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Relationships

How to "help" my mum?

16 replies

AhAgain · 19/08/2017 11:32

Hi

78 year old mother, widowed 13 years ago, lives alone about an hour's drive from us. Has had various acute illnesses over the past 7 years (two separate lots of cancer, both in remission) and many many chronic illnesses (IBS, COPD, Fibromyalgia, bladder problems and - since Christmas - Wet Mavular Degeneration) that have all been ongoing, over many years. So she has had a tough ride.

I am an only child (well half siblings, but none with any responsibility to her). So the buck stops here and has done for the past 13 years. She has now given me Power of Attorney (because of her uncertain health).

The last 6+ months have been particularly hard because of the Wet Macular Degeneration. Despite treatment as quick as possible - in a not so perfect world - her eyesight is very bad. She hasn't been able to drive and won't again. This has massively effected her independence. The last few weeks have finally managed to encourage her to take a taxi to the supermarket: to get her out of the house - otherwise she doesn't tend to leave the house (despite living on a lovely marina with a corner shop, postbox and little cafe within strolling distance). Cannot encourage her to be sociable beyond a couple of neighbour's (but she is rarely sociable with them).

Anyway, my problem is her eyesight. I ask her "what can we do to make things better" - she says "make my eyesight better". The Consultant says that it is as good as it will get (the fluid is gone, but her retinas are scarred). So she can't drive, she really struggles to read, she really really struggles to use the computer, she struggles to read applicances, she struggled to write (and read it back to herself). Her short term memory is going, so her answer is to write everything down (which she struggles with and then can't read back and I can't read it either). She keeps papers in piles - lots of piles where she can't find anything. She - I found out yesterday - has 3 notebooks on the go (identical): she can never find the right notebook or what she wants in a given notebook. She sends me emails she can't read and asks me what she needs to do: I read, them, tell her she needs to phone a number (she writes down the number in a notebook or in a random piece of Peter in a pile) and tell them "X" (which she also writes down). 3 days later she has asks me about the same problem: she can't remember asking, can't find the notes etc.

When I speak to her (every couple of nights) she is always complaining of eye strain, being really tired and falling asleep in odd places (like on the stool at her dressing table).

It turns out that one of her notebooks is her "business notebook": she is a director in her apartment block's residents committee. I looked through it and it has random things scribbled ("such and such in number 58 complained about this" etc). This is virtually all done with emails (which she can't read at all easily or reply to easily) and her making notes in one of her three notebooks (which she can't find stuff in or write in or read easily). There are also piles of letters regarding the management of the block (they have a management company). I have asked her repeatedly to cut down on this responsibility. There are two other directors (both able): I have suggested that she pass the admin on to them and just sits in an advisory capacity (so helping the other directors by just talking with them - on the phone and in person - and not dealing with ridiculous amounts of letters, emails etc).

Other things that I have suggested are:

  • really cutting down on emails and online things: doing as much as she can by phone (she is perfectly fine on the phone).
  • getting down to ONE notebook and always keeping it in the same place.
  • having something like a whiteboard (larger than paper, more prominent, one "go to place" for urgent "to do" notes) - so she is not always looking for notes on odd bits of paper that she looses.


And various other ways to "simplify things": so she can concentrate on the important things and see the wood from the trees and have less to remember and focus on.

Mum is a complete technophobe. She has done well (although this was many years ago she learnt) to do email and online banking (although that has recently gone bad because NatWest have apparently changed their online banking interface). But she really really struggles with learning new things or applying knowledge.

But she won't have any of it. She is adamant that she will "struggle on" (with her tiny magnifying glass and torch) and do things she has always done it. I am being nasty and aggressive for suggesting otherwise (I checked with my son later, who was with me yesterday, and he said that I wasn't - I really wasn't, I was very diplomatic and calm).

