Tag Archives: Distress

Dementia: Seeking Help

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I have never seen Maureen as frightened as she was yesterday.  It was a while before she told me that ‘she didn’t know me and was frightened about being locked in the house’.   I think there is a distinct possibility that she has become distressed by witnessing our back garden becoming a building site.  Her comments about ‘two heads being better than one and not being consulted on the plans for our Sun Room’ are revealing and justified.

I was warned that embarking on a building project was a risky venture.  Our builders are now in their 5th week of being on site and could well be here for a similar amount of time.   They are dementia friendly and very happy to work with us to minimise Maureen’s distress as well as achieving a positive outcome.

The graphic below accompanies a recent article by Leeanne Chames who stresses the importance of carers reaching out for help.  I began that process yesterday seeking advice from Admiral Nursing and the Alzheimer’s Society on how we might make the best use of our extended home.  I will also seek guidance from our Key Worker this afternoon on how we could go about reviewing my approach to supporting Maureen.

The irony about Maureen’s distress yesterday that she currently remains asleep in the marital bed.  She climbed in beside me shortly after midnight and she has never been the sort of person who would sleep with strangers.  The more I witness changes in Maureen’s behaviour the less I understand what is actually behind her presentation!

 

Dementia: You’re Never Alone Here

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One of the advantages of living in North East Lincolnshire is that support is available 24/7 and I certainly needed it at 2 am this morning.  Maureen had already woken twice: at midnight searching for shoes that had been stolen, and an hour later trying to find her missing blanket.  By 2 am she was demanding to be let out as she was being kept here against her will.

Once outside she sought help by knocking on doors and shouting for help as she walked around the local area.  My call on my mobile to Single Point Of Access led to an assurance that help would be on its way as soon as it was available.

Maureen continued on her journey announcing to all and sundry that she was ‘being followed by a pervert’.  She was telling me in no uncertain manner that ‘I had problems with my head’.  I tried all I knew to get Maureen to go back home but as they say ‘she was having none of it ‘.  Then I spotted Jack a young man smoking at the side of his car and summoned his help.

Once I had explained the situation to Jack he introduced himself to Maureen and attempted to guide her back home.   I walked behind them for some time keeping a safe distance.  Then I received a call from Roving Night Carers from our Agency that they had us on their radar.  When they drew up  Maureen was hostile towards them and resisted their offer of a lift back home.   This gave me an opportunity to intervene; so I crossed the road said ‘hello Maureen’ and took her hand.   She seemed very relieved to see me and happy to escape from the ‘two nosy women who were asking her questions’.  The RNC trailed us in their car until Maureen was safely back home again.  However, once we were back in the house I was back to being this guy who messes with her life.

At 7 am Maureen woke up and greeted me with ‘hello Granddad’.  I think she thought I was ‘John-Willy’ as her maternal grandmother often called her husband.   I saw no point in challenging her reality and asking if he was ever known as Jack but I am very grateful to the stranger with that name who was so helpful last night!

 

Dementia: ‘Take Your Time’

This song from Buddy Holly came to mind when Maureen woke today at 4.30am:

Maureen’s early morning presentation gave me hope that my dear wife had come back. She had made her way up to the marital bedroom last night as I lay fast asleep downstairs.  When I met her on the landing this morning she had fresh clothing in hand and I wondered if this might be the day she would ‘get them off.’  Half an hour later reality struck and Mrs Dementia was at full throttle and I realised she would probably spend another day in her PJ’s.

As I sat typing in our Box Room Maureen was a partition wall away waxing lyrical about my wicked deeds.  Her reality was that I must be involved in some sort of game where I took her to a strange place against her will.  It is one of those occasions when I will need to take cover and left her to rant.  It wass not in my interest to absorb her vitriol

Thankfully, Girl Monday and Wednesday will be here in a few hours.  That will give me a couple of hours to myself where I can mix with other people who might share something of my reality.

This one from Frank Sinatra seems an appropriate way to close this post::

We all have to tread very warily now when we are attempting to encourage Maureen to engage in personal care to avoid being accused of assault, or even worse in my case.   It is imperative that I keep Buddy’s and Frank’s words firmly in mind as Maureen’s reality can change at the drop of a hat with my status moving from hero to below zero!

