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

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Evelyn Ruut - 25 Mar 2004 16:34 GMT
Hi Everybody,

We are finally moving onto the next phase of this journey which entails
placing Ida in a nursing home..... something I have talked about here, but
not done anything about till now.

The instances of fecal incontinence accidents are becoming more frequent.
She apparently had another one yesterday at daycare since she came home with
different clothing than she went there with.   I did always say that this
was my stopping place, my limit, and I am still sticking with that.   It is
definitely time we got our lives back on track again.

We spoke to our lawyer yesterday and he is asking us to apply for Medicaid
for Ida now.  We are also applying to a couple of nursing homes.   Most
particularly we are applying to the best one in hopes they will be able to
take her.   It is our county nursing home and they have one of the highest
ratings in the whole state.   They are picky about who they take.   We'd
appreciate your prayers that they can take Ida, because I am sure it is the
best place for her.

It is minutes away from our house so we can visit her regularly, and I have
friends whose relatives are there, and they speak so highly of the standard
of care.

I have a ton of mixed emotions about this, as I am sure many of you can
relate to.   Remember, I have cared for this lady like she was our baby,
supervised every aspect of her life for the last three years, worried about
her, cooked for her, helped her bathe and to dress.   Our schedules and our
lives have been arranged around her care.    So I am awaiting the upcoming
events with both anticipation and sadness.

We waited a little longer than we were going to, because it seemed right to
do so.   Now I have come to the realization that it is absolutely time to do
this.   She is still in pretty good general health, but her mind has reached
a stage where it is honestly just too hard to look after her at home.

Part of me feels like I am giving up, but I also realize that it is time for
me to pay attention to my own health needs and my own life.   I haven't been
going for tests I need or done anything for my own life in so long I think I
may have to decompress for a while.

Everybody says that caregivers all tend to do that, and I have proven to be
no exception even though I didn't think I would be.

Signature

Evelyn

(To reply to me personally, remove sox)

Tumbleweed - 25 Mar 2004 19:15 GMT
> Hi Everybody,
>
[quoted text clipped - 39 lines]
> Everybody says that caregivers all tend to do that, and I have proven to be
> no exception even though I didn't think I would be.

From what I see here, just about everyone cares for their LOs at home beyond
the point where any rational person would, and at the expense of their own
health, emotional or physical. I'm amazed how long you've hung in there,
good luck finding the right home. FWIW things are so much better between my
mum and dad now he's being cared for 24x7 and she doesnt have the constant
stress.

Signature

Tumbleweed

Remove my socks for email address

Gwen Love - 25 Mar 2004 19:45 GMT
Evelyn, my prayers for you in this situation.  You have certainly been good
to Ida and should not feel at all guilty or sad for putting her in a
nursing home now.  You must begin to look after your own health.  Will pray
about the NH you want which is so convenient for you.
Gwen

Signature

-----------------------------------------------------------
"If you're going through hell, keep going."
Winston Churchill

| Hi Everybody,
|
[quoted text clipped - 39 lines]
| Everybody says that caregivers all tend to do that, and I have proven to be
| no exception even though I didn't think I would be.
Des - 25 Mar 2004 20:08 GMT
[...]
>We waited a little longer than we were going to, because it seemed right to
>do so.   Now I have come to the realization that it is absolutely time to do
>this.   She is still in pretty good general health, but her mind has reached
>a stage where it is honestly just too hard to look after her at home.

She will probably adjust more easily than you will to the change.  My
mother didn't want to leave the nursing home after she'd been there
for a few weeks - she thought of it as home.  Unfortunately, the
standard of care there wasn't what we'd have liked; we did much better
with her at home, but her situation was different because she was
frail and non-ambulatory.

One of the good things about the nursing home was that unsteady
patients had big rolling chair things (somebody must know what they're
called) and were kept safe that way while still able to walk around.
Also, they had aides to take people into the showers every day, plus
physical and occupational therapy and more.  

