Next stop, Everest?

Tim_

Registered User
Jan 23, 2012
4
0
About 5 and a half years ago, my Dad was reflecting on the quality of his life. He suggested that if he stopped taking the drugs he was on he would die in just a few months. He was making the point that modern medicine prevents nature taking its course. My Dad was pondering the reality that every year that he lived, his quality of life was slightly worse than the year before. He suggested that he had 5 years left before he thought life would not really be worth living.

Almost exactly 5 years later, in June 2011 he died. A massive heart attack, all over very quickly. A few weeks later my lovely mother in law died after a year long fight against Cancer. During that time she had all her faculties, and the last contact I had with her on the night she died, was to crack a joke that she laughed at. I know the carers of dementia sufferers would treasure such a memory.

Having read some of the heart rending stories on this site, I feel like saying ‘so far so good’.

My mother had bi-lateral hip surgery in October last year, and was just making forward progress in terms of re-habilitation, when she had a catastrophic health event on Boxing day – most probably a stroke (she had has TIAs in the past), but this is not yet certain. As a result she lost all mobility, she cannot stand, cannot take any steps, and cannot transfer. She cannot use a loo without considerable assistance including a hoist, and prefers to simply use the special pads provided. Her short term memory no longer exists.

She is scared, confused, proud and lost. She is well cared for, but her life is now horrible. She is not interested in watching TV, listening to the radio or reading books.
It feels like she is in a fog. She can grope her way towards you in order to engage with conversation, but can barely comprehend what you are saying and will quickly disengage. It is heart breaking. I know this is nothing new to people on this site. I spent much of this afternoon reading other peoples stories, and it was heart rending.

However, she has better days. My daughter spoke to her the other day, and said they had a proper conversation.

The mental health nurse has mentioned vascular dementia. My mother is 79.

Without Dad she seems to have lost the will to live. It seems optimistic to believe that she will get better. She would never want to live like this. It seems horrific to think that she is likely to slowly get worse.

I find myself reflecting on my fathers words.

I have read stories on this site of people caring for their dearly loved parents whose dementia is very advanced and whose bodies are slowly decaying. Is seems agonizing for all concerned.

I would not want this for my Mum. I am still hoping for miracles, but not really expecting them.

This has obviously all been quite stressful.

I am part of a big family. We do not agree on what to do with Mum’s flat, some want to clear it out to get rental income to help pay for care, others feel it is too early. We should probably enact (or whatever you do) Power of Attorney. I am one of the Attorneys. Mum does not want us to do this – some feel we should respect her wishes, some feel we need to accept that this is all irreversible, and we need to take control so that we can plan for the future properly. She has always wanted to keep her financial affairs confidential, and has made many contradictory remarks over the years (either having no money, or having plenty). She is clearly already disengaged, but there seems to me no need to force the issue, and she will probably volunteer when we do Dad’s probate (still not done).

If we siblings are not careful we will fall out over silly detail. I feel we are about to cross a huge mountain range of strife, we are in the foothills, we need to complete it as a team, but already, I want to hit one of my brothers, who seems to have a problem listening to anything I say, and will do what he thinks is right regardless of the pain and anguish it is causing others. Another has mentioned that he has cleared some detritus out from Mum’s flat – I want to scream STOP! It is all too much too fast. When challenged they argue. It is very tiring.

My Mum was vibrant and wonderful. I am mourning already. :mad:
End of day 28.
 

Nan2seven

Registered User
Apr 11, 2009
2,525
0
Dorset
Dear Tim,

Welcome to Talking Point. Your post was very moving.

I am assuming that your dear mum is still in hospital. It would seem to me that she will be discharged to a care home rather than to her own home if there is no-one else there to look after her. Have you been asked to begin looking at local care homes?

Your description of your mother's illness sounds very similar to my husband's, in that he too had a massive stroke in December 2007 and although unaffected physically, he did not leave hospital until the following February - and only then because my eldest son and I pushed for it. Her "fog" is an apt description, and her unwillingness to read, watch TV, etc. sound very familiar. He was diagnosed eventually with vascular dementia.

