Morning all
Thanks for the lecture, Red - I am listening, honest
x
And thank you annbythesea - I spotted your post yesterday and it reminded me that I had downloaded 'This is me' a few weeks ago, though I hadn't filled it in - however, now done, it it does make it easier to work out what info to include and present it without rambling when you have a format like that to follow - so cheers x
Slugsta, glad you had a lovely anniversary break away, hun x Sounds like you were lucky with the weather - I checked our forecast and we are (supposedly) in for snow showers tonight and tomorrow morning
Maureen, Moonflower and everyone - thanks for the suggestions and good wishes xxx The consultants secretary phoned me yesterday morning, so I at least was then given the time that he would be coming to see Mil today (10a.m.), though she couldn't tell me anything else. I left another message for the CPN with the secretary, and she got back to me around lunch time. Yep, I was right in assuming that admission is being aimed for for today. The plan is he will come here and try and talk her into agreeing, then meet us at the hospital when we bring her in. I got the info on meds and clothes, and then asked 'But what if Mil says no?', either when the consultant suggests it, or when we get to the hospital, or when we try to leave her there? And its a play by ear situation, with the intention being that by doing it this way, sectioning can be avoided and so can stress for Mil. I'm OK about that - I've absolutely no desire to cause Mil any stress if it can be avoided - but I can't see any way that she won't, at some point, kick off and so am expecting that it will end up with her being sectioned
The other news is that the consultant has 'booked' her in,
not to the elderly EMI ward, but to another secure ward in the mental health unit, on the grounds that because Mil 'presented' so well to him the other day, she will perhaps 'fit in' better away from dementia cases - I'll be honest and say I'm not 100% sure about his view there, as MIl's ability to present so well is very limited now - for the most part, seeing her in EMI day care, she actually does 'fit in' with the other patients with dementia - I have a concern that other MH patients might find that having a dementia patient in their midst, especially one that can be as difficult as Mil can be, might not work out the way the consultant expects - Mil simply can't keep up the hostess mode for that long now
So - with more of an idea about what to expect from today, we headed off to collect Mil from respite at about 5pm. We arrived at the respite home and the door was opened by a staff member that I've spoken to before, and who I knew tended to be quite chatty about how Mil has been when she has stayed there. The first thing she said to us was that there must have been a mistake, because she (and the other staff) had thought that Mil was there till tomorrow morning and so they hadn't packed her things or anything. I have no idea what that is about - I was definitely told that the bed was free for '
5 nights from Saturday 9th', and so that's what I had booked! I asked the girl how Mil had been ? Got an 'eye roll' and one of those hissy, sharp intakes of breath in response before she added 'Dreadful!'. It appears the gunmen and terrorists had followed poor Mil to respite, and that had combined with a conviction that she must leave to attend a wedding in Ireland and the old delusion of a missing child
The girl added that she 'felt' for us, because they had found 5 days hard work so '
God knows what its like for you all the bloody time' ! She told us where Mil was and we headed off to find her.
I'll remind you at this point, that it seems the staff were not expecting us to collect Mil till tomorrow morning.
We found Mil sat looking like something the cat had dragged in, slumped in a chair with her jaw slack and her head resting on her hand - no TV or music, just sat. Her hair didn't look like it had seen a brush in days, she had on the cardigan that she was wearing when she went in, with multiple stains down the front. She had a dirty great bruise on her temple, just starting to turn yellow so done at least 2 - 3 days ago, and her bottom dentures were missing.
She saw us and promptly burst into tears. Not a staff member in sight. Mil was pretty much incoherant, which I tend to put down to the shock of seeing us - she clearly wasn't expecting us. We both gave her a cuddle, then I went to see if I could find staff so we could (a) get her sorted to leave and (b) find out how she got the bruise and where her teeth were. Found a girl in a senior uniform - she looked rather flustered to see us. Didn't think we were coming till tomorrow, she explained. And what bruise did I mean? She hadn't noticed any bruise! Mils teeth were missing? Oh - she didn't know anything about that. Er - could we just give her 5 minutes to finish feeding the lady she was with, then she would come and sort Mil out.
