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Medical Forum / Diseases and Disorders / Alzheimer's / November 2004

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Az sufferer 'abandoned'

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Tumbleweed - 12 Nov 2004 16:55 GMT
http://news.bbc.co.uk/1/hi/england/essex/4005867.stm

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Tumbleweed

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Mary Gordon - 13 Nov 2004 09:40 GMT
I'm not at all surprised at a stressed out caregiver having the
impulse to dump and run, but I am a bit surprised it would happen in
the UK, given the government and health insurance supports available
for eldercare vs. the US.

You have to wonder if this family was one of those who doggedly say
they will "never" place a person in care, and then get themselves so
painted into a corner emotionally with that stance that they can't
take any small steps to deal with the building pressure i.e. they've
gotten into the black and white headspace where the only option they
will consider is "do it ALL" and when that begins to fail, they can't
allow themselves to think of middle ground options, and eventually the
lid blows off the cauldron.

Mary G.
tj - 13 Nov 2004 10:56 GMT
> I'm not at all surprised at a stressed out caregiver having the
> impulse to dump and run, but I am a bit surprised it would happen in
[quoted text clipped - 11 lines]
>
> Mary G.

I went through 11 months of increasing stress having to single handedly cope
with my wife's problems  whilst having long term psychiatric problems
myself. It was not for the lack of seeking help and support from the
professionals.Unfortunately in the UK there is  an increasing tendency for
mh professionals and social workers to sit back and leave  family
members/husbands/wives   to just struggle through as best they can.
Eventually when my wife  did go into hospital for assessment i found that
most relatives had been through the same struggle as i had had  with  the
health professionals and social workers.
In my own case i got to the edge of suicide on several occasions partly
because of my own illness partly because of the added stress of dealing with
an extremely ill partner. I hung in  there with extreme difficulty at times
but i personally would not be quick to condemn  anyone who abandoned ship in
such a situation.
Unfortunately with an increasingly larger number of eldely people this is
going to a problem that will only grow more prevalent/worse .Sadly i see few
signs of anything being down to ease the burden for family members dealing
with relatives with dementia or other severe illnesses.
Dennis P. Harris - 13 Nov 2004 20:53 GMT
> I'm not at all surprised at a stressed out caregiver having the
> impulse to dump and run, but I am a bit surprised it would happen in
> the UK, given the government and health insurance supports available
> for eldercare vs. the US.

from the story, i gather that the couple's retirement home was in
spain, where they would not have been eligible for the support
they would get in the UK.  i'm sure that having a language
barrier probably didn't help the husband, either.  since he was
not in britain he didn't have access to the agencies and
resources he would have in the UK.
mrmalins - 14 Nov 2004 21:31 GMT
> http://news.bbc.co.uk/1/hi/england/essex/4005867.stm

I can under stand the stress that the relatives are going through,looking
after a dementia partner is hell. I get plenty of help regards disabity
aids, trolleys  bath lifts and now I have to push her round in a wheel chair
if we go out.My partner is suffering from dementia and physical
disability,obsessive compulsive disorder ,constantly checking electrical
appliances,her memory span is about 20 seconds before I have to repeat
myself over and over again.She is on Sertraline for her obsessive
behaviour, but I have not seen any improvement yet.The OT visits every week
and takes her out  for a couple of hours.But when I have tried to explain
the stress that I am under,she said that I need to go to my GP for a
referral! to counselling. or a  voluntary organisation, and that she cannot
include me in her visit as it would in be in breach of confidents between
my partner and the Hospital.What the hell am I doing here? We are a couple,
not two strangers living in this place.What my partner does has an effect on
me and viser versa. I am also having treatment for a heart condition and
high blood pressure .This is independent living gone mad !.I might as well
not be  here, the only way ill' get help for myself is to go to the
causality dept  and sit there    .john.m.
donnah - 15 Nov 2004 01:36 GMT
John, I am so sorry you are going through such a rough time!
I'm a newbie here, but I have gotten such good advice from everyone
here. And one of the first things I was told was I need to take care
of myself--without guilt.
It was hard to get started but it has definitely helped me. I had to
make arrangements for help for my parents, and take that first step in
getting help for me.
If you need to get a referral from your GP, then do so...do whatever
you must do to help yourself. Please!
donnah

>> http://news.bbc.co.uk/1/hi/england/essex/4005867.stm
>>
[quoted text clipped - 18 lines]
> way ill' get help for myself is to go to the causality dept  and sit
> there    .john.m.
Dennis P. Harris - 15 Nov 2004 03:00 GMT
> The OT visits every week
> and takes her out  for a couple of hours.But when I have tried to explain
[quoted text clipped - 4 lines]
> not two strangers living in this place.What my partner does has an effect on
> me and viser versa. I

If you were married the results would be different, since the
hospital could then share information with you, but they are
bound by the new HIPAA law, and many hospitals and doctors have
misinterpreted the law by refusing to give information even to
relatives who are primary caregivers.

Get your LO to sign the hospital's release form so that they can
give information to you.  Use www.alz.org to locate your local
Alzheimer's association chapter so that you can ask them about
attending a caregiver's support group, and ask them to find you
resources for respite care.

You might also check and see if there's an adult day care center
in your area, and get her there several days per week so that you
get some respite.
mrmalins - 15 Nov 2004 13:27 GMT
> If you were married the results would be different, since the
> hospital could then share information with you, but they are
[quoted text clipped - 7 lines]
> in your area, and get her there several days per week so that you
> get some respite.

    Tj      I feel for you I know what you are going through there must be
1000's of carers suffering the same as you are.And in many cases its all to
do with procedures and defensive  practices on the part of the social
workers .

