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Something happened yesterday

Maureen is struggling this morning which is not at all surprising after the week she has just had. This excellent post from George Rook might just capture how she is feeling.

georgerook51's avatargeorge rook

Something happened yesterday…

Yesterday was the first day of my summer.

Butterflies emerged in crowds.

Purple Emperor, Red Admiral, Comma…

I’ve been waiting for them for days, wondering whether weather had wrecked their cycle and drowned them.

And suddenly they were on the great purple spikes of buddleia flowers.

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Flitting, flirting, clapping, waving, showing off their magnificent new bodies.

And for me that’s the start of English summer.

There were other visitors too…

A Hummingbird Hawk Moth and Painted Lady from France.

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Ringlets, meadow Browns and gatekeepers on the flowering oregano that’s spread like spilled paint across the flower garden.

I gazed at all these lovely annual gifts around me, the best presents each year.
……..

Gardening here is a continual struggle. Nature wants to return in its own way, but I want my own version. Capability Rook, allowing some, forbidding others.

So I catch moles in the morning, admire…

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20 Things to NOT Say to a Person with Dementia

It doesn’t come any better than this post with sensible ground rules for dealing with dementia from Kate Swaffer and Kay Bransford

Kay H. Bransford's avatarDealing with Dementia

20-things-not-to-say-to-aperson-with-dementia-updated-6june2014.jpgThis list comes from Kate Swaffer who after being diagnosed offers a fresh perspective on how to live beyond dementia rather than only die from it, and how family, friends and dementia care professionals can more positively support people post diagnosis to do this. She has lovingly challenged, advised, and counseled me quite a few times on my journey. We even launched a Q&A blog where we peppered each other with questions.

As a follow-up to my go-to strategies for family visits, I plucked a few key tips to consider and am listing my top ten:

  1. Don’t tell the person they are wrong.
  2. Don’t say “Remember when … “
  3. Don’t correct or challenge trivial things.
  4. Don’t assume they can’t understand you because they are silent.
  5. Don’t think they can’t communicate just because we can’t speak.
  6. Don’t talk about them to someone else in front of them.
  7. Don’t remind them of…

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Dementia: News From Base Camp

Yesterday was the first time in 16 years that we have had a G P call at our house.  Dr Munjal  is well aware of Maureen’s reluctance to take any medication and spent a long time trying to persuade her to take paracetomol to ease the pain in her back.  He is well aware of Maureen’s preference for natural remedies and knew there was no point in prescribing anything to relieve her anxiety or lift her mood.  I realised that was down to me and my natural remedy was quite simple: camping..

Maureen had become so distressed from her experiences in Ladysmith Road Care Home that I set up camp in the lounge last night.  I spent a reasonable night on a mattress that was close to the sofa where she often sleeps.  That meant that whenever she woke up I could immediately assure her that she was safe.

I decided on camping after she broke down yesterday evening saying ‘she was frightened because she couldn’t do anything’.  We have been up since 2 am having a great time.  Maureen is wondering if we need Planning Permission if we change our lounge into a Camp Site.  This theme continued for a couple of hours as we ‘sent up’ the idea with various hilarious extensions to our early morning theme.

It is important for me to back off for a while as my antics this morning will have tired Maureen out but it was great to see her in such good form after such a harrowing week.  My response to her question about what I’m going to do today was the same as always: ‘we’re going to have an easy day’ – so why not take a day off Mrs Dementia and let the fun continue all day?

 

Dementia: Doubts and Misgivings

I know I have a tendency to go by first impressions but I think my hunch about Ladysmith Care Home was correct: it’s still looking good. When I chose Maureen’s room on the morning prior to her taking up residency I developed a positive feeling about the place. I spent over three hours there yesterday and I have seen she is in safe and skilled hands.

Whenever I have visited my mother and brother in their respective Homes in Coventry I always watch what is going on.  They are both being well looked after yet there is room for lots of improvement.  On occasions I have seen red flags that in my opinion would not pass inspection.  I have yet to see anything at Maureen’s Home that gives me any cause for concern.  In fact the place oozes person-centred care in theory and practice.

Maureen sees things rather differently; believing I have put her away because I don’t want her at home any longer.  She also says that residents are ‘treated like idiots, therefore they have become idiots’.  She spends a lot of her time trying to support fellow residents who she feels are not being well treated by an unhelpful regime.

During my visits my status with Maureen has ranged from hero to zero.  When she first saw me she broke down because she believed I had abandoned her and left her there to rot.  Once I had been with her for a while doubts arose and recriminations followed.  She is clearly suspicious about what I’m up now I am out of sight for most of the day. 

The next few days are full of opportunities to move forward on our journey.  We all need to take one day at a time and tread very carefully if this period of respite is to have a productive outcome.  Our approach has to remain person- centred as we try to determine the next steps on this arduous journey.  It is an opportunity for us all to put our money where our mouth is and do everything we can to preserve Maureen’s independence.

I couldn’t make it any clearer to Maureen than Errol Brown does it in this song:

However, I’m not naive enough to believe I can do it by myself:  it’s going to be a Team effort with a combination of family and professional support.

Dementia: BOGOF

I returned a couple of hours ago from a cycle ride to see ‘Wills’.  He’s been staying overnight with ‘the best grandmother in the world’ who also happens to be Maureen’s aunty.  Clarice has been a great help from the time I suspected Maureen had memory problems.

