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Elderly parents

Support for those with a parent suffering from dementia. Pull up a chair and talk to those who understand

997 replies

CMOTDibbler · 01/05/2013 09:04

There seems to be lots of us here struggling with someone close that has dementia - be it Alzheimers, Fronto temporal, vascular, Picks or any of the myriad others.

So come and chat with those who know how it feels to have to choose a meal from a menu for their own parent, what its like having small children and a demented parent at the same time, and how you explain to children just why grandma says such odd things

OP posts:
WynkenBlynkenandNod · 02/07/2013 17:20

Hi Waterlego, very sorry you are here in these circumstances. I agree that it does no good worrying about what has/hasn't happened. I've read very often about parents keeping the true reality of their circumstances hidden from their children until a crisis brings it all out in the open.

Before my Mum got to an actual diagnosis she had a panel of blood tests to rule out other things and also urine infections can sometimes cause problems. Did the GP say they would take bloods ? My Mum had a CT scan which showed she had had multiple TIA's but also changes indicating Alzheimers which meant she is considered suitable for some medications (though that hasn't gone well).

Please keep posting a stream of consciousness, it's good to get it out and we're all in the same boat here.

waterlego6064 · 02/07/2013 17:15

Thank you CMOT and Post. I think the GP told my brother that dad will be getting a brain scan too- I hope so.

It is really very comforting to hear that there was probably nothing much we could do to prevent what has happened.

And CMOT, what you say about couples being able to keep each other in rhythm really makes sense. I think the GP said something similar yesterday.

Really appreciate your warm welcome, thank you.

waterlego6064 · 02/07/2013 17:12

Thank you; that's really kind.

Ahem...plastic penis's?

Yes, poor mum. My brother and I had a frank conversation with her last night in which we tried to prepare her for how much dad has changed. She was obviously very sad but is amazingly strong for a 5.5 stone lady and she will find positives in this situation, I have no doubt.

There is no way dad can care for mum now (indeed, he can barely care for himself), or vice versa. So my brother and I have a lot of sorting out to do re district nursing team, social services, home care agencies... We'll work it out.

PostBellumBugsy · 02/07/2013 16:55

waterlego - so sorry you find yourself here.

Hopefully, others will have some more info for you. The more I find out about the various forms of dementia, the more I realise I don't really understand it at all.

My father has vascular dementia, and as far as I know, there is very little there can be done to prevent it. So, please don't beat yourself up about that aspect.

Push for the memory clinic appointment as soon as possible. If you are very worried about him and his deterioration - it might be worth trying to get a brain scan to see if something else is going on.

CMOTDibbler · 02/07/2013 16:55

Welcome Waterlego, though as NeedMoreSleep says, sorry that you need to come here.

I think the first thing to say is that theres no point worrying about what could have been done. You can't stop vascular dementia, and its very unlikely to have been made worse by caring for your mum.
What does normally happen though is that a couple manage, even when one is in very bad shape physically and the other mentally as they keep each other in rhythm. Take the physically infirm one away, and the other will suddenly seem to take a massive downturn as they have all their coping mechanisms removed.
My grandparents were like this - when my grandfather was admitted in his final days of life, you suddenly saw the real nana who was totally adrift.

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Needmoresleep · 02/07/2013 16:42

Welcome. Though that is far from the right expression. You have done a good job in finding positives from what sounds a shocking couple of weeks.

Do ask questions. Between us we seem to have built up quite a range of skills. Plastic penis's?!

Also do vent when you need to. Lows happen and are easier when shared.

Your poor mum as well. Having to worry about your dad. The stress of trying to look after your mum wont be helping him.

waterlego6064 · 02/07/2013 16:36

But for a negative (I should've got this out of the way first):

Floating around in my head- and which I can't quite bring myself to actually properly think about- is the thought that we could have perhaps minimised some of the damage to both mum and dad...
-if we'd insisted dad got his health concerns addressed earlier
-if we'd given dad more support in his care of mum

(But the health concerns were only minor at that time, and we were all so focused on mum and getting her through the chemo...and we did try to support dad as best we could, but he kept insisting he was managing fine and he seemed so in control...)

Sorry for the stream-of-consciousness style of posting. I'm so strung out.

waterlego6064 · 02/07/2013 16:28

Hello everyone, hope you don't mind me butting in.

