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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.

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GnomeDePlume · 27/01/2025 09:19

@WinterFrog I think you are right. He sees having a nap in bed as a step towards DM 'taking to her bed'. DB isn't reconciled to the idea that this is DM now. Old people sleep a lot. Having a nap isn't 'giving in'.

DB isn't good at dealing with practical matters. He is very bad at interacting with the care team at the home. I don't think he realises just how rude he is to people.

@Holesintheground my take is that DM is far more likely to generally engage with things if she is better rested.

We did have a pleasant afternoon. DM watched a bit of television, napped and chatted. All very civilised!

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Holesintheground · 27/01/2025 09:03

If she's getting up and going to tea, I'd take that as a small win. It's movement and engagement with food.

I certainly plan to have afternoon naps - in bed or wherever I like! - when in my later years. If that's what your mum wants, why not? My dad had always enjoyed his food and one of the treats he liked in the last few years was a bacon sandwich (got a George Foreman grill in so carers could do it more easily) - I had some comments about healthy eating from certain quarters but I felt that as someone approaching ninety, it was a bit late to worry about that and I'd rather he ate food he enjoyed.

Sounds like you had a decent afternoon with your mum @GnomeDePlume and I hope you can have more. Make sure you take care of yourself and get enough rest too. It's all stressful even when it's going fairly well as you're often just bracing yourself for the next issue.

WinterFrog · 27/01/2025 08:54

Does your brother see a nap in bed as 'giving in'? I have a friend who is inclined to say things like that.
My mum probably thought there was something quite decadent about it come to think of it. Ditto daytime television.

My immediate family ( DH and adult kids) love a nap!
Your poor mum. It's all happened so fast! No changing your brother now of course. You mum's being well looked after. Make sure you keep looking after you. How's relationship with your brother? Mine seem to need some support from me at the moment ( both are long term single) I'm very fond of them and this has thrown them both for a loop I think.
🌻 🌻

GnomeDePlume · 27/01/2025 08:21

@KnottyKnitting my DM is getting up for similar reasons.

She has her bed lowered to the floor and crash mats are coming.

DM is waiting on a capacity assessment so at the moment the home can't use the sensors without her consent (which she declined as she didn't need them).

DM is still horribly tired. DB has an aversion to allowing DM to have an afternoon nap in bed. Doesn't see it as 'proper' or something.

Anyway, I got to do an afternoon visit yesterday so DM happily napped in bed while intermittently watching a bit of a Ruth Goodman history programme. Then towards tea time I gently woke her. Went into tea perfectly happily.

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KnottyKnitting · 26/01/2025 18:53

My MiL ( advanced dementia and in a care home) tries to get out of bed because she forgets that she can't walk. They lower her bed and have a crash mat on the floor. There are also alarm pads on the bed and floor so staff are alerted if she attempts to get up by herself.

GnomeDePlume · 26/01/2025 07:04

@WinterFrog I think you are very right.

The thing I am finding more and more is the lack of 'definites'. There are few certainties.

But one thing I am sure of is that DM is in the right place. There is far more dignity for DM than in hospital or being cared for at home.

As you have said, there is no dropping and running with an elderly relative in a care home. DM still needs active input from DB/me. The same for your DM.

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WinterFrog · 25/01/2025 21:02

This is the stuff they don't tell you about getting old, isn't it? I don't think any of us are prepared for this unless they've seen it before.
Continuing to send love and good wishes 🌻

GnomeDePlume · 25/01/2025 20:50

@Candleabra yes, DM's bed is lowered right down each night. Last night she rolled out, as she is close to the floor no harm was done. The only worry is that she has no strength so there is a risk of her getting herself into difficulties as she would struggle to move herself to a safe position.

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Candleabra · 25/01/2025 14:27

When my mum kept falling out of bed they lowered it right down to the floor so she could only roll out, not fall. Is this an option?

GnomeDePlume · 25/01/2025 13:44

@Anjo2011 thank you for the good wishes.

The problem for DM now is that she has no reserves. Physically she is very weak which means she can't even shuffle in her chair to get a bit more comfortable.

Having said that DM did manage to roll herself out of bed and onto the floor last night.

No harm done but DB is grumbling about wanting side panels on her bed. He has given up on wanting side rails after I had pointed out the risk of DM getting a hand or arm caught and risking fracture.

I have now pointed out the risk of suffocation. The same reason as to why babies no longer have solid sided cribs or cot bumpers.

I shall be interested to see what he comes back with!

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GnomeDePlume · 25/01/2025 13:25

@WinterFrog I'm glad your DM is doing well in her home. It must take a while to reconcile oneself to it especially when it is forced by circumstances.

It's good that she is gaining some weight as well. The communal nature of meals does encourage eating.

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Anjo2011 · 24/01/2025 15:35

@GnomeDePlume and so it continues. Your poor DM, she just can’t catch a break from it all and more stress for you and your DB. Hopefully the ABs will kick in quickly and she will feel better. It’s a tough situation there’s no doubt about that. Sending good wishes.

WinterFrog · 24/01/2025 06:18

Good morning! Just catching up with the updates. @LambriniBobInIsleworthISeesYa 💐
It's just one thing after another isn't it @GnomeDePlume 🌻
My mum is doing quite well, thank you. She's beginning to put on a bit of weight, and she's better orientated thanks to the routine and becoming more familiar with the staff.

As always, sending my best wishes to all who are in this position, and their loved ones ( even the awkward ones!) 🥂

GnomeDePlume · 24/01/2025 05:48

@CaveMum thank you. DM only started the ABs last night. The lack of eating is just normal for DM now. She still enjoys the social side of going into the dining room for lunch and dinner. Just is no longer interested in food.