One of the things I’m doing during this period of respite is  to compare notes with those who have have cared for a love one who has dementia  When I was sharing experiences with my sister in law yesterday her I was reminded of our good fortune.  My brother John was sectioned after his behaviour in respite and has never seen the light of day since.  I also had a lengthy chat with my sister about mum and how my family in Coventry are supporting her as dementia progresses.

Blogging has opened up a Pandora’s Box of experiences from others who are on various stages of a similar journey to ours.  When I saw the Prince this morning I had fun playing with a lively lad and once again drew on the wealth of experience from someone who loves Maureen and can identify with our current dilemmas: a sort of BOGOF opportunity. 

Another focus at the moment is trying to improve my general fitness and lose a little belly fat.  I didn’t realise Rachel, William’s mother, would be at Clarice’s or she was trying to improve her shape and fitness.  She talked to me about the SeanT programme so then my visit to Clarice’s became BOGTF.

Good news: Maureen’s Care Home have agreed this afternoon would be a good time to make my first visit and I will be along to see her shortly.

 

Dementia: A Message To You Theresa

While  Maureen and I were chatting yesterday I just happened to mention that we had a new  Prime Minister.  I’m never sure how much Maureen has been following the news but she astounded me by saying: ‘Theresa May – she sounds like a shop assistant but I’m not trying to be disrepsectful to them’.   I know little about the background of our new Prime Minister but I suddenly feared she would do as much damage to our economy that the Grocer’s Daughter (Margaret Thatcher) had done.

This morning I have had another thought  a ‘Specials’ message, something of a warning, to Theresa rather than Rudy:

I think it is time that Social Care was brought back into the Public Sector. I can think of no other way of ending the current neglect of our Senior Citizens.  Just to refresh Theresa’s memory and I speak from personal experience, by raising the following questions:

  • Why do we leave our most vulnerable citizens in the care of untrained staff?
  • Why are Care Agencies being starved of the resources they need?
  • Why are Care Homes being starved of the resources they need?
  • Why is it so difficult to get Continuing Health Care?

The accusations of neglect and abuse of the elderly will continue unless you focus on these issues Theresa.   One of you predecessors like Rudy may end up in jail if we ever get him to The Haigh.  Why not make your legacy that you kept the promise that our Welfare State would look after us from Cradle to Grave?

I will post an update on developments here a little later.

It’s called living, stupid

A clear and simple message from George Rook: someone you can always depend upon to say it as it is.

georgerook51's avatargeorge rook

Supported self management for people living with dementia

Here’s what I said to a brilliant workshop at National Voices yesterday at the launch of a new project to promote/define supported self management.

So, what about about supported self management for people living with dementia?

Let’s first understand dementia.

Dementia is a collection of symptoms and behaviours resulting from disease of the brain.

The disease is irreversible and decline is continuous though inconsistent, and different for everyone.

Decline can be counteracted in some people through the use of drugs which improve the functioning of the healthy parts of the brain, for a while.

Dementia differs from many medical conditions and diseases in that it can neither be cured, nor its relentless progress stopped. So management is just that…managing life with dementia.

And what is living with dementia?

It’s about parts of your brain ceasing to function properly so you can’t process…

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Dementia: The Other Women

I had a busy day yesterday contactin, or meeting women who are particularly significant as we travel on this unforgiving journey.

I E Mailed Sue our social worker first thing to request a visit to Coventry so that I can catch up with family in ‘Sky Blue Land’.  My mum and brother are having a tough time at the moment: trying to cope with the progression of their dementia.

At 10.30 I met Sadie and Hayley from our Care Agency to record serious concerns about aspects of Maureen’s treatment by their staff.  I have received an unreserved apology and a full investigation will take place into my concerns.  We meet again in a week’s time so they can give an interim report into their investigations.

Later in the morning I met Gilly from the Home Treatment Team and Mel my Admiral Nurse.  I have now grasped that the HTT is a Crisis Intervention Team and Mel is the audience for the support and supervision I need in my role as Maureen’s Care Partner.  We have agreed to meet next week to look at some short term aims and objectives.

On my return home I caught up with Maureen and Charlotte getting along like a house on fire.

In the afternoon I popped in to see Yvonna at Lloyds Chemist to chat over a number of issues.  It is always helpful to run my thinking by such a radical pharmacist.

I realise that I am very fortunate to have such professional expertise at my disposal and with my record, and at my age, there is safety in numbers!

Dementia: Seeking Answers

I have a meeting scheduled for 10.30 am tomorrow with Hica our Care Agency.

Maureen has raised with me the humiliation she felt about the way she was treated by a carer a week ago.

I also have major concerns about certain aspect of her care during my respite break at the Buddhist Centre.

It would be unfair to post detail in this forum but to say I’m concerned would be to put it mildly.

I have also logged these concerns with our social worker.

Dementia: ‘Catch The Wind’

I didn’t take long to get the Pink Panther back after my stupidity first thing this morning.  It’s an ideal day for airing clothes and I have now emptied Maureen’s wardrobes.  Opportunist that I am a new door has appeared that I intend to ease open a little.

We are both hoarders saving clothes for best as we wander around in our old favourites.  I am hoping that as Maureen decides what needs washing after the airing and what needs ditching, I can move things on a little further. It may be possible to raise what would be suitable for dancing and see if we can return to the floor on Wednesday morning: that would really get a ‘Ten from Len’.

I thought a word or two from Donovan and Crystal Gale might put to music my thinking on this breezy morning:

 ‘Catch The Wind’ is where I am at with dementia rather than: ‘Go With The Flow’.