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Dementia: Funny Friday

It was a funny old day all round yesterday.  Maureen seemed exceptionally tired and so we didn’t have ‘breakfast’ until 4 pm.  When I returned from shopping in the morning Chloe said Maureen didn’t want to get out of bed because she felt tired.  Chloe had taken her a drink up and chatted to her in the bedroom.  As always Chloe had smartened up the house in my absence and ironed all the clothes in the basket.

I popped up to see Maureen a couple of times in the afternon and she was still sleepy.  During one of my visits she complained that Chloe had woken her up to discuss how her brother and his wife were having discussions about the forthcoming addition to her family.  She also mentioned that someone had told her I had been drunk on the previous evening.  Rather puzzling as I had been with her all night and not a drop of alcohol had passed my lips.

Porridge was served about 5 pm; along with normal accompaniments. We then went out for a short walk to retrieve a discarded dusbin that I had spotted on a previous stroll.  Maureen enjoyed the walk but had no recollection  we were following our steps from earlier in the week.  Nevertheless, she could see that another bin for compost making would be helpful to my horticultural pursuits.

Friday fish and chips was prepared and consumed as normal; followed by fresh fruit salad and ice cream.  You will note that we are taking the advice about healthy eating seriously.  Also the glass of sherry, or two, can only have helped any stroke prevention regime.  I’d better add Maureen only had a very small glass and left the rest to me!

Maureen got into a heck of a mess clearing up the chaotic evidence of my efforts in the kitchen.  I had ‘bobbed off’ in the chair to find her disgruntled over the kitchen sink.  Clean pots and pans were alongside those that had not been washed on the draining board.  It was not surprising she had got in a mess – I had  caused it.  I have to tidy up as I go along as I am being unfair on my washer up!

It will be interesting to see how things go today.  Hello….  Maureen has just woken up very confused asking me who has been on the phone.  There have been no calls this morning.  The way she is looking at me it is likely she is unsure who I am.  She has just asked me:  ‘ if am going to work today’.   Now it’s: ‘Where is the other Paul; not you?’

Just another day at the office then………

Being a “burden” to our care partners

This blog from Kate Swaffer is so powerful that I wanted to share it with others.

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

burden

Yearning for life before dementia
Never to return
At least, not until I die

But I say to myself
Each and every single day
There is no need to die now

The sadness stalks me
Tempting me to give in to dementia
Hiding in the recesses of my mind

Telling me to stop paddling
To give up and let myself sink
And give in to the symptoms of dementia

If I decided to do that
The huge impact on my husband and sons
And my love for them

May disappear from their sight
From their being
And my love may feel as if it is not there

Instead filled with the burdens of
Caring for a wife and mother
With dementia

Screen Shot 2015-09-08 at 9.40.15 pm

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Dementia: ‘He’s Taken All My Clothes and Money’

I could see that Maureen was giving me funny looks yesterday morning and  behaving rather strangely.  This followed on from considerable confusion on the Sunday evening.  Around 8 ‘o’ clock she mentioned that I had not returned from watching a football match.  She was convinced that I had been watching a local match at a nearby park.  At 10 ‘o’clock she asked me if I would help her to go out looking for me as she was beginning to get worried that I had been out for a long time.  We walked for a while and she continued to talk to me in the third person.

On our way back home Maureen took a wrong turning and I called her back onto the correct route.   She immediately recognised me as her husband again and carried on with a normal conversation.  We went to bed shortly after returning home, after the usual ritual of finding missing gear.

When Chloe,our carer, arrived yesterday morning Maureen had gone back to sleep so we chatted for a while about the events of the previous evening.   Chloe mentioned that she sometimes has similar experiences; with Maureen forgetting who she is.  On my return from shopping Chloe mentioned that Maureen had been very upset while I had been out.  She had refused to get dressed because: ‘Paul had taken all her clothes and money.’

Following further conversations with Chloe, our G P yesterday afternoon, and advice from Colleagues on Talking Point I have now come to the conclusion that it is too risky to leave Maureen to her own devices any longer.  It is no longer possible to predict Maureen’s level of confusion and things can change so rapidly.  Maureen’s current presentation adds an air of urgency to the need to review our Care Plan and conduct a Carers’ Assessment.  Unfortunately, there is no news on that front and it gets worse.

I called at the Care Agency yesterday morning and they are in turmoil.  They have lost the contract to deliver care for social services and are the process of handing over to another Agency.  You couldn’t make it up and it seems my patience is to be tested yet again.  In the mean time dementia marches on but I’m still standing – just about!

Dementia: Resenting Being A Care Partner

I am beginning to resent the restrictions placed on my life by being a Care Partner to Maureen.  As Chloe, our regular carer, said to me the other day: ‘there is a danger that you begin to feel like a prisoner in your own home’.  I can still pop out for the odd hour but it is something of a calculated gamble.  I escaped for a couple of hours yesterday and managed to see the Sky Blues beat Burton Albion.  There were some concerns on my return and Maureen was decidedly quiet.

Things were not quite as they should have been when I got home from watching the football match:  the fridge door was wide open and keys missing.  I did not probe the latter immediately and they surfaced during the evening; even two additional keys that had been missing for days.

