No diagnosis yet,but I'm hanging in there for my mum..

Chaucer 1931

Registered User
Mar 30, 2014
226
0
I'm new here and have so much in common with the rest of the members who are caring for someone with dementia..
I'm the sole carer and only relative of my mum who's 82,and I've been looking after on her physical and mental decline since my dad died eight years ago..


Mum has developed a strange walk over the past couple of years,nobody picked up on it-I put it down to her hearing and sight problems-half blind from being shot in the eye when she was a child and her deafness from working on noisy lace machines years ago,her balance has been off for years-she has had a permanent catheter fitted two years ago,as she was unable to pass urine,no reason was given to me or elaborate tests done,other than a ultrasound to see how much she had stored in her bladder-no neurological tests-nothing I was just told,her bladder is a muscle and when you get old,things do wear out in your body,no medical professional pointed her walk,as being odd,or anything to me..housebound though for 5-6 years,and before Xmas her sun downing started just after Christmas,her hallucinations began and memory loss got a bit worse.

During the day,she has been not so bad-little things I can see are unusual behaviour.. The nights have been hell though,up all night most nights-wanting to go to the toilet-either for number 1's- she forgets she has a catheter in,or number 2's when again,she's that constipated,I know there is nothing to come out during the night in that respect..She has pulled the catheter tube out and wandered round the house,scaring both me and my two young daughters who live with her,she has become disorientated and fell a few times-luckily not through the glass doors in almost every room in the bungalow.! She pulled her catheter out last Thurs,I rang the district nurses to come out and put her a new one in-they checked for a UTi and she had,so they got her antibiotics from the Gp who didn't bother to come and check her over.
Mum had a mini mental test by one of the Memory clinic Drs who came to see her about 6 weeks ago-no conclusive diagnosis -I have no letters or paperwork to say who the consultant is or anything-as they wanted her to have a Ct scan-this got cancelled-but no new appt was made for her-I rang her Gp surgery to have to ask who the consultant she is supposed to be under called and can I have their secretary number-also could I speak to the dr of that team that came out to do the mini mental test..I'm at my wits end,I've had approx 8 hours sleep over the past 3 days,most of the daytime has been washing and drying and cleaning up carpets,finally about 3pm the dr who came to do the mini mental test rang me back and asked why mum hadn't been for the ct scan! To cut this long story a bit shorter,I told her how mum had been over the past few weeks-not just the UTI that had made her more confused,I told her that mum wasn't able to chew and swallow much now and she was saying things were in front of her eyes,she had said it in the past to this doctor-but I think the swallowing thing,made her sit up a bit-she said mum could have had a mini stroke and to ring 999-and-and,she might get her scan done then,so I did. She was in a and e for the usual hours,when the dr did come,she did say mum had probably had a mini stroke today,and she was well enough to go home,no need to be admitted,but she would be seen in a stroke clinic in a couple of days,where she would have a ct scan and that would show any dementia whatever up there..So yes,she will be going home shortly. I took off all her ECG sticky pads and got her dressed
Waited for the dr to come back with some asprin..5 minutes later the dr comes back and says I've just read your mums blood test results,everything is fine except she has very low sodium levels in her blood and she will have to be admitted to the medical assessment ward overnight.Part of me,I guiltily felt relieved-finally a night I can actually get some sleep,the other half horrified as to what might happen to mum when she starts her sun downing and stuff . But here iam still wide awake,up at stupid I clock,I don't know,haven't -can't sleep..I have googled though what these implications of low sodium in the blood can do to you and it can cause amongst others, confusion,balance problems,ataxia,memory probs,speech-you name it, the symptoms are the same as dementia related traits and UTI in dementia sufferers problems, which my mum has got at the moment with undiagnosed dementia.. I'm hoping that someone at the hospital will take pity on my mum and scan her there to save the trauma of another different hospital visit- confusing enough for anyone let alone someone in her state of mind and health.. Well,that's a little of what's happening in my life,as I've just found out,you have to push for answers and help when caring for someone with dementia,and I've not even heard the word respite mentioned by anyone I have spoken to including her Gp. Maybe when I have physically collapsed,someone will ask me if I'm ok.. Excuse my tone,just worn out and indulging in a rare bit of self pity,because it's not coming from anywhere else . Lol. Got to laugh or else, you know...


No rest for the wicked,as the saying goes..
 

Lindy50

Registered User
Dec 11, 2013
5,242
0
Cotswolds
Hope you're asleep by now Chaucer.