I have no experience of Power of Attorney so cannot help there. Things do sound difficult, though, with your family. Perhaps you could arrange a semi-formal meeting with someone to "sit in" and adjudicate a little. An older relative, perhaps?

I was pleased to hear that your daughter had a proper conversation with your mum recently. This can and does happen with vascular dementia. Some days are bleak and sad, others can be cheerful and chatty. My husband used to have occasional fully lucid periods of up to 30 mins when he was just as he had been pre-dementia - and then the curtain would fall again. I hope this will happen for you on a regular basis with your mum.

Do keep posting and let us know how things are progressing.

Love, Nan XXX
 

PurpleJay

Registered User
Nov 2, 2011
169
0
Derbyshire
Tim

Much of what you describe is similar to how my mum now is and I really feel for you. My mum has vascular dementia which was only diagnosed in Sept 11 after a rapid deterioration in her mental health. Her physical health had been deteriorating for a few months and she had lost a lot of weight and stopped eating. She went off her legs following a uti in august when she was admitted to hospital. She has needed 1 or 2 to mobilise and now has another uti and needed hoisting today for the first time.

She spends much of her time tearful, anxious, aggitated although the meds are helping and being closely monitored and she is now more settled and is building a rapport with the staff. The way you describe how your mum feels and how she interacts with you is my mum exactly. Mum is angry and frustrated at her circumstances, her imobility, her confusion, poor memory and the fact that she isn't being allowed to go home and 'manage'. She cannot concentrate on anything like reading or watching tv, anything which would help pass the time. She has said she wants to die. Once every couple of weeks we have a really good visit and have a proper chat before she drifts off again. I cherish these times now as mostly she doesn't know where she is. It is like a living hell.

It is hard to know what to do with mums things so for now, I have had a general tidy round and mostly left things as they are. Mum has lived with us for 2 years but had her own accommodation so there is no rush to do anything with it really, especially as she can continue to contribute towards the bills. We though when we bought the house with mum that after she was gone we might get a lodger or do corporate lets to help with the overheads of a bigger house than we can really afford to run, but that just doesn't feel right while she is still here. I always thought I would be able to look after her. I know others that have needed to rent out properties to cover care home fees. Luckily, in our case, we don't have to worry about that as mum has continuous care funding.

I hope things don't get to out of hand with your family. For me, I am an only child so there are no siblings or relatives to fall out with which you could say is a blessing but I often wish I were not facing this alone.

Thinking of you. These boards have been a great source of support to me and a great resource. Everyone is very kind. Please keep posting.

Jane x
 
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Butter

Registered User
Jan 19, 2012
6,737
0
NeverNeverLand
Welcome

You have all my sympathy. One of the many difficult things is the whole business of siblings. I have tried to hold on to the thought that my father, my brother and I all love our mother. But we have totally different ways of dealing with it. My brother and my father have a agreed on a care home where I would not leave a dog. But then I never put our dogs in kennels. While my brother's dog spends half its life in kennels. And I am not suggesting my brother does not care for his dog.
My brother visits my mother and emails to tell me how happy she is. While my experience is that she is having terrifying hallucinations and is in pain a lot of the time ..... I think we should try to accept these gulfs within the family as we muddle through doing our individual bests.
Of course I so hope you do not face a long and agonising decline .... my poor husband has mixed dementia and is fighting to die running, as it were, .... surely that is what we all want
 

Tim_

Registered User
Jan 23, 2012
4
0
Mum was in hospital for 6 weeks after her operation. She then went into an awful nursing home for intermediate care (phisio to get you back on your feet), she made very poor progress. She then returned home with carers 4 times a day and we arranged private phisio support. After her suspected stroke, she went into a great nursing home, where they really tried hard to turn her around, but have pretty much told us that will not happen. This was always time limited, and we need to move her into a new nursing home within the next 3 weeks. This is likely to be long term.

It is still early days. I still have hope that things might improve yet.

My siblings are fundamentally good people. We are all struggling with how to deal with things. I have no doubt they find me equally frustrating. We will either emerge closer than we have ever been in the past, having found ways to compromise and work as a team, or we will have to cope with the extra hassle of disagreement. I hope we can achieve the former.

