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Mumsnet has not checked the qualifications of anyone posting here. If you need help urgently or expert advice, please see our domestic violence webguide and/or relationships webguide. Many Mumsnetters experiencing domestic abuse have found this thread helpful: Listen up, everybody

Leaving a partner with dementia

350 replies

Pamtechnicon · 16/09/2021 12:04

I grew up with dementia: my demented DGM lived with us for years when I was at primary school. Even as a young child I saw how torn and exhausted my DM was, trying to hold everything together and look after our mad granny and her tendency to wander the street in a state of undress or set light to things. In retrospect I can see that me and my siblings were left pretty much to bring ourselves up much of the time while DM tried to look after her DM. Not knocking it, it made us independent, but not ideal.

Life went on. My DP and I met in our 40s and have been together 21 years. It became clear after the first couple of years together that his parents' were declining into confusion and dementia. Our lives became dominated by the need to keep an eye on them and sort their issues out. Whenever we booked to go abroad one or other of them would have a crisis: go missing, have a heart attack, set the kitchen alight, get locked out... DP's DF died first and he wanted his DM to live with us. I said no. She was doubly incontinent and I knew I'd be expected to do all the intimate care and domestic work. Instead I supported him to support her and the family finally agreed that they'd have to pay for a care home. I know you're not supposed to say it but it was a huge relief when she died. I think we both felt as if we'd got our lives back and we had a few really good years.

My partner was offered an early retirement deal in 2019, when he was 63. I was in a position to give up work too. The plan was for us to have a few years travelling and exploring the world free of parental care. Then Covid came along. He seemed to suffer quite badly, being a sociable sort of person. He began to struggle with Zoom and FaceTime: he couldn't remember names and sometimes didn't recognise people. This year it's been noticeable that he tells the same stories again and again and people are beginning to let him know they've heard it before.

Several people have asked me whether he's seen a doctor for tests. No one's mentioned dementia but that's what we're all thinking. He can't remember our dog's name and calls it by the name of a dog he had before I knew him. He gets agitated and confused and shouty over things he has taken in his stride all his life.

He had to go to hospital for an X-ray a couple of weeks ago and because of Covid I couldn't go in with him. It seems he got lost and ended up in a behind-the-scenes service area. He was quite defensive, apparently, when staff tried to help him. One of them phoned me and asked me to go in and help calm him. They thought he had MH issues but when I told them my suspicions they said ah, right, that made sense. When we got home I had a talk with him and told him what I thought was going on and of course he denied it all and was furious and upset and yelled at me and told me I'm the one who's losing it. He's never shouted at me before and it was a taste of how the future is going to be, and I don't want it.

I've talked to our GP who said he'd call DP in for a follow-up on the hospital procedure and assess him when he's there, but the GPs are rushed off their feet trying to cope with more pressing things. I will push but I don't expect much. I'm also trying to prevent DP from driving: I've seen him having little blank moments and it terrifies me.

I really, really don't want to lose another decade of my life to dementia. I want a last bit of independence before I get too old to enjoy spending days exploring foreign cities or walking long-distance footpaths or exploring Europe in a camper van — all things we'd planned to do together but are now out of the question. None of his siblings wanted to be involved looking after their parents. I can't see much help coming from them. DP has an adult DS who's been in the US for the last few years and isn't the type to help.

I'm beginning to feel increasingly certain that I want to get out. I have full-time work for the foreseeable future and enough money and pension coming to mean it'll be possible for me to live relatively comfortably independently. But what kind of partner walks out on someone when they most need support? Am I an utter shit to even be thinking about it?

It's been a loving relationship but he would always, whenever the topic of marriage came up, say that he didn't want to marry again because he didn't want to feel tied down. That suited me. I've been totally independent all my life and I didn't want to be tied down either.

We'd agreed that we'd marry if and when one or the other was gravely or terminally ill, mainly to protect financial interests. But neither of us really wanted to do the 'till death do us part' thing. I suppose in theory this gives me a get-out clause. Has anyone else felt this way? Does anyone know anyone who left a partner with dementia or similar?

The only person I can think of is a distant acquaintance who left her partner after he'd had a major motorbike accident that had left him severely brain-damaged. I can remember people calling her selfish for leaving but I didn't blame her.

