My partner has mild-mod dementia, but the lead up to his diagnosis meant we missed out on hols for a couple of years. Things having 'settled(!)' after diagnosis, I was keen to get a couple of holidays, which we did - BUT, my partner experienced disturbed nights where he appeared to act out dreams - to the extent of going out into the corridor, locking himself in the bathroom and then being unable to get out - and being very cross I had locked him in!- illogical conversations etc. Seems funny now, but scary (I thought he had wondered off at 2am at one point) and tiring at the time. It almost ruined our holiday, and I'm thinking what it's best to do. Not going on holiday at all is an option of course, but my holidays are precious and I'm not giving up yet. Any thoughts on what we can do to make it easier for him?
Does any one else out there feel as I do, that some of this is him trying to get his own way on holiday? 2 holidays were disrupted, but the one which proved most difficult was 'my' holiday. He was much more prepared to overcome the problems on the other holiday which was more what he wanted to do.
He is on memantine and takes it at night, as it makes him so sleepy - anyone else have experience of this?
Thanks for reading this.[/QUOTE
Hi Chrystle
My OH was diagnosed in 2017 but I have seen this coming since 2011 when we did an around the world trip. In 2011 it was little things I noticed, that were different or unusual behaviour which made me wonder if he was headed towards dementia - his mom and several of his uncles/aunts had it so while I wasn't looking for it, being on holiday brought it out and made me aware of it.
Since 2011 we have been on a number of holidays and as his illness progressed, each one has become more challenging with the last one in Dec/Jan 2017/2018 -a 6 week holiday travelling from the UK to Australia for 6 weeks to see our daughter. Judging by previous holidays I realised that it was now or never as our travelling days were coming to an end.
Issues which appeared as the illness progressed:
- 2011, constantly wanting to be told/reminded of where we were going, when, how etc. Had given him an itinerary of the trip with all the detail (set out clearly) but did not refer to it or said it was confusing - wanted constant reassurance about where we were going, how long we were going to stay etal. I did nearly all the driving as it was obvious that he was more nervous than usual when he was unsure of where he was and I needed to tell him repeatedly every few minutes (on the 2 times he did drive) where we were headed, how long it would take, where we were turning etc.
- In 2013 went to Ireland, more issues like previous trips but in addition he woke at night seeing 'people' in our room, needing to make sure he did not get lost when we were out and again I did all the driving
- In the following years did some trips, but in 2016 I decided we should go to Canada to visit my family and his brother as I did not think he would be able to go again as even though we did not have a diagnosis I knew. It was increasingly obvious that his sense of direction no longer worked, his ability to remember any information for any period of time was extremely poor, he was very nervous of staying anywhere by himself - I left him for 3 nights in the care of his brother (OH stayed in a B&B), I stayed with him the 1st night and the last night, but made sure his brother collected him in the morning and brought him back in the evening of the 3 nights in the middle, making sure he got into the flat and knew where everything was before he left.
- Our final trip in 2017/2018 - would have been impossible without the fact that we stayed with our daughter so it did not fall entirely on me to look after her father. It was a good trip, was glad we did it but can't say it was truly a 'holiday' for me. It also made me realise that 6 weeks was too long, it would have been better to just do 4 as while he was confused, the final 2 weeks were the worst and he became more and more confused each day. I thought the longer he stayed the more he would settle, but that was not the case - in fact, quite the opposite happened.
- This year, my OH does not yet know it but he is going on holiday at the end of August for 7 days!! I happened by chance to come across an advertisement for a holiday for disabled - when I looked into it I found the organiser had been doing these for 20 years, lived near us and was happy to take OH - without me! OH will have an able bodied male companion who will take sole charge of OH and look after him day and night. This will give OH something he enjoys (or always used to anyway), he already thinks he is travelling somewhere all the time, and the bonus is I get 7 days at home without OH - bliss!
- I on the other hand will be going away for 3 nights next week leaving our 3 adult children in charge of their father. - they do know sort of what they are getting into, but I suspect they may have a better understanding of what I live with day in day out - I don't think I will be able to do this again and believe next time I need a break I will have to find either respite for OH or get someone (company) to live-in while I take a break. My mom is 93 and my older sister has terminal cancer so I know over the next year or two I will have to go back 'home' (overseas), so will definitely need OH to be looked after while I am gone - he won't be able to come along and I could not expect the kids to look after their father for more than a few days.
We have had more holidays than I described above, but what it demonstrates is a decline which has now lead to separate holiday's and eventually (this year?) OH will not be going at all. Part of a holiday is to rest and recuperate but travelling with someone that has dementia and especially as the illness progresses, there is less rest and little recuperation in particular for the carer - and is certainly confusing for the OH and hence stressful for him - I noticed with each holiday this has become worse!
What would help - definitely travelling with someone else to assist, especially at airports and on flights. OH got lost in Sydney Airport when we arrived - I was collecting our bags, he was right near me, picked up a bag turn around and he was no where to be seen! A tracker on the phone, or other device that works in the country / area you are travelling to would be useful - peace of mind even if you don't have to use it.
Your idea of familiarising him with where you are going is a good idea but as you say - may or may not work. He is likely to be much more agitated while you are away - keeping him occupied with lots of activities is good, but he will also (in all likelihood) get tired before you do and I have found if my OH is overtired/over stimulated, then he doesn't sleep well either. You may need to do less sightseeing or activities than you might have done in the past.
I only tell my OH information on a need to know basis or he will be up early and packing every day until the day of the trip - he is already doing this and he is not aware that we are going anywhere! He does not recognise our home of 35 years as our home and is currently 'working' and wants to complete the job so he can go 'home' which he thinks is in England, but we are in a different country! He travelled internationally a lot with his employment and now thinks he is 'working' - the current obsession!
Anyway - good luck, hope you enjoy your holiday - do ask if there is anything specific you want to know.