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Relationships

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:
Valeriekat · 20/09/2021 20:34

@ Alcemeg
It isn't necessary to be be unpleasant and sarcastic and I don't think it helps the OP in what must be a very difficult situation.

Bollocks989 · 20/09/2021 20:52

OP sending hugs. Some suggestions, from other posters sound good. Finding yourself a counsellor and moving out, so you don't get included in the assessments and potential help from Local authority, sound like a good plan. Hang in there

Pamtechnicon · 20/09/2021 21:11

@Alcemeg

Just be grateful you didn't make a sacred vow before God, or you'd be stuck for ever, and not just in this life! 😉
I was struck by that response too! My partner made a sacred vow before God with his wife that they would stick together till death parted them. It didn't stop her leaving him for someone else a few years down the line. No idea what God would make of that.

I'm astonished that, given the rate of divorce etc, so many people seem to regard marriage as a binding contract, but good on those of you who do.

Also a bit stunned by the assumption that because we didn't marry somehow that means we care less about each other than if we had. I had no idea I'd be regarded as somehow second rate by those who've done it all properly. I have to say that the deterioration of the last 18 months has left me feeling less close to him than before. It's a different relationship now, one that centres on me facilitating him. The mutuality has started to go.

I've made it clear to my partner that I wouldn't expect him to sacrifice his life if I had dementia or became severely disabled by stroke or head injury or whatever. I think when you love someone you don't expect them burn themselves out looking after you and lose their last good active years wiping your bum and heading towards a breakdown.

We have an appointment booked with the GP: I booked it and have asked the GP to present it as a general check-up with some memory-test elements.

OP posts:
Pamtechnicon · 20/09/2021 21:17

Meant to add thank-yous and Flowers for all those who have been through similar experiences and understand.

I hope those of you who haven't had the experience of living with someone with dementia continue to be lucky and never have to face it.

OP posts:
PurplePosies · 20/09/2021 21:29

Op, I absolutely understand where you are coming from. I've worked in dementia care and research for several years, plus have a family member with advanced dementia. It's an awful disease that impacts far beyond the individual.

You need to live your life, it's too short to spend any more time being a carer.
You deserve to make yourself happy.

I can recommend the Alzheimer's Society /Alzheimer Scotland support lines - they are staffed by incredibly knowledgeable people who will be able to send you in the direction to get the help you and your partner need, and take the burden from you while you work out your next move.

billy1966 · 20/09/2021 21:33

The very best of luck OP.

Please let us know how things go for you, should you feel like it.

Flowers
Alcemeg · 20/09/2021 22:33

@Valeriekat

@ Alcemeg It isn't necessary to be be unpleasant and sarcastic and I don't think it helps the OP in what must be a very difficult situation.
It's not the only comment I've posted on this thread and I actually intended it to take the sting out of what might not have been intended as a sanctimonious dig, but certainly read like one.
StrangerYears · 21/09/2021 00:40

Nothing much to add besides- look after yourself.

My mother had dementia and it was awful seeing her deteriorate and often having no clue who anyone was, but always being angry when challenged and then flicking to child like passiveness.
I have said if I am diagnosed, leave me- I will mostly not know and am unlikely to care.

Dementia is a very cruel disease. It looks as though you are with someone you know, but the essence of them is no longer around- instead a stranger inhabits their body.

Enjoy your life as you planned. Enjoy campervanning.

Mymapuddlington · 22/09/2021 15:52

How are you doing op?

WhereYouLeftIt · 22/09/2021 16:26

"We have an appointment booked with the GP: I booked it and have asked the GP to present it as a general check-up with some memory-test elements."

I hope this all goes well OP.

Jux · 23/09/2021 13:30

@scoopgalore

What a depressing thread Sad
Would you prefer these things not be spoken about?

It's important to me that threads like this exist, not least because dh and I are approaching the point where this will become a reality for one, or both of us, complicated by my long-standing and increasingly debilitating disability. We have one child who would therefore have to share the full burden alone - I would do anything to avoid putting her in that position. Including murdering dh and then killing myself if I thought that that would ultimately help her (it wouldn't).

However, I do want to know more about these Advance Directives. I know about DNRs, but not these.

So, scoopgalore, a very helpful and useful read all round for me.

⭐️⭐️⭐️⭐️⭐️⭐️⭐️ to all of you dealing with this horrible illness.

PermanentTemporary · 23/09/2021 13:35

Im sure you will Google it Jux, but I will poke my nose in to say that an Advanced Directive is a refusal of medical treatment that doctors might consider for you in the future, of you no longer have mental capacity to make the decision about it.

It is a medical decision what treatment can be offered. But a patient can always refuse it. If you fear not having the capacity to refuse life-prolonging treatment, you can write down that you do refuse all life prolonging treatment in those circumstances.

Spiindoctor · 23/09/2021 13:36

Would you prefer these things not be spoken about?

Yes I suppose that all those posting that marriage is for life have done no forward planning and assume a caring relative will devote the last decade or so of their lives looking after you and/or your spouse.

It's inexcusable that everyone sticks their heads in the sand, sure it won''t happen to them. We all know for 1 in 10 it will.

