How to tell when it's time for care home?

LadyA

Registered User
Oct 19, 2009
13,730
0
Ireland
Well done Grandmabarb. I always say to people, we have to recognise that there comes a time when giving someone the best possible care can mean stepping back and allowing other people to care for them. When they need more care than we can possibly give them. You cared for your husband at home as long as you could give him the best care - now you have arranged the best care for him. You can't do more, because this illness can't be fixed. xxx
 

AngeMorange

Registered User
Dec 14, 2015
18
0
Northern Ireland
Hi folks, my mum went into a residential care home three weeks ago after a fast downturn over 3-4 months. Even with a care package and us living 10 mins away we couldn't cope - she was having hallucinations and though people were in her flat, was too scared to come out of her room at night even to go to the toilet, her appearance was terrible, she wouldn't shower or have her hair done.

Eventually her Consultant made the decision for me and I looked around 6 places before narrowing it down to two. Miraculously one of these had a vacancy after only a month or so waiting.

I can honestly say it was definitely the best decision - she is so much calmer now, can accept showers and having her hair done and even allowed them to paint her nails!
Her eating and sleeping is much better and no hallucinations!

We are still popping in most days and she loves to see us, but it's shorter visits with more quality now. There's also so much going on in the home she's tired out!

Good luck to everyone out there - it's a terrible disease and an awful journey so take all the help and support you can get :)
 

GrandmaBarb

Registered User
Jun 17, 2016
39
0
Asheville, North Carolina, USA
Am so happy for you, AngeMorange, and for your Mum! Sounds like she settled in quite well and is in the perfect place.

Short visits with my husband are best, too. An hour or two at most. He can only stay awake for so long before his eyes close and he's napping again. I have been going twice a day (only 20 minutes away) but am thinking of cutting it to once a day twice a week and twice a day the other five. After I see how that goes I'll go once a day more often. Then, at some point, I would like to go on holiday to visit my son and his family for a few days. Will arrange for Bob's brother and best friend to visit regularly while I am away. He does not remember my visits but is always glad to see me. I think I will feel guilty not visiting twice daily. Guess I'll find out.
 

sah

Registered User
Apr 20, 2009
332
0
Dorset
Visited Ian again today -spent most of the time explaining how to use the TV in his room and writing down step by step instructions. Had to do this twice as he didn't follow the first time when I wrote 'Channel'....

Lovely time with him - but it did show me how much the AD has progressed and made me finally realise that he is in the right place-which is good I suppose....only asked once about coming home...

Still miss him-but can now move forward and spend time with him, without the worry.
 

Scarlett123

Registered User
Apr 30, 2013
3,802
0
Essex
Am so happy for you, AngeMorange, and for your Mum! Sounds like she settled in quite well and is in the perfect place.

Short visits with my husband are best, too. An hour or two at most. He can only stay awake for so long before his eyes close and he's napping again. I have been going twice a day (only 20 minutes away) but am thinking of cutting it to once a day twice a week and twice a day the other five. After I see how that goes I'll go once a day more often. Then, at some point, I would like to go on holiday to visit my son and his family for a few days. Will arrange for Bob's brother and best friend to visit regularly while I am away. He does not remember my visits but is always glad to see me. I think I will feel guilty not visiting twice daily. Guess I'll find out.

Glad that things are working out for you Barb. But visiting, like everything else, is not a "one size fits all" affair. As we'd been airbrushed out of a lot of our friends lives when AD took over, there were only a couple of people who visited him, other than me. I went most days, but if someone else was going, I didn't, and the length of my visits depended on him.

I once sat for an hour, whilst he was asleep, because I felt I should. But then I realised it wasn't helping either of us. So, if he was awake, I stayed longer, but if he was asleep, I'd stay 5 minutes (the Home was very near to me), and return later in the day. And then usually for less than an hour.

For the first few months he was talking, though it was a load of nonsense, but after 3 UTIs he went downhill, and didn't talk, know who I was, and would stare over my shoulder whilst I tried to make conversation. When he stopped eating, and his food was pureed, I would visit at lunch time and tea time and try to feed him, but after a couple of weeks, it was felt it best for him to stay in bed, and he died soon after.

