Category Archives: Mixed Dementia

Dementia: ‘I Know What’s Wrong Now’

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As any reader of the Blog will know I often have misgivings about the work of professional staff who are doing their best to support us.  Shortly after 1 ‘o’ clock this morning when Maureen was trying to resolve where her clothes were, any doubts I a new  Care Coordinator receded when she said: ‘I know what’s wrong now; I’ve lost my short-term memory’.  I have been skirting around this issue for almost three years and thanks to the skilled work of our C C I can now talk openly with Maureen about how we deal with the damage caused by her stroke.  Just for starters, we have decided to put crosswords back on the menu tonight; alongside our normal routines of:

  • Singing with the man:
  • Catching up on the exploits of the Famous Five:

I realise we are very fortunate to be living in this neck of the woods.  The support to someone with dementia in North East Lincolnshire is probably as good as it gets.  However, from my perspective, there remains a missing link that I need to pursue.

I would find it helpful if someone kept a watchful eye on my role as Maureen’s Care Partner: someone to give me line management/ support and supervision.  I’m afraid old habits from my professional career die hard and that is something I need within this labour of love.   Continually being told ‘I’m’doing a great job’ doesn’t do it for me – my response is ‘how do you know?’.  I realise that this need creates further work for professional staff but how else can we know Maureen is getting the care she deserves?

In the absence of  line management/ support and supervision I have decided to post a timely  reminder to myself:

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Dementia: A Real Purple Angel

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I have never met Norman Macnamara founder of Purple Angel but his work is outstanding: the man is an excellent campaigner as well as being a poet.  His writing has helped me to gain an insight into dementia that has been invaluable.   However, it was his suggestions on how to deal with Valentine’s Day that really hit the spot.  Following Normms advice I thought about romantic times we had enjoyed together over the last 25 years: I even found words that Maureen had written that brought tears of joy to my eyes.

I can guarantee that our choice of an old series on YouTube was different to most folk.   It is possible that it followed the sentiments of my mentor pictured above.   We watched the Famous Five On Treasure Island.   Maureen was an avid reader of Enid Blyton in her Primary School years and she loved watching her childhood heroes in action again.

Normms,  your suggestions about remembering the romantic moments in our lives evoked beautiful memories which we will always treasure on our island of love.

Dementia: Every Day Is Special

We will have our usual Valentine’s Day.

The two numbers that follow sum up our feelings on ‘Special Days’:

We show our love for each other every single day. 

Dementia: The Capacity for Love

Related imageI feel better now I have raised my concerns about the way an assessment of Maureen’s capacity to consent to sex was being handled.  It felt uncomfortable that I could be accused of rape if the interviewer established that she didn’t understand the implications of ‘having sex’.    My concern was with both the language being used and the intrusion into our married life.  Just to clear up any misunderstanding here, in my opinion,  married couples don’t need to have sex – they make love. Thankfully, those concerned have belatedly accepted that we are in a loving relationship and feel no need to progress such investigations.

There is no doubt that Maureen lacks the capacity to remember that tomorrow is Valentine’s Day.  My solution to avoid any embarrassment is quite simple: to continue with what we have done for years – recycle old cards.  All I have to do is find the cards we have sent to each other in previous years and both select the one that we want to reuse tomorrow.

It’s my 71st birthday on the 23rd of this month so recycling of cards will be repeated once again.   There will be no sweat over presents, as I will repeat to Maureen what I have said for years: ‘her presence is my present’.   To those who have responsibilities under the Mental Capacity Act, I can assure you we will not be having sex tomorrow or on my birthday!

 

Dementia: A Silly Mistake

Image result for A silly mistake pictureI made a silly mistake yesterday and paid a heavy price. Maureen’s presentation in the afternoon and early evening became as challenging as I have ever experienced.  I should have spotted the signals early on when she just couldn’t settle down and said she didn’t know what to do.  Unfortunately, I ignored her as I listened to Coventry City’s attempt to prevent the inevitable relegation to Division Two.  Then once we were 3-1 down the battle here began to intensify until it became almost unplayable as the evening progressed.