 Denis,   re day centres,she is going to a 2x hour session once a week on
reminiscent  ,or talking about the old days ,which she likes. so that gives
me a chance of doing some shopping.She would not go to any day centre " with
all those old people"( she is 79)  my partner and  my self were both nurses
twenty years ago in a HOSPITAL FOR DEMENTIA PATIENTS!  I was a charge nurse
with a ward of 20x patients and although it was a stressful job we had other
nurses/doctors to talk to and we went home in the evenings .I was then able
to help the relatives with there problems and offer relief or respite care
.But now...being with a my sick partner 24/7 things are completely different
I feel as helpless as those relatives were, and I  have no knowledge of  the
latest medications .During my time in nursing I have seen families
completely break up and marriages fail because of the stress in looking
after a  Alzheimer relative so I have seen both sides of the situation.
There is hardly any professional help for the carers own stress ...sorry to
go so but it helps to talk.....john.m
donnah - 15 Nov 2004 14:17 GMT
(((John)))
since it helps to talk, keep talking! to us, to a counselor, to a
close friend...
but there is help available for the caregiver if you are willing to
seek it out--as I had to do to save my sanity! and it makes a big
difference when it's your own loved one. I also had to put aside my
nursing skills/knowledge (as did my older sister) when it came to my
Mum.
Good luck, and please keep coming back, John...it does help.
donnah

>> If you were married the results would be different, since the
>> hospital could then share information with you, but they are
[quoted text clipped - 30 lines]
> professional help for the carers own stress ...sorry to go so but it
> helps to talk.....john.m
mrmalins - 15 Nov 2004 17:05 GMT
> (((John)))
> since it helps to talk, keep talking! to us, to a counselor, to a close
[quoted text clipped - 12 lines]
>yoga,What I need is someone to take her out or sit in to give me relief .We
>should start a new thread and call it" Carers Abandoned"  ..john.m
Evelyn Ruut - 15 Nov 2004 18:04 GMT
>> (((John)))
>> since it helps to talk, keep talking! to us, to a counselor, to a close
[quoted text clipped - 13 lines]
>>give me relief .We should start a new thread and call it" Carers
>>Abandoned"  ..john.m

Yes, I know exactly what you mean.   When it came down to the crunch, I had
to find my own "grannysitter" or else use an extremely expensive nursing
agency who wanted regular hours and regular days, and would not even
consider coming out on a time by time basis.

I also had to pay a lawyer to help us wade through the admissions process
when it did come time to place her in a nursing home, when we were burnt out
beyond belief.    I got lucky in having a wonderful neighbor who, it seems
has now found her "calling" and is doing relief care for others.   We were
very fortunate to have had her and now they are too.   The support groups
have their place, but you still have to go it alone for a lot of it......
Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

donnah - 15 Nov 2004 19:23 GMT
Evelyn, that is so true...
I feel very fortunate in finding an agency that agreed to come in as
little or as often as needed, and with Dad's hospice nurse getting
involved now, I am hoping things will ease up a bit more.
Yet, I am sitting here thinking how tomorrow will go when I take Mum
to get her hair done...I hate the feeling of gearing myself up in case
it's "one of those days."
I have got to stop projecting how things will or will not go! Sigh,
back to the books on letting go...
donnah

>>> (((John)))
>>> since it helps to talk, keep talking! to us, to a counselor, to a
[quoted text clipped - 27 lines]
> her and now they are too.   The support groups have their place, but
> you still have to go it alone for a lot of it......
Gwen Love - 15 Nov 2004 20:17 GMT
Yes Donnah, you must let go.  Worrying about it today will not change
tomorrow one little bit.  The Bible tells us each day has enough trouble of
its own; don't borrow it.
Gwen

> Evelyn, that is so true...
> I feel very fortunate in finding an agency that agreed to come in as
[quoted text clipped - 38 lines]
> > her and now they are too.   The support groups have their place, but
> > you still have to go it alone for a lot of it......
donnah - 15 Nov 2004 23:54 GMT
Gwen, thank you for that reminder!
I definitely needed to hear that...
donnah

> Yes Donnah, you must let go.  Worrying about it today will not
> change
[quoted text clipped - 60 lines]
>> > but
>> > you still have to go it alone for a lot of it......
Dennis P. Harris - 16 Nov 2004 04:31 GMT
> I have got to stop projecting how things will or will not go!

worrying will only get you (and you LO) upset.  you just have to
live in the moment, and roll with it.
Dennis P. Harris - 16 Nov 2004 04:29 GMT
> >Thanks Donnah, I will look again at the leaflets from the  carers voluntary
> >groups, in this area which  I have seen in the GP surgery.What put me off
> >was classes in" nursing your relative in your home "   Back care,     Anger
> >management( which made me even more angry) Relaxation and meditation though
> >yoga,What I need is someone to take her out or sit in to give me relief .We
> >should start a new thread and call it" Carers Abandoned"  ..john.m

believe it or not, amny caregivers *do* need anger management to
help them manage the very justifiable anger at having to deal
with all this crap by themselves.  your posts show quite a bit of
anger, so don't write it off --- it may actually help you deal
with your frustration.

relaxation is also necessary, and many caregivers are not able to
relax easily, which is why meditation can be useful to help
caregivers relax.  the back care classes are useful for someone
who has been lifting a late-stage patient in and out of bed, etc.

you might also find it useful to attend a group just for the
discussion --- you not only gain from the experience of others,
but you begin to realize that you really aren't alone.  don't
write it off --- give it a try first.
 
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