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Guest post and Q&A: Dementia Awareness Week - 'we must keep talking about it, no matter how hard'

39 replies

MumsnetGuestPosts · 20/05/2014 11:46

If I had a pound for each time a carer said to me "if only I knew then what I know now", I'd be a rich woman. But sadly, this has often been after many difficult years of struggling alone. Their advice to other people worried about themselves or their loved ones would undoubtedly be: get help early.

Although public awareness of dementia is increasing, knowing who to turn to for help can often be difficult. It isn't easy to sit down with the person you're worried about and have that conversation, especially when often, your concerns are dismissed. But – as I've learnt in my role as a Dementia Advisor in Kingston - brushing things under the carpet can only continue for so long.

It's my job is to support people with dementia and the people caring for them. Consultants, GPs, social workers and pharmacists can all refer into the Dementia Adviser service, and people can also self-refer. My focus is on supporting people with dementia from the point of diagnosis onwards, but we also have Dementia Support Workers, who provide support to carers and family members. This may be through one-to-one home visits, or by running peer support groups where carers get together on a regular basis to talk about their experiences.

Everybody has questions: ‘when is the right time to take over when I see my husband struggling?’ or ‘what should I say when mum is asking to go home?’ or ‘why doesn't Dad want to do anything any more - he always used to be so active?’ – and of course there's no one right answer. But talking these day-to-day challenges through with people who are in the same boat, swapping advice and anecdotes, can be a real lifeline.

Carers are given a chance to speak openly about how dementia is affecting them. People share tips on how they cope or talk about how they are struggling, and friendships are formed. We offer advice on coping strategies and help people to understand why their loved ones may be behaving in certain ways. Understanding the illness is hugely important in accepting the changes that are happening and helping carers to cope.

When Kim's father, Derek, was diagnosed with dementia, knowing there was information out there - to access when she felt ready - was comforting: “My son Josh was quite young, and I worried how I'd cope with Dad's illness and looking after him, as well as how mum would cope… knowing where you can go for information is really important", she said.

Support groups aren't for everybody, though – some are unable to leave the person they care for alone, and some people aren't close to one. Especially for people living in rural areas, a lack of access to support services may prevent them from getting together with others. If you find yourself in this situation, do – please – still contact us. Advisers and support workers can make regular home visits, and in some areas befriending services are available.

Talking Point, our online forum, can also be a vital source of support for people who cannot access other services. As with our support groups, it connects people affected by dementia and provides a wealth of information, advice and emotional support, at any time of the day or night. We also run dementia cafés, which people with dementia and carers attend together, and popular Singing for the Brain groups which can be wonderfully uplifting and tap into long-lost memories. Many carers are amazed when they see the person they care for singing along and remembering words to songs.

People approach Alzheimer's Society for all kinds of reasons. If you do have concerns or need information about any aspect of dementia, even if it is to find out what dementia is, please, please get in touch. The earlier you have access to the right information, the easier it will be to understand dementia and to provide the right support to people.

The Dementia Advisor service is available across England, Wales and Northern Ireland – so if you think you could benefit from what you read here, the best thing to do is contact your local Alzheimer's Society office and find out how we can help you.

OP posts:
SandraHillier · 23/05/2014 14:17

@justonecube

When you see a parent getting forgetful, how can you tell whether it's just a symptom of getting old, or the beginnings of dementia? In the early stages, is there anything that you can do to slow the onset? I know staying mentally active is supposed to help... but is this the case even if you fear it's already taken hold?

Hello, thank you for your question. This is a good point. It is natural as we get older our memory is not as good as it used to be. However, dementia affects the short term memory and causes confusion. All of which can make someone anxious and distressed over time. As a consequence this can alter a persons personality. Therefore, it is essential to get your loved one to the doctor if you do have concerns. The first thing to consider is, there are also other medical conditions that can cause memory problems and on a check up a doctor should be able to pick these up.

Exercise has been show many benefits and staying active is very much recommened both for the physical and mental benefits.

SandraHillier · 23/05/2014 14:22

@CMOTDibbler

Hi Sandra, its great to have you here. The AS have been amazing for my parents (well, my dad really as mum has no insight at all to her dementia), and their sole source of support.

My mum has lost interest in just about everything now, and her language issues mean that she can't talk about old photos, talk about the past, music means nothing (tried singing, and things she's loved in the past get turned off). Its very long days for my dad (who is 79, very frail, and not firing on all cylinders himself) to fill as the only thing she likes is Dads Army over and over.
Any suggestions as to something she might take to? He does park her in the garden to 'weed' on nicer days, but after 'the chair threw her in the pond' even thats not so popular.

