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Elderly parents

I despair, I wish I could just not care, but dear god give me strength

332 replies

Kbear · 14/03/2012 21:25

I can't even begin to explain but I am going to blow a gasket. I care for my elderly in laws. It's a minefield, and a nightmare, and stressful and how does life come to this.

I just got off the phone to MIL, she is rambling, she doesn't listen, I try to help, she talks over me, she's had a lovely afternoon while I was panicking at work because I phoned and she was calling out for FIL and saying oh god oh god, what shall I do? then the phone went dead. So I rang BIL, my DH was at work, I was at work, all miles away. SIL drove over there and there they were all happy as larry drinking tea and the phone's on the side off the hook. Tonight she doesn't even remember SIL going over there.

She forgot to give FIL his meds for four months. I just found out last week. Arranged all their meds again, she can't remember to give them. They're in a box marked for the days of the week, she gives Monday morning and Thursday morning instead of Monday morning and Monday evening.

Today they thought they'd go to the pub for lunch - FIL doesn't know his own name or where he lives, he can hardly walk but off they trundle down the garden to waiting cab, he falls over, almost takes her with him.

How in hell can I look after them? I have two jobs, two kids, one DH!

There's so much more, I am too exhausted to explain, DH is on nights so I;m not calling him to talk and stress him out even more.

I want to cry. No response necessary. Just getting it out there.

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Columbia999 · 17/03/2012 13:08

General wards have absolutely no idea how to deal with people with dementia, or any other old people who don't just sit still and do what they are told. She sounds as if she needs to be on the psych ward for a while; have they had the mental health team to come and assess her?

Kbear · 17/03/2012 13:05

They just called me - she is medically fit, they are discharging her. She has seen social worker and refuses all help.

I said last night she was fighting the nurses and kicking off alarming and now suddenly she is free to leave?

I am panicking and now on hold to try to talk to social workers.

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QuintessentialyHollow · 17/03/2012 12:41

So sorry, they might have to move your mil to a facility more suitable to this type of behaviour. Bear in min that they are a hospital, not a secure facility for a certain type of mental health. Dementia comes under mental health, and when my mum got really bad, I had to take her for sectioning at the local psychiatric hospital. There they have restraints and facilities for calming such patients. As she is in a normal hospital they are not even observing her mental state, and not started considering medication for that. Only her bladder, but whereas, if she was in an Geriatric mental health dept, they could treat her bladder infection too.

I think you need to go into the hospital to discuss these options. It is not in his or her interest right now that they are to be kept together. Not until they both improve.

Columbia999 · 17/03/2012 12:06

Stay strong Kbear, you're doing all the right things. I can identify with you because we are going through nightmares with my mum at the moment, who has dementia. She has three daughters, and we all knock ourselves out trying to help her, and two sons who do bugger all, apart from wringing their hands now and again and going "oh isn't it awful?", but don't lift a finger. Ma insults and demoralises the three of us, and is paranoid that we are only trying to get Power of Attorney so we can nick all her money etc.
I sometimes think it would be easier if she'd always been lovely and the illness made her like this, but she hasn't; she's always been bad tempered, verbally (and physically when we were kids) abusive and generally nasty. At the moment we are working on getting her into sheltered housing and hopefully a home care package in place.
Don't worry unduly about the home care report. I've been a social worker and a recruitment manager for home care at various times, and it's not fair to paint all the home care agencies with the same brush. Most home carers do a brilliant job and should be paid much more than they are now. But it sounds like your FIL and MIL are now way beyond the point where they can live safely at home, even with a massive care package in place.

I'll be following this thread and thinking of you. Good luck.

Eglu · 17/03/2012 11:43

Kbear just come acrosd your thread, and although I have bo experience of this I wanted to offer my sympathies for what you are going through. You are an incredibly strong person to be dealing with all of this.

My Aunt has been in a similar situation with her parents for a few years and it is very hard on her. She has had to fight for help for them. Hopefully things will improve now they are in hospital.

gingeroots · 17/03/2012 11:15

kbear that's truly dreadful care by hospital ,just totally not acceptable .

Sadly ,IME and as I said earlier ,things at hospital will be cr*p over the weekend ,and this often also applies at night .