So sorry to hear about your mum and what a dreadful time you've all been having.

Get some rest :) And I hope your mum gets some treatment for all your sakes.

Take care :)

Lindy x
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
I am so sorry to hear about your mum and I hope you manage to get some sleep,


Jeany x

Hi Jeany,
Thank you,I hope you too can have a good few hours rest in between too,I've just read that you care for your dear husband,I'm sorry for you both and hope you are getting some much deserved help/rest?
I've forgotten how to sleep I think! ;)
Mind you,I was nearly nodding off in a&e earlier on,I'm not used to sitting still for long! :)

Hope to chat with you again!
I'm going to try and have a few hours,
Hope you can too,

Jane


No rest for the wicked,as the saying goes..
 

jeany123

Registered User
Mar 24, 2012
19,034
0
74
Durham
Thank you Chaucer I know well what it is like to be sleep deprived ,never longer than a couple of hour at a time and usually 4 hours a night and last night is the first time for years that Allen has slept just waking up a couple of times to the toilet I hope this is a turnaround and it lasts, try and sleep now you will need it :)

Jeany x
 

FifiMo

Registered User
Feb 10, 2010
4,703
0
Wiltshire
I might be the best thing ever your mum staying in over night. This was how my mother finally got proper attention. After a night of hallucinations and sundowning they had the psychiatrist down the following morning. 30 minutes later he was on the phone to me, out of the blue, asking questions about how she was like at home and then said she had dementia - what a surprise- not!

It could be that once they have seen her in all her glory for a few hours that they can make a diagnosis without requiring a CT scan, particularly if they are left in no doubt that she has dementia from just observing her over time.

Fingers crossed!

Fiona
 

LYN T

Registered User
Aug 30, 2012
6,958
0
Brixham Devon
I'm sorry you are having to go through this Chaucer. Hopefully you may get some answers/diagnosis pretty soon. My Husband is in a CH now-but sleep mostly alludes me at times

Let us know if/when you get any news and take care

Lyn T
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Hi Jeany,Lindy,Fiona,Lyn,

Thanks for your support,I did manage to sleep almost 9 hrs full on last night,that's the longest for ages,can't remember when I had that long last!
Spent yesterday trying to get mums bedroom carpet clean,I didn't have a rest as the dreaded annual ant invasion decided to come early and the central heating packed up,so was still not getting a minute.
Rang the hospital-to see how mum was and forgot that they can't tell you anything over the phone these days-confidentiality and all that,but I said I'd visit mum today to see how she is and see what's happening..
Hospital is 7 miles away,I can't drive and bus takes about 1 hr route to get there,so although I couldn't afford it,got a taxi to get there quicker..
Mum is on acute medical short stay ward,I was shocked when I saw the state of her wrists,and hands,-deep purple bruising,her right hand had cannula in when she was in A&E,and I'm guessing that she tried to pull it out during the night,I did ask the nurse in charge of the bay that mums staying in,but she didn't know as she wasn't on duty last night,but she said the same as me,
Mum was delusional-more so than I ever had seen her before in the day,
The nurse said she heard that mum had kept the night shift and other patients entertained/awake..
That's nice for you then I said,welcome to my world,now,is this what you think all elderly people do?
Do you think this is normal? No!!

The health care assistant nurse rocks up to take mums obs,and says,awhh I bet you're a bit worried aren't you?
More than a bit,I replied,
Never mind,she'll be home tomorrow,says the hca..patronisingly.
I hope not,i blurt out,
Hca,stops what she's doing and looks at me,
She's delusional,hallucinating and apparently has no medical condition or medication to cause this,would you like your mum to live like this and would you like to care for her 24/7 without sleep,support and more importantly NOT knowing what is wrong with her?? It slipped out quite nicely and not in a sarcastic manner,just a statement of fact.
Nca-aw your mums lovely..

The doctor comes across to see me and tells me,they did a scan of mums brain,nothing to show signs of strokes,everything is clear,just normal amount of shrinkage that is expected in a person of mums age..
No signs of dementia then i asked..
No signs of dementia..
So all her tests have come back clear,her low sodium has been resolved and was probably due to taking lansoprazole,which they've stopped..
I asked him what now? Would she be staying in? Something's causing her memory loss,violet dreams/hallucinations and night time behaviour.. She's more confused today-but still conversational with me-although I don't know how to talk to her,she's garbling rubbish-what do I say,how do I answer???
Dr says mum will probably be moved to a geriatric ward for monitoring as there's nothing physically-medically reason wise to keep her on the present ward..

