anyone out there???

Posted by: Sandy Brand Tagged in: Untagged 

Sandy Brand

I'm feeling very alone ... is anyone out there?  I have no idea what I am 'supposed' to write here or what I CAN  write here ...


Hosting Coffee Break

Posted by: Cindy ODonnell Tagged in: Untagged 

Cindy ODonnell

Sept 16th is Coffee Break day
Find out how you can help the Alzheimer's Society by hosting a Coffee Break in September.  If you want more information contact your local Alzheimer's Society.  If you are in the Barrie, Ontario area on the 16th drop by Debb's Place (a family restaurant) on Huronia Road between 2 and 3pm and have a coffe/tea and a sweet treat, all donations will go to the Alzheimer's society in Simcoe County.


CBC news article on early detection of Alzheimer's Disease

Posted by: Cindy ODonnell Tagged in: Untagged 

Cindy ODonnell

Would you want to know?

 A colleague of mine sent me this video done by CBC where scientists have found a link to detecting Alzheimer's Disease early.  My question to you is would you really want to know this information, knowing that there isn't a cure?

Visit my website for the link http://www.cindyodonnell.ca/blog/


This is why I am passionate about Long Term Care Insurance

Great article in the Toronto Star  weekend

You never know when you are going to need care, it can happen at any age at any time.  The problem we face as Canadians is we are not prepared for it, emotionally, financially or even care wise.  After reading this article I turned to my husband and I said "This is why I am so passionate about Long Term Care insurance, it isn't because I can make a living off of it, it's because we have a crisis happening in our own country and most people are unaware of it." 

To see article follow this link http://www.cindyodonnell.ca/blog/


A new life begins (part 2 - 2008)

Posted by: Barbara Dylla Tagged in: Untagged 

Barbara Dylla

[OK, so that's a bit of a dramatic title. Still, when I think about it, almost everything about my life has changed in the last five years. 

1. Work:] 

PART 2:

March 2008 - as mentioned previously, my mother was in hospital recovering from a hip fracture operation.  Until now, my father had been OK to take public transportation, and he probably knew the way to the hospital with his eyes closed, so often did he do the trip the previous year. This time, as soon as I felt it would be OK for him to visit his wife, we agreed that he would come on his own and meet me at the hospital. We spoke on the phone after his breakfast and he said he would be leaving shortly to take the bus. I waited and waited - and started worrying when he didn't show up. I called the residence's reception to see if they had seen him leave the residence and was told that, yes, he had left at such and such a time. I called a half-hour later, and again a half-hour later; this time, I'm told he came back -- but escorted by the transit police! From what the receptionist said she saw from her desk, he was having a nice chat with the officers, but they didn't come in to explain why they had driven him home.  I never did find out what had happened, except that he still had his bus ticket. From someone who knew the public transit system better than I did, and figured out routes to get from point A to point B, he now was unable to even get on a bus or to the metro station? Scary! Still, it was a relief knowing he was back home safe and sound.

Which now meant that I would have to escort him to/from the hospital so my parents could see each other. While I tried to bring my dad to visit her in hospital as often as was feasible, it gradually became clear that he was stressing her out during mealtimes. He would stand over her (already a threatening position to a sitting person), and make sure she ate her meal. He was concerned she wasn't eating enough, and wouldn't regain her strength to walk and be independent again. With his actions, he was actually making her lose her appetite! Once I became aware of this, I arranged his visits in such a way that he would arrive after lunch and leave before supper.

I spent whatever few spare hours I had with my father, so he would not feel too neglected. I also had to look after his affairs, as he no longer understood his credit card statements (I had a nice mess to clean up with Amex; once that was done, I cancelled the card), nor his bank accounts. For someone who had always had a mathematician's grasp for numbers, it must have been heart-rending to admit this. He was also putting cheese in the freezer, butter in the cupboard, sugar in the fridge, packing and repacking boxes (probably because he saw others moving in or out, and felt his turn was coming soon...). 