If you have the energy ( which I doubt ) I would try and find out what the staffing structure is and complain to the most senior person that you can .
One of my very bossy and totally unhelpful sil's did this during one of my mothers incarcinations and it resulted in a tour of the ward by - forget job title - someone very senior and conversations with relatives and patients .

Of course when I say complain I mean express understanding of the demands on them but ....

And failing that keep a diary and complain afterwards . I was once a hesitant complainer but I have found that it really makes a difference and improves care ,it has never resulted in a deteriotation of situation .

I am so sorry you are going through this ,god knows what today will bring .

ssd · 17/03/2012 10:04

Kbear, many many hugs to you, you sure need them

you are doing brilliantly

go for your walk and take deep breaths, wish you were here and I'd walk with you

can you speak to her consultant, make it clear they have to know how to deal with her, your getting a phone call in the middle of the night isn't helping anyone, you have kids and can't just drop everything all the time

this is a total mess but honestly you've done the best thing by them, the hospital need to deal with this now

its awful, but you and your dh will get through this, hopefully you will get some answers next week

earlier on in the thread I said let the social workers know what this is doing to you and your family, they will take into account the pressure you are under, but you must stress this to them

I've had my mum sent home from hospital with no backup care in place, to an empty house and its all been left to me. You must get tough with them before they are disacharged, once they are discharged the hospital washes its hands of them and its the communities problem, they all like to pass the buck I find

QZ · 17/03/2012 09:53

Kbear, I couldn't read and not post.
Ihave no experience of this, sorry, but I hope you get some respite and they get some decent care.
You have my every sympathy.

Kbear · 17/03/2012 09:47

SILs?? hahahahahahahahaha

BILs.... two out of three getting involved, one opted out completely.

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Gumby · 17/03/2012 09:31

Kbear Sad
this is a lot for you to take on
Can't bils help out more
Or sil's?

Kbear · 17/03/2012 09:20

Again, I thank everyone for their responses to my ramblings. I am just getting it out there, it helps. I have a tightness in my chest today. DS playing football in the park at 10 - I am going to walk laps of the park to calm myself while he's there. I need to breathe.

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Kbear · 17/03/2012 09:19

So, phone call from hospital at half eleven last night asking for a family member to please come to the ward to try and calm MIL down. She was hitting nurses, swearing, saying she was going to slit their throats.

OMG, I was in bed, kids in bed, DH home but had a few beers so couldn't drive.

I said I didn't think our presence would calm things down, after what she said to all the family members who visited yesterday, in fact I thought it would make it worse.

They had moved him to another ward and were trying to get her to go with him and she was kicking off.

I have never heard her swear. She is a little 82 year old lady of under 5 feet tall and they were talking about calling security. I said what the hell is security going to do, hold her down? What happens next, you must see this all the time, I said. Nurse unsure.

So I called BILs 2 and 3 (BIL 1 having opted out of all responsibility) and let them deal with it. They didn't go though cos I just phoned hospital. She did eventually move but has now barricaded herself in her room that she is sharing with FIL and put a chair in front of the door so the nurses can't get in.

I'm saying sorry to the nurse, she's not normally like this, she has gone just MAD, only word to describe it. She said she is being treated for bladder infection but refuses her meds, food, drinks.

After 64 years together she is going to miss seeing the old man pass away because this madness has overcome her.

FIL had a scan last night for potential broken bones - results not available until MONDAY. So he'll be left in agony since THURSDAY. Dear god, is that care?

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BlackLetterDay · 16/03/2012 23:34

So sorry for what you are going through kbear, also your MIL and FIL, it's 100% clear that it cannot go on as before. Urine infections can really knock older people for six, hopefully this is the case for your MIL, although I wouldn't rule out something underlying.

I worked on a medical ward looking after many many patients with dementia/ uti's and honestly the things I have heard would make your hair curl, try not to take your Mil's ranting personally, she is obviously not very lucid Sad.

Good luck that you will get things sorted.

Alibabaandthe40nappies · 16/03/2012 22:33

Kbear - you sound so strong, you must be the most enormous comfort to your DH and the rest of the family. Try and take comfort from the fact that the people your PILs used to be, would be grateful for all you are doing.