One of the things we have learned already, is make no assumptions. Confirm who is doing what - particularly when dealing with health professionals:

My Mum is on the border between two health authorities, sometimes services are provided based on where her GP is, sometimes it is driven by postcode, this has caused some confusion and delays;​

When she moved back into the flat, we did not realise that the carers / health proffessionals were not looking after her medication, and that this was a family responsibility. She was taking pills all the time, but no one was checking her medication was right. She was not taking all the drugs she had been prescribed.​

If your loved one is at home, and lacks mobility, make sure they are not lying on a normal bed or reclining chair for excessive time, without ensuring that they have equipment to avoid thrombosis. If they are in a nursing home or hospital, they will have special seats / matressess that inflate and deflate constantly in different areas to keep blood flowing.​

With the benefit of hindsight, one cannot help thinking that we might have been able to do something that migh have avoided the (suspected) stroke. There are bouund to be lots of other things that we did not even spot. However there is not use crying over spilt milk. We can never know for certain if any of these things were significant, and need to focus on the things we can do in the future (but you might pay slightly more attention if your loved one is going through something similar).

Finding a good nursing home is the next priority.
 

Tim_

Registered User
Jan 23, 2012
4
0
I feel I might have jumped the gun a bit. 2 nights in succession of engaged conversation. I have tried leaving work earlier so that she is not so tired (she goes to sleep at about 7.30pm). :)

Still need to find that home.....
 

piedwarbler

Registered User
Aug 3, 2010
7,189
0
South Ribble
I feel I might have jumped the gun a bit. 2 nights in succession of engaged conversation. I have tried leaving work earlier so that she is not so tired (she goes to sleep at about 7.30pm). :)

Still need to find that home.....
Pleased you had a better visit today, Tim.
Welcome to TP. Your OP was moving. I hope your mum manages to have some good quality of life. I can identify with much of what you say.
There are advice sheets on this site about finding a care home. Good luck - keep posting. X
 

Tim_

Registered User
Jan 23, 2012
4
0
....and another thing: I am reading 'All Hell Let Looose' at the moment. It is describing in an amazing way the privations and horror of the WWII. Reading that has made me realise just how lucky we all are! It pays to keep a sense of perspective, even when things feel so bleak.

Thanks to everyone who has replied too. I will look for that advice....
 
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Nan2seven

Registered User
Apr 11, 2009
2,525
0
Dorset
Dear Tim,

I was so glad to read your latest post, about having had proper conversations with your dear mum for two evenings on the trot. That is such good news. And yes, the time of day and/or the need for sleep do figure prominently in this.

Are you having to look for a nursing home without any input from Social Services? If so, there is a directory of care homes published by I don't know who, I'm afraid, but I was given a copy by our local Alzheimer's Society representative and found it very helpful. You could try ringing your local branch of the AS and seeing if they have one or could tell you where to get one.

Love, Nan XXX
 

pippin_fort

Registered User
Sep 8, 2010
48
0
Well all I can say is that if you Mum set up a POA in the first place she will have thought the matter through when she was lucid. In which case I would ask for a meeting with her specialist team of mental health carer's. If no such team exists use the GP. Someone needs to confirm that you should apply to have the POA validated by the Court of Protection.This takes a couple of months in any event, by which time you as a family will have noticed more changes probably. You will only be undertaking your mother's wishes when she knew what she was doing. The awful thing about this terrible illness is that the person with Dementia will probably try to hide asny problems in the initial stages. Both my parents had and now only one has Dementia. I think I have been through most things now. The best thing that I ever did for my father though was to ask his permission to help him eyeball to eyeball and then ask him for the original paperwork to take to the Solicitors. I then took him when the paperwork was signed to make him feel involved. It is the best decision I ever made as I subsequently discovered that there was was money going out all over the place and saved him a fortune. Please let your siblings see this post. If anyone is concerned let them post me. On the flat issue, perhaps you need to be realistic and let the place go. I am still trying to sell my Dad's flat which is beautiful, but only for the right person. Those with Dementia often need more specialist care. It is not always found in overpriced care homes. My father is now in the best place for him, close to me and although I am totally devastated to see him the way he is I know he is in the right place. Much love.