Reggae has always had great resonance for us. The words of the above number have great significance in our household this morning:
- Maureen’s cold broke yesterday. I have never been so pleased in my life to see a loved on coughing and sneezing: at last, there was an explanation for her presentation – infection!
- I had a long conversation with the Specialist Doctor who prescribed Trazodone yesterday and she understands why I haven’t opened the bottle. We are very fortunate that staff within NAViGO treat the person rather than the disease.
Maureen’s Tea Boy has additional duties this morning: ensuring tissues are at hand!
Posted at 3 am:
My early morning greeting from Maureen was not easy to handle. She woke after we had both had a couple of hours rest wanting to go to the toilet. I tried to direct her without success and received a barrage of complaints and insults: ‘there isn’t a ladies, the floor will be covered in pee, there is nowhere to sit down.’ Half an hour later I eased her upstairs and the deed was done – although she told me she had used the floor!
Once relief had taken place where to sleep became the next issue. The familiar complaints of ‘everywhere smells, I wouldn’t get into bed with you and animals have been in the bed’ was played out; along with insults hurled in my direction.
Trazodone sits in the cupboard without an instruction leaflet and unopened. The message has been that ‘it will help you’. My research along with comments from many people who follow this blog suggest otherwise: Maureen doesn’t need a chemical cosh!
The Best Interest Meeting is scheduled for early November. Such a prospect is no help to me in the early hours after World Alzheimer’s Day. I’m hoping that this morning’s call to Single Point of Access will result in an immediate gathering where adequate care and coaching will be put in place. Perhaps that would be an appropriate moment to hand back the bottle of Trazodone!
Update at 6.15 am:
Good News: I managed to get further sleep and Maureen has a cold: no wonder she was grotty when she woke earlier!
Bad News: A few days delay in the completion of our renovations due to an understandable mistake by a plumber yesterday.
A helpful creed to live by from the Alzheimer’s Care Resource Centre:
I’m am breathing properly, softly and deeply as I try to figure out where the hosepipe issue has come from. For the second morning running, Maureen has been scared that ‘they are going to turn the hosepipe on her’. I can understand that she may have been dreaming that she had left potatoes cooking when she awoke at 3.30 am this morning but where have the fears about the hosepipe come from?
Sorting out my breathing is relatively simple. The test will be whether I can embed the other ten things in the above list within my approach to life!
George Rook made a good point in his <BLOG> yesterday: there need to be some radical changes in how we approach dementia in this country. There is only one thing I would add to George’s excellent post: DEMENTIA IS NOT A MENTAL HEALTH CONDITION!
Dementia is concerned with changes in the brain it is not caused by what is going on in the mind. In my opinion, the sooner we remove dementia from under the umbrella of mental health, with its predominantly medical model the better!
We had a tough day here yesterday with two electricians with us all day. I breathed a sigh of relief to hear that rewiring is not needed but more work is needed before we are safe and sound. Maureen found it difficult to understand why power was being switched on and off throughout the day. Her response varied from; interacting with ‘the men’, to wanting to go back to the peace and quiet of her ‘own home’. Her performance in the evening was amazing as she sang and danced to an Andre Rieu concert on YouTube for over an hour!
I have been pressing for a review of Maureen presentation. This has resulted in the suggestions that a Best Interest Meeting is the way forward. I’m not sure that a BIM is needed after how she presented yesterday:
Maureen’s presentation will always be a reaction to her environment and how she is being treated. If living on a building site for three months hadn’t changed her presentation there would be real cause for concern! Who doesn’t want to get away from it all when your house has been turned upside-down and you no longer know where anything is?
What really needs to be resolved at the moment is:
- Clarity over Maureen’s diagnosis: is it predominantly Alzheimer’s or Vascular Dementia?
- Consensus on where to place Maureen on Teepa Snow’s CEMS Model and the attendant approach to support.
- Adequate support to me as Maureen’s Care Partner.
- A reinstatement of the role of a Care Coordinator.
Maureen was a revelation in the company of her family yesterday. Once our renovations have been completed and there is adequate room for her relatives to stay I am convinced we will see a very different Maureen.