So what now???
I cannot cope with mum coming back home without a diagnosis or answers..
Has anyone got any advice on what I should do now? Or what I should push for at the hospital..
Could mum have dementia,without it showing up on the scan??
I'm so low now worrying what's going to happen it's making me sick..




No rest for the wicked,as the saying goes..
 

nita

Registered User
Dec 30, 2011
2,657
0
Essex
Nothing showed up on my Mum's scan but the doctor said it was probably Alzheimer's. AD doesn't necessarily show up until it has advanced to a late stage.

Has your Mum been seen by a specialist? i.e. a psychiatrist or a geriatrician specialising in memory disorders? This is what needs to happen next and I presume and hope it will happen when your Mum is moved to a geriatric ward.

Has your Mum been allocated a social worker from the hospital? Her discharge needs to be co-ordinated by the social work team in co-ordination with others who might need to be involved, like occupational therapists, the medical team, etc.

If these things aren't forthcoming, I would push for them. Your Mum can't be sent home without proper care being in place and possibly medication to help your Mum's delusional state. If your Mum needs to go into residential care, this will be discussed with the SW. These things all take time and the hospital may be setting them in motion already, without communicating that to you properly.

I can well understand you being shocked at your Mum's bruised arm from all the blood tests. My Mum was tested every day when she went into hospital with a UTI and I too was horrified at the state of her arm. The first time Mum had a bad UTI, it did indeed turn out to be low potassium (that's what I was told but maybe it was sodium) levels that caused her confusion and they gave her medication to rectify it. She got better from that but she did get dementia 9 years later.
 

FifiMo

Registered User
Feb 10, 2010
4,703
0
Wiltshire
What you have to remember about scans is that it is used as a process of elimination and not of diagnosis. So they have eliminated, say, strokes, brain tumour, dementia like Lewy Body Dementia which is characterised by lesions being present. Having elminated all these things then, and only then, can they say that (in the absence of everything else) she has Alzheimers.

You ask what you could do. My advice would be to go talk to PALS the Patient Advisory and Liaison Service and explain to them the difficulties you are facing and that the longer your mum is presenting with all these symptoms and there isn't a diagnosis then the longer she has to go without being accepted as requiring care packages or residential care. Tell them that you cannot physically cope with the demands of the illness whatever it is as you about dead on your feet due to lack of sleep and the level of support that your mum needs. Ask them if they could assist you in getting some level of resolution whilst she is in hospital and ensure that she is discharged with an appropriate care package.

Stand back and see how they can help. They might arrange for SW to get involved as well as the medical folks.

Your mantra should be "She cannot possibly come home in this state, not knowing what is wrong with her. I can no longer cope with caring for her and her needs."

I hope both you and your mum get the support and the attention that you need.

Fiona
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Hi Nita,

Thank you for the advice,yes mum had a mini memory test done here at home a few weeks ago by one of the memory clinic Drs,was a middle of the range score,she hasn't seen any psychiatrists/neurologists yet,but her symptoms have been apparent for years,type of walk,can't turn around without falling over,memory issues,and over the past 6 mths,sun downing and hallucinating-aggression and worsening movement.she did have a UTI and this has been cleared up now apparently,as has the sodium problem,so really medically she is fine.


I'm just scared,for both mum and my sakes that she gets forced out of hospital without being at least sorted with anti paychotics or anti depressants at the least if not a diagnosis.. I have grown up with dementia,and although i didn't see everything or was aware of everything,there were two family members who my mum lived with and looked after,but who had two different sets of symptoms..my mum was a carer herself so I think it is so unbelievably cruel that she should end up with this herself.