I went through all this with my grandparents, grandma in particular, and it is awful.
During one episode she though I was my mum, and that DH was some fancy man I had taken up with, and she ranted at me in the middle of an open ward. She, thankfully, had no recollection.

Hang in there.

Kbear · 16/03/2012 22:22

I have spoken to the hosp but at this stage they are only interested in getting them medically fit and said they won't be discharged until then and then the social workers will discuss with the family what is best for them going forward.

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hellymelly · 16/03/2012 22:21

Bladder infections make old people really really strange, like dementia, so that could be a big factor. When my mum was in hospital with an undignosed UTI, she tried to call a cab to take her to see my Dad in the middle of the night. I am glad that things seem to be being dealt with,I was so grateful that you posted on my thread about my parents, as they are in a similar condition, although not quite as extreme yet. I hope that now some support will be put in place. I think its likely that they will say your FIL needs to be in a nursing home, as that is the upshot with my Dad he also has Parks/lewy body dementia and sounds more lucid than your poor FIL. With your MIL it may be that she improves no end once the infection is dealt with. I hope so. You sound such a caring and lovely DIL, they are very lucky.

QuintessentialyHollow · 16/03/2012 22:14

Oh boy.

It is good that you are a tower of strength. Please do not take her venom personally. In a while, a few weeks or so, she will be more settled and calm.

To be honest, you should consider insisting that they are not let back to their home, but to look into a nursing home for them. Are there any decent ones in your vicinity?

Kbear · 16/03/2012 22:09

She has a bladder infection too apparently. Plus not eating properly or drinking much so dehydrated.

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Practicallyperfectnot · 16/03/2012 22:02

Dementia is more noticeable when people are in unfamiliar environments - scary for family to see this. I guess your mil has been checked for a wee infection? The Alzheimer society website has fab info.

thenightsky · 16/03/2012 21:24

Oh God Kbear... I just read the bit about how she has her PIN numbers in her purse... my mum has written hers in black ink on the OUTSIDE of her pale pink purse... AND she says them out loud whilst pressing the buttons . She then drops the card into her very baggy, open trouser pocket.

kipperandtiger · 16/03/2012 20:39

No, they won't do anything over the weekend because the social services and other departments are closed at weekends. And from the sounds of MIL and FIL's symptoms, earliest would be next Monday I reckon (unless they've found a medical magic wand that hasn't been invented yet) - ie 26 March, if even that. In a way, it might be a good thing that your MIL is acting up a lot in there -could be doing you a favour! -
if she was too calm, pleasant and normally behaved, she'd have to be discharged sooner, but I am guessing they will now have to run a battery of blood tests and other tests to check that there isn't some underlying condition that might be causing her to behave histrionically.

oiwheresthecoffee · 16/03/2012 20:33

Kbear have nothing useful to add just ((hug)) and , as i read on here the other week , cant remember which mner said it - her reality is not yours. Its not that she hates you in spite of thins you ve done , in her mind you may have done something awful , its real to her even though it never happened.
I know you know this already. Just remind yourself when you feel bad shes not in the same reality as you are and try and go from there :)

saggarmakersbottomknocker · 16/03/2012 20:27

Oh that's good Kbear. Smile

Have a peaceful weekend at least.

Kbear · 16/03/2012 20:21

saggar - I had a carer assessment today - was useful. Gave me the know how to insist that they don't let her how without social workers involvement etc.

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Kbear · 16/03/2012 20:19

More posts from me tonight than in the last year!

Just spoke to MIL's sister who is just back from the hosp.

FIL gone for a scan - he's been there a day and a half and now they've realised that he is actually in pain and might have broken something in the fall.... they've been rolling him around the bed to change the sheets and he was crying out but they assumed I suppose it was just distress that he didn't want to be moved but now it seems he is in pain.

MIL is madder than ever tonight - refuses to eat or drink, abusing the staff. Her sis and husband were there, as well as my MIL, SIL and their daughters. She was saying all kinds of crazy stuff.

Gave her sis a shopping list... bottle of brandy, six glasses, lemonade and ice cream.

We have been assured she won't be going anywhere until care services are put in place so I can stop panicking for the weekend, at least.

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