Considering live in type of carer for my husband

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Hi all

My husband who has dementia, not sure but I'd say somewhere between moderate and severe, outreach nurse noted on his records a seven on some Canadian scale???, there was only eight left.

He had some very dizzy spells back at the end of March and ended up being taken to hospital by ambulance and having a pacemaker fitted. Unfortunately he was in there for a week before they could get it done and this left him way down on his mobility and confusion levels.

He came home after 10days and we had some care help provided and hospital bed for him. Unfortunately, he wasn't at all happy with the carers, personal care etc., and that and the hospital bed lasted two days.

I'd got rid of my bed so that the hospital bed could go in there so when he decided he wasn't going to sleep in it I did until they took it away and I bought a new bed. To be fair, he is quite a big man and did look as if he might fall out of it at anytime, his knees hanging over the edge. Also, I needed a new bed anyway, so that wasn't disastrous.

He was at the hospital again last Tuesday having a BCC removed from his back. This turned out to be very traumatic for him, and me. He couldn't lay on his front as they wanted him to, so with great difficulty, and four of us helping, we got him on his side. I don't know if this is something to do with the dementia but he doesn't seem to be able to co-ordinate his moves enough to do things like this anymore. When he goes to bed he looks very uncomfortable but turns in the night.

The wound on his back is leaking a little pusy stuff. They told me to remove the dressing after two days and leave it uncovered. This isn't very practical because when he lays on his back he rubs on it and it seems to ooze a lot.
I plan to contact the GP tomorrow to check on this.

During his first stay in hospital he became even more clingy and unable to do very much at all for himself. I spent all day with him until 8pm sometimes but he still managed to phone me several times after I'd left and in the early morning,

This 2nd visit for the tumour removal has left him in an even worse condition physically and again, mentally. He now wants me to tuck him in bed every night and sometimes gets up and asks why I haven't although I have. His walking has gone from shuffling to a kind of stuttering step, especially with his right foot, and he is very very slow. He's also taken to coming into my bedroom in the early hours asking if we are going to have a meal, 2am, 5am and once at 5am wanted to know about dinner. This morning he came in at 2 and asked why I was in bed, he was convinced we'd been up and watched television and he was waiting for his breakfast.

He uses the bathroom basin for weeing, although just a few days ago i got out a wee bottle that I'd bought a little while back and he started using that in his bedroom, big improvement, but he doesn't always want to do it. He's had a wet bed, he said he spilt the bottle but as it was right in the middle, I'm not so sure.

I am looking at my options at the moment. I've had an email conversation with his two daughters to explain the situation and asked them to get involved in planning for his future care. Waiting for them to get together and discuss then come back to me. Although I have sole POA I definitely think they need to be involved in finding the right place and making plans but if they don't want to, then I suppose I will have to.

I think during the last few weeks when his family and friends have visited they have been quite shocked by how bad he is. To me it's just been a progression so I suppose I don't notice the difference to much, apart from the utter exhaustion.

The options seem to be full time care home. Respite care for a week at a time or live in or part time carer.

None of these are things I wanted to do and not something he is at all accepting of, but then not much is. The problem is that I really, really am struggling now, physically and mentally, I can almost feel myself cracking.

I don't know, but I think the live in carer route is usually meant for people who live alone and I wouldn't really want someone here all the time while I am. Could be useful for a break I suppose.

How have other people dealt with finding the right place for their loved one and getting them to be more accepting of going. I've tried to tell him how much I'm struggling but he just doesn't know why, doesn't understand. I'm starting to get angry and I really don't want to be like that, I know none of this is his fault and that he can't really do anything about it.

I'm thinking of paying a carer for an afternoon each week to sit with him so that I can just escape for a few hours. Wondered if this may be a way of breaking through. But, and here's the big but, when we had care for the NHS after hospital they were different people every single day, twice a day, I'm sure this wouldn't help him at all.

Right, that's enough of my rambling, sometimes it just helps to get it written down.

Best wishes to all
x
 

Kevinl

Registered User
Aug 24, 2013
6,649
0
Salford
I'd be phoning 111 and get it checked out, there is a risk it could turn septic if left untreated, is he on antibiotics? K
 

Blissy

Registered User
Jan 29, 2023
173
0
Unless you are likely to be self funding I think your next step is to contract social services for an assessment with view to care home placement. You really do sound as if you are getting beyond coping so don't delay. If you are self funding then from things said on this forum you and hopefully his daughters will have to find either a live in carer, preferably through an agency, or look at care homes near you that deal with dementia patients. Hope you do get the support of his daughters, it isn't easy to go it alone.
 

