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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:
Mojoj · 16/09/2021 16:14

Do what you need to do. Don't listen to anyone who tells you you're selfish. If it's dementia he won't recognise who's looking after him very soon. His life might be over. Yours doesn't have to be.

Porcupineintherough · 16/09/2021 16:14

@ILoveAllRainbowsx if you'd asked me pre my father's diagnosis I'd have agreed with you. Hell, he'd have agreed with you. I may agree with you again at some point in the future.

Right now though, he's happy. He is utterly dependent, his life is very limited but - most of the time - he is content or better. The person he is now certainly doesnt want to die so I'm very clear he left no pre signed directive to that effect .

I'm all for people having the choice to end their lives when they are competent to make that decision. Not so keen on a competent individual making that decision on behalf of an incompetent one, even if they are technically the same person.

If he had previously said he wished to die in these circumstances do you think he should be forced to honour that even though he's now changed what's left of his mind?

ILoveAllRainbowsx · 16/09/2021 16:15

This reply has been deleted

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Porcupineintherough · 16/09/2021 16:15

I'm very relieved he left no pre signed directive...

Hope that makes more sense

ILoveAllRainbowsx · 16/09/2021 16:18

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NantesElephant · 16/09/2021 16:21

I understand. Sending you a big hug Flowers People who judge have probably never been a carer for any length of time.

For those of you who are judging, listen up. Of 5,000 carers surveyed in the UK, 84% feel more stressed, 78% feel more anxious and 55% suffer from depression as a result of their caring role. Overall, 71% of carers have poor physical or mental health. It can destroy your life.

DominicRaabsTravelAgent · 16/09/2021 16:21

Just to add, our DMIL had already lived for two years longer than the expected times from diagnosis with Vascular Dementia, which is 5 years abs she's still physically active although she doesn't now recognise anyone and needs 24 hour care.

If you do decide to stay, it could easily be 10 years.

Antinerak · 16/09/2021 16:23

I've also known dementia and I know they changed irreversibly. He's not the man you met 21 years ago and like with any personality change, you're allowed to not like him as he is now.

Whether you leave him now or in a year or so when it has inevitably progressed, you're making the right decision. You could still visit him if he ends up in a care home, you can still be involved in his life but you do not have to be involved in his care. I'm sure he wouldn't want you to be unhappy, especially if he was the cause.

Porcupineintherough · 16/09/2021 16:25

Yes I can see that but just bear in mind the person that changes their mind might be you at some point along your decline (should this be you fate). It's rare to go from completely compos menses to unable to speak w dementia .

In fact you may change your mind every 5 minutes, or day to day. Or say you agree but then ask them what they are doing when they go to insert the needle. So at which point should your wishes be actioned? Probably your have to go sooner than youd like to, as people who choose suicide for medical reasons have to now.

I'm a great supporter of assisted dying for many conditions but I cant see it being hugely useful in dementia cases.

HeyGirlHeyBoy · 16/09/2021 16:25

Ah Nutellaellaella imagine we have been having such a similar experience, after all our threads! Sending you Flowers

Orangesarenottheonlyfruit · 16/09/2021 16:25

Go.
Too often women become carers because a nurturing role is assumed upon them. Looking after my dad nearly finished my mum off and destroyed their relationship. I wouldn't wish that on anybody.
Go, see and do everything you can do. Visit everything that he couldn't, for both of you. Gather life with both hands and embrace it, don't drain yourself in the bleakness of dementia, you've done your fair share. Life is so precious.

leakymcleakleak · 16/09/2021 16:32

Op just to say: we had a similar concern about my dad around the same age. His mum had dementia, and died of it (his dad died too young to know if he would have developed it) and when dad was about 65 he suddenly changed: got much more prone to aggression and angry outbursts, started getting confused about driving routes, managed to miss a flight by going to the wrong gate and not hearing them call him. I can't tell you how out of character the missed flight and driving things were.

My mum and I were very concerned, and I think he did have some initial investigations, but ultimately it didn't get worse and then it got better. That was about 12 years ago now. In retrospect, I think he was depressed, and he was also subsequently treated for some other issues (prostate, blood pressure, etc etc). that may have had a factor. Given this happened around the lockdown, is it possible mental health could be a factor? I would just try and be sure that he is properly investigated for all potential causes.

I'd also caution about moving too quickly. Are you worried you'll lose your resolve, or that social services will somehow trap you if you don't move out? It is possible, even if it is dementia, that with some medication he could still have a few good years, and maybe even be up for retirement adventures. I'd do some serious thinking about what would be best for you - do you think you could commit to leaving after a year or so and enjoying your time together? Or are you worried you'd become de facto career?