The upshot is that she is cross with everyone (The Consultant for big returning her eyesight, the optician for making the wrong glasses that didn't help, the neighbours for various reasons, me for suggesting she does things differently). But then she always has been: even when I was a child, she could never be wrong and I have never ever heard her say "sorry" in a sincere way. She has a brother, but hasn't spoken to him in 20 years (because, she says, he was cruel and nasty to her - I actually now think she means that he didn't agree with her Hmm ).

I just hate it at the moment: my mum is complaining a lot and is obviously down and depressed, but every attempt to help her or help her help herself is shot down. I just see her hitting her head against a brick wall, many times on a daily basis. It was the same when Dad died (any attempt to get her socialising again was shot down), then both times she had cancer (couldn't get her to accept help - apart from by me - either physically or emotionally). Even her Respiratory Consultant said to me - last time we saw him - "can you encourage her to use some self-preservation". Bloody hell I have tried, so much Sad. She insists on "struggling on" literally and then "voicing it" ("mum, try x to make things easier", "no, I will STRUGGLE ON!!!").

Sorry to ramble so much. Sad
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AhAgain · 19/08/2017 11:33

Sorry, that was an awful long post Shock

Only can really talk to DH about this. He thinks she is batty, but can't help much otherwise.

I am not her career (and couldn't be), but I really really want to make her life easier and more enjoyable.

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Stripyhoglets · 19/08/2017 13:41

Sounds tough - one practical thing might be too see what's available in the way of assistive technology to help her with the sight loss and computer use which might help her feel she's retaining her independence a bit.

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Thejoysofnanahood · 19/08/2017 13:41

Hi there, it sounds like a really tough ride for you both at the moment. Your mum sounds like she is trying to maintain independence even though she relies heavily on you to try to do that. I don't know where in the country you are but there is a support service called Shared Lives that is run up and down the country. The idea of this service is to 'match' volunteers (and their interests) with those (of the same interests) that need company, support, help etc in accessing the community/hobbies/interests and whatnot. The long term outcome is that the volunteer ( or Champion as they like to call them) becomes a 'member' of the family so to speak. Perhaps this is something you could look into to get your mum out and about more in and around her local area. No doubt the volunteer would also be able to remind your mum with regards people she needs to contact or tasks that she needs to do. I think that once your mum gets used to the idea of having a friend to do things with, she may be more willing to compromise on other things - especially if the 'friend' makes the suggestion rather than you. The contact details for Shared Lives are below, I hope you get some support for you and your mum soon.

sharedlivesplus.org.uk/

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MatildaTheCat · 19/08/2017 14:03

Oh dear. That's a lot going on. Mil has wet macular degeneration and was signed off last year after numerous injections but now needs more. She, too is very down about her sight. She, too is very resistant to anything that might help. The RNIB have some good resources and there may well be a local dp service for talking books if she'd be interested? I have encouraged mil to listen to the radio more which she eventually has done.

We bought her a huge tv and after a long time of not watching she is now able to follow programmes although she always complains she can't see. If I show her my iPad it really helps to switch the brightness to maximum.

But...it sounds as if there is more going on here. This note writing and relating stuff sounds like a memory related issue. My dad is heading this way and it's really difficult . I think it would possibly be kind to speak to the other resident directors and ask them to relieve her of these duties somehow.

There are many practical AIDS for eyesight and memory problems but it's fire fighting and exhausting for you ( and me!) to keep trying. I bought a proper sight aiding lamp and installed it against her wishes and she's never thanked me but does grudgingly admit it helps.

If she's alone I would consider speaking to her GP about a 'full check up'. If she's on the radar as getting more vulnerable it will help if she ever needs emergency assistance. Remember she is probably terrified rather than angry and doesn't want to be dependent on you hence her difficult behaviour.

No easy answers but plenty of sympathy.

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MatildaTheCat · 19/08/2017 14:09

Sorry, have just reread your post and see a bit more.

One thing that does occasionally help with mil is to stop making suggestions and ask her, 'what would help/ work?' Obviously not possible to restore health but it gives back a little bit of control to choose. Usually there isn't anything but sometimes it works.

