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Dementia: Six Ways To Create A Positive Realtionship

It's about relationships Teepa Snow

I have copied this post from the blog of Amazing Susan to remind me to concentrate on  building a positive relationship with Maureen rather than focus on getting things done:

1) listen

Open your eyes, ears, hands and heart. Be observant. Pay attention to nuances in behaviour. Listen with your whole being to what’s being said by your care partner who lives with dementia. You may be amazed that people who seem to have lost their ability to communicate can in fact make their needs known and connect at profound levels. Listen to be enriched. Listen to be more effective in how you engage.

2) agree

As I and a host of others have said many many times before and as all smart care partners eventually come to realize, it pays to agree:

Say “Yes, and…” to your care partner who lives with dementia. Go with their flow. When you do, your life and theirs will change for the better.

3) create/hold space

Make space for your care partner who lives with dementia to be who he or she is, whatever that means on the day or in the moment. Don’t try to make her or him into something she or he isn’t, and that includes wishing they were who they used to be. Remember that the core of who they are is is sill there, even though her or his self may manifest in different ways. Make space for the present and celebrate who they are in the moment. (More about that here.)

4) take care of yourself

Caring for yourself is vital. That means doing whatever it takes to find support, get respite, and have time away from your care partnering role. “Put the oxygen on yourself first,” everyone says – and for good reason! Your health is critical to your own and your care partner’s well being. If you don’t take care of yourself, there’s no way you can care for somebody else in the long term. Self care is not optional, it’s essential to having a good care partner relationship and less stressful experience.

5) walk away before you explode

“I didn’t mean what I said! I can’t believe I was so cruel…” These are the words of care partners who are falling apart at the seams. They are exhausted, depleted, at the end of their ropes, and they have said and done things they would never normally say or do because they have not paid attention to #4. If you find yourself at this level of crisis, walk away before you say or do something that will make the situation even worse. Give yourself time and space to breathe and recoup — a minute, an hour, a day, a week, a month, whatever it takes to get yourself back together.

6) walk back when you are strong enough

Because of the stigma of Alzheimer’s disease and other forms of dementia, people who live with dementia often become isolated when they most need our love and support. When you’re strong enough, and you are ready to take their hand again and walk by their side, please do so. They need you. If you can’t do it personally, help and support those who are able to do so in your place.

These tips and thoughts are based on my personal experience, as well as my knowledge and work as a certified PAC trainer‘.

Footnote: I would add one more – always try to retain a sense of humour.  At 10.30 pm last night I couldn’t find Maureen and my heart was in my mouth: I thought she had gone on walkabouts.  As I returned to the house to get my car keys she appeared in hysterics from hiding behind a door.  How lovely that she has retained a sense of humour: I’ll get her back today!

Late News: Maureen has just found her missing engagement ring on the floor of the bedroom!

 

Dr Bredesen presents on Reversal of Cognitive decline

This 45 minute presentation should be watched by all those people who are trying to deal with dementia. It is a presentation that offers hope to all those who are trying to live with and beyond diagnosis.

Kate Swaffer (she/her) Kaurna Country's avatar

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Dementia: Looking Back: Looking Ahead (Week 16)

It’s always pleasing as a Care Partner when your concerns have been listened to and heeded.  I called time on our Care Plan a month ago giving ‘notice to quit’ unless improvements were made.  Four weeks later we have been allocated another 7 hours of weekly carer sits (respite) alongside additional support for day trips to visit family.  There is no doubt that North East Lincs. Council do their bit in trying to look after their carers’.

Developments on Friday have now cast a new perspective on our situation: Maureen has been judged unsafe to ‘walk alone’.  This judgement will require very careful management on my behalf as I attempt to traverse the tightrope of independence and safety.  Maureen continues to challenge the judgement recalling how well she raised three children by instilling in them the Green Cross Code.  Therefore popping out to the shops and leaving Maureen to her own devices becomes a risky venture; as locking her in is not a viable option.

I have been reminded by many people that Maureen’s presentation is nothing unusual. Perhaps my biggest challenge is accepting that despite my best efforts the progression of her dementia is relentless.  Therefore ‘Mrs Dementia’ may often be around and empathy significantly absent.  When it is full flow Maureen’s needs will be paramount and rational thought will fly out of the window.  My absence for my day trip to Coventry on Wednesday could well lead to accusations of desertion: they will come from ‘Mrs Dementia’ not Maureen.  The challenge for me is not to absorb any hurtful comments as I try to forge a life of my own alongside being a Care Partner. 