If he is capable of enjoying a few more good years, which has been the case for some but admittedly not all of the people I know, esp with some support and medication then it seems immediately ending the relationship and moving out would be a shame for both of you. I entirely understand why you wouldn't want to/feel able to stay, I've seen how that has unfolded for people. But social services can't actually make you be a carer. I think it seems like you're rushing into a decision without the full facts, and I'd try and take stock, sit with your decision that you won't be a carer and try and come to peace with that, then plan how to enact it if that makes sense. Just because you've made the decision now doesn't mean the right time to act on it is immediately.

saraclara · 16/09/2021 16:39

I've been widowed ten years, and it's stories like this, OP, that are the reason I've never sought another partner. If I took on someone at my age, I know that the odds are that at some point I would need to take on a caring role again. And I'm not prepared to do that.

I know it means that there'll be no partner to care for me either, but my freedom and independence are more important to me then being paired up.

Good luck with whatever you decide.

PizzaCrust · 16/09/2021 16:40

I don’t blame you at all and it isn’t selfish. I’ve seen first hand what being a carer is like (albeit not for dementia), and it’s fucking hard, painful and tiresome.

You’ve had your life ruled by this horrible disease for far too many years. It’s your time, now.

GrandmasCat · 16/09/2021 16:43

Forget about what other people think, he didn’t want to get tied to you so you are free to go.

I know I couldn’t do it, and also know that I would rather die of avenging flu or topple myself than having DS or DP spending their life and inheritance taking care of me when I no longer have quality of life or even realise what is going on around me.

GrandmasCat · 16/09/2021 16:44

Die of a beningn flue, not “avenging” damn the autocorrect.

Pamtechnicon · 16/09/2021 16:49

Thanks for that Leaky: it gives me hope. There are no other obvious signs of depression. He's sleeping and eating well and doesn't appear to be stressed except by the losing things or little blank 'lost' moments and repetitions. He's currently searching the house for the third time today because he's convinced he's lost a set of earphones that I don't think we actually purchased. I think we looked at them on line but he wasn't sure they were what he wanted. But maybe he did order them himself and I never saw them. Anyway, that's the kind of thing that's stressing him out.

I think possibly his memory had been fading for a while: we had joked that he must have the male menopause well before Covid. I wonder whether perhaps that was why he was offered a retirement package? I suspect Covid and Zoom and the new tech and seeing people on screens possibly just showed the issue up a bit more clearly. He didn't seem able to adapt in the way he's always done previously.

So much seems to hinge on whether I can get him to go along and talk to the GP and the Memory Clinic. It's useful to have a story like your father's to be able to hold out as a carrot. Look! It wasn't dementia, even though the symptoms were similar. Thank you.

OP posts:
ToffeeNotCoffee · 16/09/2021 16:54

I've been widowed ten years, and it's stories like this, OP, that are the reason I've never sought another partner. If I took on someone at my age, I know that the odds are that at some point I would need to take on a caring role again. And I'm not prepared to do that.

I've given this some consideration as I don't have children but I am married. I'm in the fortunate position of having the means to pay for care in the latter stages of my life should I be widowed, I hope. This means I could move into some sort of supported living arrangement / retirement village.

I'll be paying someone to wipe my bum, put food in my mouth and keep me safe if that's what it comes to. I don't have anyone to offload the awful chore on to. Just as well.

I do have beneficiaries to my will though and if that's an ever decreasing pot of money then oh dear, how sad, never mind.

Back on topic.

Pamtechnicon · 16/09/2021 17:01

But social services can't actually make you be a carer.

I'm aware of one local woman with a spare downstairs bedroom who was persuaded to accommodate a friend-of-a-friend's elderly relative for a few days until a care home was sorted out. She was still, reluctantly, looking after her months later because Social Services had decided that the elderly lady was satisfactorily housed and could come off the waiting list. Eventually she had to go to hospital and while she was out her 'host' bundled up all her stuff and put it on the doorstep, locked the house up and went away for a couple of days.

OP posts:
EveningOverRooftops · 16/09/2021 17:06

Op I am with you. I am a carer and one of my only stipulations with dating is no one with a severe chronic health issue that would require me to become a carer. I’ve turned down perfectly good blokes who have suffered years of depression and felt relieved when I broke up with an ex just before he a life changing accident. He’s mentally fully all there but physically requires a lot of help and can’t walk very far. I live to hike and walk and I’m just relieved at what my life could’ve been. I’d feel stifled and frustrated.

youllneedthisfish · 16/09/2021 17:33

OP I have watched my mum care for my DF with dementia and Parkinson's these past years and it is horrendous. She didn't sleep for a year during covid as he was up all night and slowly descending into dementia. They moved in with us for 6 months and eventually it became too much for three adults to care for him. We couldn't leave him in a room on his own fro a second.

He has Lewy body dementia which has horrible hallucinations and I wouldn't wish it on anyone. He is in a home now but the last months were so difficult all round. My DF started to behave awfully in many ways (out of character), he was belligerent and angry and uncompromising, and this made my DM behave in a desperate way.