If you feel it's good to have long visits, that's fine. If short visits are more suitable, that's fine too. Everyone finds their own level, depending on their situation.
 

Rageddy Anne

Registered User
Feb 21, 2013
5,984
0
Cotswolds
Hello Barb, sah and angemorange... I think we are hand in hand together...and yes, doesn't it feel like a bereavement, but kind of worse, because our dear ones are still present and we don't really know what they're feeling. It's been a week since Rob went to his Care Home, and I'm still falling asleep at unexpected moments...and more aware of the aches and pains ...

And now for the extra stress of sorting out the finances he left in disarray. You'd think at least the sun would shine! Hang in there........
 

GrandmaBarb

Registered User
Jun 17, 2016
39
0
Asheville, North Carolina, USA
Scarlett, I have been sitting beside Bob for an hour some days while he sleeps. Why didn't I just leave and go back another time? Beats me. I don't awaken him but he usually awakens on his own eventually. Makes no sense to me. I guess I just want to be near him for a while. Maybe I figure it's expected of me. But expected by whom? Me, of course! When he wakes up and sees me he is bewildered and just stares until I talk to him, give him a kiss, etc. Then he smiles. Don't know if he knows who I am but he's happy to see me. We watch The Andy Griffith Show together. That's the only time he laughs, usually at Barney's antics. Don't know if you get that show in the UK but it's very old and in black and white. From now on I will try to visit for shorter periods when he is asleep and longer periods when he is awake.

RageddyAnne, yes! Me, too! Falling asleep and feeling aches and pains I'm sure we just ignored before! I hope we don't become hypochondriacs! Or have some terrible malady!

It is unfortunate that your husband was still handling the finances. Must be quite a mess for you now. I took them over in 2007 when Bob had his first stroke and was hospitalized in acute care and then a rehab hospital for several months. He could still write checks but eventually I had to stop that. He made some expensive purchases, mistakes and was scammed out of several thousand dollars before I could make him totally stop handling any money.
 

LadyA

Registered User
Oct 19, 2009
13,730
0
Ireland
I've been so thankful, more than once, that I had always handled most of our finances. We did have a joint account, and after William, very early in his dementia, completely emptied it, twice, and spent the lot (there wasn't very much!) leaving me with nothing to pay bills with - I had a word with the Bank not mentioning the "D" word as he hadn't been diagnosed, but talking about "responsibility" etc. and they were actually very understanding - they sent out a new ATM card that had no chip in it for him, and didn't give him a PIN number. His pension had to be paid into a joint account, but I opened an account in my sole name, and each week, transferred all but about €20 into that, and paid everything from there. William would never give me POA, but we managed, because thankfully, he trusted me mostly, and had no head for practicalities- anyone phoned about anything technical, he would just say "You have to talk to my wife." :D

Grandmabarb, we used to watch tv all afternoon in the nursing home, in William's room. The High Chapperal was a favourite of William's - and Bonanza! Now there are also two oldies!
 

helenmiller1985

Registered User
Jul 5, 2016
12
0
It is a very tough thing to do, but care home may provide some security for him(he won't be able to roam around and collect trash). Plus, your own wellness is equally important.
 

LadyA

Registered User
Oct 19, 2009
13,730
0
Ireland
It is a very tough thing to do, but care home may provide some security for him(he won't be able to roam around and collect trash). Plus, your own wellness is equally important.

An important point, this security thing. And not just the actual security - but the feeling of being safe and secure. William was far less agitated and anxious in the nursing home. He seemed to feel much more secure there than at home. I think he knew that I wasn't able to manage, physically, very well on my own - he was tall and much heavier than me at that stage. Once in the nursing home, he relaxed more, knowing there were plenty of male staff around to help him. And of course it was a safer place for his constant need to walk, with wide, flat corridors and handrails - and the company of other residents.
 

Dodie

Registered User
Mar 11, 2016
8
0
my hubby is on diazapan but does it help as he has alzheimers mmixed

Hi all:
Apologies for length!