I think this was the worst time for him: aware of losing some cognitive abilities, trying to camouflage these losses, and doing things he could not explain.

In the meantime, the physiotherapist (PT) was convinced my mother -- 81 years old, with a history of osteoporosis, lymphoma, Parkinson's dementia - wouldn't walk again. 

Honestly, I was ready to accept that prognosis. I wasn't even sure she would be able to go back to the residence, given her physical and mental condition. Still, if I knew anything about my mother, it's that she does things in her own time and that she's headstrong. I now believe that her body was being healed inwardly by her mind, and once her mind declared that her body was ready, she began to sit up, then to stand up, then to take a few tottering steps. Finally, the PT agreed to work with her to strengthen her muscles. I later told the PT that my mother "marches" to her own schedule, and that there's no point in trying to rush it. Nevertheless, I knew it would take months of pain, sweat and tears on my mother's part to walk again - but I was convinced she would succeed.

(Spoiler: this same PT, who last saw my mother confined to a wheelchair in March 2008, was astonished to see her walking solidly with a walker in November 2009. We stopped to chat and she then confessed to me that, at the time, she had thought I was nuts trying to "make" my mother walk).

End of March: my mother was discharged and fitted for a special wheelchair (even the wheelchair technicians were convinced my mother wouldn't walk again!). I bring her home, to her room. She was weak and sometimes confused. I decided I would spend the next four nights sleeping in her room to make sure she doesn't fall out of bed, or tries to get up on her own to go to the bathroom, since she's still not able to stand solidly on her feet. My father was in a separate room down the hall. The first few days were OK, with everyone adjusting to my mother's situation and my instructions. I monitored both parents to ensure things ran smoothly.

In the meantime, my sister, (who lives in Switzerland) had made arrangements for a leave-of-absence from work in order to spend three months here to help me out. Thank goodness she did because I don't know if I would have survived the next couple of months. She also wanted to give me an opportunity to be free enough to work full time on/at my business, something that had not been possible until now.

April: to ensure my mother's safety during night, I hired a couple of 'night sitters' who took turns watching over her. I was also referred to a private physiotherapist, who has the most wonderful approach with elderly people, and made the exercise sessions something my mother actually looked forward to. And my father? More and more, he would question why he had a double bed but was sleeping alone in it. More and more, a tussle would occur after supper, in which my wheelchair-bound mother was in the middle, my dad on one side trying to grab the handles, and the wheelchair, away from an attendant on the other side.  A real tug of war! Again I had to intercede to come up with a system whereby my father would be distracted so my mother could be brought to her room safely and made ready for bed. But my father, a war veteran and concentration camp survivor, had learned to fight for what was his, and his wife was his!!!  She could be with him most of the day, or if not, he would know where to find her. As long as he felt her presence, he was OK. 

But evenings... she would "disappear" and he would search for her. Checking the rooms one by one until he found hers (he had her room number on a piece of paper, but often had to ask what 219A meant). The night sitters started to become a bit nervous, until I told them it was OK to lock the door. But they only started at 11 p.m., so until then, anything could happen. For instance, one night, my dad made a makeshift bed beside my  mother's bed. For her safety (and the night sitter), we moved her to his bed and left him sleeping on the floor. One evening, he "kidnapped" her and locked her in his room. One night, she was found in his bed... and we had to "kidnap" her back out to her bed. My sister and I were called in each time to negotiate a peaceful outcome to these incidents, which increased as time went on. Sad to say, on most of those occasions, the evening nurse totally mishandled the situations. In his frustration, my father would become aggressive... and one night, violent. 

May: A neighbour had often invited me to his country cottage, but I had never been able to accept the invitation. With my sister in town, I was finally able to go for a weekend. Ah... bliss - I could eat, drink, relax and sleep in peace for two nights. Little was I to know that a scant half-hour after my departure, my sister would get a call saying that my father was threatening the evening nurse with the metal footrest from my mother's wheelchair (which meant he'd taken her to his room again).