Please forgive me for not having read through the whole thread yet but I am exhausted.

Sorry, this is quite a long story so please bear with me. My parents are in their mid-60s and have been married for 40+ years. A year ago, they were healthy, vibrant, globe-trotting, sport-playing people. Now, I can barely believe what's happened to them.

In January, my mum was diagnosed with stomach and liver cancers and began a gruelling course of chemotherapy. Dad did a wonderful job of caring for her.

About 6 weeks ago, dad began complaining of a mild cough, loss of appetite and fatigue. We all expressed concern and asked him to a see a Dr but he kept deflecting it and insisting that mum was having a much worse time than he was; which was true. A few weeks ago, mum mentioned that she thought dad's memory wasn't as good as it used to be.

Then, 10 days ago mum became so ill that we had to have her taken to A&E by ambulance. Dad was bewildered and very quiet. In the next few days, he became more and more withdrawn, forgetful and vague. We all thought he was suffering a 'nervous breakdown' for want of a better phrase. However, he has suddenly become even more vacant, confused and forgetful. My brother took him to the GP yesterday, who did several memory and cognition tests, and feels that it is likely Dad has vascular dementia. He's been referred to a memory clinic.

Mum is now doing much better and is being discharged from hospital tomorrow. The husband she had when she was admitted is not the one she is going home to. He was a very intelligent, competent, successful and active man and now he is like a lost child.

The last 10 days have been exhausting and devastating. My mum's illness is terminal; we already knew that. At least she now gets to go home for the remainder of her days. But now our dad is very suddenly not our dad anymore.

Hope you don't mind if I pick your brains for advice; or otherwise just hang around and try to appreciate the positives and the humour that are lurking in the middle of this otherwise giant pile of shite.

My positives for today are that:
-my mum still has her marbles
-dad does not seem to be distressed or suffering, so although we are painfully aware of what is missing, he apparently is not.

  • I have a wonderful husband and children and a great brother and SIL and we are all supporting each other as best we can.

Hope everyone's had an ok day today.

Needmoresleep · 02/07/2013 16:01

At the in laws last weekend I rather rudely gave a monologue about how my mothers crisis could have been avoided if they had set up a POA before my dad died and he had passed some things over to me, if they had considered moving when they were still able, and about the wondes of Aricept andd the value of early diagnosis.

Of course they have not prepared in any way either and indeed are planning building work on their home. They are of an age where some form of health crisis is likely within the next few years. Plus I too spotted a level of 'forgetfulness'.

However I felt quite sympathetic. Old age is miserable. Why not try and put it off by ignoring it. They may be the lucky ones and remain active and independent into their 90s. However the POA would be good and something I plan to do as early as appropriate.

I dont like the idea of Grandparents day. It would be pretty impossible in London. Both my kids did the geography lesson where the class plots where parents and grandparents were born. Less than 25% in both DCs schools have 4 British born grandparents. At least my mum and the in laws are at the other end of motorways rather than on the other side of the world.

WynkenBlynkenandNod · 02/07/2013 15:54

Agree, in the circumstances it's really important your BIL step up. And very good your DH agrees. I am massively pissec off that out of DH's family it is him and his sister who ring his Dad daily. His other two brothers have grown up children (one's about to be a Grandad) yet it's DH with full time job, two children, MIL problems who faithfully rings every night at 6pm.

One thing I have learned this last couple of weeks is to keep going until you crack is not fair on young DC's and it is ok to say I have had enough, I can't do any more. No one benefits by you going under.

PostBellumBugsy · 02/07/2013 15:05

CMOT - don't be ashamed. There has to be a limit somewhere. Men are so much better at limiting themselves than women. We seem to expand our capacity to care & multitask until we need care ourselves!!!!!! So, don't ever feel ashamed that you know you've reached capacity (or probably way surpassed it already).

I'm spectacularly rubbish at doing it myself - but I talk a good talk! Wink

CMOTDibbler · 02/07/2013 14:52

I am ashamed to say this Wynken, but I have already said to dh that I cannot be involved with any support for them if this is what is happening. DH has two brothers who live much closer, and neither has a child under 16 - oldest brothers children will both have left home in October and his wife works part time with no other responsibilities. DH is fully on board.

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WynkenBlynkenandNod · 02/07/2013 14:13

Oh no CMOT, as if you didn't have enough it contend with without worrying about MIL Sad and that is really bad about your Dad's op. it gets to the stage where it seems to be one thing after another.

