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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:
ILoveAllRainbowsx · 16/09/2021 22:43

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GrandmasCat · 16/09/2021 22:58

@ILoveAllRainbowsx

I think the same, what is the point of keeping us alive to a great cost and effort of the families when there is no longer quality of life? It would be kinder for us to be allowed to die rather than being sent back and forth to the doctors and hospitals to enable life to continue when there is nothing to look forward to.

If I find a way, I would like to set a note in my medical notes requesting no antibiotics are given to me once I am no longer able to make decisions about my life/care. That would set me and my family free much quicker.

PermanentTemporary · 16/09/2021 23:08

You can do that now Grandmascat. I'd be a bit careful about specifying treatments- antibiotics can sometimes be used just to combat breathlessness which is really unpleasant, not to prolong life. Just write a letter saying that when you lose mental capacity to make decisions for your care, you want a palliative symptom-based approach. Sign and date it and send it to your GP asking for it to be scanned into your medical notes. Done.

HeyGirlHeyBoy · 16/09/2021 23:13

Or comfort needs only.. Is the expression we used with another family member.

CharlotteRose90 · 16/09/2021 23:16

Please go. You are entitled to go and live your life. As harsh as it sounds most people don’t want to be a carer to someone when you can have your own life. In your shoes I would be off and doing everything I want to do.

BudrosBudrosGalli · 16/09/2021 23:22

The fact that he did not want to make this commitment to you to get married is a pretty good enough reason to walk away. You did not sign up for in sickness and health and aren’t legally protected either. Time is precious and you have deferred so much of it for others. You paid your dues over and over. It really is time to protect your own mental health and wellbeing and live well. That means leaving someone who will change, potentially get very unpleasant, possibly even prone to violent outbursts and who will lose all shared memories and connections, possibly rather rapidly. Why martyr yourself when it will pretty quickly become irrelevant who actually provides his care. We women really need to shake off the collective brainwashing most of us underwent to relinquish our own dreams and happiness. Your life is the most important. He is already being very obstinate now; he could live for decades while you would be trapped in an utter horror story. Please set yourself free from this nightmare!

lollipoprainbow · 16/09/2021 23:30

I get it he's scared but it's actually him that's being selfish. Won't attend a memory clinic etc. He just assumes that you become his carer. Wipe his arse, put up with the soiling of the bed, the furniture etc. Caring for his as if he was a toddler - permanently. The night time wanderings the gibberish talk the vacant facial expression etc etc. Not caring how scared you are. How exhausted you are. That's selfish.

What a thoroughly nasty post.

BudrosBudrosGalli · 16/09/2021 23:55

@lollipoprainbow

I get it he's scared but it's actually him that's being selfish. Won't attend a memory clinic etc. He just assumes that you become his carer. Wipe his arse, put up with the soiling of the bed, the furniture etc. Caring for his as if he was a toddler - permanently. The night time wanderings the gibberish talk the vacant facial expression etc etc. Not caring how scared you are. How exhausted you are. That's selfish.

What a thoroughly nasty post.

It is true though. However, unpleasant it might read, that is a very sad part of what OP would be facing. And while still in possession of most of his faculties, yes, he is very selfish if he refuses to attend and get checked up, while trying to bury his head in the sand. It is down to him to put his house in order so to speak and make provisions for his care while he still can.
Porcupineintherough · 17/09/2021 00:10

It is absolutely not true @BudrosBudrosGalli, it's pure speculation.There is no diagnosis and the OPs partner has said nothing about how he wishes to be cared for going forward. He has not indicated that he wants the OP to be his carer - and as for the derogatory description of a dementia sufferer, words fail me. For all you know he could be planning to boot the OP out and take a 1 way trip to Switzerland as so many on this thread feel he should (presumably signing over his worldly goods to the OP on the way).

StoatMilk · 17/09/2021 00:23

@Itonlymakesyoustronger

I can undesstand but Wow you do come across selfish - How would you feel ifyour relative got dumped by their partner because they had dementia - There something called thinking about the welfare of one self and there is something called selfish - What you have wrote above is selfish. Do him a favour and leave him now.
Unless you are currently 'unselfishly' caring for a partner with dementia and all that entails, I think you should wind your neck in Hmm
gofg · 17/09/2021 05:23

There's a patch between 'this person is fine' and 'this person needs professional care'. It can go on for years. I don't believe there's a country in the world where families aren't dealing with that gap, though I'm sure the threshold for professional care varies.

I understand that, but there are stories on MN about people caring for relatives in what sounds like horrific circumstances - I have a friend in the UK who is dealing with it at present. Once you are assessed as not being able to cope at home here you can go into care - especially people living alone. Their families are not expected to take on the burden of care.

Buckingthetrend · 17/09/2021 06:28

Dementia is an awful disease and I agree with the posters who said it’s worse than death. I wish my parent had died before they went through what they did as it was awful for them.
I’m so sorry that you feel you have no choice but leave but what you and others have said is right. There is little support and you would be left to flounder and cope. That was our experience anyway. I think you really need to have dealt with this first hand to know how awful it is.
If it happens to me I hope I realise in time and have enough mental capacity to do away with myself as I don’t want to inflict it on my family. I’m sorry if that kind of talk upsets anyone but it’s the way I feel.

Buckingthetrend · 17/09/2021 06:32

Oh yes, the people who say that dementia sufferers are ‘selfish’ have no clue. It’s a disease for gods sake. That’s the saddest part. Your loved one becomes someone unrecognisable and not themself at all.
It’s just shit all round for carer and sufferer.

