Tag Archives: Distress

Dementia: Dream or Reality?

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I woke up from a vivid  dream this morning struggling to grasp where I was in my life story.  This frightening start to the day gave me a glimpse of what it might be like for Maureen each time she wakes after sleeping.  Only a few minutes ago I heard her crying in the bedroom as she had woken and not known where she was.

Yesterday afternoon she told me that she had been dreaming of life as a child; waiting to go into the Saturday Morning Matinee at the Empire in Nottingham.   Later in the evening, she was frightened because she thought there was a strange man in the house.

Our sleep patterns seem to be improving slightly with Maureen accepting my gentle encouragement ‘to try for another hour’ when she wakes during the night.  The Webinar on Sleep and Dementia has also given me some further ideas on how we can both get a good night’s sleep:thank you Amazing Susan for pointing me in this direction.

When Maureen woke this morning she was concerned that she didn’t know what we were going to do today.  So I replied in my normal fashion: ‘to have an easy day’.

 

 

 

Dementia: Rolling With The Punches

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Maureen sought me out, in the spare room, at 2 am this morning to tell me that she ‘had been thinking that nobody liked her’.  She was particularly concerned that her offers to help were being rejected by all and sundry.  This was very different to my status early in the previous evening when I was clearly not her favourite person..

Maureen went out for a walk yesterday afternoon and when I tracked her down she refused to join me in the car, so I left her to it and returned home.  An hour later I toured the local area once again and there was no sign of her.  As I returned from another fruitless search I saw Maureen in the garden along with one of her cousins who had kindly returned her home in her car..

Once in the house Maureen berated me on all sorts of fronts.  I eventually realised that she thought I was her previous husband when she mentioned his sister.  The attack continued for some time concentrating on my ongoing attempts to ‘belittle her and prove she was stupid’.  Following a cup of tea, and a phone call from her son, she eventually calmed down and decided on an early night.

Her visit to see me in the spare room was a sad occasion as Maureen recounted stories of always feeling left out by most people and ignored by her close family.  She clearly had no memory of her eldest son visiting us on Monday or the earlier phone call from her other son.  Once again she was very sad that there was no contact from her parents, who have long passed from this world.

When you are a Care Partner for someone with dementia you have to get used to rolling with the punches and ignoring hurtful comments.  It is clear that Maureen would like more contact with her immediate family and I have suggested, once again, that a visit to Nottingham to see her brother and sister is long overdue.

Dementia: The Benefits Of Humming

One of the constant tasks of any Care Partner where dementia is a factor is seeking solutions to changing presentation.  Some of my latest approaches to our journey are summarised below:

Sleep Disturbance:  When I’m woken at some ungodly hour I often find it difficult to get back to sleep.  What seems to be working at the moment is to hum this song to myself:

If humming fails to do the trick I stay in bed and I pick up my latest novel:

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I’ve almost read 300 pages now after a couple of years without a book on the go!

Frightening Animals In The Room:  Maureen woke several times last night scared that there was a dog, then a large fish in the lounge/bedroom room.  I eventually managed to ease her upstairs into the marital bedroom where there is more light and less dark corners.

Keeping Tea Warm: Maureen often asks for a cup of tea and falls asleep before it has cooled sufficiently to drink.  I plan to put hot drinks in a flask from now on so that they are available at an ambient temperature when she awakes.

Ongoing Distressing Assessments:  I’m going to suggest that a  Multi-Disciplinary Team approach is adopted by professionals, so all the information on Maureen is brought together and shared.  This would end duplication, ensuing distress, save time, and wasting resources.

We Can’t Be Married: I admit I was confounded by Maureen’s early morning assertion that she couldn’t have married me when we were in Coventry because she already had a husband.  It was one of those occasions when I resorted to humming another tune to myself and hoping for the best:

Dementia: ‘You Don’t Know What You’re Doing’

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I wanted to make clear that my earlier post was not a personal attack on any individual.

My point is that the procedures that are being adhered to make no sense.

Dementia is viewed as a progressive condition.

There is no treatment available for vascular dementia in this country.

Maureen has been discharged from the Memory Service as further testing is deemed pointless.

It has already been established that Maureen lacks capacity in terms of her social welfare.

Therefore why is any further assessment necessary?

All yesterday achieved was sleep disturbance and  further distress!

 

Dementia: ‘Help Me: Please’

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As the Baby Alarm came alive at 4.30 am this morning I responded promptly to Maureen’s plea for help.  She had woken earlier at 3 am needing a drink and I had gone upstairs to read a novel: my latest solution to inducing further sleep.