Update: I’d got it wrong it’s a Girl we haven’t seen for a while this morning and Maureen’s giving her a hard time.  I’m going to pop to Alderlea Care Home to explore the possibilities for Day Care along with a hairdressing appointment.

Dementia: Tying Up Loose Ends

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Things went relatively well yesterday as I tied up a few loose ends:

  • I tidied up the layout of my Blog to make it more user-friendly.
  • I contacted the Agency of New Girl/Sat and Sun to praise her work.
  • I inducted New Girl Mon/Weds who settled in well.
  • I met my Admiral Nurse for support and requested a rethink over the availability of my Support Worker from the Alzheimer’s Society.
  • I confirmed with my lawyers that matters were in hand over the application for Deputyship under the Court of Protection.
  • I organised a weekend break in August with Maureen being cared for in our home.

There is no doubt that Maureen’s presentation is becoming more challenging.  When she woke yesterday morning she was keen to go to school.  She told me how boys made life difficult for the girls as they were so noisy and chased them around the playground.  A short while later she was attempting to leave the house with a bundle of clothes under her arm on her way home.  My status can change within minutes from a relative, rarely her husband, to someone who works in this Care Home.  As Maureen fear of men along with her confusion about who I am has become more prevalent it is clearly safer for ‘The Girls’ to try to encourage her to engage in personal care and change out of those PJ’s!

 

Dementia: Heads Up Pays Off

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My ad-hoc induction of a new carer paid off yesterday, as on my return from the Leisure Centre Maureen was keen to introduce me to ‘the new lady’.  The new kid on the block had thanked me earlier for giving her a ‘Heads Up’ on Maureen, as on her arrival she knew nothing about us.  This was very disappointing as her Agency had agreed on Friday to provide her with a ‘Heads Up’ on Maureen.  It seems likely that I will need to be prepared to do the same on Monday when there will be another new lady sitting with Maureen.

One of the things I need to give myself an ongoing Heads Up on is that Maureen’s short-term memory is barely functioning at the moment.  The positive conversation about changing clothing that was so was well received in the early hours of Saturday was forgotten and rejected by lunchtime.  Our plans to listen to UB40 together suffered a more serious fate.

Maureen was asleep on the sofa as UB40 were about to begin their performance.  When I  woke her and reminded me of our date she encouraged me to go by myself as she was tired.  Taking her advice I drove a short distance to join fans who were happy to sing along on the perimeter of Meridian Point but reluctant to fork out the £35 entrance fee.

When I returned home Maureen was still fast asleep and appeared at our patio doors as I was listening to UB40’s encore from our garden:

I encouraged Maureen to join me in the garden hoping for a dance to remind us of that lovely night over 25 years ago when we saw UB40 together at the NEC.  She told me in Anglo Saxon ‘to go away’ as ‘I had not woken her to see the concert and listen to the music’.

The Heads Up on all of this is that Maureen’s short-term memory is not what it was. There would have been no point in telling her that Ali Campbell was no longer with the Band and arguing about whether I had tried to get her to accompany me on a short trip down the road to listen to the concert.

Maureen is in floods of tears as I draw this post to a conclusion because: ‘they have gone out in my car again and not taken me with them’.  Dementia has brought out into the open Maureen’s feelings about people taking advantage of her and treated her unfairly.  It wouldn’t take anyone who knows her life history very long to work out the probable sources of such feelings.

Dementia: ‘Just Go For It!’

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Girl Tuesday afternoon, now also Our Night Sitter (ONS) arrived last night on schedule at 10 pm for the beginning of her shift.  Maureen was asleep on the couch when she arrived so I let her in and hot-footed it upstairs to bed.  It took a while to get to sleep with Craig David mid set at Meridian Show Ground.  My rest was fitful and I awoke several times to relieve myself: I must return to taking that homeopathic remedy to reduce my night time trips to the bathroom.

I ventured downstairs around four to see if a mug of chamomile tea would help me get further rest.  When I checked on Maureen, I found her awake and distressed.  She had returned to a theme of the previous day of: ‘people wanting her to dress up in rags’.  She told me she was ‘so pleased to see me’.  After listening for quite some time to her concern about ‘being bullied into wearing inappropriate clothing’  I managed to ease her upstairs with the promise of a cup of tea.