Spiindoctor · 17/09/2021 06:53

But no one discusses it with family, friends, spouses.
No one seems to make plans.
Fortunately we have a large house and adequate savings so we should be able to have live in carer/s if needed.
I plan to commit suicide.
I say we but it's actually I. DH is convinced he will live long, but I assume he thinks someone will step in when needed.
There seems to be no clear information on what the very first issues are likely to be, so it flags up the problem early. What the average time is before the problems become a risk to the persons ability to drive etc.
There must be stats on this somewher.e.
I had to accompany my DB to the GP as DB wasn't telling GP about the nightmares and hallucinations and the GP just didn't ask at all. DB was driving all this time.

Charley50 · 17/09/2021 06:59

@GrandmasCat - see this website for info and forms for Advanced Directive to share with your family and GP. I'm sure as health and care services decline, the medical profession will more able to comply with people's wishes to decline treatment.

Charley50 · 17/09/2021 06:59

Oops I forgot to share link... compassionindying.org.uk

drpet49 · 17/09/2021 07:02

* If you do leave, then either stay single or be upfront with future partners that you'll leave them once things get tough.*

^Completely agree with this.

GrandmasCat · 17/09/2021 07:10

If you do leave, then either stay single or be upfront with future partners that you'll leave them once things get tough.

^Completely agree with this

I disagree, there is no need unless she feels the need to discuss it, the world is full of people women thinking their partners will be there for them through sickness and health until death, but in reality… it is rare for men to take a primary role taking care of someone with dementia, it normally falls on their wives, daughters or whatever female relative nearby.

I wouldn’t mind taking care of someone who have developed health problems but I draw my line at dementia.

incognitodorrito · 17/09/2021 07:18

It doesn't matter whether you are married or not. Caring for someone with dimentia can be soul destroying. It's already touched and blighted your life, only you know whether you can or not. Anyone here saying you are selfish probably has never lived with whilst caring for anyone with this ailment.

lollipoprainbow · 17/09/2021 07:38

@BudrosBudrosGalli your post isn't much better. My stepdad and mum both had/have dementia so I do know what happens there's just no need to put it in such a blunt and unkind way. Also the OP talking about madness and doolally isn't great either !!

zafferana · 17/09/2021 07:40

This probably sounds quite horrible but if your DP didn't want to marry you because he didn't want to be tied down then I don't see why there should be any expectation for you to now be tied down due to his sickness. He can't have it both ways.

Totally agree with this. You have one life OP, which you clearly understand, and if you want to leave a DP who didn't want to be tied down with you, well indeed it works both ways and there is no reason why should feel tied down or obligated to him! I too know what dementia looks like and I don't blame you for wanting to do those things in life that you have always planned to do. You may face judgement from others, but they're not the ones living your life. Would you rather face some judgement or give up possibly the rest of your life to caring for your DP?

Eddielzzard · 17/09/2021 07:44

I really really feel for you. My mum had dementia for 10 years. Horrific. Your DP is young, no way can you do this. It's going to be extremely hard telling him and it will be hard moving out and coping with the situation. You know deep down tho that you don't have an option. You can do your best for him, but not sacrifice your life. Again.

countrygirl99 · 17/09/2021 07:45

@ILoveAllRainbowsx

Which is why we should be able to end our lives if we want to.

I don't want young people to have to pay to care for me when I have dementia and I also don't want to use up my children’s inheritance to pay for it either.

Often people with dementia don't realise until it's too late. My mum is convinced she is no more forgetful than anyone else and forgets how upset/angry she has got really quickly and thinks she was just a bit miffed/minorly annoyed, something of nothing. She is convinced that everyone is exaggerating and there is nothing wrong with her. Doesn't make a difference that she has seen a consultant who has told her the diagnosis because she can't remember having seen him.
OnwardsAndSideways1 · 17/09/2021 08:22

In discussions such as this, the options of Dignitas and just topping yourself are always discussed.

In reality, you have to have money to go to Switzerland and be of completely sound mind, they are not in the business of assisting demented people to kill themselves, more terminally ill people with all their faculties.

Most people say they would rather die, but in reality many do not realise when they are getting ill, and very few people actually make that choice.

Refusing antibiotics and having an end of life care plan is one good thing to do, but that isn't dealing with the 10plus years of dementia prior to when that type of refusal would matter, people these days are tough and often go on well beyond what you would think the body could stand.

I am completely in favour of assisted dying for people with less than 6 months to live, but I don't think any country has a system for killing off people who are demented, even if they requested it when they weren't in that stage. There was a very controversial case, just one, I think in Holland recently where they came to do assisted dying with a lady who had requested it and she fought it. Absolutely no system is going to want to start doing that, which is why we have to be realistic about what care is available and what it looks like rather than just say 'Ill go to Dignitas' when that actually isn't a solution at all.

Candleabra · 17/09/2021 08:47

@onwardsandsideways1 I completely agree with everything you have written.
People seem to think there is a window between a dementia diagnosis and loss of capacity that allows the person to put their affairs in order.
The reality is often that although the dementia is in an early stage the loss of function is still significant.
My mum was extremely altered in personality by the time we had a diagnosis. Her normal pragmatic, empathetic, caring self had disappeared. These were the reasons we pushed her to the GP (no memory issues to start with).
No way could she have had the clarity of thought to organise paperwork, next steps etc. The Dignitas process is incredibly challenging.
She refused to sign POA as an example. In normal times, she would have considered this to be a sensible step.