OP posts:
Limejuiceandrum · 18/09/2021 21:49

The major problem with dementia is actually physically you’re probably ok. For a long time
So it’s not like enduring looking after someone for a short while and they’re kind and nice to you. The nursing homes have specialist staff to deal with it.
I really don’t disagree with what you’re doing, I’m not sure i would do it myself, but I would never judge another for making a choice like yours. And I totally get it. You will probably be much better help to him from afar.
No one would say your selfish if it were a parent, they would say the best place is specialist care

ruinedalready · 18/09/2021 21:50

Can tell a lot of people haven't had first hand experience in dementia care..
care home and assisted living are there for a reason..
Most people living with dementia are safer in care facilities that can manage them and keep them safe and in a happy bubble..
that's the easy part.
The part the OP is currently dealing with is the grey area..
where the person suspected with dementia is currently in full control of there life and doesn't need to attend drs, doesn't need to comply and will make life very stressful for most people involved that are trying to help..
most people affected with this means they will hit breaking point and then be allocated a respite placement.. literally last resort where social work etc will step in.
This takes so long.
I would personally do what you feel is right for you..
you are never going to escape this situation otherwise.
You can be his friend and voice but maybe the romantic side is gone.. and that's ok.
Dementia changes people.. he never wanted to commit and he definitely won't now.

Do what is right for you. You have spent your whole time together with this illness in some form.. you are not alive to surrender your existence to other people who don't mirror that.

Speak to the dr, speak to social work and speak to your partner.
He will more than likely understand..
you never know. He might get tested. This might be totally unrelated to dementia, strokes can have similar temporary effects!

Spiindoctor · 18/09/2021 21:51

CAre Homes look after their residents - but expectations and regulations mean that the residents' lives are restricted. Should they have a fall etc the Care HOme is in trouble and inspections upped. Whereas if the residents were in their home they might have a fall, catch flu from other family living with them or visiting, catch a chill out of doors - in the normal order of things this would possibly hasten their demise.
In the care home they are wrapped in cotton wool. Sit about until they lose muscle tone. Spend the days sitting about or wandering the home. This isn't the best for them imv. But it means they live for much longer .

billy1966 · 18/09/2021 21:59

@zafferana

One other thing that might make you feel a bit better about this is OP is have you thought about what your DP would do if it were YOU instead of him that is showing early signs of dementia? Since he was so keen not to be tied down to you, I'm guessing he wouldn't be putting on his plastic apron and gloves and doing the doting Florence Nightingale act either.
I agree with this.

OP had to been very insistent that she wasn't caught to look after HIS mother, not her MIL, when his siblings nor he wanted to do it.

Unbelievable IMO.
The absolute cheek of them.

I certainly don't believe this man that didn't want to marry her, would step up.

I hope she is packing her bags and busily organising a rental as I type!

DeadButDelicious · 18/09/2021 22:07

I was my grandads full time carer. He didn't have dementia thankfully, he was just old and needed looking after but that was hard enough. I gave up 10 years of my life to care for him in his own home. I won't get those years back. The latter half of my 20's and a good chunk of my 30's were eaten up with that responsibility.

Unless you have lived being a carer for someone you have no idea what it's like, how much of your life or yourself you have to give up. It's all very easy to sit there and say the OP is selfish when it's not you who would have to do it.

Like I said my grandad was just old, it was difficult but he was still him, dementia is a completely different animal. My DH's grandad had Alzheimer's and it was like a different person slowly replaced him. By the end he wasn't the lovely man we knew anymore, it was heartbreaking to watch and he was in a home being very well cared for, I can't imagine how hard that would be on top of the physical task of caring for someone. Of worrying everyday that they may hurt themselves or you or someone else.

You do what you need to do OP. Thanks

PandaMine · 18/09/2021 22:08

Could be a brain tumour, but sounds like OP sees the signs. Either way it’s the same really.

I don’t know what your arrangements were OP

  1. You had to help take care of his parents!!! For goodness sake!
  1. He’s shouting and aggressive with you now you question his health.
  1. He didn’t want to be “tied down”. Yh whatever.

Could be a fair cop. Or could be just a selfish B. If the latter don’t knock yourself out.

PandaMine · 18/09/2021 22:12

By that I mean an averagely selfish B.

Women are trained to be Florence nightingale. I actually think it’s sometimes part of who we are! But it can be exploited, and taken for granted.

