Morning everyone,
Thank you again for all your reassuring and wise words - and especially for the hugs xxx
Still in limboland, as Canary very, very appropriately calls it. Oldest has come down for a flying visit, just an overnighter, as she had decided she needed to see her Nan, and I'll be speaking to son today, just to check if he wants to do the same, absolutely no pressure though, all 3 have to do what they feel is right and what they can cope with. Youngest is very definite that she doesn't want to see Nan - she is tearful and we have had some issues with bad behaviour from her, which isn't helping at the moment, even though we understand it. A big part of it is that she is 17 - and scared of seeing someone die or dying. Just lots of reassurance and lots of developing patience to deal with currently not infrequent kick-offs!
We went to see Mil shortly after oldest arrived yesteray lunch time. Mil had had another fall, again by some miracle, no injury other than brusies. But she is intent on almost throwing herself out of whatever chair she is sitting in, removing the cushions and writhing her way to the edge of the seat, then sort of throwing herself forward and landing on the floor. So when we arrived yesterday, she had been placed in one of the reclining chairs, in the hope that it will help stop this happening, and reduce or get rid of the risk of her potentially breaking a bone or sustaing some other sort of painful injury. Whilst OH and oldest went to Mil, Nurse M and N, a senior carer, had a quiet word with me. She has been sick several times again, and is back to refusing more than the odd mouthful of food and drink. And the issue with the falls is really worrying them - she can still, at times, walk unaided (usually when her agitation pushes her to get up and bang on doors, though at other times she needs a massive amount of support to walk) and they hate restricting her the way they are currently doing to reduce the falls risk, especially with the worry of pressure sores also now creeping in. I suggested intervention from an OT or physio, and added that whatever equipment or aid that was needed, we would get it for her straight away. They were very kind, bless them, but basically it boils down to they don't think that there is enough time left for doing those things, for either getting anything in place or for anything to make any difference. She is deteriorating so quickly that any aids bought one day would possibly be redundant the next. She is also, they added, getting increasingly resistant to any sort of personal care, even getting dressed, despite her fragility, still able to 'land punches like flipping Mohammad Ali', as one staff put it (with an almost admiring grin on her face as she said it!). They asked would we try her with a little soup - its not so much food that they are concerned about, but rather that dehydration at this stage could add to her discomfort, so for the moment, they want to make sure that she gets enough fluids to avoid that. I'd just brought in some more, so one staff went to heat a little up for her.
I headed over to Mil, and again, though it was only a couple of days since I'd last seen her, the downturn was very evident just in how she looks. Her wee face is so sunken, and her lips were 'crusty' - the senior carer had come over with me and said that they had been trying to clean her mouth, and put vaseline on, but Mil was 'fighting them'. She said she would try again, whilst we were there, on the off-chance that Mil would be a 'little more' cooperative. I'm not sure if what followed could be discribed as 'cooperative' in any way, shape or form, as I held Mil's hands and the carer managed to clean around her mouth, whilst Mil went from inarticulate mumbers to very clear yells telling the carer where to go and calling her some extremely rude names. But, she looked so much better when her mouth was clear and I noticed she stopped putting her tongue out to lick at her lips, so I am pretty sure it was more comfortable for her. Oldest had been greeted with a big smile, OH told me, and she had looked at OH and said 'My brother' very clearly when she saw him. The soup arrived, and I offered her some, and though she opened her wee mouth, as soon as the first spoon went in, she swallowed, yelled 'NO!' - and thumped me. How on earth someone as frail as she is can manage to hit so hard is unbelievable. OH took over, and as he did so the carer suggested that we could maybe try some of the little pots of chocolate mousse, or trifle, or similar (as Mil is famed even in the CH for her sweet tooth) - she also suggested that perhaps a lip balm of some sort might be more acceptable to Mil than staff actually trying to smear vaseline around her mouth. OH took over with the soup, and I said I would go and buy both, right now. I also decided that I would get her some joggers - the stretchy material would make dressing her quicker and easier and hopefully reduce her distress when she needed changing, for example. So I shot off, picking up some pots of desserts that I knew she liked, a selection of good lip salves and a pair of joggers.
She had taken 2 or 3 spoonfuls of soup for OH, but then refused any more. But, she reached out for the trifle pot when dau held it out to her, taking it and putting it straight to her mouth. So, we tried her on that, and she ate about half before again becoming suddenly aggressive - though this time I managed to avoid the thumps. Dau told me that whilst I was gone, she had played Mil some music on her phone and that Mil had belted out the first line or two of 'Moon River' when dau put it on, really clearly, and hummed along to Tom Jones and the Beatles too. I offered her the lip salve, asking would she like some lippy on? She grinned, nodded - and pursed her lips for me to apply it, as though it really was lipstick. We stayed with her for over an hour, before she got very sleepy and we decided to make our move.
It all seems contradictory, if that makes any sense. She is so frail, mostly mumbling inaticulately away, often writhing in her seat and twitching, and you look at her and think that she can't possibly survive like this for very much longer. Then, in the blink of an eye, she suddenly becomes a little tiger, hitting out and cursing with an amazing clarity and a strength that doesn't seem possible - and you then think that nope - she isn't going flipping anywhere!. When you talk to staff, they all without exception, talk about her being a 'fighter' and 'feisty' and about how she is so strong. And then there are odd times, when she reaches out for you and smothers you in kisses or she will sing along to a song she likes, again clearly (at least for a line or two) and with obvious enjoyment. Its so up and down, even over the short hour or so that we are with her.
We went out, after the visit, and I bought Mil some more joggers and some more fluffly bedsocks - the staff say that its only when it comes to putting socks on her that she cooperates, that she seems to like the feel of them, and as socks like to disappear into the depths of the laundry, I wanted to make sure she has plenty. Dau has asked can we go and visit today before she has to head back home, so we will be going later this morning.
I have also contacted Mil's friend, Shirl, and her family in Ireland, to let them know how things are. It felt like it was time to do that.
Sending love to you all, as always xxxxx