I guess I can see this Grandparents Day then but that does make it very difficult if you're not well endowed on the GP front. At least this year PIL have actually gone.

CMOTDibbler · 02/07/2013 13:59

Well, I'm not very sure about it either tbh, but its an independant school and I think a lot of grandparents contribute to the fees, so I guess this is payback in a way. When PIL haven't been around, we don't have anyone else to go either so I'd have taken him out for the afternoon as in reception he spent the afternoon just watching films in a classroom. Last year PIL were 2 hours late for it.

TBH am worried that MIL may have early dementia. She's certainly lost mental agility and is being odder over the last year.

Dads been on the phone trying to sort out his operation date again. Seems like nothing had been done at all, not even a clinic date, and the longer he has the catheter the more likely it is that he'll always have one.

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WynkenBlynkenandNod · 02/07/2013 13:47

Oh CMOT that all sucks. I'm not very sure about this concept of Grandparents day at school, I don't think it's a good idea. Mine would be screwed if they had one and would have to take a neighbour. I hope PIL pull their finger out and do it properly.

We've just gone through a phase with DH and his blood sugar like your Dad is having. It was the stress of Mum that was doing it. He's just stabilising now thank goodness. Really hope your Dad does very soon too and catheter gets sorted.

whataboutbob · 02/07/2013 13:43

CMOT that sounds awful. So unfair to have to witness other fit, hands- on and helpful grandparents, when your kids' grandparents are requiring the care, not giving it. And of course you have to smile through the day, and not show the other mums your real thoughts, cause they have no idea what you're going through, and it wouldn't do to look bitter. That is one situation that really gets my green monster going.

CMOTDibbler · 02/07/2013 10:31

His catheter is blocking from blood clots. He probably gets the clots as he has an autoimmune condition called pemphigius vulgaris that causes blistering on all surfaces.
No infection currently, but his bg is just all over the place and he had his night insulin reduced as he was having hypos, but now he's running very high.

DH told PIL to take ds to McDs after school, so we'll see if they actually spend some time there, or turn up at home at 4. If they are too early I'll still be on my conference call and they might as well have left him in late club

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Needmoresleep · 02/07/2013 10:27

Poor you. And really sorry to hear of your dads problems as well as your mums continuing decline.

It was my parents who were the absent ones. The in laws have been much more grandchildren oriented. This now means that my mother is less able to gain enjoyment from seeing her grandchildren or hearing about them. The relationship is not there. One piece of learning from all of this is that friends inevitably drop away and hobbies and interests have to be abandoned, family becomes more important. There is sense in investing in family when you can.

My piece of moralising for this morning....

PostBellumBugsy · 02/07/2013 10:23

Oh CMOT that all sounds very crappy.

Hope you can get your Dad back on track again. Do the medics have any idea what keeps blocking his catheter. My Mum is a diabetic and another thing that can trigger it all going horribly wrong is some kind of infection. Would it be worth them checking to see if your Dad has a urinary tract infection? Could be having a knock on effect on his diabetes too?

Glad PILS are going to be there for your DS. Hopefully, he will never know stern words had to be had.

Need - good luck with HMRC!

CMOTDibbler · 02/07/2013 10:09

I'm just going to have a little rock in the corner and feel sorry for myself if its OK for everyone.

Its grandparents day at school today. A whole half day of concert, activity trails, workshops. Lots of active, loving grandparents there. And on this day, my dads catheter is blocking again, his diabetes has spiralled out of control due to stress, mum is making a downturn and passing out. And though she vaguely knows I have a son, she can't name him. Neither of them have ever been to ds's school and never will now.

The PIL have swanned back from their 4 month holiday and only stern words from dh got them to go to grandparents day. And thats required a lot of faffing. I just want them, for once, to want to do something for or with ds. FGS, he's spent more time with our cleaner than with them.

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Needmoresleep · 01/07/2013 23:58

This brings back memories. spent 2 months clearing my mums flat and finally reached the back of the spare room cupboard only to find a big carboard box full of key banking and other papers.

I filled the equivalent of a skip with junk mail.

The charity stuff really irritated me. I phoned or emailed each one saying my mother had been diagnosed with dementia and had moved. Could they remove her from their mailing list. It worked.

