Showing posts with label caring for someone with dementia. Show all posts
Showing posts with label caring for someone with dementia. Show all posts

Wednesday, July 29, 2015

Taking my old mum for a haircut


Arrived at my mum's aged care facility - ACF - at 9.40 this morning to take her to my hairdressers in the far flung suburb of Taylor's Hill. Taking mum with me queers my pitch just a tad. I don't think I'm alone in enjoying a precious forty minutes or so having my hair done. But mum needed a haircut and Paul, my lovely hairdresser, was able to squeeze her in at the last minute.

Doesn't pay to book a haircut, or a podiatry appointment too far ahead for mum. I've turned up to collect her for an appointment a couple of times to find she's made some private arrangement with a visiting provider. No good writing it in mum's diary. She doesn't check it.

As I pulled into the car park at said time, a staff member key-padded mum out of the front door. Was pleased to see mum's clothes were well coordinated: padded short black jacket over a long sleeved striped tee shirt; black jeans; good black leather zip-front shoes. (She's not so keen on the lace ups these days.) Her hair was nicely combed. Good effort, mum.

I'd prearranged for mum to be waiting for me at 9.45 so I was actually early. 'I've been waiting for ages,' she said, not unhappily. 'Since 9 o' clock.' I suppose she was keen to get out under whatever pretext. I would be.

She didn't mind, she said. She'd had lots of company, as she would have sitting outside the nurses' station in the busy reception area. I was slightly annoyed that she claimed she'd been waiting for ages and 'thought [I'd] never get there.' Once I'd have automatically believed her.

It's a fair drive out to Taylor's Hill, a newish labyrinthine north-western suburb. I was about to drive across busy Mount Alexander Road heading for the free way when the questions began. How's Al? Pete? Didi? Do you ever hear from your sisters? And so on. Cruelly, I suppose, I nipped the interrogation in the bud, only because the loop would have ended in five minutes and I'd have to answer the same questions again.

"Don't start blathering, mum,' I said. That's an expression I learnt at my mother's knee. 'Just listen to the music.'

'Cross the roundabout and take the second exit.' That's Jane, the sat nav. I needed Jane because I hardly know Taylor's Hill  having only been out to hairdresser Paul's new premises once before.

'You needn't worry,' says mum, who's miffed, to me, not Jane, 'I will never speak again.' She does that if I'm abrupt with her. She always has. I glance at her. She's set her face and is staring ahead.

Half an hour later, we're at the hairdressers. As I sit in my chair, looking into the mirror, I see mum who's sitting behind me - me in 25 years? - looking back at me. I wave. She smiles. It's warm, she has a coffee and the winter sun's shining through the huge windows. There's a new, green reserve across the road with playground equipment, tables and a few young trees coming along nicely. They certainly build amenity into these new suburbs. Still don't know where I am. Neither does mum.

Mum gets a lovely haircut, as opposed to the generic ACF trim. Both hairdressers praise my mum's gorgeous thick white hair which has been beautifully cut. Mum beams and preens.

I was considering keeping mum with me for the day. It would mean a dawdling time and lots of inane albeit animated repetition, not unlike the time I spent with preschool children in some ways. But as I drove towards the city, mum anxiously reminded me, again, that she had no idea where she was. She needs reassurance that I'm onto it and that I'm not going to abandon her and expect her to find her way back to wherever. Because at this stage she has forgotten where she lives.

The sadness begins. 'I feel like weeping,' she says. 'Weep,' I say, 'go on.'

Yes, I'm harsh but this is self-preservation. Why wouldn't she have this nebulous melancholy, that is, when she's not being the life of the party, buoying up the other residents at her ACF? She doesn't know why she feels this way but I think I do. I feel it too but bemoaning and crying doesn't achieve anything.

I indulged that sadness after Monday's visit when mum asked me where my dad was. 'Your dad didn't die, did he?' she pleaded, contorting her brow. It caught me off guard. 'Where was I when he died?' she asked.

'Mum, you were there and you did all the right things,' I said, straining to stem the tears.
'Did I?' she asked.

