skinner would have approved I’m sure!