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Elderly parents

Where do we go from here?

510 replies

GnomeDePlume · 16/10/2024 23:25

Up until 4 weeks ago DM(85) was doing fine. Lived alone in a bungalow with family member close by calling in regularly (most days) for general chit chat.

Then she took a fall and broke her leg requiring surgery.

In these 4 weeks DM has declined so much. Her short-term memory is shot. She has stopped eating, she still chooses food but then just pushes it around a bit without managing more than a mouthful. She still drinks water but isn't interested in any other drink (she used to be a big tea drinker).

DM is now in a ward waiting for discharge to another hospital where she will do some physiotherapy.

It all seems too little, too late. She isn't getting out of bed. Her world has shrunk from bungalow, well tended garden, clubs, to the tray over her bed.

Is there any coming back?

I'm not sure what answers I'm looking for. It all feels a bit miserable at the moment.

OP posts:
WinterFrog · 20/12/2024 14:47

Still early days for us too @GnomeDePlume Four weeks rather than four days. I'm feeling quite conflicted if I'm honest. I was hoping to see her and enjoy her company more often, but I am feeling the urge to back off a bit now. I'm finding the carers are behaving as though they know her better than we do, and that's frustrating. Mother's in some denial about her frailty and she's evidently confused. The carers are so set on being positive that they won't acknowledge it even when she's not present. So i find myself wondering if her confusion, in particular, is just my imagination. They just don't spend that much time with her, and she can hold it together in short bursts. I did finally get them to pay attention about a particular safety issue, but only after the physio said the same thing I (and brothers) did.
They're all about person centred care, which translates to asking her what she wants every step of the way, so she's decided they're all idiots who need her to tell them what to do. I used to be a carer and her complaints about them really press my buttons. I did work with some who were really bossy with families and it irritated me then as well, but I also know how hard they work to look after the residents.

And I know that it's in part due to her condition, but I find it frustrating AF when she wants to do things, won't let me help, then complains that the things aren't done. She's been like this for some time but it's ramped up since her stroke.

The toiletries thing is odd. We've figured out for ourselves now what is/isn't provided, but I was a bit startled when they gave her toilet paper for her to blow her nose on when she had a bit of a cold. I have to wonder how residents without families to provide these things cope. And also would have appreciated a list of what we're expected to provide.

I think what i need to do is let her settle, pop in when I can and let them take responsibility for her but that's really hard after several years of being at her beck and call so she could remain 'independent' at home. It should be a relief but instead I feel sad.

As @AInightingale said, not having to think about grocery shopping, and not receiving updates is quite unexpected. I guess this is a change that we're all having to come to terms with, not just our parents.

The other thing I've noticed is how institutionalised she's becoming. Her life is revolving around the home 'gossip', the chats with the carers, who said what at her dining table, and she's lost interest completely in what her family are doing ( she has grandchildren and great grandchildren) Again it makes sense that her world has grown smaller and intellectually I understand but emotionally it's feeling quite difficult.

I've just returned from visiting so feeling particularly emotional about it all. The main thing though is that she is safe, content ( mainly!) and being cared for. I'm a big girl and I shall get a handle on it, but today feels hard.

So all the 🍫 this afternoon, and i shall raise a glass to you all ( and our parents) this evening 🍷
🍷 🍷 🍷 😂

WinterFrog · 20/12/2024 14:10

CaveMum · 20/12/2024 09:48

There is a thread rather darkly called “So bloody exhausted waiting for someone to die” which has a lot of posters with parents in care homes.

It’s not purely about those with parents near the end, it’s more about dealing with everything involved in ageing parents.

I'll go and look at that one too. Thanks.

AInightingale · 20/12/2024 12:54

The pressure definitely eases off once your parent is in a care home. I was expecting constant phone calls but have only had two in three months - one to say my mother had norovirus, another to say they'd started her on antibiotic for a bad chest.

It feels a bit strange to realise that you never have to get food shopping again - I'm still having to shake off that feeling in the supermarket of 'what does she need?'. The only things we need to provide now are toiletries, and as my mum has stopped snacking, we're not buying biscuits or sweets (I don't think they approve of this anyway because of the choking risk.) And assisted living was also a lot of phonecalls for this,that and the other - 'your mother has run out of teabags' and such like. My brother had to drive 8 miles once to change a lightbulb in her living room because it was the 'tenant's responsibility'.🙄 It has got easier, but that's not to say I don't expect crises in the future.

GnomeDePlume · 20/12/2024 12:08

Thank you @CaveMum good to know

OP posts:
CaveMum · 20/12/2024 09:48

There is a thread rather darkly called “So bloody exhausted waiting for someone to die” which has a lot of posters with parents in care homes.

It’s not purely about those with parents near the end, it’s more about dealing with everything involved in ageing parents.

GnomeDePlume · 20/12/2024 06:23

I think a thread for posters with family members in care homes is a good idea.