Maureen’s first solution was to try to escape from her confusion and a neighbour brought her back as she strayed onto his drive.  Then she was trying to find non-existent children that had left their belongings here earlier in the day.  We even called in next door to see if the missing charges had found their way there: despite being aware that their offspring had long left home.  On our return home I examined what Maureen was anxious to return a blanket wrapped around a small tray, the contents of a large box of tissues, and a shoe.

Confusion and abusive accusations then reigned for a couple of hours as Maureen hurled abuse at her despicable husband.  Most of what was said had no significance or relevance to our lives together – Maureen appeared to be time-travelling through deeply held resentment from a previous life.  During a break in hostilities, I phoned a family member to suggest that a call might help to ground his mother in a more supportive reality.   However, exhaustion had taken over as Maureen had taken to the sofa and was fast asleep when I returned downstairs.

One further lesson from early this morning is to ensure that Maureen never sleeps in total darkness.  She awoke this morning terrified that shapes were animals that would do her harm.

If things go according to plan today Maureen will be with Girl Every Other Sunday from noon until two and I will bask in the Spa at the Leisure Centre.  A siesta in the afternoon should help us both.  The most important thing today, however, is to avoid the silly mistakes of yesterday!

Dementia: Further Tales of the Unexpected

Image result for Tales of the unexpected pictureI have to smile when people tell me that you have to take things day by day with dementia.  Those who make such statements have never been on duty 24/7 as they would have seen it’s more likely to be hour by hour.  In fact, things can often change within minutes.

I wish I could have videoed Maureen’s joy yesterday evening when we were listening to Bocelli on YouTube.  She had a constant smile on her face and she applauded every number.  When I sensed she was getting tired and switched off the television she became distressed asking when we were going home.  I explained that it was time to clean our teeth before we retired for the night,  accusations about bringing her here against her will followed with all sorts of recriminations. The looks she gave me would have turned any mortal being to stone so I decided to give her space hoping that sleep would have a curative impact on her mood.

This morning my lovely wife is back singing along to YouTube.  She is probably on her third cup of tea of the morning.  I won’t be taken aback in a few minutes if she tells me she is dying of thirst because she hasn’t had a drink since last night: that’s the nature of her condition.

Maureen is keen to go to Freeman Street Market this morning.  I think she remembers our last visit when stallholders were so supportive as she moved around selecting fruit and vegetables.  She also wants to buy me a present for my birthday which is just over a week away.  Being in Grimsby early on a Saturday morning really works for us as we get our shopping done while most people are still in bed.

Dementia: Complimentary Therapy

A couple of hours into another early morning YouTube Party I suddenly thought of an approach to dementia that might be useful: a sort of 2 for 1 deal; music and learning a language.  If we listen to Bocelli with Italian lyrics on the screen then the brain is being stimulated in two ways.

Maureen has always been a better linguist than me so I have a resident tutor on hand.

Addio, amico mio: its ‘Time To Say Goodbye’:

 

Dementia: Talk the Talk and Walk the Walk

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I’m often too tired to think straight when it comes to the crunch.  On some days I hardly get any sleep on others the challenges come so thick and fast I don’t know which way to turn.  When Maureen threw out the challenge of being allowed to wander yesterday I immediately ran for the cover of requesting another assessment by Occupational Therapy.  Later in the day after several conversations, a way of preserving Maureen’s independence emerged.

To take a step to release Maureen from her bonds we all need to walk the walk: whenever she wants to go out we accompany her.  The days of restraining her freedom have to be recast as joining her on her right to roam.  This will allow her to fulfill her doctor’s advice to ‘keep on walking’.  When I look back this is a simple solution: rather than calling her back I need to keep my training shoes on and be prepared to step it out whenever my wife beckons.

When I was struggling last week for a ‘one liner’ to address Maureen’s concern about our Wednesday Night Sitter the Local Branch of the  Alzheimer’s Society came to my rescue. They provided sound support again yesterday as did Maureen’s Care Coordinator. From now on we are going to talk to the talk of person-centred support and walk the walk!