None of us came out of it feeling like nice people. We had to make hourly decisions on what we could and couldn't let him do (go outside in the snow with no support when you can't walk, go and 'get the bus' in no shoes, eat a napkin, and so on), but as you know its not easy to stop someone do something stupid. He is in a home now where its safe and they don't restrain them at all - if he wants to get out of bed and crawl down the corridor on his forehead because he cant support his arms they can't stop him, only offer help and persuasion. Its the best thing for him. My DM would have dropped dead (and indeed did have severe health implications) if she'd carried don any longer, and our family would have imploded.

I absolutely don't blame you for caring about your own wellbeing for once! Try and have a conversation in your head with the person he was at his best, would he agree with you? We have had to do this, we know beyond a doubt my Df would urge us to do what we have, and that's the best we can hope for.

youllneedthisfish · 16/09/2021 17:39

'He's currently searching the house for the third time today because he's convinced he's lost a set of earphones that I don't think we actually purchased'

That sounds exactly like my DF. that was why we couldn't leave him alone in the end because he'd be l'ooking for things' - including earphones. Endlessly fiddling with batteries and plug sockets and earphones. In the end hallucinating bits of equipment on the floor and getting down to find them, then his arms would collapse and he'd be on his face unable to move.

toothpicklover · 16/09/2021 17:40

I would definately move out, you will become his carer and SS will not see him as a priority for care if you are there.
You can refer to Adult Social Services yourself if youa re concerned.
The memory test you need to get him to do are www.dementiacarecentral.com/mini-mental-state-exam/ it has a download option and also gives information about why it is used etc.
This is a shorter one that we also use patient.info/doctor/six-item-cognitive-impairment-test-6cit
I carry out dementia reviews. I've seen first hand the struggle it is to get help for people who just don't want it. I've made several referrals to safeguarding etc to have an assessor..not a trained SW...go out and be told everything is fine. People with dementia can very lucid and convincing especially in the home when someone else is carry out all the donkey work, making sure there eating, making sure they are clean, making sure they don't wander.

He also sounds aggressive and this is just not nice for you to put up with.
I could never care full-time for someone with dementia. It is too hard.

Esspee · 16/09/2021 17:45

When my mother started showing signs of dementia I pushed for her to be assessed and prescribed a drug which was not yet generally available, Aricept. This was a long time ago so I am sure that even better options are available. It didn’t reverse my mother’s condition but stopped it getting worse. She had a reasonable quality of life for the remainder of the time she was with us.
I suggest you discuss his situation with his GP and ask that he be told to come in for a “well man” appointment often lightheartedly referred to as the annual MOT. It will give the doctor a chance to assess him.
As for you OP, I understand how difficult this is. My OH has promised me he will do all he can to help me end my life if dementia strikes and I will do the same for him. We both consider life with dementia far worse than death.

namenitmyreal · 16/09/2021 17:49

My MIL met someone when she was late 60's. I want to even say she may of been 70, because I don't remember him at her seventieth. They quickly sold their properties and moved in together. I would say when he briefly lived with her during the sale of his place he seemed scatty, but we hadn't meet him that often previously, all seemed a rush and he was in her space. She seems to always go for these meek men she can boss around so it was hard to tell he had dementia as we didn't know him. But a few years later he was diagnosed with two forms of DM and he changed so much over those 3 years, from being very active, but dithery to just sitting and sleeping a lot. She is now stuck looking after him. I think due to buying together and her insisting they very quickly married (when he wasn't bothered about it) She now can't go out without someone there to look after him. He has a lot of money, so I said she should put him into a care home, and not waste her final years looking after someone she's only known for a short time. My DH said that love is love and that I am mean saying this, but you can fall out of love in their situation. Surely a lifelong love who you have a family with is slightly different to being with someone a few years. And knowing my MIL feel she got together with him because he was / is considerably richer than her and is now living a lifestyle in a big house that finally matches her aspirations. I think she is worried about the house having to be sold if he goes into care. She's really not the caring type, don't get me wrong, I get with on her but she's not someone that selfless. However none of his children want to or help at all. They visit maybe once a year at most and he doesn't know who they are. He sometimes recognises us as we visit more but it hard work, and I feel MIL is showing signs of her mental health suffering from it. All not helped by Covid as well. Frankly I'm surprised my MIL has stayed this long.

So OP I wouldn't blame you to separate, but as you might know DM care will be expensive and you have been together a while. Do you have a separate finances ? It's going to be these years between him really needing care that zaps your energy if you stay. But maybe you can just frame it as he's changed, especially if he doesn't want to seek diagnosis. If it was me I'd run for the hills, never look back. I have no intention of looking after my parents either, whatever happens, no guilt, they maybe made me like this, so reap what they sow.