Category Archives: minimising distress

Dementia:Person-Centred: Rhetoric Or Reality?

There is a possibility that today will not be a good birthday for Maureen: that must not happen.  However I’m optimistic that person-centred care approach of the Home Treatment Team will be reality rather than rhetoric.

Once again I liaised with Maureen’s Care Home before I spent time with her yesterday.  We decided to delay my visit until the afternoon to give her time to find her feet after a period of being unsettled: she didn’t go to bed until 5 am on Monday.

I can empathise with why Maureen is totally unhappy in the Care Home.  She would be even more concerned if she was aware that they have felt it necessary to restrict her liberty with DOLS.  Her situation reminds me of how I felt when I was Sectioned and detained in a Mental Health Unit a short distance away.

It was fortunate that my Carers Assessment was scheduled for yesterday morning as it gave me the opportunity to check out with our Social Worker what lay ahead.  I am reassured by the thoroughness of the process but concerned by the length of time it will take before a ‘Best Interest Meeting’ can be convened to determine the way forward.

I realise that a thorough assessment of our needs is essential to ensure the well-being of the ‘dynamic duo’.   Yet there is something about the process that is really giving me cause for concern: Maureen is being assessed in a unfamiliar environment that is causing her great distress: my respite is turning into her nightmare.

My prime function as Maureen’s Care Partner is to minimise distress.  Unfortunately, the current respite arrangements are having the opposite effect.  In my opinion it is now counterproductive for Maureen to stay in the Care Home any longer:  it is doing her more harm than good.  This is no criticism of the regime, or the staff, they are doing good work in a very challenging environment.  That environment is unsuitable for Maureen at this stage of her condition.  I will assert that position this morning.

I hope I can get Maureen to keep singing this song to remind her we are on her side:

I can never be ‘Union Jack’, as Maureen’s dad was fondly known but I hope she can remember  I will summon the troops to help her preserve her independence.  That is something ‘Team Collins’ and ‘Team Wilcox’ will always do: support each other.

Footnote: My birthday present to Maureen is a Memory Box with all sorts of mementos to remind her how much she is loved by so many people.

Dementia: Letting Go

This morning I’m very grateful to Kelsang Dorde for his  change of profile picture on Facebook:

He has reminded me of what I have to reluctantly accept.  Maureen has dementia: my wife has gone.  There is no point in trying to get her back: my role as her Care Partner is to minimise distress.

Maureen has often said to me : ‘what’s the plan Action Man’.  Perhaps she needs to replace that with: ‘where’s my gear Batman’.  This morning I have been on my daily task of finding the things she will need when she wakes up and putting them in places where she would expect to find them.  I have hunted down the missing socks, put out clean underwear and the missing slipper is on my radar.  Once tea has lubricated the parts other liquids don’t touch first thing in the morning, she will be able to make a smooth transition into the upright mode.

I can’t even imagine what it feels like if some unkind sole has moved or stolen your gear in the night and everything you need  has gone AWOL.  Batman has to rise early in the morning and do all he can to minimise distress.  Robin is only ever a phone call away with the professional help that is always at hand and I intend to post about this later in the day under the heading of  ‘The Other Women’.

Thanks Dorde for your ongoing teaching.  What a pity I haven’t got one of your meditation sessions to go to this morning to help me to let go of what can never return.  

 

Dementia: Getting Carried Away Again!

I’ve done it again got carried away and paid the price with a very challenging night resulting in little sleep.  I have already confessed to a silly mistake last week when I strayed into repairing a fence rather than calling a man in.  This week it’s a side-effect of the Learning The Fundamentals course that has led me to err and stray from my ways as a Care Partner.

Yesterday I spent a far too much time revising my blog and frequently checking if my modifications had been well received. This continual popping upstairs has to stop as my blog already serves me well as a therapeutic tool with the added benefit of an excellent place to seek and receive support.

My focus needs to shift to yesterday’s bewitching experience with once again someone switching Maureen’s reality at the drop of a hat (more on this in a later blog).  From around 9pm last night I was the ‘other Paul’ who emerged in Maureen’s reality without warning.  It was 4 hours later before I dared to leave her downstairs ‘waiting for her husband to pick her up’.

As always I slept fitfully in the spare room until around 4 am when I was awoken by a deafening scream.  I raced downstairs and couldn’t find Maureen anywhere and suddenly realised she had gone to bed.  My hug was well received as Maureen told me ‘she had been frightened’ and promptly drifted back to sleep..

I will continue with the Fundamentals and make minor changes to my blog but not at the expense of seeking to minimise Maureen’s distress.   My blog has already exceeded my wildest expectations as a therapeutic tool and an essential part of my support network. Sincere thanks to all who continue to help us find our own way on this hazardous journey.