Kated1

Registered User
Feb 17, 2024
21
0
Just my opinion but go down the route of care home rather than live in care. You will never escape from the responsibility if you get live in care and your life will be ruined and you may completely crack. At least with a home you will get to live your life and you can be a wife to your husband and he will get the specialist care he so obviously needs . Good luck x
 

Violet Jane

Registered User
Aug 23, 2021
2,080
0
If you organise the carer visits yourself (through an agency) you might be able to get the same carer most of the time. Good agencies do understand the need for consistency.

I'm assuming that you have already applied for Attendance Allowance (or the equivalent benefit if your husband is under pension age) and the relevant Council Tax discount. These will help you pay for carer / sitter visits if your husband is a self-funder.

I don't know how well live-in care works if the PWD is living with someone. Your husband may resist care from him/her as you are there. Live-in care is expensive and can be more expensive than a care home. It can work well but has limitations e.g. the carer isn't expected to get up more than twice a night.
 

Kevinl

Registered User
Aug 24, 2013
6,649
0
Salford
Is it just me or did no one else read the bit about what very much sounds like an weeping infected wound on his back.
As a former NHS nurse that concerns me more than attendance allowance or recommending a care home, untreated might not need either. K
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Is it just me or did no one else read the bit about what very much sounds like an weeping infected wound on his back.
As a former NHS nurse that concerns me more than attendance allowance or recommending a care home, untreated might not need either. K
Hello Kevin

Yes, I was worried but after checking on line it doesn't sound like an infection. I've been monitoring his temperature. There is no excessive redness or swelling, no red lines but I will definitely check with the GP/district nurses in the morning.

The weeping/pushy stuff is no worse than it was before the tumour was excised.

It is also worth knowing that where we are its nigh on impossible to get assistance. Small town on edge if large city.

I genuinely thank you for your concern. xxx
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Unless you are likely to be self funding I think your next step is to contract social services for an assessment with view to care home placement. You really do sound as if you are getting beyond coping so don't delay. If you are self funding then from things said on this forum you and hopefully his daughters will have to find either a live in carer, preferably through an agency, or look at care homene,pfuls near you that deal with dementia patients. Hope you do get the support of his daughters, it isn't easy to go it alone.
Thank you Blissy.

We will be self funded.

I'm waiting for a carers assessment at the moment.

I'm leaning towards, perhaps a twice weekly sitter to get him used to other people looking after him.

The daughters are getting better. One unfortunately has mental health problems but works full time. Her husband works 3 long days so is able to help with hospital appts etc.

The other works less but has a retired husband and they are out a lot, funnily helping other people and scout leaders. This daughter though has stayed with him for a night twice while I spent a night at my daughters house. Thats been helpful but you know you have to go home again.

The lady opposite me has PWD who is in a care home near by ,will check it out with her.

It's definitely not easy alone.

Best wishes x
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Just my opinion but go down the route of care home rather than live in care. You will never escape from the responsibility if you get live in care and your life will be ruined and you may completely crack. At least with a home you will get to live your life and you can be a wife to your husband and he will get the specialist care he so obviously needs . Good luck x
Thank you Kate, Im definitely leaning that way xxx
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
If you organise the carer visits yourself (through an agency) you might be able to get the same carer most of the time. Good agencies do understand the need for consistency.

I'm assuming that you have already applied for Attendance Allowance (or the equivalent benefit if your husband is under pension age) and the relevant Council Tax discount. These will help you pay for carer / sitter visits if your husband is a self-funder.

I don't know how well live-in care works if the PWD is living with someone. Your husband may resist care from him/her as you are there. Live-in care is expensive and can be more expensive than a care home. It can work well but has limitations e.g. the carer isn't expected to get up more than twice a night.
Yes I think you're right. The couple of days we had with carers when hecane out of hospital pointed to that. They helped him to wash the he shouted for me to take over.

We have attendance allowance.

 xxx
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Hello Kevin

Yes, I was worried but after checking on line it doesn't sound like an infection. I've been monitoring his temperature. There is no excessive redness or swelling, no red lines but I will definitely check with the GP/district nurses in the morning.

The weeping/pushy stuff is no worse than it was before the tumour was excised.

It is also worth knowing that where we are its nigh on impossible to get assistance. Small town on edge if large city.

I genuinely thank you for your concern. xxx
I took my husband to see the nurse at the surgery yesterday afternoon and she re-dressed the wound. She said it looked good but the dressing on it wasn't helping, it was melolin. She did take a swab as well though.