I'm glad that physiotherapy is starting for your DM. This is something which has never got started for mine.

I do find there are few people to talk to in RL about this stage. The sense is that once the relative goes into a care setting the family can step back. Is that your feeling @WinterFrog ?

The pace has slowed, we are no longer in the crisis care of hospital. However there is still advocating to do. We are in the early days of getting used to a new regime.

Do you find yourself waiting for the next crisis?

At the end of the day, we know our relatives best. We can tell the subtle shifts in conversation which indicate that they are tiring or want something. No care setting can really achieve that.

In some ways it is easier for me than for DB. I can do practical things to help DM. I sew so I am about to make some new clothes for DM. Nothing complicated, tops and trousers. I can slowly update DM's wardrobe.

OP posts:
WinterFrog · 19/12/2024 16:11

You are welcome @GnomeDePlume and thank you for the beautiful flowers!
There is a script somewhere for never married brothers, I swear. Hopefully the staff can help with room-leaving encouragement. It's still early days and she's probably knackered.
I haven't visited in an evening so I don't know what time they close up. It's definitely a much nicer place to visit than hospital, I agree. Mum is certainly more aware of time and place, and she's put on a little weight which is a good thing. She's seen a visiting physiotherapist now and the exercises have been put on her care plan, so hoping that her mobility will improve. I don't know if it's too late for her to be independently mobile after being off her legs more or less since the summer. I think she may get stronger but her balance is still quite poor. It's rotten for her really as she was previously so independent.

Onwards and upwards for us all, hopefully . Best wishes all round. I was wondering about starting a thread about having parents in nursing homes @GnomeDePlume What do you think?

GnomeDePlume · 19/12/2024 13:14

@WinterFrog how could you tell!? Yes, he is single, never married.

Tea, wine and chocolate all gratefully received, thank you!

Since he retired, he and DM have spent a lot of time together. These last months have really thrown him. He couldn't control the situation.

DB does a lot more if the emotional support than I do. My forte is the practical.

DM is settling into the care home. It is a lot calmer atmosphere and not at all medical which makes it much more pleasant to visit. I don't know if you found this but I always found hospital visits stressful.

DM hasn't done any socialising yet. I worry a bit that DB is gatekeeping DM. He doesn't seem to be encouraging her to get out of her room even for meals.

How do you find visiting your DM? I visited last night then had to find someone to let me out of the door. The whole place had settled down for the night at 7.15pm.

🌻🌻🌻 to everyone in this situation. There is no useful guide book as every situation is different.

OP posts:
WinterFrog · 19/12/2024 08:39

Morning @GnomeDePlume How's it going? Is he a single brother by any chance? The mother/brother dynamic sounds familiar. Mine mean well too. I've had to be willing to make the unpopular decisions for mother's well-being. And put them into action, and let them take credit for some things when it feels useful (to me) Bless 'em all.
How is mum settling in? Are you still feeling frazzled or has the move helped settle your insides? It took a good couple of weeks for me.
☕ 🍫 🍷 << covering all bases there!

GnomeDePlume · 17/12/2024 09:09

Thank you @WinterFrog . As you and @AInightingale are some steps ahead of me down this path I have been paying close attention to what you have said and will continue to do so.

I am sorry your DM is pressing your buttons. That is interesting about the reaction to different carers. I will keep that in mind.

In many ways DB has never grown up. He still wants DM's approval and cant see that in many ways DM (or at least the old version of her) is gone.

OP posts:
WinterFrog · 17/12/2024 07:45

Just sending a hand hold @GnomeDePlume Nothing is straightforward, is it? I do know what you mean about how much difference there is between daytime and evening visits. @AInightingale is right about nursing homes being routine led. We've found this and mum is more settled. I hope brother can start a settled routine with her of his own. I have a brother who needs routine. Also older than me and retired.
Ah the disappointing meals....see also, favoured and non- favoured carers. X can do nothing wrong and Y can do nothing right.
I am trying to remain gracious as the last three months have been so much upheaval for mum, but she's currently pressing all my buttons!
Wishing your mum peace and contentment in her new home, and the very same for you and the rest of your family as you all come to terms with these changes 💐

GnomeDePlume · 17/12/2024 06:57

Thank you all.

Had a slightly worrying message from DB last night. DM was getting distressed, wanting to leave with DB etc. All seemingly triggered by a disappointing evening meal offering.

Managing this sort of thing is going to be tricky as I think that DB is a big part of the problem:

  • DM takes her emotional lead from DB, if he is in anyway cross about something (and he gets cross about lots of things) she will be upset.
  • DB faffs around when leaving (I've seen this many times). DM gets upset so DB faffs around more so DM gets more upset.
  • I did suggest that DM needs to be given space to settle into her new home, make some friends. DB was doubtful about this.