Went back to OH and Mil, to find that another resident had attached herself to OH, asking him to take her home and whilst asking that, was pretty much all over him, with wandering hands that OH was struggling to deal with! I gently led the woman away, sat her in the next lounge, went back just in time to take the arm of another lady who was incredibly unsteady on her feet, seemingly about to fall, and then guide her to a seat. By which time the first lady was back, and poor OH was sat cross legged trying to stop her getting rather - er - personal, and Mil was getting cross at this woman monopolising (or at least trying to) OH. Another lady then started to zoom in wanting food, Mil was trying to be quite possessive with OH (as was the lady with the wandering hands), and yet another lady emerged from a side room, also really not safe on her feet. OH and I were exchanging looks and quite shocked. Where the hell were the rest of the staff? A young male carer walked through with an empty bowl, barely spared a glance at us and completely ignored OH yet again gently removing the the rather frisky ladies hands from his thighs and firmly telling her 'Don't do that please, darlin' '.
The senior appeared, with another carer in tow - they couldn't find Mil's teeth. The second carer casually anonounced she had noticed that Mil didn't have them when she had got Mil up that morning, but didn't indicate that she had tried to find them or find out what had happened to them. Off they went again, the senior returning with Mils case and meds - but this time, they couldn't find Mils shoes either. Another wait - and all this with the rather 'attentive woman' still trying to grope OH and it being completely ignored by the staff as they passed to and fro, despite OH's obvious discomfort with the situation and the fact that he was trying to check Mil's case for the missing dentures whilst fending her off - before the shoes were found. They also ignored the fact that I was repeatedly guiding a selection of very frail and unsteady ladies back to their seats, as they honestly were in real danger of falling. Mil was desperate to get out of there, so we decided to leave. I was assured they would keep looking for the dentures - I told them that I hoped so, as Mil was going in to hospital so I wasn't going to be able to sort out a new set and that she was going to struggle eating without them. OH was shaking with temper, and I wasn't far behind. None of the staff - and there only seemed to be 4 on duty in total, for the whole home - seemed to know what had happened with the bruising on Mils head. None knew if it had been checked out (OH, working in adult services has a protocol that any head injury must be checked out by a qualified medic of some sort, assuming its similar for homes where there are no nursing staff to hand?) and none could explain, if Mils teeth had been missing all day at least, why no one had been concerned enough to actually look for them. All 4 we saw completely ignored the fact that I was guiding very frail ladies back to their seats repeatedly, all ignored the behaviour of the woman who was hell bent on getting up close and personal with OH.
Got Mil home, did a quick check of her bag - looks like toothpaste and other toiletries have barely been used
Mil was inclined to be firstly, quite child like and silly when we got home - which made me trying to take a photograph of the state she was in and the bruising rather difficult - but after that was simply exhausted and sat slumped in her chair for most of the evening. I'd sorted out what I thought would be a tea that Mil would enjoy, before we went to collect her, but Mil really struggled with the salad portion, being unable to eat her favourite raddish and spring onions without her bottom dentures.
And its back to the old situation of what the hell do we do? The inclination is to go in with all guns blazing - but what price any chance of respite in future is we do? Then again - how much 'rest' are we going to get if we are worrying about Mil's care whilst she is away?. We can't just ignore it, but we also know we couldn't manage to continue caring for Mil unless we have some sort of occasional break. Its clear that there were not enough staff - we could see that for ourselves. But the lack of info and concern about the bruising was worrying, as was the fact that the reactions made it pretty clear that even the staff who had noticed that her teeth were missing wasn't all that bothered about it - and the others had apparently not noticed at all!
I will speak to the CPN on Monday, and see what she suggests by way of dealing with this - I'm too angry, as is OH, to even attempt to approach the homes manager at this point. And we have today to get through, yet - I'm hoping it will go smoothly, but not exactly expecting it to, IYKWIM.
Will catch up with you all later - hope you have a good day xxxxx