I think it is likely that Maureen is not happy with me going because she doesn’t like being left on her own.   It is difficult to know if she resents me going out or is frightened about being left alone.  The coming week gives me an opportunity to deal with my resentment and to take account of her concerns about being left alone..

My initial steps to freedom need to be to make sure I go out when there is a carer sit.  I need to return to a routine of activities that have fallen by the wayside in recent months. Tai Chi, swimming and meditation need to be regular pursuits; both for company and well being. There is nothing stopping me returning to both Tai Chi and a visit to the Leisure Centre this week.  This morning will be taken up with physiotherapy treatment on my troublesome left shoulder.

I am hoping to visit folks in Coventry in a couple of weeks and will clarify my plans with those who have to arrange care in the morning.  Just to be on the safe side I will pop into the Care Agency shortly to chat over our requirements when I am planning to be away from home in the coming months.    This may alleviate the problems of the past, where the social worker and the Care Agency have been passing the buck and I have ended up not going to see mum.

So my simple plan for dealing with resentment is two fold.  Firstly, accept that Maureen has every right to feel ‘miffed’ about being left on her own when I go out to pursue my own interests: her resentment could well be about having dementia.  Secondly, I can escape from my chains and reduce my feelings of resentment by incrementally developing a life of my own.  I simply have to keep taking one small step at a time.  As Maureen often tells me: ‘Slowly, slowly catchee monkey’.

Dementia: Dealing With Decline

There is no doubt that I have to up my game where dealing with decline is concerned.  Anyone who sees Maureen on a regular basis comments on the rate of her decline.  One of the dangers of being here day after day you don’t always notice the rate of decline: you just adjust to it.

I have possibly got a little better at accepting that decline is inevitable with dementia.  On occasions i still kid myself that I can mitigate the damage from the ongoing brain injury.  However, I do accept that dementia is controlling Maureen’s presentation.   Even though I still gasp at the lack of empathy and compassion on many a day.  Where I am falling short is taking account of her limitations in our daily living.

It is time to run this household like a Care Home for residents with dementia.  I have to make some fundamental changes if we are to have a life with dementia, rather than a nightmare with the condition.  If my current level of exhaustion continues collapse will follow and events will be taken out of my hands.

A visit to Dennis’s Care home on Friday led me to shudder and vow to keep Maureen out of places like that for as long as I am able.  Maureen’s uncle looked to have aged ten years since I had seen him a couple of months ago.  His only unsolicited comment of: ‘Look at the state of that’ summed it all up in a simple sentence.  He is no longer able to hold a conversation but clearly felt unhappy about his new home and the state of his fellow residents.   I left his side after a short while: struggling to hold back my tears.

One thing I need to do pretty quickly is to get more help with our daily living.  There is little point in getting hung up on a Carers Assessment – that will happen in due course.  We need the likes of Chloe in here more than three days a week.  My conversation with her on Friday helped me to see a simple way forward.  I have to be the Manager of this Care Home: I can no longer do it all by myself; those days have gone.  There are areas where delegation is desperately needed so that I can concentrate on other things.  Perhaps I need to share my current thinking with the followers of this blog.

There are aspects of Maureen’s support that are better carried out by experts.  Chloe has two advantages over me: she is a woman and has considerable experience of cajoling clients with dementia.  I need to leave issues connected with clothing and personal care to the likes of Chloe.  My role has to be on creating a supportive environment to Maureen’s presentation,  I also have to deal with the issue of resentment: the fact that being a Care Partner has taken over my life and there is a simple way forward on that front – pay for what we need.

You get what you pay for in most aspects of life.  We have always been sensible with money bailing each other out throughout our time together.  Neither of us worry about: ‘Spending the Kids Inheritance’.  Our savings will be spent on ensuring a good quality of life for both of us.  There is little point in worrying about what we are entitled to from the State when professional staff are on training courses or too busy to deal with such matters.  We will buy in what we need and argue for retrospective adjustments in our savings where necessary.

So some good news for all concerned in my family.  I will be down to see you soon.  We can make that happen by buying in the care that Maureen needs, so she can be looked after in her own home by staff who are well tuned into her needs.

Please Note:  I am very early with this post at 6 am for good reason.  Some things are missing that need to be found if we are to have a safe day.  Also the Sky Blues are on Sky the afternoon and as an avid Coventry City supporter I need to find a venue that will be showing the game  These are both important matters for any Manager of a Care Home!

Dementia: Lack of Confidence or Capacity?

We had a lovely walk around Cleethorpes yesterday evening.  It is always interesting to see where it is at for the Friday night crowds in this town.  As always there were quiet spots and places where real action was taking place.  We both agreed how pleased were were far too old to join in the celebrations that the weekend was here.

As we returned to the car Maureen began to talk about her frustration about the consequences of stroke.  She was particularly concerned that she had forgotten how to deal with her personal banking.  There are many issues here for her to confront but primarily she just wanted to be able to access her cash.  After a fairly long conversation I reassured her that i would help her to learn how to deal with her personal finances again.  On our journey home she mentioned another matter that has the potential to move things on as we live our life with dementia.