Once we were in our bedroom I found clothing in her wardrobe that could be worn today.  She was so relieved that there was something to wear and she ‘didn’t have to follow the other students and dress up in rags’.

Whilst lying on the bed  Maureen waxed lyrical about her days at High School where her feelings about being different to other people were highlighted. This is a familiar theme of ‘not feeling as good as the other pupils because her parents didn’t have much money’.  It took a while to shift her thinking and accept that she didn’t always have to play by the rules and could be her own mistress.

There is no doubt that playing some of our old favourites via YouTube on my mobile played a significant part in elevating her mood.  She also seemed excited by the prospect of UB40  serenading us in our back garden from 9 pm tonight:

We would have been at Meridian Showground ourselves tonight if UB40 hadn’t split up.  In my view, Ali Campbell is the voice of UB 40 and his brother Donald can never replace him.

My early morning antics have tired Maureen out and by 6 am she told me she needed further sleep.  I sent ONS home a couple of hours early once the kettle was boiling.  She left with a smile on her face before giving me a wink and telling me to ‘just go for it’.  I certainly did and I have no idea what will happen when Maureen wakes or what she will decide to wear today!

 

Dementia: Special Measures

 

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On Thursday things went from bad to worse as the day progressed:

  •  Girl Thursday advised me it was her last shift as she needed to change her working hours.
  • The Alzheimer’s Society told me that I would no longer be able to access my Support Worker as we did not fit into their Pathway.
  • Maureen presentation became more challenging and it became difficult to persuade her to remain in the house.
  • Maureen was reluctant to cooperate with a Duty Worker from Focus Adult Social Care and told her to ‘get out of my house’.

The Duty Worker and I agreed that the option of a Respite Break where Maureen would be placed in a Care Home would not be in Maureen’s Best Interests.  We were both reluctant to chance going down a slippery path that could lead to Maureen becoming a permanent resident of a Care Home.  Fortunately, I managed to buy some time on our options by engaging a Night Sitter (Girl Tuesday Afternoon) who I booked from 9 pm until 7 am.

Sleep came easily to me once I hit the pillow shortly after the arrival of Girl Thursday Night.  Three hours later I awoke for a toilet break and checked on proceeding downstairs to find Maureen awake and in a combative mood.  However, feeling refreshed I managed to ease GTN out of the firing line to explore her availability for the next few days.

I now have a Holding Position for the next few days with some ‘Special Measures’ in place and some aspirations pending.  They reflect the decision of the Best Interest Meeting with Maureen staying at home along with some additional support:

  • GTN has been booked for Night Sits tonight and the following Monday, Wednesday and Friday.
  •  I will request an induction process for two new carers who will cover four shifts next week.
  • I will explore if it is possible for the support I have been receiving from the Alzheimer’s Society to continue while we are in Special Measures.

I hope that Girl Friday is able to work her magic this morning and become ‘Maureen’s hairdresser’ once again.  She has been on holiday for three weeks and I’m optimistic there will not be any hangover from her last when Maureen ordered her out of the house because she suspected we were having an affair!

 

Dementia: SOS

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I sent up the distress flares by contacting Single Point of Access at 5.30 this morning with a request for a return phone call from Focus Adult Social Care.  A challenging evening led to a dreadful night with little sleep.  The dawn chorus from Maureen continued her incessant late night ranting:  her theme of being ‘abused, let down and frustrated by the behaviour of others now and throughout her life’  has continued unabated.

No matter what I’ve tried I have failed to distract and redirect Maureen from her current focus on always being ordered about and encouraged to take part in pointless activities.  This is clearly not the time to persevere with suggestions about showering or personal care.  A mug, thankfully empty, was hurled in my direction yesterday when I suggested she could consider stepping out of her PJ’s for the first time in over a fortnight.

I’m keeping my fingers crossed on three fronts this morning.  Firstly, I’m hoping that the Duty Worker from Focus will return my call and make a supportive visit to discuss options for additional support.  Secondly, that Girl Thursday is back on duty after a period of sickness and a familiar face will help Maureen to settle down.  Thirdly, when Girl Friday (Maureen’s hairdresser) returns from holiday tomorrow she might be able to nudge Maureen into the shower cubicle.