Things are good though I feel for everyone else. The latest hiccup though is an HMRC letter saying they were aware that my mother had not declared all her bank interest so planned to launch an investigation. Despite me being registered as POA this was sent to my mum who had ignored it. Luckily I had got her to fill out the paperwork to register my accountant as her agent. So he got a copy. Trouble is that though once I reduced the mountain of paperwork to a suitcase full I brought it home. It has been a very easy thing to procrastinate over. Perhaps I should thank HMRC for giving me focus

.

CMOTDibbler · 01/07/2013 18:01

I think a saving grace for me is that mum and dad don't seem to have a paper tidal wave. Dad now intercepts all post and is ruthless with it. Of course theres historical gumph, and dad obsessively collects one thing at a time. So theres thousands of horse brasses, every square inch of wall is covered in pictures and Too Much Furniture. DH has a plan about when we need to clear the house, involving a giant skip and Ch
Mum has realised something about her ability to read as she's started talking about reducing her book collection - she has thousands of them. She can't name a single one now.

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WynkenBlynkenandNod · 01/07/2013 16:32

My only comment on the paper is there is a whole load in the woodburner here that's come from Mum's but it's too hot to light it !

PostBellum I think your Mum saying she'll see how the summer goes is encouraging. It seems to be such a slow process to get others to accept the situation. I'm amazed you and Bob aren' at the GP getting your blood pressure checked.

Today's development is brother is arranging 24 hour care and she's seeing consultant at memory clinic on Friday as well as the nurse for med review and capacity assessment. The nurse is familiar with her and her fluctuating capacity, which is definitely does - today she thought she was going I to th flat for two weeks. Left it all for Brother to sort.

Had a good talk with the nurse on the phone. I was saying about the ripple effect and she was telling me about a talk she went to about supporting children who are affected by a family member with Dementia. There's discussion about going into schools and helping. Have also found we have a Dementia Research unit newly opened down here.

PostBellumBugsy · 01/07/2013 15:51

whatabout - we could probably fuel a small power station!

M&D get loads of charity letters too and have a vast collection of free charity pens. They have multiple direct debits going out to various charities - fairly small amounts, but still adds up to the best part of £1k a year. I tried to talk to Mum about cancelling them, but was told that things weren't that bad yet.

I nearly burst a blood vessel every time we have to look for something that Mum would like my help with and we have to trawl through the various heaps in the kitchen and then after half an hour of increasingly fretful searching she remembers that she took it up to their bedroom for safe-keeping (where there are more piles of paper)!

As Churchill also said - If you are going to go through hell - keep on going!!!!!!!!!!!!!!!!!

whataboutbob · 01/07/2013 15:08

PBB- what is it with our elderly parents and their love of paper in all its forms? I went to visit Dad last week. Needed to meet a builder because his investment flat (which he has forgotten exists)/emo/te/3.gif needs a whole lot of work done, and I am having to get quotes, check I'm not being ripped off etc. Anyway after taking Dad out for lunch (I chose his meal from the menu) visiting the library, bank (the cashiers greet him by name, he's in there most days) I thought I'd spend half an hour tidying his room. Could barely get through the door which was semi jammed with boxes and boxes of random papers: his old PhD work, bills and bank statements some going back to the 1980s, old newspapers, even condolence cards from when mum died in the 90s. And that is after me having done periodic purges. Three or four years ago, before he was diagnosed, I sat down and wrote him a letter about my concerns re the state of his house, and how I feared it was going to become a dangerous place to live in unless he accepted help/ got a cleaner/ started doing some serious cleaning and chucking out. He denied ever receiving the letter. I later found it on his desk, opened. I used to want to scream "why the bloody hell do you need a 2007 copy of the daily mail??" I controlled myself, but nearly tipped over the edge when he tried to prevent me from emptying a dustbin full of used kleenex (he actually lets them dry and re-uses them, and thinks he's being very smart). I just chucked them in the bin bag regardless, and managed not to seriously lose my temper.
So I tidied up the best I could. One of the things that irked me the most were the weasely charity letters "Dear Dr X, you are such a kind person so we know you will not let us throw little Maria back on the streets, she desperately needs this operation" " we are enclosing our gift of 12 pence (wtf???), we know you will faithfully send it back with your donation". I had great joy in bundling up all these begging letters and binning them as soon as I got to the train station.
As Churchill said, keep buggering on.

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