That made for a sad evening. Once I'd started crying in the car park after I'd left mum, it was hard to stop. And then I felt so washed out. Best not to begin.

Happily, compensations of memory loss, mum forgets these moments, just as she's forgotten that her husband died over three years ago.

When I left mum today, she looked amazing. She'd applied a bit of foundation and lippy; several staff had complimented her on her new haircut.

Just as I was about to make my escape, mum got me by the shoulders and looked into my eyes. Hers were brimming with tears. 'You know,' she said, looking down at me,' if you think of ringing me, or dropping in later, don't. Just leave me alone in here.' A rebuke.

But, weather permitting I'll be back to take her for a walk and a coffee on Saturday. And she'll be as delighted to see me as if I've been away for six months.





Wednesday, January 15, 2014

Self help.

I've been reading an inspirational self-help book called Choose Yourself, by James Altucher. I happened upon his blog via a Twitter site I follow called Positively Positive. It linked to a post by Altucher. The post spoke to me. I was in a particularly dark mood.

 I read a couple more posts, following the links on the side bar and felt like someone who understood me was actually talking to me. Given the number of comments on each post, heaps of people feel the same way. That’s good to know; the power of the internet to connect.

So why was I in a dark mood? At the risk of conjuring up the mood again, I’ll go there; summarise.

Last year was a trial. In April, after it became clear that mum wasn't coping with living alone, I/we began to come to terms with my mother’s memory loss; her dementia. (Talk about words with negative connotations!) Much of the year was about finding a place for mum to live where she could potentially be happy. We tried having her live between my sister and I, but that was awful for everyone.

After the requisite assessments for mum, I started looking for an Aged Care Facility offering low level care with potential for mum to move to high care as and when she needed it. This is a really depressing task. Actually, that’s an understatement. It’s a nightmare which begins with glossy brochures from the Aged Care Assessment service and lots of internet searches. I actually only visited three hostels before I found a place for mum. Suppose that’s lucky. The first three places left me sobbing in the car afterwards. After the fourth place, I didn't cry. Felt bleak, of course, but thought, as I looked over at the fountains in Queen’s Park across the road, that mum might be okay in that place. They had a vacancy and in August, mum moved in. (Reading that back, I make it sound so easy. It wasn't.)

Heaps of people have been through this process. It truly sucks, despite what the glossy brochures tell you about Aged Care Facilities. Where mum is they display big colour photos of the residents having a wonderful time, apparently. My mum has starred in a couple. In one I saw the other day she is the archetypal daft looking old person – won’t say woman because gender doesn't seem to be a factor in these shots. She’s holding the ‘stalk’ of some sort of big helium filled balloon flower arrangement and wearing a silver ‘tiara’ that says 'Happy New Year!' She’s smiling off into the middle distance. I hate seeing my mum like this. It's something she would have scorned in her former life.

I pointed her out to herself - never miss an opportunity! - when we were walking along the corridor the other day. She peered. ‘That’s never me,’ she protested. So what? She seemed to be having a better new year celebration than I was at my place, pissed off at all the fireworks making my insomnia even worse.

I ‘get mum out’ of the facility a couple of times a week. When I arrive she’s always surprised and delighted to see me. Why wouldn't she be? She has few visitors and I never tell her when I’m going to drop in. She forgets anyway. 

I’m scared writing this because I’m perhaps fueling the stereotype of the elderly person with dementia. There is a stereotype. Whenever I talk about mum everyone makes it quite clear that their own aged person is/was ‘sharp as a tack/sharp until the end’. Seems it’s better to need assistance getting dressed or getting around. Clearly you’re lower down the scale if you need a bit of reorientation in the morning; a reminder what day it is – and really, who cares what freaking day it is? Or what year? But yes, everyone wants to make it quite clear that their aged parent has/had no cognitive impairment. 

Don’t think mum is suffering. She misses my dad but she’s not wracked with grief now, nearly two years after he died. She’s truly living in the minute. She has few worldly possessions apart from a few framed photos and paintings on her walls, her comfy recliner chair and her old Queen Anne chest of drawers. Her bed is a single hospital Occupational Health and Safety approved job. All her goods and chattels have been dispersed among the family, op shops and eBay. She quite likes that I've got her sixties teak dining table and chairs in my kitchen now. But she’s not bothered about all that ‘stuff’ that she’d acquired during her adult life. Furthermore, she sleeps for twelve hours a night. I wish.