After a very hard few months, I rang and asked for emergency respite care today; OH now booked in for two weeks. Friends and family are very much of the mind that I should now move to make it permanent care...but I feel so guilty/sad etc....

Briefly-we've been married 10 years and I have looked after him since diagnosis 8 years ago, including the period I was being treated for cancer.There's been a lot of struggles with hygiene /obsessive behaviour etc - but over the last few months, his obsession with going out for walks ( he was only in the house for a total of 45 minutes during the day last Sunday) and collecting elastic bands/going through bins etc has taken a new turn. He has been bringing home bags full of dog mess - washing them out in our bathroom sink - and trying to keep the bags.

Yesterday, I tried to reason with him; why did he want the bag? He should let me throw it away as he could see it was filthy/unhygienic etc. He refused to hand it over - said he was going to wash it-and locked himself in the bathroom. When he came out, the bath was smeared with mess-as was the sponge I use to wash with. I disinfected/threw out sponge ( the smell was awful) and rang new social worker.He is mainly sympathetic-but there's still the focus on keeping OH at home....was suggested I increase day care and see how the new drugs go. ( Just been prescribed mamantene-starts today) OH's consultant/CPN who I saw only last week, are, I feel, far more realistic and understanding, as is our GP. We will be self funding for a little over a year before SS need to step in.

However-after sleepless night I realise -just-that I could not cope with another day like this. Now understand carer breakdown! Rang the home he goes to for day care-asked if they had emergency respite place-and he is now down there for two weeks(initially). He was so trusting when I took him down-feel like total traitor.

A large part of me feels that this is it....even his CPN said that she couldn't deal with the dog mess....but part also hopes things may change with the drug and he's be OK at home again. I know I'm close to totally going under-my GP tried to get me to take Prozac a month ago-no thank you- but I hate to think of him feeling I've betrayed him.

Reading through this-I wonder how I've done it....but the guilt monkeys-as well as missing the man who I know has already gone - are beating me up. Any advice would be really welcome.
Hi I know how you must feel however my hubby has been on mementine for 3 years and has only deteriorated since put on sertraline and Diazapam. he had falls and was agitated all night and could not rest. He is in hospital and I have asked for Setraline to be stopped hurrah he is walking again but still upo all night apparently so is it Diazapam . Going off your subject . I have been advised to put hubby into respite and then long term care and I want him to come home for me to at least try one last time . It is a terrible dilemma to have to face as the onus feels as if its on our shoulders but from what your poor partner is doing I would say to you that you are not doing him or yourself any favours as you must be extremely tired and then you cannot give your partner the care they need . I am not saying you don't but my hubby like your partner forgets my name and they are not really of this time so to speak. I am trying to educate my mind in accepting that when my hubby goes into care that he will become used to the environment and the people so would be better than putting him in respite every so often as any form of change causes them distress. my hubby can come home and have respite every now and aagain but may be in different places so that would create damage or can be taken into care so I am facing that dilemma and and my husband is not the handful that your poor partner is so look after you also as your health matters and if you let him go at least you will eventually have renewed energy and when you visit will not feel resentful as sometimes we , well I get irritable and think why me but why them also so both suffering. I wish you well as you have a life to live and owe it to yourself to live it to the best of your ability. I am trying to educate my brain into loving my hubby enough to let him go so good luck with whatever the decision is that you make . Dodie
 

Dodie

Registered User
Mar 11, 2016
8
0
diazapam and Alzheimers

Hi My hubby has been diagnosed with Alzheimers mixed over 3 years ago and 5 weeks ago we saw his consultant and as my hubby was bfeeling depressed the consultant prescribed Sertraline 50mg going nup to 100 mg whithin 2 weeks !!! I have been on Sertraline and was only on 30 mg but I could not sleep with that and eventually I weaned myself off them . Anyway my hubby was also given Diazapan 10 mg . whithin days my husband could not walk without falling and he became so agitated from approx. 6.30 at night right though till all hours in the morning when he ran out of steam. This all happened whithin days he is in hospital re his falls and I have eventually put pressure on consultant to stop Sertraline which he has and hubby walking fine now so I amj thinking that as he is still agitated at night in hospital and his speech also went is it the diazepam . I do not think that they should just dose people up with high amts of drugs maybe a tiny amount at a time to see how they affect them. I have read up on Diazapam and not to be used with brain disorder !!!!! so back to consultant on Monday and hope its the Diazapan that have accelerated my hubbies speech and memory. would appreciate feedback please thank you.:confused:
 