>Part of me feels like I am giving up, but I also realize that it is time for
>me to pay attention to my own health needs and my own life.   I haven't been
>going for tests I need or done anything for my own life in so long I think I
>may have to decompress for a while.

There's absolutely no use to sacrifice your own health to this awful
disease.  I hurt my back so badly over the past few months that the
front of my left leg went numb - I had to stay home on drugs (muscle
relaxers and pain killers) for several days after that!  And I wasn't
even going to my parents' house every day, just every other day or so.
Luckily for me, my back (probably a bulging disc?) must be healing now
because little by little my leg is getting sensation back.  

On top of that, I gained weight from letting go of my exercise
routine.  I had a nice long hike with my dogs this morning and it sure
feels good.

>Everybody says that caregivers all tend to do that, and I have proven to be
>no exception even though I didn't think I would be.

You're smart to have had a limit.  

Of course, you might be lonely in the shower by yourself!  ;-)

~Des
John Inzer - 25 Mar 2004 20:57 GMT
> Hi Everybody,
>
[quoted text clipped - 3 lines]
> but not done anything about till now.
>snip<
===================================
Well...it's about time.

You may want to discuss the Medicaid issue
with the NH Administrator. They can probably
offer some useful advice to simplify the situation.

Rosie had to be admitted to the NH by a Dr. so
you may want to check on that also. When we
first discussed the issue with the NH it seemed
like it may be a long wait but after the Dr. got
involved he just ordered her to be admitted and
that was it.

Signature

John Inzer
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Gwen Love - 25 Mar 2004 23:13 GMT
Hi, Piano Man.  Haven't heard from you about Rosie in quite a while.  Have
there been any changes with her?
Gwen

Signature

-----------------------------------------------------------
"If you're going through hell, keep going."
Winston Churchill

| > Hi Everybody,
| >
[quoted text clipped - 16 lines]
| involved he just ordered her to be admitted and
| that was it.
John Inzer - 26 Mar 2004 03:30 GMT
> Hi, Piano Man.  Haven't heard from you about Rosie in
> quite a while.  Have there been any changes with her?
> Gwen
========================================
Hi Gwen,

Rosie is going downhill as expected but the progress
seems slower than what I have seen reported by others.

It has been 5 years since official diagnosis but we feel
that she was affected long before that.

At this point...she is still physically healthy, especially for
someone who will be 86 in June. Her current mental
state is that she no longer talks very much...though she
will answer a question. She doesn't seem to know when
she has to use the toilet and sometimes she forgets to
swallow (food, meds, etc).

Also...she needs to be coaxed into eating. Otherwise...
she will eat one or two bites and leave the table.

What a way to have to exist...

Signature

John Inzer
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lynn - 26 Mar 2004 13:26 GMT
> > Hi, Piano Man.  Haven't heard from you about Rosie in
> > quite a while.  Have there been any changes with her?
[quoted text clipped - 19 lines]
>
> What a way to have to exist...

Indeed, the last stage is pretty heart-wrenching. Thanks for the
update on Rosie. One of the reasons I still read this NG somewhat
regularly is to follow up on the people I grew to know so well here
when I first joined the group in around '99, about 2 yrs. into my
mom's diagnosis. Like you, I'm sure she had shown signs long before,
as far back as '91. Nice to hear from another "oldtimer"!
John Inzer - 26 Mar 2004 21:56 GMT
> Indeed, the last stage is pretty heart-wrenching.
> Thanks for the update on Rosie. One of the reasons
[quoted text clipped - 4 lines]
> signs long before, as far back as '91. Nice to hear
> from another "oldtimer"!
=====================================
Hi Lynn,

Yes...for quite some time we thought Rosie was
having a problem with prescription drugs. We
discussed it with her Drs. on many occasions.

She would hallucinate (snakes, children in the
closet, etc.) She even clipped the cords on her
appliances with scissors because she thought
they were snakes. (it's a miracle that she was
not electrocuted). And she would accuse everyone
of stealing from her...on and on.