And yes, her mental health really needs to be assessed. You have POA so speak to her GP?

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AdaColeman · 19/08/2017 14:23

My Dad had a large magnifier on a stand with a flexible neck which he could position easily above pages he was reading, and that coupled with a good reading lamp helped him a lot.

A quick idea with the identical notebooks, perhaps cover each one in a different brightly coloured wrapping paper?

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AdaColeman · 19/08/2017 15:13

I've had a quick look on Amazon now and they have several versions of the large magnifier, known as Table or Table Top or Desk Top.

The white board is a good idea. I think you need special markers to use with it, maybe attach them with an expanding cord?

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Buddy14 · 19/08/2017 17:27

Would it be worth getting her to have a home course in Braille - especially if this is likely to deteriorate ? There are thousands of books she can read and this will keep her brain more active.

Then there is the obvious audio books ?

Sorry to hear this - maybe a more frank
Conversation on how it is effecting you and it hurts when she says horrible things and maybe get her to talk a bit more?

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Gingernaut · 19/08/2017 17:35

Is her eyesight so poor that she can be 'registered' as partially sighted or blind?

The RNIB can offer practical help.

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Numbsnet · 19/08/2017 17:36

There's definitely assitive technology that will help her and doesn't require much expertise. Some thing that will say "You have a new email", then read the mail to her.
It could also create a response from voice recognition.

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AhAgain · 19/08/2017 18:23

Hi

Thanks so much everyone. Writing it all down and having send people read it has helped a lot, thank you. Your patience and advice much appreciated.

Have been down the "companion" route before, many tines and especially recently: someone to take her places, help her run errands, keep her from feeling as lonely. Absolutely no go. Sad. I am very sad because I think it might help her a lot, both practically and emotionally, but I think that in her mind this means "carer" and "loss of independence". Whereas I see it as her getting some independence back and I am sure that she is very lonely.

  • I really don't think she could cope with Braille - she has no memory. I am not trying to put her down, but honestly she really really struggles. The same with assisted technology. Have tried to teach her various things (computer/phone), but it is completely hopeless (she blames my teaching and me not being around enough). She has been put in touch with a specialist on partially sighted/blind computing. He has suggested an adapted iPad and lessons. I am very dubious, though. We will see: she can blame them and not me perhaps. Honestly she is incredibly technophobic.
  • typist note pads used (those fairly small, flimsy ones with spiral at the top) - a bit hard to jazz up or differentiate.
  • Have talked to one of the other Directors - who is probably her best and most helpful friend/neighbour. They are completely aware, so I don't know what is going on. Will contact her again and find out.
  • any recommendations on desk lamps? I think that she is waiting to see a sight lighting specialist, but this is all taking time (I have been on at her for months to see specialists, but she has only made appointments in recent weeks). Hopefully a magnifier will come out of the same (although a friend has lent her a better one and she still insists on using a tiny, cracked one). Still, any recommendations on lamps would be good. I will see what I can find whiteboard wise and just give it to her.
  • will speak to her GP to try to get her on the radar: she is becoming much more vulnerable (although will not accept this).
  • have suggested using the radio more and audio books - no luck yet. But she has never been a "book" person. Will try suggesting bigger TV (have already suggested bigger monitor). Will work on those.


You think that the short term memory could be something else? Unrelated? Not normal aging? Not something connected with the eyesight (i.e. loss of confidence/sight making it worse?)? She has always been fairly bad in short term memory and always been a technophobe (I have a Masters in Computer Science and work in engineeeinv - so don't have it too). She is also much more "visual@ than "listening" - which Ivan relate to: take away the "visual" and she probably doesn't seem struggle to take things in...