 

Dementia: More Good Fortune

Maureen went downstairs at 4.30 am to make a cup of tea.  She returned shortly afterwards saying she had realised it was too early to get up.  I encouraged her to try to get back to sleep but she said she hadn’t got a bed.  Then she made it clear I wasn’t ‘her Paul’ so I retired to the spare bedroom.  It was cold in bed alone making it difficult to get back to sleep I decided to get up.

Once downstairs I decided to watch some Buddhist teaching on YouTube and my good fortune from the day before continued, as I stumbled across the following teaching:

Once again Dekyong gives a profound teaching on how to have a happy life that makes sense of the opportunity that I have to give loving kindness.  As many of my Buddhist friends have said Maureen’s dementia is an opportunity to give unconditional love the recipe for a happy life.

Yesterday had been a day of good fortune:  early on managed to find three LP’s for a pound at the Car Boot Sale.  Then walking in the sunshine in Cleethorpes mid-morning we had a wonderful experience.  We made our way to Kew Road where Maureen lived as a child where we bumped into four elderly residents who were transforming the back ally.  They invited us to see the floral tributes they were creating for the Queen’s birthday and Armed Forces Day.  Maureen loved chatting to them and talking of her days living in their neighbourhood.

The real good ‘Fortune’ continued in the afternoon when a diverted shot from Marc -Antione was diverted into the net after four minutes and set Coventry City on their way to a 3-1 victory over Sheffield United.  I hope no-one tells the rest of Sky Blue followers that their losing run coincided with my £1 wager that they would win the League!

It looks like another sunny day here in Cleethorpes.  I have no idea how we will spend the day but I will count my blessings accepting that if I take this opportunity to continue to show loving kindness we will continue to have a happy life together.

Dementia: A Very Lucky Break Indeed

Good fortune has shone on us this morning: we’ve had a very lucky break.  Maureen  woke up thinking of a school trip to Germany from over 60 years ago.  I have kept that conversation going to consign the events of yesterday afternoon to the dustbin: along with shattered keepsakes.

We were both tired yesterday after several nights of broken sleep.  When Maureen lay down to rest her eyes on the sofa I decided to rest upstairs in our bedroom.  I took the normal safety precautions before retiring: locked all external doors and removed keys to a place of safekeeping.  With the Baby Alarm set I soon drifted off to sleep reassured that I had minimised risks of the ‘Happy Wanderer’ going missing.  What I hadn’t counted on were the events that followed an hour or so later.

As the Baby Alarm kicked into action I heard Maureen screaming downstairs.  When I joined her she was running around the house saying she was ‘locked in’.  She ran from room to room hurling abuse at me and pulled the tablecloth off the dining room table shattering several keep sakes as they crashed to the floor.  Nothing I said made any difference as I was the ‘Bad Guy’ keeping her in prison.  There is no need to repeat the abuse she hurled at me until she lay on the sofa exhausted from her attempts to verbally remonstrate with her captor.  Another incident early this morning cast me in the role of hero rather than villain.

I awoke around 1 am and checked Maureen’s whereabouts and found her locked in the downstairs utility room.  It took me a while to coach her on how to undo the bolt on the door and I managed to usher my very frightened wife upstairs to bed.  We have slept together relatively peacefully until 7 am apart from or two difficult moments where I have to reassure her until she returned to the land of nod.

There is no evidence of the ‘smashing time’ Maureen had yesterday unless you look in the dustbin.  It seems likely that the emotional scars have healed with the school trip at the forefront of Maureen’s mind.  If the weather holds we will make it to the car boot sale down the road this morning and resume our search for additional vinyl.  Maureen dreams of her school trip to Germany could not have come at a better time: a very lucky break indeed!

Footnote: Sincere thanks to family members and professional staff who gave me support in my hour of need yesterday.  You will be pleased to hear Maureen is back this morning: I hope ‘Mrs Dementia’ is taking a few days off!

 

Dementia enabling care, design, and services

Yet another illuminating article from Kate Swaffer.

Kate Swaffer (she/her) Kaurna Country's avatar

Screen Shot 2016-04-18 at 6.27.57 pmWritten for and published first for The Aged Care Report Card and their news site RetireNCare on Apr 11, 2016, is my article below:

We need dementia enabling.

The time is now that the aged and dementia care sector not only provides us with better residential care, but the whole sector finds a new way to support us to live, not only to die. 

“Recently I had the pleasure to meet Lauren Todorovic who founded Aged Care Report Card. After a lot of discussion, she asked me if I would be interested in writing for RetireNCare, and as an activist and advocate for people with dementia and those in residential aged care, this was definitely too good an opportunity to pass up!