@LambriniBobInIsleworthISeesYa that sounds so awful for your Nanna and for you all.💐

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LambriniBobInIsleworthISeesYa · 24/01/2025 00:36

Sorry this is happening @GnomeDePlume - we've been through all this with my Nanna who went from living independently aged 90 to literally being in a wheelchair and unable to really move herself in any meaningful way within a few weeks. She had a bad fall down some stairs and a stroke before she was found, then another stroke in hospital. This alongside a preexisting heart condition meant that we were told she probably wouldn't live longer than 3-6months.

She was shunted around the system of the hospital and then to a nursing home. 2.5years on and she's got a myriad of health issues including the original heart issue and another, new one, lung problems, has had four strokes and hardly eats or drinks; she's like a bird now, 5ft tall and at last count only weights 5 stone... yet still somehow she continues to hold on. Her quality of life is so poor and it's really pretty bleak. She tells my dad and aunt often that she wants to die. Despite the strokes and now not being able to communicate verbally very well, she has a clear understanding and no signs of dementia... she's actually pretty on the ball, which makes the whole thing worse somehow. She has a DNR and- alongside conversations with her NOK- has been refusing treatment for everything (up to and including refusing antibiotics for pneumonia back in October) but has recovered from everything acute by herself. It's baffling that the human body can carry on despite everything that she's had thrown at her.

As you said at some point, it's dying in increments really, and horrible to watch. She was a bit of an old cow really and endlessly arguing with someone in the family, but even-so she was a force of nature and seeing her so diminished is terrible. Wishing you love and light and the hope that your mum isn't suffering. It's not easy, especially alongside a difficult relative in the form of your DB (we've got a couple of those too!) so be kind to yourself.

CaveMum · 23/01/2025 22:59

@GnomeDePlume sorry that things are still so unsettled. Has she been eating better since starting the ABs?

Candleabra · 23/01/2025 22:56

I’m really sorry. It all sounds very hard.

GnomeDePlume · 23/01/2025 20:00

The fast moving situation is rearing it's head again.

In the middle of the night DB got a call to say DM suffering chest pains so he called to let me know. Ambulance called. After doing some checks they concluded DM hadn't had a heart attack. However she has got a bad chest infection. Now prescribed ABs.

Fingers crossed for us all having a quiet night tonight.

The appraisal process for DM to have nursing care has started. Apparently it takes weeks to get done but DM may be moved to the nursing unit sooner than that.

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GnomeDePlume · 22/01/2025 13:48

@WinterFrog Thank you for asking. Things seem to be stalled a bit.

Food is an issue, DM is being fed by carers rather than eating by herself. DB is inclined to see this as laziness/being disobedient. Though he will allow the possibility that DM's eyesight is too poor to allow her to see.

What DB won't countenance is the idea that DM has dementia. So DB would be happy for DM to be moved to the nursing unit where she would be 'properly supervised'.

However, DM does not currently need nursing treatment so the home aren't likely willing to move her if there is pressure on rooms.

Another option would be for DM to move to the dementia unit with its higher staffing ratios. Not sure if DB will like that!

Option 3 is that DM stays where she is. If the home can provide the care she needs (and they do seem to be doing a good job of it) then DM does get a lot out of the social side.

All too much seems to circle around what DB wants/thinks.

Anyway, how are you and your DM doing @WinterFrog ?

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WinterFrog · 22/01/2025 07:42

@CaveMum that's a lot to be worrying about 💐

@GnomeDePlume how is it going? Agree that the nursing homes are more restful. I do hope she's able to stay on the nursing unit as hopefully that would mean less likelihood of dashes to A&E.

So much for 'putting people in homes' that's so often bandied about. Like you, we've still been actively involved in our mum's care and decision making.

💐

GnomeDePlume · 20/01/2025 20:29

@cavemum that does sound so dismissive of your DF. I also have to wonder who thinks a narrow boat holiday is a good idea at the best of times - even worse in April when canals can be absolutely Baltic.

@Projectme DM struggles with the fortisip type drinks because they are milkshakes.

Nursing assessment process has started.

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Projectme · 20/01/2025 13:05

is Mum able to have those vitamin drinks like Fortisip or something? So that she's at least getting vitamins? and maybe some strength again to be able to eat food again?

I'm glad she's out of the hospital environment; she may recover a little quicker at the care home.

CaveMum · 20/01/2025 11:45

Hope the assessment goes well for your mum today @GnomeDePlume.

We’ve got a bit of denial going on at this end - mums sister has booked a break for them both in April (on a flipping narrow boat of all things - don’t get me started on how that’s supposed to be a relaxing holiday for two 70 years olds, one of whom is starting chemotherapy tablets in the next few weeks!) and my brother and I have been asked if we can look after dad while she’s away. Fine in theory but my brother can only cover 3 days and I can’t commit at the moment as I have an important meeting that is due to take place that week and won’t get confirmation for another few weeks.

Mum’s response has been to say she’ll just ask the carers to pop in twice a day rather than once a day, totally ignoring the fact that dad pretty much can’t be on his own for more than a couple of hours at most. He has resolutely refused the suggestion of going into respite care too. I can see a falling out on the cards.

GnomeDePlume · 20/01/2025 08:19

Thank you @WinterFrog the hospital were extremely keen to get DM discharged as they needed her bed. She had only just made it out of bed to sit in a chair the day before she was discharged. Mum had also not started eating independently.

Eating is once again an issue. DM is so tired that she cant summon the energy to eat.

We were keen for DM to return to the care home rather than be moved to the rehabilitation unit (not even sure if that was an option) as the atmosphere is so much better. It's a lot calmer with less of the hustle and bustle of a hospital ward.

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WinterFrog · 19/01/2025 19:16

Poor little soul. She's had such a rough ride 😔 Hope you all get some rest this evening.
🌻

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