Would the hospital have to keep her in if I refused to have her back home?this would be a very last resort and not a get out of responsibility clause on my part.just that I would be afraid for her own risk to herself-falls,,hallucinations that is if I wasn't satisfied with their treatment or plan?
If she say,had a brain injury or mental health condition then I know,they would be able to say what is wrong and wouldn't be rushing to send the patient home,I'm just wanting to go in and do this the right way without coming across as neurotic or uncaring.
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Thanks Fiona,
That's great advice,I will do this tomorrow-talk to PALS,and will stick to my guns with how I accept (or not) any talk of discharging her..
It's a big teaching hospital she's in and Iam not a fan of it at all,as I had suffered medical negligence(but never pursued or would)there,so it gives me the shivers when I go anywhere near the place,I think this makes my determination to make sure things are done proper even more so.
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
I've just read up on Lewy Body Dementia,it does seem to tick most of the boxes..
Would explain the hallucinations and aggression and fluctuating mood/memory,issues..totally different to what my gran and dad's auntie had..
I didn't know anything about this type of dementia,blimey I've learnt so much on here in a week than I have for the last year or more!
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Really don't know how to explain today's events-telephone conversations really,I think iam on the edge myself,worried sick about my mum and severe lack of sleep on top not a good mix as I'm sure you all know too well with your own loved ones,it hits you hard.
I stuck to my guns and refused to have mum home,as i do not know what iam dealing with so how can I deal with it..
I felt awful for saying it,and I want my mum back home more than anything,out of that ward-which isn't equipped for mental health let alone elderly patients,but I want her to get at least seen by someone who can explain the rapid decline,because I don't know how much longer she is going to be like this before she gets to the next stage,which is I'm sure of,the end stage..so extreme way to get some attention.
They are keeping her in over night and trying to get a psychiatrist to come and have a 'word' with her.
Also,I think to justify her staying on the medical unit another night,they got a physio,who-surprise surprise was concerned about mums mobility(or lack of) and that would justify them keeping her in until she's been seen by the general mental health team there..
I never thought it would come to this,but I don't think she's much time left before I lose her completely,so have I done the right thing today??
Not ideal situation at all,the guilt and anguish is ripping me apart..
 

FifiMo

Registered User
Feb 10, 2010
4,703
0
Wiltshire
I think today is the best outcome you could have hoped for. She has a right to be properly treated and diagnoised and how, hopefully, this will happen. If they don't know what is going on then how are you supposed to cope when you're caring for her 24/7.

Little by little you are getting there! Congratulations.

Fiona
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Thank you Fiona,I feel like an evil witch for leaving her there,but if it gets mum on the way to a diagnosis,a bit quicker,then it's a result for us both.
Why oh why,isn't there a faster fairer system for assessment for people suffering with this disease.
I still haven't slept hardly since,mum went in to A&e Tuesday night,dare say I will again.thanks for your support,

Jane x
 

Pookie

Registered User
Dec 29, 2011
1,065
0
I am so sorry to read of your mums illness. I have AD and can only semd you (((((cuddles ) ) ) ) ) and hope that you get some help and sleep . Loveus2

Sent from my GT-I8190N using Talking Point mobile app
 

Chaucer 1931

Registered User
Mar 30, 2014
226
0
Hello Pookie,

Thanks so much for your kind wishes,
(((Hugs)))
How are you doing?
Good I hope,

Jane x
 

JugglingJane

Registered User
Feb 2, 2014
6
0
I think today is the best outcome you could have hoped for. She has a right to be properly treated and diagnoised and how, hopefully, this will happen. If they don't know what is going on then how are you supposed to cope when you're caring for her 24/7.

Little by little you are getting there! Congratulations.

Fiona

Hi there

My mother in law has been diagnosed with Lewy body dementia and the hallucinations meant that she struggled sleeping and her behaviour was very erratic. My father in law was caring for her at home with family supporting where they could. However he wasn't coping and we got in home care to assist him - I think it is something we should have pushed for sooner if I'm honest.

I think you are right to dig your heels in she needs to be discharged with a proper care plan in place and if you need please call in for help. You are doing the best for your mum.

J
 

sheila55

Registered User
Feb 6, 2014
52
0
Hi, My Mum was admitted to hospital after a fall. The nurse in A & E was extremely worried about her mobility and dementia and wasn't happy to send her home (she still lived alone at this point). So she was admitted (she had a broken collar bone) and we were told they would test her and she would be in for about a week. We were really pleased as, like you, we had been so worried about her.

The next day a nurse on the ward phoned me to say that the consultant had seen Mum and thought she had "all her faculties" , could mobilise her arm and was ready to be discharged!!! I refused to take her home! I felt really bad about it as Mum was not coping very well with being in strange surroundings but I felt that this was my chance to get some help. We had to get a doctor to sign a "form of incapacity" to stop Mum from discharging herself.

Once she had been seen by Psychiatric Consultant, Social Worker, Physiotherapist etc it was decided that she was unsafe to live alone and she is now in an EMI home. Things have not been easy and she is taking a long time to settle but it is definitely the right place for her. I just think if I had not stood my ground and refused to take her home she would be back living in her flat, not coping, and being in danger.

I hope you can find a solution. Stick to your guns. There is help out there but unfortunately you need to shout and make a fuss before you get it. Hope you manage to get some sleep. Take care. Sheila x