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accepting changes, assessing risks


swilkinson

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I am not the only one here who has trouble accepting changes, Ray with his dementia is not able to change his thinking and so we had a chain of events happen today that was to do with that.

 

As you know I had a new built-in closet ordered and it was mostly built by the time Ray got back home after three weeks in hospital. He doesn't process much information now (dementia) and so I have made a point of taking him through where all his clothes are now etc. So it surprised me that the carer had to call out to me on Thursday when I was chatting to Babsz. "Where are your drawers?" this was a giggle inducing question as when I was young we still called panties "drawers", and I was sure our very proper carer was not referring to my underwear! But instead he was looking for some clean ones for Ray. Ray had told him: "they are in my drawers" which was true right up to two weeks ago. So I slipped into the bedroom and showed Jeff where to find everything.

 

Act 2: Today we had a carer who has been here on and off since about June. She is a no-nonsense person who doesn't particularly listen to the primary caregiver/wife/partner etc. I wanted her to be familiar with where Ray's clothes are now but she wouldn't look at the wardrobe saying: "I can't, I am not allowed to get clothes out for him. It is against the law!" This was a bit of a problem as I could see Ray pouring his morning drink down his shirt ( he did on Wednesday) and her refusing to change him. So I went off to see Mum, go shopping etc somewhat reluctantly.

 

My second stop, after seeing Mum and walking round and round the corridors of the Dementia Lodge with her, was the dementia support group I go to. I am so grateful for them, they are very supportive, the lectures we get are very informative and quite a few of our questions are given sensible, doable answers. This has saved my sanity in a lot of cases as our mentor explains to us that we have to change as our survivor with dementia cannot change now. Sad but true is seems.

 

Anyway I asked why the carer cannot look in the wardrobe for fresh clothes for Ray ( well Jeff does) and he explained it was a legal no-no when they are caring for a dementia patient as the recipient of their care may have paranoia and accuse them of stealing etc. He said while that is true common sense has to have the say and of course they need to know where clothes etc are and use them if the situation arises. This means me giving the carer permission to go to Ray's part of the closet, get out the clothes he needs and shutting the doors etc. Well, thank goodness for common sense.

 

So I went off shopping and on my return rang the service provider and ran it past her. She was hard to convince at first but rang the carer, spoke to a couple of other people ( apparently) and rang me back to say I was right, the longer respite required that the carer "may" have to find clothing and put it on the client. Yes, a common sense approach to life, an assessment of the risk, a plan for the future. Yeeeeaaah!

 

Every time a caregiver decides to do something he or she has to assess the risks. There are dangers in everything we (Ray and I ) do. He has so many issues now including the added risk of choking if he is given unsuitable foods or unthickened fluids. I tried him on a milkshake today thinking that that was slightly thickened and would be okay but he had a coughing fit while drinking that so it was thickened fluids for the rest of the day. So the risk assessment is serious for a lot of what we do.

 

There is a risk of falling as well as choking. Which is why I now have to take him down the driveway in the wheelchair or by backing him down in the car as since the three weeks "bed rest" in hospital he is less agile and more prone to falls. So as in order for him to go to Daycare I have to load him onto the bus from the kerbside (long story). So now instead of him sitting on the verandah and waiting till they pull into the driveway, I now have to have him ready and waiting at the kerbside. @#*&%###! More work for the caregiver.

 

I have to keep in mind that I can change but Ray can't. However annoying I find his behaviour and some of it is, he cannot change it at will. I just have to learn to live with it or find a way to circumvent it. None of this is easy. I am as human as anyone here and of course I want him to change back into a reasoning and reasonable human being. But dementia has the last word here and that is not going to happen. He will do whatever his altered perception tells him to do. He is not beyond walking or talking but in a lot of ways now he is beyond reasoning his way through a situation. This often leaves him frustrated and confused. And me thinking of him as mean-spirited and lazy. Which of course is not the case. He has dementia. Full stop.

 

If anyone here finds accepting changes easy, let me know your secret. I do the one-day-at-a-time thing, say the serenity prayer, try to go-with-the-flow. The problem is the flow is not necessarily going somehere I want to go!

 

 

 

 

8 Comments


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Sue:

 

I see your pain & understand your venting. but all I could do for you is pray and send ton of virtual hugs. I am also praying for lot of strength for you to gt through this difficult time, till you find your new normal, and stop fighting with life's flow. I hear person can drown if they try to fight rip current. you need to swim parallel with it. I know easy said than done.

 

Asha

 

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Sue,

 

I too send love, (((hugs))) and prayers to you and to Ray as well to help you both deal with all the changes that are now a part of your daily lives. We are told repeatedly that HE only gives us what we can handle. This is true though sometimes I personally feel HE is pushing the limits a bit.

 

Donna

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Sue,

 

I feel for you and I know how the reality of it all stinks, but all I can offer is ((((((((hugs)))))))). When I get frustrated or upset about all the things I have to do for Gary, I think about the alternatives to caring for him and realize that in the long run, I'm doing what's best and even though he can't express it, I know he appreciates it. I, too, am human and get very frustrated at times, but as opposed to placing him in a nursing home or burying him, I'd much rather have it this way.

 

Sarah

 

 

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I understand your frustration. Common sense tells us that to change someones clothes is only logical and prefered. I 'get it' that there have been rules and guidelines established based on previous happenings to other patients. However, the current situation should override any previous rulings, afterall, you are the current employer.

I don't know, maybe I missed the whole big picture you've set out, but I wanted to put my $02 in. :wacko:

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Sending hugs also.. I have no words of wisdom for you... only a shoulder to lean on. Change is one thing.. you can get used to "change" in situations over a few days,.. but continual change, and change .. that really makes no sense is of course frustraiting.. Knowing the reason and understandng is one thing.. but your situation and the siutation of may caregivers ... requires the patience of a Saint.... not something i am blessed with.

 

You are doing an Amazing , loving job Sue.. also remember you are human ..... You go way above and beyond the call of duty. Your love and Rays kindness shines through.

 

sounds like Jeff has common sense, and the other carer.. may be a "bit" anal about ... Rules.. Well I am sure or hop she would find Ray a clean shirt if he was wet... sometimes with people like that, you just want to say.. " get over yourslef"...

 

Warm hugs, Bonnie

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hi sue,

oh how i wish i had a magic wand....as far as common sense goes...some rules are meant to be broken. really! you have enough to deal with. i am, as always, amazed by your strength. i am sending hugs to both you and ray and thank you for sharing your life and insights with us here. kathy

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Sue,

Change really can suck. It causes us to grow though so that we become stronger through each trial that comes along. I loved what Asha said about the rip current. It reminds us that we cannot alter the effects of dementia no matter how we try but we can still travel along with the current that seems to be washing our loved ones away.

Ruth

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Sue

You always sound so very strong and I know you are but I know some days you must feel overwelmed so

Sending big {{{{{{Hugs}}}}}} your way

 

Doreen

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