Yesterday, I was hoping that my Dancing Queen would let me lead on this ‘dance with dementia’.  This morning, I need other partners to help me to change the music and slow things down for a little while.

 

Dementia: Enough Is Enough

Our builders knew that a storm was on the way yesterday and adjusted their plans accordingly.  They knew it would be pointless trying to lay bricks and sought safer ground to prevent being washed out on site.  If only I had such a luxury as a Care Partner and knew what lay ahead each day and could plan accordingly.

We had a lovely start to yesterday with an early morning call at the Spa Stores followed by a trip to a nearby farm to collect eggs.  Following breakfast, we ventured to Aldi and on to Freeman Stree Market to stock up on fruit and vegetables.  Once we arrived home the clouds descended and the storm broke over Maureen’s footwear as I had ‘stolen her shoes’.  The abuse connected with my felony continued until Girl Tuesday afternoon took over the reins as I escaped the downpour.

‘The weather’ in the evening cleared a little leading to a fine spell following haddock and potato wedges: my Tuesday Special.  Things brightened up even further with a warm spell following apricots and ice cream.  Then the clouds gathered before the storm broke following my encouragement to bring a new toothbrush into action as darkness descended upon us.  As the rain poured down I took shelter in the back bedroom to escape the torrent of abuse from Maureen about my expectation that she would join me in bed.

I’m struggling to make sense of the forecast this morning.  Maureen’s presentation is bewildering as she ‘has to make some clothes for a carnival’: apparently, something she is not good at.  I have tried to change her focus for over an hour but she is overwhelmed by her inadequacies on all sorts of fronts.

I would suspect that ‘the weather’ is going to be changeable today and I’m hoping for some brighter spells.  The builders will shortly be firming up the foundations for our extension. I hope I have laid the foundations for our morning by putting Maureen’s dancing gear on the bed.  I’m just wondering after tripping the light fantastic in the kitchen whether we could make it see our friends at Social Dancing this morning. ‘Enough Is Enough’ of the old regime it’s time to try something different.  How lovely it would be to take my Dancing Queen in hold this morning:

 

Dementia: ‘Bless Her’

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I would gamble that if I mentioned Maureen’s behaviour this morning the locals would say ‘bless her’.  However, being woken just after midnight is not something I’m exceptionally pleased about along with being told  I’m a ‘nasty, horrible man’.  My sleepy response to her question about ‘where are the others’ led to increased vitriol.   When I suggested that she lay down in beside me in bed her response is probably best not repeated.

Once I followed Maureen downstairs she was in fits of laughter as she sang:

I wouldn’t be at all surprised if there isn’t a medical term for her early morning presentation and a tablet for it.  Maureen sang a few others numbers before she lay down on the sofa and went back to sleep.

My response to blood-curdling cries at 4 am were a little more conservative than my earlier attempts to console Maureen.   She had woken up feeling dizzy and scared.  My presence seemed to have a calming effect and she went on to aplogise for waking me as she was aware ‘that it would upset my wife’.  Then I risked it by confirming that Maureen’s mum was dead when she pleaded with me to tell her the truth.

A little later, when I tried to distract and redirect Maureen I was surprised by her response.  I had moved the conversation on to what to buy her for her birthday on the 26th of this month and she said ‘you have already given me my present by telling me the truth about my mum’.   She went on to tell me that she was fed up with people not answering her questions because they didn’t think she could cope with the truth.

I have decided to gently take Maureen up on her request to tell her the truth and see where it leads.  To an extent, I feel there is little to lose providing I do it in a way that attempts to minimise distress.  Unfortunately, my first shot on this front has not gone well when I suggested that Maureen sometimes ‘forgets’ to take her tablets it was greeted with abject denial.

The next ‘truth issue’ has to be personal care: once again I will attempt to nudge Maureen into taking a shower and changing her clothes this morning.  If words don’t do the trick I will pluck up the courage to spill a glass of water down her.  What else would be expected of a nasty, horrible man in the circumstances?  I’m not sure if the locals will continue to bless her if she continues to walk the streets in PJ’s that remain inside out and have become rather shabby after being worn for two weeks!