I'm sure that you had the same or similar
experiences. As I've said before...
What a way to have to exist...

Signature

John Inzer
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Gwen Love - 26 Mar 2004 23:58 GMT
John, you're correct.  It is just existing, not living.  And it is such a
shame; hope it will be different some day.
Gwen

Signature

-----------------------------------------------------------
"If you're going through hell, keep going."
Winston Churchill

| > Indeed, the last stage is pretty heart-wrenching.
| > Thanks for the update on Rosie. One of the reasons
[quoted text clipped - 21 lines]
| experiences. As I've said before...
| What a way to have to exist...
John Inzer - 27 Mar 2004 04:12 GMT
> John, you're correct.  It is just existing, not living.
> And it is such a shame; hope it will be different some
> day.
> Gwen
=====================================
Absolutely Gwen...it is not living. Maybe at some
point in the future a cure will be discovered.

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John Inzer
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lynn - 26 Mar 2004 13:17 GMT
> Hi Everybody,
>
> We are finally moving onto the next phase of this journey which entails
> placing Ida in a nursing home..... something I have talked about here, but
> not done anything about till now.

>  They are picky about who they take.   We'd
> appreciate your prayers that they can take Ida, because I am sure it is the
> best place for her.

Evelyn, you,Peter and Ida are added to my prayers. Like you, I  had
applied to the NH in our area with the best reputation- and was
pleasantly suprised that I got a call from them about 1 mth. after the
application. In subsequent years, my clients who are social workers
would ask  "How did you get her in there?" So don't feel that it's too
tough, there is a lot of hope. When I applied, in addition to the
formal application, I wrote a heartfelt letter about the care mom had
recieved prior, and how I was looking for a place that would provide
loving care for her now. I also went on to state that I was looking
for a place close to home so we could visit often. I can't help but
feel that that personal letter helped, the staff knew from what I had
written that I wasn't just looking for a place to "leave her".
(BTW,a the NH where my mom was, I was told there wasn't a true
"waiting list" as much as a priority in care needs- the 1st prioity
for any openings was given to those coming from a hospital; the 2nd
priority was given to those transferring from another NH -or ass't
living- and last priority was given to those coming from home.- don't
know if that's how they all work, but it would seem to be a good thing
to get her application in well in advance of actually needing to make
that move- and the input from her doc, as mentioned before, seems to
be a excellent idea)

> It is minutes away from our house so we can visit her regularly, and I have
> friends whose relatives are there, and they speak so highly of the standard
[quoted text clipped - 6 lines]
> lives have been arranged around her care.    So I am awaiting the upcoming
> events with both anticipation and sadness.

The sadness you feel is to be expected...this is  your "baby",
remember? But know that in no way are you abdicating responsibility
for her. Your caregiver duties will continue- it's just that you will
allow someone else to physically take care of her. You will still be
there at the NH as her patient representative. You will be reviewing
her chart regularly, attend care conferences every 3 mths or so, you
will be the one to speak with her M.D., nurses, and aides about how to
best care for Ida. It will be you and Peter that will help the staff
get to know who Ida was before this disease took over so much of her
core of being. And it will be you two who are there by her side at the
NH, participating in activities with her, and continuing to do some of
the little things for her that staff may not always have time for.
But you get to do all this with a good night's sleep, and some time to
take care of yourselves, as well- all so important when it comes to
managing the very long-term stress this illness imposes on all who
struggle to care for their LO's.

> We waited a little longer than we were going to, because it seemed right to
> do so.   Now I have come to the realization that it is absolutely time to do
[quoted text clipped - 8 lines]
> Everybody says that caregivers all tend to do that, and I have proven to be
> no exception even though I didn't think I would be.

No, you are in no way giving up. Let go of that idea right now...it's
important to remind yourself this is just another step on the journey
you've been on. You have been enormously kind and giving to Ida-no one
would expect you to do anymore than you have. When the time comes that
you move her, do so knowing full well what a fine effort you've put
forth. Kindest regrds from Lynn
 
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