Part of the vision of the Aged Care Report Card appears to be to highlight what is happening in the aged care sector, but not only to promote the great things happening…

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Dementia is not mental

We are of the same mind George: thanks for this excellent post.

georgerook51's avatargeorge rook

Right. Should dementia be classified within mental health or physical health?

And what difference does it make?

Memory services in this country diagnose, support and “treat” people living with dementia. And memory services are by and large provided by mental health trusts.

So dementia is mental health.

Dementia, on the other hand, results from disease of the brain, physical disease. It’s not about memory loss due to ageing or stress or medications or (usually) other conditions.

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Dementia results from physical disease.

“Memory” clinic as a name suggests dementia is just about memory. Wrong. Dementia is the generic name for difficulties with perception, physical capabilities like speech and swallowing, memory, recognition, understanding, word finding…

Memory is just one piece of the jigsaw, the one that most people know about.

So dementia is about living, about occupational therapy, about using your “facilities” as often as possible so you don’t lose them. And…

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Dementia: A Day Of Emotional Turmoil

Yesterday was a very tough day for Maureen.  The early morning proved very difficult for her as she struggled to cope with grief about her daughter.  I didn’t get chance to talk to Chloe before she moved on to her next call but I gather she didn’t have a easy ride here.  On my return from meeting Ed Maureen often looked stunned as she tried to find something to fill her time.  Prior to lunch she wandered around the garden looking lost.

The afternoon and evening didn’t go according to plan as a difficult day progressed.  Maureen was far from her normal self and seemed more unsettled as the day progressed.  She awoke from ‘resting her eyes’ shortly after 9 pm and I guided her towards turning in for the night.  Major upset followed as she prepared for bed with sobbing about ‘wanting to go home’.  Once again she was wondering where ‘the other girls were’ to keep her company in bed.  To reassure her I made it clear that I would be in the ‘boys dorm’ next door.

I’m hoping that rest will lead to positive changes in her presentation tomorrow.  It seems to me a quiet day will be in order with yours truly staying close at hand to provide support when needed.  What an unforgiving, and exhausting, condition dementia is with its relentless demands on this very tired couple.

It looks as though rest has been the cure as we’ve got off to a positive start today: hence this morning’s later posting.  Blogs are not the place to share too much information!

 

Dementia: SOS All Hands On The Deck

I am hoping that music can come to our rescue again tonight: hence the deck.  Maureen has not had a good day.  Seeing Chloe again has thrown her – two weeks is a long time with dementia.  Chloe report noted high levels of confusion and Maureen’s refusal to shower.  She also saw what I experienced yesterday; Maureen making 5 cups of coffee rather than one.

Music did the trick this morning as Maureen struggled to deal with the passing of her daughter.  I’m hoping that a couple of hours singing and having fun with old favourites will help ground her tonight.  We’ve already had one dance in the kitchen and Maureen let me lead: that’s always a good sign!   I can hear her singing along to |Willie and Carole as I type:

I’d best get downstairs and give her my answer!

Postscript:  Seeing that Maureen was worn out as I dished up tea at 6.30pm  I turned the music off.  She was exhausted and just about managed to stay awake to eat her meal.  I resisted an altercation over taking her blood thinner; accepting that Chloe had given it to her this morning – even though I knew she hadn’t.  Maureen isn’t at all happy about taking this medication and often argues that she has already taken it or hides it.  Our chemist has warned me about the need to take medication consistently but I never argue the toss with Maureen over medication: I accept her reality .

I would guess that Maureen is out for the count now.  It is likely that I will struggle to prise her off the sofa in a couple of hours.  She will see me as that wicked man who is trying to overdose her on tablets again.  How dreadful this condition is for us all but at least I can walk away from it for a few minute: a luxury my dear wife will never have.

 

 

Dementia: Meditation Not Medication

Please click the link below to read today’s post

Dementia: Meditation Not Medication

Things have got a little messed up today as I have copy and pasted and redrafted.

It's My Time Now's avatarDementia: Sharing The Good Times

Meditation design elements vector graphics 01

I don’t need any persuasion of the benefits of meditation.  Some years ago I began to show an interest in Buddhism, and began attending local classes in meditation.  I have had several teachers in my sporadic attendance, they have all  helped me to  grasp the simplicity of Buddhism.

When Jendrik, my current teacher, heard that I was unable to attend classes, because of Maureen’s condition, he popped round to see me.  Ed one of the longest members of the Grimsby Group has also met up for a chat on several occasions: we are getting together again this morning.

The Buddhist message, from both of my dear friends, has been to use this challenging time as an opportunity to address ‘self-cherishing’ and give ‘unconditional love’.  It therefore comes as no surprise to me that Meditation is now being seen as an important component of any strategy to deal with the…

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