Now here’s a thing: earlier this morning I reminded Maureen that four of her grandchildren had been here on Monday – she had forgotten. As I’m about to post she has just said ‘it was a nice day yesterday’ going on to explain how much better it was to be out in the fresh air rather than sitting in the house when visitors are here. Such comments give me hope that neuroplasticity is fact rather than fiction!
I often adopt a Citizen Khan approach to our life: frequently telling Maureen ‘they all know us’. Once again the locals came to my rescue yesterday afternoon when Maureen gave me the slip. It was another one of those farcical events that can leave you bent over with laughter when you look back.
I had been having a Sunday afternoon snooze and woke up to find Maureen had done a runner. When I made it to the front door she was walking by and I hailed her with ‘hello Blondie’ she responded with ‘I was trying to remember where you lived’ and walked on. I stopped to talk to a neighbour as Maureen started on a familiar route around a local Court. Then I walked on to catch her as she completed her circuit but no Maureen. I checked with my neighbour but she had not passed him as he tended his front garden so I retraced my steps thinking she may have gone into someone’s garden. A few minutes later I gathered what had happened when my neighbour said she was in a Close opposite our house.
Maureen had obviously doubled back and that was why she had not met me at the end of the Court. Then she had gone back towards our house and ended up in the Close. When I found her she was on the arm of a woman who lives in a bungalow opposite our house. She has been kind enough to let us park our car on her drive while skips have taken up our normal parking space. To show our thanks for her kindness I invited our neighbour in for a cup of tea and she stayed and chatted for a while.
It is so helpful that our neighbours know us and are aware of Maureen’s condition. I always know if she slips out some kind soul will be on her case within minutes to keep her safe and sound as they usher her back home.
After a great deal of thought, and frequently changing my mind, I have decided to go for it this morning:
When I first heard that two family members and their four children wanted to visit today I was aghast. My first thought was didn’t they understand? How could anyone conceive that someone with severe dementia could cope with such a gathering? So I suggested breaking up the visiting party and leaving some of them in waiting until we saw how it was going. This morning – I think – I’m going to leave it to their discretion as this will mean I have the time to clear up some important outstanding business
If the visiting party arrive before one ‘o’ clock I will hopefully have time to resolve some critical issues for the forthcoming week. Some of them involve complex matters about my relationship with certain organisations. I’m not a believer in doing dirty washing in public – unless I have to – and I’m hoping that a little bit of positive risk-taking today will be good for all concerned.
Maureen’s early morning response to the news that visitors are coming today is ‘I don’t know what they look like’. Showing her photographs and talking about her grandchildren yesterday has long since faded from her memory. Her current focus is on trying to solve a support issue and lambasting me with a comment that the black bra (which is, in fact, a belt) belongs to my girlfriend. It’s getting hot here now as she ups the anti shouting out that ‘it’s hers, not mine and it stinks!’ The bra has now been thrown into the wash basket and Maureen is shouting that ‘fat arse has had all of her underwear’.
A cup of tea and a bit of humble pie is my only hope: at the right time of course!
Labelling anyone with dementia as a sufferer is totally unacceptable. This lesson from Dekyong puts the whole issue of suffering into a Buddhist perspective:
Posted at 3.30 am
Today’s music is particularly pertinent:
Our house is now a complete mess: nothing like the order that Maureen has lived in all of her life. We emptied our dining room so the walls and ceiling could be reskimmed yesterday evening. The bookcase that Maureen has claimed as her own has been emptied: some of her most precious belongings are in boxes all over the house. Little wonder she doesn’t know where she is and wants to run away: she is completely lost in her surroundings.
The dining room now needs to be left to sweat – dry out. Chaos will reign in our household for the next few days. This will be intensified on Monday when plumbers will be here to begin kitting out our new shower room.
In two weeks time, the pressure will be off and a semblance of normality will return to our household. We will then welcome visitors with open arms and be able to offer them somewhere to stay as the Sun Room doubles as a self-contained flatlet!