As I've written before, you wouldn't necessarily know my mum has dementia unless you spend lots of time with her. She's still canny.

The other day I took her to the podiatrist. It's a short walk from my house, down to the corner and across the road. Mum was a tad disorientated, unsure which way to turn at each intersection. I got a bit frustrated as mum dithered about which way to turn because I forgot- sheesh! - that mum's brain wasn't sparking as it used to. I made her link arms with me and this solved the problem. (This sounds minor but it's not. It's a constant reminder that even though mum is physically the same, mentally she's not the person that she was.)

I accompanied mum into the podiatrist's office. In what I assume was a normal voice, he asked me questions about mum's feet. 'Why don't you ask mum?' I said. 

Holding mum's hammer toed left foot in his hands, he beamed up at her - she was in the high chair, of course - and started talking to her like she was a two year old.

Farque alors. I didn't want to queer our pitch by telling him to talk in a normal voice.

And then his phone rang. "Sorry, I have to take this,' he said. He held onto mum's foot with one hand and answered his phone with the other. 

He then regaled the person on the other end with the story of some prospective employee, who he named, having reneged on a job he was due to start the next day. We listened in to the conversation. After he hung up he filled us in on the details of this guy who'd been 'so unprofessional', giving so little notice that he's taken up another job offer; leaving this practice in the lurch.

He finished mum's feet and then we left.

As we were walking home she said "I actually thought he was being unprofessional giving us all that information. Didn't you?' And that's the thing. Just when I think mum's lost it she chimes in with something so apt.

This post doesn't tell the half of why all this has led me to a dark place. It's possibly my particular sensibilities. I over-empathise; can't go through all this without seeing myself in twenty years and then thinking why not quit now, while I'm ahead?

The James Altucher blog and book helped. I carried out one of his Daily Practice suggestions the other day. One thing he suggests is to forgive someone. You don't have to tell them - I'm paraphrasing Altucher - just write it down on a piece of paper and burn the paper. "It turns out this has the same effect in terms of releasing oxytocin in the brain as actually forgiving them." That's from his book, Choose Yourself. $1.86 Australian on Amazon Kindle.

Well, assuming that my brain needed oxytocin - whatever that is - I wrote my little note on a piece of paper, all the time feeling ridiculous. Then I thought about burning it. Now I live in Melbourne, and it's stinking hot and it was a Total Fire Ban day. Looked over at the kitchen sink and the lighter. Uh-uh, I thought. I'll probably set fire to the curtains and then burn the whole freaking house down. So I folded the paper a couple of times then ripped it into tiny pieces which I fluttered into the recycling bin. By the time I'd finished I was bubbling with laughter. Was that oxytocin or am I an 'oxy-moron'? It certainly lifted my mood.

There's some good advice in Altucher's book, and if you have the wherewithall, you could make zillions of bucks. 





Thursday, September 12, 2013

Back on-line?

Eighteen months ago, I'd never have imagined how my life was going to buckle and take a very different course.

Despite the evidence of my dad's terminal illness - and let's face it, life is terminal when one is 83 - in some naive part of my then 55 year old brain, I couldn't imagine him actually dying; couldn't imagine the debilitating grief that would unexpectedly unhinge me and come in waves. I knew the theory, but having been a child migrant, I hadn't really felt much when grandparents, aunts and uncles died. I was detached and numb back when I was sixteen and my mum, driving us home from a horse-riding outing, had pulled over to the side of the road to convulse in sobs over the steering wheel of her blue Austin 1800 because her mother had died. (Yes, I see that there is perhaps some redundant detail there, but the occasion of my grandmother's death did imprint itself so that those details are easy to recall.)

(Perhaps I'm inclined to writing long sentences today because I'm half-way through Peter Carey's extraordinarily brilliant page-turner, Illywhacker. God that man can write!)