Sounds like you need some time for peace and relaxation after work and all your other care duties.

notthemum · 19/09/2021 00:21

@Aspiringmatriarch

That's really unfair cloudacious. Of course it's horrible for him but it sounds like he's refusing to do anything to help himself or put her mind at rest. He needs to take some responsibility, if he's competent to do so, which it sounds like he is. The OP isn't planning to dump him by the side of the road but he's the one who's always been insistent on not wanting to be tied down. Yet his behaviour now indicates he's perfectly happy for her to be tied down trying to deal with his health issues without addressing them himself.
This exactly.
CovoidOfAllHumanity · 19/09/2021 00:44

A 20 year relationship
That's longer than most marriages
I know I could not do it.

Do you not feel you owe him anything after 20 years together?
What would he do if the boot was on the other foot?
What if it was cancer or a stroke? Is that the same or does it only apply to dementia.
If it was in 10 or 15 years time would you feel any differently? Because in any relationship that lasts into old age someone is going to get ill first.

I mean I guess if that was the deal that you discussed that it was not a lifelong commitment then that's maybe fair enough

I would want to help the man I'd loved for 20 years to get through this. To have investigations, find out what the prognosis is etc before I jump to any conclusions.

I'm going to give you the benefit of the doubt that you are in shock yourself and not thinking straight but you do come across very selfish and yes people will judge you if you leave him alone to cope with it.

CovoidOfAllHumanity · 19/09/2021 01:03

Unless he is paying for the care home it really is not as simple as 'put him in care'

You have to have needs sufficient to require that which at initial diagnosis very few people would have
Social services will not pay for a care home place for a person who does not need one and for someone under 65 very few care homes would be remotely suitable. I'd care help is needed it will be a package at home. It doesn't sound as though he would even qualify for that fo he can wash and dress himself and make a sandwich.

He's only had symptoms for a year and people are assuming he'll soon be needing his bum wiped! Dementia is a slowly progressive illness for most people and he would expect to have a few years of relative independence left at least during which OP can gradually distance herself, go on holiday without him and change expectations
Surely his needs as the person who is getting a life changing diagnosis should matter a bit right now. If it was cancer would people say walk away.

I am also not sure why ones siblings have an obligation to do care more than ones partner. You don't choose your siblings after all but you do your partner. I'd certainly feel much more obliged to care for my partner than my siblings.

We do live in an odd society where anyone who has care needs is apparently the responsibility of 'professionals' and not their family unlike in many other cultures. The advice on here is routinely to refuse to do anything for people you love so that 'social services' will step up. Has no one heard of the chronic underfunding and understaffing of social care? By all means you don't have to care but don't be under any illusions that some 'professional' will. The bare minimum is what will be provided which is not what I want for anyone that I love.

OnGoldenPond · 19/09/2021 01:05

Do not feel guilt tripped into taking on the task of caring for someone with advanced dementia in the home single handed. My DM tried to do this and it nearly killed her. I couldn't offer any regular help as she and DF lived abroad.

She was permanently sleep deprived and falling apart, he was anxious and clingy as, even In his poor mental state he recognised that he was entirely dependent on her for everything. It was a relief for everyone when he went into a nursing home. DM got her life back and DF was much more calm and settled.

Yes you will have people calling you selfish for not taking on the task yourself but I bet they won't be offering any help.

Life is short don't waste it.

adultchildofalcoholicparents · 19/09/2021 02:51

A family friend who is older than you has now watched her father, her husband, and 2 long-term partners live with dementia.

After her experience caring her father and husband, she made a conscious decision as to where her boundaries are. She had a lovely relationship with a long-term partner and they remained as a couple in the earlier stages of his dementia. However, he started to deteriorate very quickly, and talking it through with his children, she helped to find an appropriate nursing home for him and then she started dating someone else.

This has recently repeated (she's in her 80s, her partners are now late 80s or 90s).

She made a very conscious decision that at her age, she has no time to waste. She lives life to the full in a way that is enviable.

I couldn't be more pleased that she recovered from the huge distress of caring for her husband. She's been very happy since then by making these decisions. She could have ended up very ground down, exhausted and despairing.

Live, OP - health isn't a given and it is a huge limiter on life if it goes.

CharleyMarley · 19/09/2021 03:31

@Pinkbonbon

I dont think its selfish not wanting to be someones carer for the rest of your life.

Anyone who says otherwise - would you spend the rest of your life with someone who can't remember you half the time, shouts at you and gets aggressive, randomly takes their clothes of in public, needs round the clock care, damages your property, leaves you afraid to go to sleep at nights incase they burn the house down? Or numerous other possibilities. And if you'd done it twice already, would you be prepared to do it all again? Knowing you could have 30 years of it?