I heard the whole story when I came home Sunday afternoon. My brother and sister had agreed that my dad be brought to hospital for observation on the Friday night. My sister was now the one who had to run between the hospital to monitor my dad and talk to the doctors, and keep an eye on my mother, etc. I imagine she understood more fully what I had been going through for the past couple of months.

Because my sister was the current "go-to" person for our parents at the residence, she was the one who was told by the executive director that they would not accept my father back and she would have to find another place for him (not the exact words, but nearly - my sister was rather shocked at the unsympathetic delivery of such news). 

In the meantime, given that my mother's prognosis was still uncertain, we began to look into full-care nursing homes for her, while at the same time, realizing that my father would probably soon be declared incompetent, we started the paperwork to have the Mandate In Case of Incapacity homologated. This would make me my father's legal guardian.

By the middle of June, my sister was preparing for her return home. It was with a very heavy heart that I saw her go, but we had found a wonderful companion to stay with my mother during the day, so I could continue with my work.

Over the next several months, my mother slowly improved and made progress in her walking. At the same time, my father gradually adjusted to living on the long-term care unit at the hospital.

TO BE CONTINUED


A new life begins (part 1 - 2005-2008)

Posted by: Barbara Dylla Tagged in: Untagged 

Barbara Dylla

OK, so that's a bit of a dramatic title. Still, when I think about it, almost everything about my life has changed in the last five years.

1. Work: 

I now work from home as a freelance translator. Granted, I didn't need my parents to be struck with cognitive illnesses to take this step, but that's what happened. I had a full-time, permanent job when my mother was hospitalized with what we later learned was the onset of Parkinson's dementia. I had an understanding boss who let me take time off (deducted from my vacation time) to oversee my parents' move to a senior residence, the sale of their house with the help of my siblings (an experience that I relive with some bitter and profound regrets), and organize the first Christmas celebration ever outside our family home. This was in 2005. 

In early 2006, my father was diagnosed with Alzheimer's. He had had a terribly difficult time adjusting to the residence, having had a near-obsessive attachment to the house, and consequently likely suffered from depression his first six months there. My mother, on the other hand, was like a person reborn, taking part in the activities, enjoying the social contact with other residents, the nearby park, etc.

In June of 2007, my mother was in hospital with a diagnosis of non-Hodgkins' lymphoma. Within two weeks of her return, she was admitted to Emergency with a perforated bowel. I had already given my resignation, fully intending to start up my own business as a self-employed, home-based translator, but decided instead to look after my mother on her return to the residence (beg. Sept.), in the hope of preventing yet a third trip to the hospital -- in my mind it was "all bad things come in threes". Maybe my subconscious knew that my father was not able to take care of her the way she needed to be. She'd lost weight, her hair was thin and wispy, and she would have continued to do the laundry, the shopping, and my father's bidding, as she was used to. By the fall, he was having difficulty taking his medication as prescribed (I used to find extra pills, which he said were "extras"); and sometimes couldn't understand why my mother "wasn't getting better" (i.e. do all the things she used to do when she was younger and more able). 

I gingerly started taking on work towards the end of October.

Beginning 2008, I'm told by the residence's director that my mother needed extra care, and a move to the 2nd floor (assisted living) was strongly recommended. Until a room become available, however, I hired attendants to do night duty, because my mother had begun to wander the hallways (on occasion, naked!). They did double-duty with my dad there too. Mid-January, my father and I had a huge argument, I fell to pieces, not understanding at the time it was not him who was talking, but the person with Alzheimer's. I called my brother in Ottawa (the sibling living nearest to me) - only got the answering machine -, so I phoned my sister in Switzerland, who answered and by then I'm frantic and sobbing and saying "I can't take this anymore!". She managed to reach my brother and, bless his wife, who tells him to get to Montreal pronto! He arrived some two hours later, and after I recounted what happened, called 'our' hospital and talked to a doctor who told him he's to bring my father in right away. My father went with my brother. It's a Sunday. I wonder afterwards how he got my father to go to a hospital on a Sunday. When I asked him, later, he said that he'd explained to our father that the doctor had called to say his (bogus) appointment had been brought forward due to XYZ reason, and my father accepted the explanation (goes to show how far the illness had progressed)!

