All advice welcome

Martc11

Registered User
Jan 22, 2010
5
0
Southend-on-Sea
Hi everyone. Where to start.....that's the question?

My name's Martin and I'm 45, married with two girls (14 and 10). My Dad was diagnosed with Alzheimer's around 6 years ago. Close family had noticed gradual changes in his behaviour and small, but noticable (sometimes dangerous) errors of judgement were creeping into everyday life.

Once diagnosed, progression of the disease has been fairly gradual in my opinion; that is up until the last 12 months.

A little bit of background: Dad is now 81. Mum is 9 years younger and has always been young for her age. I'm one of three brothers. I live in Essex - moved here 13 years ago - whereas the rest of my family live in the West Midlands.

Mum has always tended to confide in me more than the others. It's just the way it is and has always been. So I've tended to hear of the difficulties and issues first hand whereas at times, my brothers have relied on me to ensure they're kept up to date.

I have tried to step in from time to time, suggesting Mum seek support of qualified nurses or carers, as even from a distance, I notice how her mood and quality of life are being affected. In the Summer, they went on holiday with friends but barely emerged from the hotel room as Dad didn't feel able to leave the room and was doubly incontinent on a few occasions. It was no holiday for them at all.

Me and my family were on holiday at the same time, cruelly cut short after only 3 days by the death of my Mother-in-law. So we came home early and in between assisting with funeral arrangements and generally coming to terms with our loss, I spoke with Mum's surgery and arranged for an Alzheimer's nurse to contact Mum when she came back off holiday with a view to calling in to see her and assess the situation.

Well, Mum being Mum - very proud, very loyal to her vows ('til death do us part)- was scared that the nurses intervention would take Dad away and that Dad wouldn't survive without seeing her. Mum only has to leave the room for a minute or two and Dad goes in search for the comfort of seeing she's still there; notwithstanding the fact that most mornings now, when he wakes he thinks he's in a Guest House, doesn't even recognise Mum and asks where his Mum and Dad are.

So months passed by with Mum having only spoken with the Nurse over the phone, refusing immediate support but wanting to see how things progressed now they were back home. Still the calls to me continued when she was down or upset with something and I've increasingly been put on the phone to provide support by reassuring Dad over certain concerns he might have at any one time, over where he is and simple things that most of us take for granted.

I had arranged to drive up to collect Mum and Dad for Christmas so that Mum in particular could put her feet up for a week and I could do my bit. But leading up to Christmas, Dad's incontinence got worse and seeking advice from the GP, Mum decided it wasn't wise to take him out of his surroundings and she didn't want their grandchildren to see Grandad lose control of his bladder or bowels. However, on the plus side she finally agreed that she needed help and she saw the Alzheimer's nurse at the beginning of December, agreeing that it would be best if Dad spent a few hours, 3 times a week, in special care facilities so that he could engage more with others and affording Mum some respite.

So instead of bringing them down to Essex for Christmas, we arranged to drive up to them and stay in a local hotel so as not to put extra pressure on Mum and confuse Dad in terms of who these other people are in his house. But the weather scuppered our plans and I've been unable to get up there due to work and other issues since.

From time to time, the anxious calls from Mum come through and we're now well into the second half of January and there hasn't been any contact from the Nurse. I appreciate they must be really busy but I think it's become rather urgent for Mum and she needs professional support now - a legacy of leaving it so late to seek help. I worry about her health because if anything happens to Mum due to the stressful situation, Dad will be lost without her.

And all the time, I feel guilt for moving away all those years ago and not being able to be on their doorstep within ten minutes. Mum mentions it sometimes in bitter moments - she has 3 sons and even those close don't or are unable to do much. Both work - one very long hours; the other doesn't drive and can't be available to help as one might expect.

Tonight, Mum called me sounding very distressed. They were going next door to have a quiet get together in celebration of a neighbour's birthday. Neighbours have been great for Mum and included both her and Dad in as much as possible. Mum called Dad to go upstairs to use the toilet and get changed. There was no reply and when she went downstairs the front door was open and he was nowhere to be seen.

Thankfully he eventually returned, but when asked where he'd been, he said he had to find a toilet down the road as he was desperate. No-one knows where he's been but Mum's concern is that there were children playing football outside. You can imagine her concern in terms of the perception of others who might be unaware of his condition.

She wanted me to speak with Dad to tell him he can't do that so in the best possible, firm but kind way, I told him he must use the bathroom and can't go to the toilet in public (if indeed that's what he did). But when I spoke to Mum afterwards, she was angry and frustrated that I didn't say more and she could tell by Dad's reaction and response that I wasn't firm enough. To be honest, I don't think it would help if I started ranting down the phone; I don't want to upset Dad or cause a moodswing and also I believe he forgets the content of conversation within seconds of coming off the phone. But this caused Mum to have a go at me and I got annoyed as I thought I'd done as much as I could under the circumstances.

We're close - we always have been and always will be. And although she is sometimes bitter about me not living closer and I am frustrated she didn't seek help earlier, we talked it out and I said I would contact the Nurse to see if respite would be available soon and for a general update.

That was the long way of getting around to the question, which is:

Is there anymore I can do, anyone I can contact for additional support or services to help Mum and Dad other than that the Nurse can provide?

I want to do as much as I can but it's so difficult not having had experience of this cruel disease.

If you've had the patience to read this far, thank you. It helps to get it all down in print; I just hope it makes sense.