My brain has been somewhat off-line for the past five months or so. (The fact that I'm now writing, and reading a complex novel, tells me I'm healing a bit; returning to what is normal for me.)

My dad's death in May last year, and its immediate aftermath, didn't help me to prepare for what we've been dealing with since April. During that time I've had to become my mother's gaoler. I've shared this role with one of my sisters and our husbands. So we've had to take away our mum's autonomy, albeit because she could no longer manage to live alone on her isolated coastal property.

Ultimately, because this living arrangement was no longer sustainable, given mum's dementia - hate that word - I've had to put my mum in an aged care facility. If you think leaving your infant at childcare or school is hard, think on. Hope you never have to deal with your beautiful mum begging you not to leave her; telling you she'll do anything, just give her another chance. 

That was the worst experience of my life. Absolutely no other option. It came down to my sanity, and that of sister, Reggie, or continuing to share custody of our tricky old mum.

But this tale has had a happy outcome. My mother loves her new home and she's struck it lucky, not only in the place she's living, with beautiful Queens Park, Moonee Ponds as her front garden, but also in finding a new female friend with whom she can stroll around the lake and reminisce.

All the stress has dropped out of our lives and my mum is calmer and more relaxed than I've seen her in at least three years since my late dad's diagnosis.

Still, I think it was a bit cheeky of the 'entertainment' - think piano accordion and drum machine - to be playing Please Release Me Let Me Go and I've Never Felt More Like Singing The Blues to a captive audience of octogenarians in the home.

The irony wasn't lost on my mum either as she sang along.


Monday, July 22, 2013

Refuge in a bakery.

What is it with me and seeking refuge in a bakery full of delicious aromas; sweets and pastries I'd best not eat?

I'm in Cedars Bakery, High Street, Preston. Just had half a sumptuous chicken pie that contained some surprise potato that I haven't bolused for but hopefully the 7 k slightly hilly cycle home should take care of that. That's if I can bring myself to leave this warm haven and go home. Al isn't home until this evening which leaves me and mum.

If you read back through my posts, skipping the France bit, you'll know that my mum is quite lovely but that I'm having difficulty sharing my house with her and her 'memory loss' - the euphemism for dementia.

She's been back with us now for a week and it's hard work. She demands attention. She can't just 'be'. She needs reorienting every morning and it's all about mum. 

I started working parttime a couple of years ago for my health's sake, so I could wind down from my stressful secondary teaching job. Now, though, I've lost my weekends and my days off. If I'm not constantly attending to mum and answering her repetitious questions about how much her house is worth, where she lives, whether there's anyone else in the house and who is that man in the kitchen - Al - how to work the washing machine and a myriad other inane questions she gets the huff.

'You need not worry about me any more,' she'll say, cross, pouting, frowning, pseudo 'in charge'. 'I will find my own place to live.'

But that isn't an option. She would need to live in supported accommodation. I've checked out a few places and they're not for my mum.

At my house she can safely go to the supermarket or walk down to the local shops. I even got her to go to the Anglican Church two blocks away yesterday. She's always gone to church. I'm hoping she can find a community of support that doesn't involve sitting around with old people wearing bad dentures trying to tap a balloon into a waste basket. 

Meanwhile I'll keep cycling, trusting she's okay alone and knowing she'll have forgotten how angry I was when I left her an hour or so ago.


Wednesday, May 29, 2013

Time out.

I try hard not to be annoyed with my elderly mum who's filled my empty nest in a big way. She's not consciously doing anything annoying. When I greet her in the morning she expresses this histrionic joy that I'm in the house. Take her a tea in bed, as Al and I do, and she's overwhelmed with rapture about the best cup of tea ever in this the best of all possible worlds.

I'll be in the kitchen, getting my breakfast prior to setting off at 7.30 am for school. Mum will stumble through in her fluffy red dressing gown and almost cry with surprise that I'm still home. "I didn't know there was anyone home!" She'll wail. " I thought everyone had left! Oh! I didn't know you were here!" Her voice is loud, over-enunciated precise, heavy on the consonants. This is mum apologising for being in the way; getting in my way.