It is disappointing that after two nights of good sleep we are back on familiar territory. Yesterday’s assessment by our social worker has triggered another night of disturbed sleep. Maureen found Gary’s assessment disturbing; worrying that they are going to put her in a Care Home again.

I sat in for the majority of the assessment.  My conclusion is that the process may serve the needs of social services but it inevitably causes distress for the subject.  In my opinion the assessment is relatively pointless: a snapshot infected by inevitable confabulation.

No wonder Maureen is scared this morning: feeling that an authority figure is conspiring to lock her way again !  It is disappointing that my priority to minimise Maureen’s distress is being undermined by a bureaucratic need to carry out meaningless assessments.

 

 

Dementia: Sending Myself To Coventry

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 3 am

I have had 6 hours solid sleep and will be leaving for Coventry after a energy boosting breakfast.

My observations of Maureen yesterday leave me in little doubt that she would not live long in a Care Home.

If I leave her there much longer her feelings of being abandoned will lead to further rapid deterioration.

Seeing my mum and brother in their Care Homes this morning will be a helpful reminder of Maureen’s stark prospects if I don’t act quickly on my return.

Footnote:

Arrived safely now waiting for Sky Blue City to wake up!

 

Dementia: Early Morning Update

 

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3.00 am

I have just put in a call to Single Point of Access requesting support in the morning to place Maureen in Ashgrove Care Home for a period of immediate respite.  This request will be on our social worker’s screen as soon as he switches on his computer this morning.

Maureen has been awake for about an hour totally refreshed after being asleep from early evening.  I crawled into bed around nine feeling exhausted after another day of trying to lift the spirits of someone who is frequently in despair.  She stood looking forlorn in the kitchen yesterday evening saying: ‘I’ve forgotten my name’.  This follows on from a comment the day before that she ‘couldn’t remember how to do anything’.

When I took Maureen a cup of tea this morning she thought I was her dad.  She told me I was her hero for taking her on such wonderful holidays to the Isle of Man: I have never been there!

It was a stroke of luck that I visited Ashgrove yesterday following positive reports on the place.  It is on our doorstep but I was aware that it had been in Special Measures so I had not darkened their door. I’m glad I did as the place has been transformed since I  visited Maureen’s uncle there at the end of last year and they have immediate avilability for respite.

If I don’t get some quality sleep soon I will keel over and any involvement in where Maureen is cared for will be out of my hands!

Footnote: My status changed at 4 am when Maureen added this to our shopping list on the whiteboard: ‘HONEY FOR GRANDAD’.

Dementia: Seeking Immediate Respite

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I now realise that the only way I’m going to ger some quality sleep is to be in a separate place to Maureen for a while.  It is now approaching 5.30 am and she has been up for an hour following on from  incidents earlier this morning.  Sleep interruption is becoming the norm  and I have almost forgotten what it is like to enjoy quality rest.

When I speak to our social worker later on I will be requesting immediate respite.  I  need some rest if I am to have the energy to be Maureen’s  Care Partner: sleep deprivation is torture for anyone.

Dementia: Six Days To Go

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There are now six days to go before Maureen and I move into Lindsey Hall Nursing Home. Today’s post is the start of the countdown to the next phase of our lives: I’m very excited about what lies ahead.

My focus has to remain om minimising distress as I attempt the very thing that someone with dementia fears – CHANGE.   I have to tread very carefully in the next six days as we approach the next phase of our lives.

I risked it yesterday afternoon by taking Maureen to visit our new home.  Her diatribe about carers opened the door to changing our domestic set up.  I told her that I had an idea how we could work together as Activity Organisers in a Holiday Home that was about to open.  Her immediate reaction was ‘she had lost her confidence and doubted her ability to be able to do anything’.

She was very circumspect as we walked the corridors of Lindsey Hall.  The place resembled a building site with all hands on deck to get the place ready for opening on Monday.  She made it clear that she didn’t like the place or support my suggestion in any way.  

As our moving date approaches there is lots’ to be done.  I will have to tread very carefully in the next few days to ensure a relatively smooth transition to our new abode.

 

 

Dementia: ‘Something’s Gotta Give’

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For the second morning in succession Maureen has woken shortly after midnight.  The accusations and the remonstrations continued for a while: she was threatening to report me to the police for keeping her here.  At one stage I thought she was going to hop it and hurriedly got my things together to trail her.

Later in the morning Maureen became very upset that none of her clothes felt comfortable or belonged to her.  I managed to ease her into bed for a short while but it wasn’t long before she was up again wandering about the house in a restless state.

It is fortunate I’m meeting Gary my social worker this morning, as we need to address Maureen’s current presentation.  I’m worn out and face Carer Burnout unless I can find some way of getting much needed rest.