He now has iodine and different waterproof dressings that I have to change every other day for a week. She reckons it will be healing nicely by then.

His mobility has also improved a bit, not quite back to where he was before his stay in hospital, he's still a bit more confused than usual but I'm assuming that's due to all the hospital stuff.

I know he is a bit better but it has really brought it home to me that I need to start to put plans in place for his (and my) future care. I've been bumbling along telling myself that I'm strong and I can cope, beginning to see that I'm not superwoman after all :)

Working on one now.
 

SherwoodSue

Registered User
Jun 18, 2022
597
0
et1949 Hello. I think you are doing everything right. Keeping daughters in the loop so that they can’t go into denial at a later date.
With regard to carers, to some extent you get what you pay for When dad was alive, and also with my mothers hospital admissions, they were in entitled to 6 weeks free reenablement care on discharge
This was provided by the local authority who contracted out to the cheapest care agency in the area. They were cheaper because they paid the staff less and they had a huge staff turnover Frequently their staff were people nearly arrived to the country who were struggling to access paid employment elsewhere and not necessarily drawn to a career in social care for its own sake. This caused communication issues where there was poor English or strong accents.
Regularly the only greeting to my parents was ‘ sign my sheet’ (one hour visit) and then leaving after 15 minutes. I don’t blame the Carers the scheduling was impossible even if you had dr Who’s tardis. Often they failed to turn up at all.
Although six weeks of free care is a boon, in both cases with mum and dad I had to tell them to go away and cancelled the visits.
We now use one of the larger agencies as seen on TV and mum has regular named Carers who she knows well.
That might help you to know but it’s the night disturbance that may well drive you to a residential solution
I wish you well.
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
et1949 Hello. I think you are doing everything right. Keeping daughters in the loop so that they can’t go into denial at a later date.
With regard to carers, to some extent you get what you pay for When dad was alive, and also with my mothers hospital admissions, they were in entitled to 6 weeks free reenablement care on discharge
This was provided by the local authority who contracted out to the cheapest care agency in the area. They were cheaper because they paid the staff less and they had a huge staff turnover Frequently their staff were people nearly arrived to the country who were struggling to access paid employment elsewhere and not necessarily drawn to a career in social care for its own sake. This caused communication issues where there was poor English or strong accents.
Regularly the only greeting to my parents was ‘ sign my sheet’ (one hour visit) and then leaving after 15 minutes. I don’t blame the Carers the scheduling was impossible even if you had dr Who’s tardis. Often they failed to turn up at all.
Although six weeks of free care is a boon, in both cases with mum and dad I had to tell them to go away and cancelled the visits.
We now use one of the larger agencies as seen on TV and mum has regular named Carers who she knows well.
That might help you to know but it’s the night disturbance that may well drive you to a residential solution
I wish you well.
Thank you Sue
I don't think we're allowed to give names of companies on this site but is there a way you can give me a clue to who you're using please.
Sounds like our local authority had the same way of providing care help.
Think it would be far better to pay and get someone he will get to know.
 

et1949

Registered User
Oct 30, 2022
66
0
75
Norfolk
Hello Kevin

Yes, I was worried but after checking on line it doesn't sound like an infection. I've been monitoring his temperature. There is no excessive redness or swelling, no red lines but I will definitely check with the GP/district nurses in the morning.

The weeping/pushy stuff is no worse than it was before the tumour was excised.

It is also worth knowing that where we are its nigh on impossible to get assistance. Small town on edge if large city.

I genuinely thank you for your concern. xxx
Hello Kevin
Seems you were right. The swab of his back showed an infection and he was put on anti bionics. He's also having the wound dressed three times a week by a nurse at the surgery instead of me doing it. I'm happy with this arrangement as I'm assuming they will be able to tell if its improving or not.

He dies seem a bit better after 3 days of the anti biotic.

Bit stronger and more stable. A little less confused.

The night time wandering/visiting is a lot better. Having said that it's 3.30am and I've just put him back to bed. He was in the kitchen emptying the dishwasher with the kettle on. Apparently he'd asked if I wanted a cup of coffee and I said yes. ☺️

Hopefully the situation will continue to improve.

I've now arranged for a carer/sitter to come to him so I can get out for a little while. She's starting with an hour, wants him to get used to her before she extends to 2 hours.

Also gad meet up with his daughters today and one of them is going to cover times when I need longer than the hour, like hospital apots etc. She's also suggested that she dies a sleep over on a more regular basis so that I can have a night away at my daughters house.

Hopefully, things are moving in the right direction and I will be able to cope better now.