On Tuesday morning she inadvertently blocked the doorway I was trying to go through. I was in my cycling gear, complete with mandatory helmet, gloved up against the 3 degrees outside, headphones already inserted. As I did the requisite dance to get around her I knocked over a stool, scattering stuff all over the floor. It seemed, at the time, vaguely metaphoric.

I try not to feel irritation.

When I get home around five, exhausted from the demands of teaching 70 adolescents & cycling 7k of hills to get home, mum's at me. Same histrionic elation bordering on tears at my 'surprise' return to my own home. She's been alone all day apart from her 4k stroll to the local supermarket - see, she's still very capable & fit. She'll have chatted with a few strangers. Yesterday she paid a bill at the local post office. She was drinking coffee when I walked in. Channel 9 news was turned up to stun - but she swears she's not deaf.

All I wanted to do was remove my jacket, crash helmet & contact lenses and chill..

I tried not to be irritated as she kindly, kindly offered me coffee, wine, anything, when all I wanted was some peace after the day I'd had. I was actually summoned by the principal yesterday for some perceived transgression. That was fun, siting outside his office while he finished his phone call, this guy who was at teachers college with me & is now my boss.

My house is no longer a refuge. I hung around at the local shops the other day just to grab some time out.

I'm currently delighted to be kept waiting at the doctors because it's relatively peaceful.

-

Apart from my lovely doctor's free counsel this morning - I didn't have to pay - I discovered something else. Despite mum living here, I should resume cycling on my days off. I haven't been able to ride lately because that means leaving mum on her own for even more time.

I cycled to the doctors this morning; a flat 9 k round trip. It was blissful. Two hours time out on a cold, sunny morning. Therapeutic, unlike the more fraught school rides where I'm mentally preparing lessons or trying to expunge the day's trials depending on whether I'm coming or going.

Mum seems to have survived my absence.

Monday, May 27, 2013

Me and The Third Ager.

If you met my mum now, you'd see a slender statuesque, somewhat stooped 80-something. She always looks good in her fashionable, casual clothes; her accessories match, her feet wear Rockport, her hair is well-cut and she pops a bit of lippy on before she goes out.

If you met my mum now, as I keep explaining in a slightly hysterical voice, to anyone who'll listen, you'd meet a smiling, solicitous, wide-eyed woman. She'd lean in close and encourage you. She'd want to know who you are, where you're from and what you do. I really think you'd like her.

But don't leave her presence, even for ten minutes. Because upon your return I could introduce you again and you could reenact the entire scenario. Mum, having completely forgotten you, wouldn't find it repetitious or strange because it would be completely new to her. If I mentioned you enough, dropped you into several conversations, told her a few of your exploits, it might sink in. But then again.

Mum's rich fabric of memory is wearing thin, fraying, and that's very hard to live with.

It's an extremely complex situation, as you can imagine. I'm not coping very well with having my mum living at ours.

In another post, I compared living with my aged mum to having pre-school children. But it's more taxing than that. There's a lot of joy in raising your kids - well, at least for a few minutes a day. They're learning, and you go and look at them while they're sleeping and you're filled with love.

I'm not finding any joy in my current situation, other than the idea that I'm saving my mum from being in some sort of supported care with others with 'memory loss'. My head hurts and I'm even more of an insomniac. I went out without any emergency glucose today because I'm not thinking straight - I have Type 1 diabetes. Happily I didn't need it.

Basically, I'm in my mother's service except when she's sleeping or when I'm at work. I bounce out of the door on my three working days looking forward to some respite, but unfortunately I don't get that because I'm a secondary teacher and I need to put the educational and emotional needs of my kids above my own.

While I'm writing this I can hear Al chopping veges in the kitchen whilst chatting, apparently happily, with mum. She's explaining to him that she doesn't want to be a burden and that there are plenty of other places she can go. I wish she'd go into the lounge and watch TV so I could write in peace.

On my right I have about 300ml of chardonnay.

As I've said many times, chardonnay helps. Mum enjoys it too. Oils the wheels of human endeavour.

Cheers.