Last night was the first time DB had seen DM in the evening so had seen her properly tired. All his previous visits have been daytime. As most of my visits have been in the evening I have been very aware of how tiredness impacts on DM.

Visiting at the care home is open. Getting DM in was only the start. Getting DB out is going to be the next challenge.

OP posts:
Anjo2011 · 16/12/2024 19:54

I hope this works well for you DM and allows you all some quality visiting time.

AInightingale · 16/12/2024 19:25

Hospitals are horrible for old people, very disorientating and undignified. Nursing homes are very calm and quiet and routine-led which is probably what she needs.

Randommother · 16/12/2024 19:18

That’s good to hear @GnomeDePlume, I hope she settles in well

WinterFrog · 16/12/2024 18:56

GnomeDePlume · 16/12/2024 16:49

DM is now in her new home. Seems happy to be there. Or at least happy to not be in hospital.

The care home is very pleasant. Not homely exactly but lots of thought has been given to residents' comfort.

I was just thinking about you. I hope mum settles in well!

GnomeDePlume · 16/12/2024 16:49

DM is now in her new home. Seems happy to be there. Or at least happy to not be in hospital.

The care home is very pleasant. Not homely exactly but lots of thought has been given to residents' comfort.

OP posts:
GnomeDePlume · 13/12/2024 16:28

@Projectme that must be so hard for you💐

The problem with my DB is that he doesn't like change, of any sort. It makes him anxious. He wants everything to stay as it is even if it is massively inconvenient for everyone.

We have LPAs for DM but they havent really been of much use so far.

OP posts:
Projectme · 13/12/2024 13:55

I've only just come across your thread '@GnomeDePlume . I'm keeping all things crossed that the move happens smoothly and your DM settles very quickly.

My 'D'B went AWOL when DM became ill 3 years ago so it's all down to me to advocate for her (no LPA for health/welfare; I don't want to have it) and my DF who has been her main carer since and is also deteriorating very very quickly these days. It's very hard work caring for someone even if they're bed bound with 4 x carers in every day. I hope your DB appreciates the work that you've put in to finding the best potential care home for your DM but given he's a 'Controller Of All Things Important' you'll be waiting a while for the thanks!

GnomeDePlume · 13/12/2024 10:50

@WinterFrog he can be! He means well and he is very caring of mum.

The difficulty comes because he feels he has to control things without actually doing anything. He doesn't like being told what to do especially by women.

DM knows she is moving. But she has moved many times over the last 3 months so I don't think she is fully aware that this move is likely to be a permanent one.

What DM craves is stability, feeling settled. She has said this many times. There is such an impermanent feel in hospital. Nothing is nailed down. Beds get moved, you can fall asleep in one room and wake up in another.

OP posts:
WinterFrog · 13/12/2024 08:16

He sounds a handful all right @GnomeDePlume!
Do you think your mother is aware?
My brothers pussyfoot too, so I get things done and then my mother tells me I'm bossy.
It's quite exhausting isn't it?
I like your plan for brother. Oh so tempting 😂

GnomeDePlume · 12/12/2024 15:31

Well done @WinterFrog .

I'm visiting DM after work tonight. First job is to clear a big stack of newspapers. DB has been kindly bringing a daily paper to DM but not taking the old one away with him. Mind, this is how he lives so doesn't see the problem.

DB is flapping about DM's move. He's being tricky about DM, who, according to nurses, is aware of what's going on. So DM is pussy footing round DB who is pussy footing round her!

DB's flapping is, in the main, unproductive and sometimes downright annoying. Gets himself worked up about admin details, fires off an officious and angry text to me, reads the thing I sent to him properly then calms down and sometimes apologises.

I am sore tempted to get him a room in the secure part of the care home and then deny all knowledge of him!

OP posts:
WinterFrog · 12/12/2024 07:42

Thank you @Anjo2011 I hope you are doing ok. I'm feeling rested and ready to face the world again 😊

Anjo2011 · 11/12/2024 20:29

@WinterFrog I’m all for some self preservation and if it’s needed don’t fight it. I hope you feel better for it. It’s relentless especially when you think you are walking into one scenario and you are presented with another. You are giving your all, remember that and it’s ok to take a step back sometimes however small.
@GnomeDePlume Sounds like things are moving well. I hope the move goes as planned and that it gives you all some relief. The environment will be better for DM and you all. Visiting will be more calm and you will be able to get some actual information on what’s happening. I hope it works out well.

WinterFrog · 11/12/2024 17:24

GnomeDePlume · 11/12/2024 17:19

Moving in day is now set for Monday all being well.

Thank you for your post and the sunflowers 🌻 too@GnomeDePlume I am sure you're right. I just need to regroup, and get a handle on my emotions. Nearly had a cry at the receptionist, but I managed to keep it in check, and got myself a cup of tea instead.
Very best wishes for the move. I hope it works out for the best!
Grateful for this forum and the lovely people who understand! 💐

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