Hello. Thanks for posting your message and I am glad we have helped you in yours and your mothers journey.
Simulation can be given in numerous ways. You mention music, but also some patients are very responsive to smell, taste and touch. Smell can evoke nice memories, especially if it is a favourite scent or a favourite recipe. Even aromatherapy can combine both the smells and touches that are pleasureable. Please phone us on the helpline if you want to discuss this further though.

SandraHillier · 23/05/2014 14:25

@DoYouWantAGrape

My grandmother has dementia, and whilst her short term and long term memory is all but gone, she is still very much "her" - still lovely and kind. I understand that personality can change a lot with dementia - is the always the case, and when does it usually manifest?

TIA

Hello. Everyones journey with dementia is different. It can affect people personalities sometimes in a positive or negative way. So maybe someone who was formally quiet might become friendlier and happier. Or someone who was sociable might become withdrawn and aggressive. It is good to know your grandmother despite struggling with her short term memory is content from the sounds of things. :-)

CMOTDibbler · 23/05/2014 14:25

I hadn't thought of aromatherapy - I might see if I can get someone to visit.

Alas, taste doesn't work - mum has become a food spitter and flicker, and incredibly selective about what she'll eat. Which isn't at all what she used to like.

SandraHillier · 23/05/2014 14:30

@Somerset1972

My nanna has dementia, we can't do anything to help her though, mention it and she goes mad!! She's in complete denial what makes it worse is my grandad has terminal cancer, he is the mind and she is the body, I'm so scared what will happen when he's gone, I just wish she would admit she has it as there is medication that could possibly help!

Hello. I am sorry to hear about your nanna's dementia and your grandfathers terminal illness. It sounds like you as a family are going through a tough time. It sounds like you could definitely do with some support and you can get this through the Alzheimer's Society at local service level. If you phone the helpline, we can find your nearest service.

The inability to access help due to denial unfortunately is a very common senerio. Potentially it would make life easier and potentially your Nanna could live well longer, but help is one of those things you can not impose, as you have found out for yourselves. It would be wise to think about the future as a family and discuss this matter with your Nanna's doctor. As well as Social Services if you are thinking in terms of long term care provision.

Rosa · 23/05/2014 14:30

Hi , how do we go about finding somebody to give a bit of respite home care ?
In my case I am abroad and will be in the Uk in June and I would really like to try and get this sorted out whilst I am there.
I know the carer has registered with the GP as a 'day carer' but she is caring 24 hrs . She needs a break but my father is not 'ill' enough to be in a respite home I don't think he would cope. He relies on my mother so much and is constantly seeking reassurance that she is there or that he is doing the right thing. He has lost interest in everything he sits in front of the Tv but thats really for show. He goes to a memory clinic twice a week but due to the location of thim my mother has to stay at one and then goes to do the weekly shop during another !
I don't think the mental health team who come to assess him / his meds seem to see how my mother is suffering. They are in a rural location .

SandraHillier · 23/05/2014 14:34

@CMOTDibbler

I hadn't thought of aromatherapy - I might see if I can get someone to visit.

Alas, taste doesn't work - mum has become a food spitter and flicker, and incredibly selective about what she'll eat. Which isn't at all what she used to like.

There are a wealth of good books for additional ideas. I gave the library number earlier but you can also contact them via our website as well. Alternatively, please call us on the helpline if you need to.

SandraHillier · 23/05/2014 14:38

@Rosa

Hi , how do we go about finding somebody to give a bit of respite home care ? In my case I am abroad and will be in the Uk in June and I would really like to try and get this sorted out whilst I am there. I know the carer has registered with the GP as a 'day carer' but she is caring 24 hrs . She needs a break but my father is not 'ill' enough to be in a respite home I don't think he would cope. He relies on my mother so much and is constantly seeking reassurance that she is there or that he is doing the right thing. He has lost interest in everything he sits in front of the Tv but thats really for show. He goes to a memory clinic twice a week but due to the location of thim my mother has to stay at one and then goes to do the weekly shop during another ! I don't think the mental health team who come to assess him / his meds seem to see how my mother is suffering. They are in a rural location .

Hello. Respite is possible via Social Services but realistically this is not a quick process. If your parents have the financial means it is possible to organise this independently by finding your own home and making your own arrangements. The Elderly Accommodation Counsel have a good website that will allow you to do an independent search. Respite is very important because it is often the carers needs that are overlooked because they are doing such a good job of caring for their loved one.

Rosa · 23/05/2014 14:43

Thank you - rather than a home as such I was hoping to find a carer to come in for a few hours a week to stay with my father ..possible increasing just so that the main carer can have a break.
Not thinking of a weekly break just yet - would like to do things in stages.