Absolutely cannot mention how I feel to her: she would call me selfish and nasty. When I said that I found it frustrating that she is not making things easier for herself, she went on about me not understanding and saying that I don't "think about her and her problems" (which is blatantly not true! I visit when I can - once every week or two - speak to her every couple of nights and am always trying to think of things to help her out). I understand that she wants to be better and do everything the way she used to, but find it hard to see her "struggle on" (trying to do that), when she could make life (with a bit of help) so much easier for herself. It is like "all or nothing": either "I live as I did before" or "I don't want to live".
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TT1ramasu · 19/08/2017 22:49

You are helping and supporting, however it is very frustrating when people refuse outside help, where their are sure benefits
You can only offer the best help that you can

Your DM must be frustrated with her illnesses and as you are her closest companion/family, you bear the brunt of her frustration

Your DM would benefit from visits by local volunteers or paid helpers who could assist her with daily tasks and going out eg Red Cross, Age Concern, local befrienders or care agency There is one charity that does befriending over the phone at a pre arranged time each week if she does not want people to visit her house
Could you find a cleaner/carer who would help with other daily tasks ?
I am thinking introduce as cleaner, but who can assist with other tasks (may need to pay a bit more) there are some very helpful people out there

I am sure RNIB or equivalent would be able to assist with suggestions about technology eg speaking email technology

Try BBC In Touch radio program if in UK www.bbc.co.uk/programmes/b091s7xd

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CatsMother66 · 20/08/2017 00:09

First thing to do is change all her light bulbs for the highest lumens you can get for the correct wattage. All light bulbs are not equal! We had fantastic ones on line. Light is very important and this will make a huge difference. Rnib has a shop for practical things like talking watches/ clocks/ kitchen equipment. My mum has magnifying glasses given to her by the opticians, but she prefers the small ones as the smaller they are, the better they magnify.
My mum has problems dressing (disquinshing colours), keeping herself clean (can't see to eat), can't see when food has gone mouldy, can't deal with correspondence, can't see dirt building up in house, can't see to cook, it impacts on everything. She may need someone to help her with everyday things. Tell her you want her to remain independent in her own home and in order to do this she will need someone to come in to give her help.
I find there are loads of agencies and schemes out there to help in so many ways, it's getting them to accept it is the problem as they are frightened, angry and worried that they are becoming useless/ a burden so struggle on without help.

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ScruffyLookingNerfHerder · 20/08/2017 00:46

What about Amazon Echo for some of the smaller practical things - she could tell it "remind me to call X about Y" and "read out my reminders"

I know you said she does like tech, but she wouldn't need to think of it like that - you could tell her it's a dictation machine which she might be more familiar with!

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MatildaTheCat · 20/08/2017 10:12

I bought mil a lamp like This. It isn't a think of beauty but it works well and was quite cheap. There are loads of products at different price points.

Your DM sounds complicated in that she's clearly quite a difficult character anyway ( as I know well), plus she's got multiple health issues. One issue could be severe depression which would impact on her memory and ability to accept changes or help. Or there could be memory issues starting. Without seeing her GP for a proper assessment it's impossible to guess.

I would say just keep going to see her and call with no expectation of her being grateful or pleased. Give her news of your family or whatever and give her space to complain. If it gets personal tell her you are doing your best. Ask if she has any practical ideas of her own as to what might help her be more comfortable. Ime this is pretty hopeless but as I said before, some people hate to be given suggestions, they want to be in control.

My mil only very grudgingly agreed to the huge tv when the ophthalmologist suggested it ( looked at us as if we'd been remiss!), and even then she fought it. The first night it was installed we watched Strictly and she made a comment about someone's face so clearly could see something. Hmm. So sometimes we forge ahead and buy stuff and sometimes just sigh with frustration.

Good luck and don't let it get you down too much, you are doing your best.

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springydaffs · 20/08/2017 15:39

Having the same sort of issues with my aged parents at the mo. Isn't there a section on here somewhere?

You're an only child but I am one of 3, there are big problems with differing views amongst us. I'm of the opinion to let our parents make their own choices. Yy that often means a very poor quality of life.. BUT that's their choice??

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