Maureen had some recollection of a chat with a man who wanted to take her to Nottingham; her home town.  She talked for a while about this man and her concerns that he wanted to stay the night with her.  Then she asked: ‘was it me?’  I reassured her that it was me who had suggested going to visit family in Nottingham this coming Tuesday:  the day after her brother’s birthday.  Maureen laughed and seemed happy when she put the conversation into context.

I am just wondering how much confidence rather than capacity is at the heart of Maureen’s concerns?  It is possible that the fear of embarrassment is holding her back on many fronts; not just banking and going to see family.  I have often seen her shudder when she realises she has made a ‘boo boo’ in conversation or action.  At her age I suppose it is really difficult to accept that you feel you have made a fool of yourself.

It is now time to ‘go back to work’ to resume my role as an adult educator.  After 20 odd years  in the profession I need to get out the WD 40, blow away the cobwebs, and see if I can help Maureen regain her confidence.  Never had a better Job Description in my life!

Dementia: LOL

We often use humour to get by now dementia is firmly in our lives.  Maureen often plays tricks on me about not being able to remember stuff.  I am sure there is a cunning plan behind her claim that she has ‘forgotten how to cook’.  Well I got her back with a beauty this afternoon and she took it hook line and sinker.

I happened to mention in passing that the local Police Force had announced redundancies.  She looked puzzled for a while until I gave a little more detail on my ‘porkie’.  I said it was because her husband no longer panicked when she went walkabouts.  It caused great amusement when I embellished my story with news of  helicopter pilots and  mounted police being surplus to requirements.

I won’t tell you her response to my little trick.  She will get me back I am sure.  Laughing Out Loud with dementia is one of our coping strategies.  We are determined to have a life with dementia.

Dementia: Hoping Sleep Therapy Helps

I am hoping that Maureen’s afternoon siesta will help to get things back on an even keel here.  Things went well early on this morning, then the slide began.  My complacency has not helped.  As soon as my back was turned ‘packing to go home’ took place in earnest.  You should see the stack of gear in readiness for the homeward journey.  This is the first time for weeks that Maureen has been on this racket.  There has been more evidence of abject confusion whilst I have been at the keyboard.

I thought she had done a runner a couple of hours ago.  I returned from my office and the signs were not good, as I had foolishly left the side gate invitingly open.  Then I caught sight of Maureen in next doors garden holding a pair of my joggers.  As i cajoled her back here she mentioned she had been looking for me to see if I wanted her to put my clothes in the car.

It is possible that tiredness is taking its toll.  Maureen has been up much earlier than usual this morning: on the go all the time.  I am hoping that a short rest will help her to make sense of things.  Optimistic I know because confusion about: person, place and time are the constant features of dementia.  So it’s not surprising if she is frequently confused on these three front.  However, it’s just possible that a short nap will make it easier to keep her on the straight and narrow.

I don’t know you just can’t turn your back for a minute when you are a care partner for someone with dementia.  Oh dear it’s very quiet down there and Maureen may have scarpered.  Phew that was a close one – she is getting the washing in.  A woman’s work is never done even when they have dementia.

Dementia: Carer’s Assessment Needed

I am failing, at the moment, to make any inroads into improving my sleep pattern.  This has to be a high priority because if I continue with my current lack of sleep I will not be able to function adequately and risk becoming ill.  It seems fairly obvious that the amount of outstanding business that whirls around in my head when I wake does not help at all.

I am hopeful that this morning’s early shift clearing of my in tray had dealt with some of the most important matters. There are still some things that need clearing up but nothing pressing – I hope!

Our Care Plan needs reviewing and contact from our Social worker yesterday is reassuring.  I am optimistic that a Carer’s Assessment will help my aspirations to be ‘a man rather than a martyr’.  An earlier blog made reference to my struggle to develop ‘me time’.  There are lots of things I want to do, to have a life outside of dementia.  I recognise there is a balance to be struck in all of this but the scales need to be tipped in my direction a little more.

I anticipate there are interesting times ahead and I hope this statement becomes more than a Chinese curse.

Some sage advice sent my way…

Today’s blog from Kate makes a very salient point: I can’t expect everyone else to share my enthusiasm for improving the approach to dementia in North East Lincolnshire. That must not make me disillusioned or affect my enthusiasm from carrying out my own little campaign to improve things in this area.

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

Image via googleimages.com and leadingessentially.com Image via googleimages.com and leadingessentially.com

I’ve been feeling really overwhelmed, and in fact, like giving up blogging, FB, twitter and all of my advocacy. As usual, if one shuts up long enough to listen, the universe supports, and today I received some very sage advice:

“… honestly sometimes I think that with people with dementia that unless you give them specific things to complete, it is very hard for them to remember and to know what to do to help. I often experience some of the same problems and have such problems with time management and then when I work on things, it takes me so long to do things that used to take very little time that sometimes it can make you feel like giving up if you put too high of a demand on yourself.

So, my suggestion to you and this is just my idea, but I would suggest you prioritize what…

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