Our Care Agency also walked the walk by arranging for Girl Monday to be here today as Girl Wednesday is off sick for the next week.  They understand the need for continuity and pulled out all the stops to get Maureen’s favourite carer here today.

In the evening our Decorator trod an excellent path as he popped in to see us.  It’s fantastic how people call in just when you need (ask) them!  He stuck to our rehearsed script and will return shortly to refresh the kitchen.  Within a few weeks, it will be easier for Maureen to find the downstairs utility room and I wouldn’t be at all surprised if there is sufficient paint left over for our bathroom door to also be painted olive green. While he is working upstairs I’m sure he will suggest that our bedroom door might need refreshing in a suitable colour – I’m sure you follow my drift!

Folk music has been ringing out from YouTube this morning and Maureen is in great voice.  She will be delighted when Girl Monday shows up in a few hours.  I will leave the girls to catch up so that I can progress some important financial business to prepare for what lies ahead on this unforgiving journey.

Dementia: Feel The Fear And Do It Anyway?

Image result for Feel The Fear and do it Anyway PictureAs ‘Girl Monday’ was off sick yesterday I tried something a little different. We needed some basics so Maureen came with me to Aldi where she seemed ill at ease, despite almost skipping around on our last visit.  When we were putting our purchases in the car she said ‘she felt useless; as she was no longer capable of shopping alone’.  She recalled earlier days where she filled up the shopping trolley alongside adding up the cost as she traversed the aisles in supermarkets.

We chatted as we made the homeward journey and I decided on some action as we neared our fishmongers.  I stood outside his shop with tears in my eyes watching Maureen chatting confidently to the owner as she took advantage of today’s Special Offer: ‘Three pounds of haddock for £10’.

During the afternoon Maureen couldn’t settle and frequently came to find me if I was out of sight.  Her shadowing became intense as the evening approached and she often sought a hug telling me how frightened she had become.  We retired at 8 pm as we were both exhausted and during the night she found me after I had moved to the spare room.  She shared her fears that ‘some people had invaded the house and were cutting up clothes’.  At that juncture, she followed me into the bathroom and closed the door behind her at a time I would normally enjoy some privacy.

I shared my concerns about Maureen’s current presentation with certain professional staff yesterday and adjusted some plans accordingly.  Our social worker was on leave and will be aware of my need to speak to him this morning.  Maureen struggled last week with Wednesday’s overnight sit and we will need to review our plans on that front in light of the fear factor.  This may not be one of the occasions to take a leaf out of the advice in the above book but the author may not have been taking dementia into the equation.

I have broken off completing this post to make Maureen a cup of tea.  She has ended up contesting the restrictions on her right to roam.  I accept she has a point and I disagree with the doomsayers that she is not safe when she is out by herself.  This is something I need to explore with others urgently.  Why keep Maureen under lock and key and be seen as the Bad Guy if this is not really necessary?

Footnote: 10.15 am I have just sent Girl Tuesday home she has a dreadful cold and we can’t risk either of us catching her infection.  How on earth carers are being sent out to work with vulnerable clients in that condition defies belief!

Dementia: Thank Goodness It’s Monday

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This morning I have the opportunity of reviewing how things are going with Girl Monday.  She is our longest serving carer and is used to dealing with the fluctuations in Maureen’s presentation.  However, she has been on holiday for a week and even she may be taken aback by what she sees this morning.

Maureen had a lovely few hours with her son and granddaughter yesterday.  It is possible that we encouraged her to do too much and tiredness could explain the dreadful night that followed.  This morning she has returned to the theme of her memory:  she is either terrified by what she can’t remember or resorting to a reality that would not be shared by anyone else.

As always I have no idea what is behind Maureen’s presentation and when it is opportune I will attempt to rule out any medical issues.   My guess would be that panic is a factor induced by compassionate confrontation from the Care Coordinator, and myself, that denial is not helping Maureen to make the best of her life.

Footnote: Received a phone call at 9.30 am to let us know Girl Monday is ill.  Have advised the Care Agency not to send anyone else as a newbie would add to Maureen’s confusion.