SandraHillier · 23/05/2014 14:48

@CMOTDibbler

Isabeller - I think its very different being a carer for someone as yourself, and trying to do that while thinking about your baby at the same time. It was apparent my mum had issues when ds was still a baby, and so we haven't been able to leave him with her unsupervised since then - which is pretty hard to have to pick them up all the time and take the baby with you to the kitchen when at home they'd have been happy on the mat/in their moses basket etc.

We have additional issues in that my parents home is ultra unsuitable, so ds couldn't be put on the floor due to medications left around.

Mum hates the day centre and refuses to go. Shes never been one for any sort of group socialisation though.

MissPod - the AgeUk befriender has been great for my mum, and will be trying to integrate her into the day centre by being there with her having established the relationship

Hello. Just picking up on your post. I sounds really challenging juggling the demands of both being a mother and over seeing the care of a parent.

It is a pity your mother is opposed to the idea of day care. It is really good for socialisation and activities are good for congition and being stimulated.

Age UK and Independent Age have befrienders and they can be a good way of introducing a friend for regular contact for someone stuck at home and it is good to hear that is working out well for your mother. Good luck with trying to get your mother to the Centre. Potentially would be of real benefit to her.

SandraHillier · 23/05/2014 14:50

[quote Rosa]Thank you - rather than a home as such I was hoping to find a carer to come in for a few hours a week to stay with my father ..possible increasing just so that the main carer can have a break.
Not thinking of a weekly break just yet - would like to do things in stages.[/quotD

Dementia UK have Admiral Nurses. I will attach a link to them. They support some of the country but regrettably not all of the country, but I think it might be worth discussing care with them. They are a real lifeline for both patients and carer. Link below:
www.dementiauk.org/

SandraHillier · 23/05/2014 14:57

@FrontForward

I was interested to read this. My mum has dementia. I can't tell how advanced it is but suspect early...but also wonder if I've lost all perspective as the condition has crept up.

My dad is struggling and I think developing depression. She won't go out anymore and doesn't like him to. She is verbally very critical and dismissive of him, yet needs him. It doesn't seem as if she hears anything anyone says. She looks surprised when anyone speaks to her and then just resumes talking as if they've not spoken. She talks endlessly and about nothing, no specifics and nothing current...usually repeated and pauses as she loses track of what she was talking about

Sorry to pour this out but I'm finding it all very hard yet I don't think she's that advanced in terms of dementia.

Neither parent will access any help although my dad has tried. It sounds as if the GP is annoyed with my mum because of her prolonged speeches which say nothing and frequent visits

I feel like I've lost her and I fear for my Dad

Hello. I

@FrontForward

I was interested to read this. My mum has dementia. I can't tell how advanced it is but suspect early...but also wonder if I've lost all perspective as the condition has crept up.

My dad is struggling and I think developing depression. She won't go out anymore and doesn't like him to. She is verbally very critical and dismissive of him, yet needs him. It doesn't seem as if she hears anything anyone says. She looks surprised when anyone speaks to her and then just resumes talking as if they've not spoken. She talks endlessly and about nothing, no specifics and nothing current...usually repeated and pauses as she loses track of what she was talking about

Sorry to pour this out but I'm finding it all very hard yet I don't think she's that advanced in terms of dementia.

Neither parent will access any help although my dad has tried. It sounds as if the GP is annoyed with my mum because of her prolonged speeches which say nothing and frequent visits

I feel like I've lost her and I fear for my Dad

Hello. I am sorry to hear about your mothers Dementia and the toil this is having on your father. It is very often for a carer to be neglectful of their own help. It sounds like it would be wise for your father to get to the doctor and identify his health and welfare. If he does not recognise this it might get to a stage he gets ill and all his hard work in trying to maintain the stability for your mother, would have the reverse affect. On our website we have a useful factsheet about carers caring for themself. I would recommend you read this and pass this on to your father. Sometimes things resonate more in writing. Please call us on the helpline if you and your father need additional support or just an empathetic ear to talk to.

SandraHillier · 23/05/2014 15:00

Unfortunately, we have run out of time. I am very sorry if I left any of you out. Please contact us on the National Dementia Helpline on 0300 222 1122. We are open 7 days a week and can support you on numerous levels. Thank you for having me today and I hope you found this hour useful.

lesliepettite · 06/09/2023 10:46

My Husband was diagnosed with Dementia when he was 62 years old 2 years ago. The Donepezil did very little to help him. The medical team did even less. His decline was rapid and devastating. It was Memory loss at first, then hallucination. Last year, a family friend told us about Natural Herbs Centre and their successful Dementia Ayurveda TREATMENT, we visited their website naturalherbscentre. com and ordered their Dementia Ayurveda protocol, i am happy to report the treatment effectively treated and reversed his Dementia disease, most of his symptoms stopped, he’s now able to comprehend what is seen, sleep well and exercise regularly.he’s active now, I can personally vouch for these remedy but you would probably need to decide what works best for you 💜.

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