Utter madness to call anyone who doesn't want to do that 'selfish'.

Also op, I think it's best you go sooner rather than later. In order to give him time to adjust to single life before his dementia gets worse.

100% this ^

i do not judge you OP.

Spiindoctor · 19/09/2021 06:44

Also op, I think it's best you go sooner rather than later. In order to give him time to adjust to single life before his dementia gets worse.

Yes, this is a good idea. And also he might take advice and warnings and instructions better from a nurse, doctor , carer rather than you.

Hadalifeonce · 19/09/2021 07:12

OP, we are currently going through MiL struggling, she has only just been diagnosed, but we have know for a few years, but FiL would get a diagnosis. The deterioration has happened very quickly ab FiL is getting very very down, but doesn't want to put her into a home, as it's his duty to care for her. I think he might end up dead before her because of all the stress, lack of sleep and eating.
DH and I have had a serious discussion and have said neither would want the other to stop their life to become a carer. So a care facility would be found, and if the memory went completely, we couldn't imagine having to visit everyday when one person had no idea who the other was. We have both agreed this as we love each other.
You are contemplating the right thing, assuming it is dimentia, and not something curable, you have to live your own life.

Gingerninja4 · 19/09/2021 07:21

You are not selfish my mum has split with her husband due to early signs of dementia .She helped with his mums dementia untill died and she can't face doing again (,my.mam not much older than you )

They are still married but he now in supported type accommodation which is staffed 24 hours and food prepared etc but still has some independence ar moment

Gp told him he either gave licence up or she inform DVLA

For my mum it' was the mood the shouting having to remind him to wash etccaught him pi*ing in sink and started making her ill with stress having to tip toe etc now she feels relieved and her own health improved

lollipoprainbow · 19/09/2021 07:44

@Pinkbonbon harsh

Jobsharenightmare · 19/09/2021 08:22

Anyone who's ever sought care or assistance for an elderly or vulnerable person will know that the authorities will (probably quite rightly) do everything they can to avoid getting involved. I think I'm going to have to move out just to ensure that doesn't happen.

^ this isn't my experience at all. We eventually had a carer move in and didn't have to provide any hands on care at all. It seems your partner is going to suffer because of your childhood memories of your mother being a hands on carer, which you don't have to be. As others have said there are so many options here, and lots of combinations of them including professional carers.

cptartapp · 19/09/2021 08:23

The question is what he, in his right mind would want you to do. And surely, no decent unselfish person would expect and even allow family members to run themselves ragged to the detriment of their own physical and mental health to be their 'carer'. Whatever their age or diagnosis.
So assuming he's a decent unselfish person there's your answer.
Today is the best he will ever be.

SunbathingDragon · 19/09/2021 08:31

I would leave him. You aren’t happy and aren’t going to be able to spend the rest of your life how you want. If you go now, you have time to separate and settle any financial ties so that you have enough to do what you want and he has everything in order for the support and care he will need.

silentpool · 19/09/2021 08:44

Out of my siblings, I am the only woman and am single. I've made it clear to my brothers that I will not be the default aged carer for our parents - there are other options and you would not be unreasonable to look into those. Those that criticise you, have not have experienced caring for someone with dementia.

Candleabra · 19/09/2021 09:07

Today is the best he will ever be.

This is the truth that is so hard to come to terms with when dealing with dementia. You organise, make plans, solve problems, introduce systems, safety - everything to deal with what's happening today. Then another crisis, and you do the same. Again. And again.

All this whilst looking after someone you love, but they're not that person any more. They're difficult; can be angry and resentful. The physical caring is beyond awful - but losing the person and getting no thanks for anything you do, that's hard.

honeygriff · 19/09/2021 10:09

I think you should get some legal advice around your financial situation. There's something you can do to protect your assets from being used for care home costs. I think sorting legal things out while you decide what to do is a good plan.

cptartapp · 19/09/2021 10:32

Why would you not want your assets to pay for your care? What else are they for at that stage?
Who do you think should be paying for his care whilst he stockpiles assets, presumably to ensure you get an inheritance?
Surely you don't mean the rest of us??!!

SimoneSimone · 19/09/2021 11:09

You are not married and you've only got one life. But consider this. If he was in your position , what would you advise him to do?

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