EmbarrassingAdmissions · 23/09/2021 13:50

However, I do want to know more about these Advance Directives. I know about DNRs, but not these.

Assuming you're in the UK, have you discussed an Advanced Care Plan with your GP to express your preferences?

Drinkingallthewine · 23/09/2021 16:56

Like many here, I've experience of dementia in the family. The instinctive reaction when you hear it diagnosed or suspect it, is to affirm that you will care for them. But you've really no idea what you are signing up to until you are in the thick of it.

We supported the main carer as best we could - luckily a large family of us so it meant that we could rota weekends to give her a break of sorts. Honestly, she would just get pissed and pass out those times, safe in the knowledge that she didn't have to constantly have one ear cocked for the unexpected when one of us was there to take over.

And there came a time where we simply didn't have the facilites or the expertise the patient needed for safe care, so they went into a home where they were so well cared for.

Knowing what I know now, I'd have to think long and hard about providing that care, if at all. I'd probably do it for my child and my partner - But I in no way would ever judge anyone for choosing what is essentially their mental health and welfare over a patient who could get much better care elsewhere.

Jux · 23/09/2021 17:26

PermanentTemporary, EmbarrassingAdmissions, thank you both. No, I discussed DNR with my cardiac surgeon (I'm off the Lists again for the mo thank goodness) but no one has mentioned ADs to me. I'll talk to my GP next time I see her. I think this is very i portant, and that everyone should think hard about it just as they do (well, should) wrt Wills. I'm surprised and sorry that ADs are not better known. I'm also assuming there's nothing else of a similar nature hanging about that no one knows about!

Charley50 · 23/09/2021 18:38

Link (again) to website with info and template forms for expressing your wishes to treatment or not, in advance.

compassionindying.org.uk

BudrosBudrosGalli · 23/09/2021 19:34

It is very disingenuous that some people are being sanctimonious and dismissive towards people who decide to not provide care to a partner or close family member with dementia based on the fact that they are professionally caring for dementia patients. Not at all the same! For a start, you get constant and regular respite and get to go home or otherwise away when your shift is over. For the personal carer, it is relentless, there is no end of the workday! So, don't presume to lecture those that face such horrendous stress!

Drinkingallthewine · 24/09/2021 11:07

@BudrosBudrosGalli
I fully agree. There is a world of difference between working in a professional setting with the right equipment and with expert support right there around you, where you can take off your uniform and go home at the end of your shift, versus caring for your loved one around the clock with often no medical background and nobody to turn to when you need guidance.

Even my sister, who IS a palliative care nurse, said that she could not have done the palliative care we did for my father - because of the emotional connection involved. I think it suited her she lived far away and was unable to physically help. She was however, brilliant on the paperwork side, great at chasing up tests, consultants and discuss medications and treatment.

PermanentTemporary · 24/09/2021 11:11

It's also extremely painful being with someone who is so different from the person you knew before.

My mum is only at the start of this, she may not even have dementia, but she is already so different from the mum I knew. The people with dementia I meet at work are often delightful to spend time with and even if they're not, it's just how they are to me, I never knew them any other way.

billy1966 · 24/09/2021 13:39

@PermanentTemporary

Completely agree.

Years ago a friend of mine buried her grandmother who had had it for years.
She said her mother was inconsolable at the graveside, but she only learnt afterwards the tears were absolute relief that she was finally gone.

Years of visiting/sharing care of the shell of her wonderful kind mother, who was replaced by a grumpy woman who didn't know her, had really broken her heart.

To be so powerless in a situation looking after someone you loved dearly, strikes me as horrific.

RaginaPhalange · 24/09/2021 14:13

You need to find out if it is dementia.

I understand where you are coming from (my grandpa had dementia and was the worst thing to watch someone go through) but you are being very selfish. Poor guy needs your help more than ever and you're just going to do it runner on him?

EmbarrassingAdmissions · 24/09/2021 14:46

@RaginaPhalange

You need to find out if it is dementia.

I understand where you are coming from (my grandpa had dementia and was the worst thing to watch someone go through) but you are being very selfish. Poor guy needs your help more than ever and you're just going to do it runner on him?

I wonder if the experience of watching or caring for a grandparent with dementia is different to that of doing similar for an intimate partner.

An intimate partner who had previously attempted to offload the caring responsibilities for his parent onto the OP and had chosen not to marry for fear of loss of freedom.

I rather wonder if some of the critical comments are from people who have not RTFT.

Alcemeg · 24/09/2021 14:47

Poor guy needs your help more than ever and you're just going to do it runner on him?

I don't think OP just means to pack her bags and nick off to Blackpool for a lifetime of partying, abandoning her DP to neglect and despair.

But finding appropriate care discussing and agreeing this with DP while he can still make valid choices is quite a step back from trying to provide it yourself, and for many reasons it can be much better to leave it to the pros. They understand what they're dealing with, know what to do, and are less likely to be distressed and panicked by the natural progression of the disease.

334bu · 24/09/2021 15:37

Ragina did you look after your grandpa? If not don't criticise others' choices.

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