Dodie

Registered User
Mar 11, 2016
8
0
I felt all the same emotions as you as Im sure many others did too when looking initially at respite. My husband stayed in the home after his respite care and never has been home since. He is just70 and never asks about home,the cats he adored,or his beloved cows from our farm. He doesn't know who we are now, he did when he went in April,I think. He is so settled,my guilt has gone,and the freedom. I have is worth a lot. Our children 26 and27 said they had lost their father and didn't want to loose me too. I will never be the same but in time I hope I will find myself again.It isn't easy but you have a life beyond Alzheimer's.

I admire you as I am in the throes of hubby going for respite which may become permanent and have the same feelings that you feel because we are human and we care but I know deep down that I will have to let go as he has not through any fault of his own as he does not know me its so sad but we have a life to live and if we look after us we are also there for them even though they do not know us we know them . best wishes
 

GrandmaBarb

Registered User
Jun 17, 2016
39
0
Asheville, North Carolina, USA
Oh, Dodie! That is so beautiful and so difficult - trying to love your husband enough to let him go. I am still going through that, too. So many conflicting emotions, up and down. It is hard but I'm pretty much there. He's been in a care center for 2 1/2 weeks now and is quite settled and content. He is certainly safer! (Many falls here at home prior to admission.)
 

Rageddy Anne

Registered User
Feb 21, 2013
5,984
0
Cotswolds
Hi My hubby has been diagnosed with Alzheimers mixed over 3 years ago and 5 weeks ago we saw his consultant and as my hubby was bfeeling depressed the consultant prescribed Sertraline 50mg going nup to 100 mg whithin 2 weeks !!! I have been on Sertraline and was only on 30 mg but I could not sleep with that and eventually I weaned myself off them . Anyway my hubby was also given Diazapan 10 mg . whithin days my husband could not walk without falling and he became so agitated from approx. 6.30 at night right though till all hours in the morning when he ran out of steam. This all happened whithin days he is in hospital re his falls and I have eventually put pressure on consultant to stop Sertraline which he has and hubby walking fine now so I amj thinking that as he is still agitated at night in hospital and his speech also went is it the diazepam . I do not think that they should just dose people up with high amts of drugs maybe a tiny amount at a time to see how they affect them. I have read up on Diazapam and not to be used with brain disorder !!!!! so back to consultant on Monday and hope its the Diazapan that have accelerated my hubbies speech and memory. would appreciate feedback please thank you.:confused:

My husband seemed to have a setback too with Diazepan, and it was stopped.He's in his second week in respite, with a view to two more weeks, and then the big decision. He greeted me pleasantly when I visited on Friday, and used my name, but I don't believe he had any idea that I was his wife, just someone he likes.
 
Last edited:

keegan2

Registered User
Jan 11, 2015
190
0
Is respite means tested?

Just wondering respite means tested? If I had to pay how much is the average cost per week?....
 

pamann

Registered User
Oct 28, 2013
2,635
0
Kent
Hello keegan, when my husband went into CH its was for 2wks respite, the price for one week was £600.
 

Scarlett123

Registered User
Apr 30, 2013
3,802
0
Essex
People in the Real World, unaffected by AD, have no idea how expensive it is for those of us who are. But if the person going into respite has less than £23,500 and Social Services agree that respite is vital for the carer, you can get some help.

If anyone wants any help on how to go about applying for this, please PM me. :)
 

sah

Registered User
Apr 20, 2009
332
0
Dorset
Seems to vary an awful lot according to area. My husband's respite was the same as full time care-1150.00 per week. ( Say it quickly-then gulp...):eek:
 

Forum statistics

Threads
139,082
Messages
2,003,067
Members
90,859
Latest member
mark65