My father stayed "under observation" for three weeks. They would've discharged him sooner, only we were in the process of moving my mother from their 3rd floor apartment to her 2nd floor room, and we didn't want him to stay alone in the apartment. Thankfully the head geriatrician accepted to keep my dad another week or so - in the meantime, miraculously, another room had become available (unfortunately, but as it so often happens, because the tenant had passed away). So we ended up clearing out the 3rd floor apartment and setting up a separate room for my father - no other option was considered workable.

So, my father came back from hospital on February 9, 2008, and found himself in an unfamiliar room on the 2nd floor, separate from his wife. Hard to say how he accepted this in his mind, since, two days later, my mother broke the neck of her left femur. She was operated on three days later. I spent most of the next six weeks in hospital keeping an eye on her, and in between kept another eye on my dad, bringing him to visit my mother on days when the timing was good. March was one of the worst winter months in years. I doubt I worked much during that time, since I remember catching the bus to get to the hospital at around 7:30 a.m. and getting home between 8 and 9 p.m.

TO BE CONTINUED

 

 

 

 


Mom talks about her attempted escape...

Posted by: Judy DAngelo Tagged in: Untagged 

Judy DAngelo

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She says she won't be trying again!


The Adventures of Joan...

Posted by: Judy DAngelo Tagged in: Untagged 

Judy DAngelo

Okey dokey - last week mom, after being at the home for a year, slipped out one of the doors and ended up in a stairwell.  The home has a basement and 3 stories on top of that.  She normally is on the first floor.  The story I got was that they couldn't find her and knew I wasn't there, so they fanned out and one of the first places they looked were the stairwells.  Who knows how long she was there.  Thank God she didn't try to go down the stairs.

I asked her what happened and she seemed to remember going into the stairwell pretty clearly.  She said she just stayed there until someone came to get her.  I did ask if she was trying to go out on the porch or if she wanted to run away and she answered "run away."  She was pretty agitated the whole day according to the aides (I arrived in the afternoon). 
What I don't understand is that the door she went out has a keypad on it and I know mom is not able to use the keypad.  What I believe happened is that they never have residents even trying that door and had disabled the keypad.  It is now on again because I've seen the staff punching codes to get out that door.

Another thing is that we have now moved from pull-ups to full diapers - mom was literally going through 6 pull-ups a day and 4 pairs of pants.  Of course, when I went to Sam's Club to get the diapers, they don't carry her size in the store (XL), so I had to order them.  They should be here tomorrow and I bought some small packs to tide her over.  I thought she would be really upset about them, but she seems unfazed and even said "my new undies hold more".  It's also easier on the aides because she is not wetting through her clothes and they can be changed without having to take her pants off, unlike the pull-ups.

Next week we have her quarterly care planning meeting (30 mins where the family, head nurse, activities director, dietary director, physical therapy and social worker all meet to go over any needs mom has or issues we have with her care).  I'll probably update then!


I want to help

Posted by: Judith George Tagged in: Untagged 

Judith George

I am studying for a BA in Gerontology (3rd year) and have an interest in Alzheimer's disease and other related dementias. I am interested in listening and learning so that I am better able to help Alzheimer's disease sufferers and caregivers.


There was music on the porch this afternoon!

Posted by: Judy DAngelo Tagged in: Untagged 

Judy DAngelo

The most wonderful man came today to play some music for the residents on the front porch, so I thought I'd share this video (the quality isn't too good because I took it with my phone) and everyone seemed to be enjoying the music and the day!  My mother is in a purple shirt on the left side of the screen, kind of hard to see, she's about 4 or 5 people from the front.


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