Martin
 

Izzy

Volunteer Moderator
Aug 31, 2003
75,526
0
73
Dundee
Sorry if I can't be of much help. I just wondered if your dad visited a memory clinic or had a CPN - community psychiatric nurse. Sorry if you're post covered this, it's been a long day!! My mum who is 92 has fairly recently got a CPN and she is keeping a close eye on things. By the way, welcome to TP - I know there will be others more experienced than may who will be able to help you. Take care. Izzy x
 

BeckyJan

Registered User
Nov 28, 2005
18,971
0
Derbyshire
Hello Martin:

Well done for finding tp and welcome (sorry for the circumstances though!).

My husband is 80 and I am 11 yrs younger (they say too that I am young for my age!!;);)). I understand the agony your Mum is going through but at some time she will just have to 'let go' for her own health. I think you have done the right thing - in no way should you feel guilty for moving - both our daughters are 2+ hrs away.

Has your Mother had any contact with the local Alz. Society group? They should be a great support (some local groups are closing down but there should be some contact). I found the 'cafes' were very useful - just a meeting place for lunch/coffee where we had a chat with CPNs and similarly situated folk.

Re the incontinence, has your GP suggested an Incontinence Nurse? - there should be one attached to the surgery; it is so common your Mother should overcome her embarassment about it. Not easy I know!!

Is she interested in computers - would she follow the threads and posts here? It may make her feel less alone.

I am rambling now. Others may come along with ideas too.
Good luck
 

Martc11

Registered User
Jan 22, 2010
5
0
Southend-on-Sea
Thanks for your replies.

Izzy - Yes, Dad's been attending name removed by moderator Hospital, Dudley where he has his memory tested from time to time. He was put on a course of tablets to slow down the progression of the disease but we've reached that point I feel, where they make little or no difference and it's my guess that he'll be taken off them following his next visit and assessment.

BeckyJan - Mum hasn't had contact with local Alz. Society Groups. She has only just come to terms with the fact she needs support at all so it might be early days, although I wish she would speak to them as I feel she'd be pleasantly surprised at having the opportunity to speak with others in similar circumstances. Regarding the incontinence, I know that the surgery have supplied pads and sheets for Mum but I wasn't aware there was more specialist advice available so I'll ask when I speak to the surgery later this morning (if there's someone available - fingers crossed!). I know she would love to have a computer but would require training and guidance, at say a silver surfers club. But until she's afforded some reasonable respite, it remains a wish rather than something that can be planned. I think there would be huge benefits for her though.

Thanks again for taking the time to read and reply.
 
Last edited by a moderator:

eastanglia

Registered User
Aug 11, 2009
47
0
Hi Martin -

No advice but just to say I'm in a similar situation with my parents - we children trying to help as much as we can but my mother will not go along to carers support groups and is finding it so difficult to see her husband deteriorate with dementia. You've found this site and I know it will help you, if only reading other's posts so that you do not feel so alone with it all. I find it is better to take one day at a time - don't look too far ahead into the future. Having said that, we are now looking on the cqc site to see what respite homes are available near us and checking them out. That may be something that you could do for your mother?
 

Grannie G

Volunteer Moderator
Apr 3, 2006
82,567
0
Kent
Sorry Martin I`ve removed the name of the hospital to comply with our T&Cs.

There are so many similarities in our stories.

My son is your age with three children. I only have the one son. We too are very close.
My husband was diagnosed with Alzheimers in 2005.
Progression of my husband`s condition has been gradual until this year when it seems to have snowballed.
I am 10 years younger than my husband.

But it was my husband who refused help from outside agencies and it was only last year, April 2009 , that I was able to access help from an agency. It has improved the quality of my life and so the quality of my husbnd`s life without question.

This week my husband is in respite care and although I`m not happy about it, I recognize it as a necessity if I`m to keep my husband at home for as long as possible.

And this is what I advise you suggest to yout mother.

No one will take your father away from her. Their help will enable her to care the way she wishes for longer.
If she continues alone, her health will suffer and there is no knowing how it will all end.

What you can do from a distance is make the necessary phone calls to stress how much your mother needs help and how reticent she is about asking for it.
 

Martc11

Registered User
Jan 22, 2010
5
0
Southend-on-Sea
Thanks for your replies. East Anglia - I'm trying to avoid looking at the Care Home option for now as I know it would break Mum's heart. But if it comes to that, I will do all I can to make such a move as painless for her as possible.

And GG - thanks so much for your post. That's the sort of story I can share with Mum over the phone to demonstrate that she's not alone and that quality of life can improve if support is embraced.

Apologies for breaching T&Cs - I wasn't thinking.
 

DozyDoris

Registered User
Jan 27, 2009
395
0
Suffolk
Hi Martin

I think my Mum is finding it hard to come to terms with it all too. She has finally agreed now to come along to support groups but it has taken some time to get that far. We are working on building an annex for mum and dad to come live with us. (Dad has AD) which will make life much easier, well sort of anyway but it is a massive downsize for them so Mum's not sure about it all. This place is such a great support for me at least. :eek:
 

Winnie Kjaer

Account Closed
Aug 14, 2009
2,011
0
Devon
Hello Martin, It is not clear from your post whether your mother has had a carers assessment nor whether your father has had his assessment. It is done through SS and they will endeavour to give them whatever support necessary. Do you have a carers link in your area, if you become a member (free) you will get lots of support and 3 hours free sitting service per week. You don't have to take it weekly but can use the hours as you like within the particular quarter. There is a lot of help out there, but you need to be willing to ask for it and receive it. Hope your mother will soon understand that she cannot go on by herself.
Do not feel guilty for moving on, I moved to another continent but still managed to care for my mother throughout her illness and particularly her final months. Everybody has their own life to develop.. Take care
 

timthumb

Registered User
Dec 6, 2009
283
0
west sussex
hi martc11.just to welcome you to tp...........just do what you are doing..its all done with love so your doing the right things........im sure youll find whats needed
tim