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Managing a relative's dementia

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By *inky_couple2020 OP   Couple
over a year ago

North West

Anyone who has been through this. How do you deal with the abuse that your relative with dementia throws your way? My Dad is becoming very abusive (verbally) because he is unable to do various things safely and so we have (for now at least) got some limited care input. However, his vision of himself is there's nothing wrong and that we (but mainly I) am trying to persecute him.

Social services have now deemed him to lack capacity and were quite concerned at his presentation last week, so my brother and I know we are not doing anything wrong, but his constant arguing back, verbal abuse, blaming of others (he lives alone) and other things for the disasters that happen, are becoming very wearing.

He is being verbally abusive and obstructive to the care workers too and I feel horribly guilty that they have to deal with that.

It feels like a weird form of gaslighting, basically.

Evidence: he cannot use a washing machine without disaster (flooding the kitchen x2 this week so far, and more times before that)

Action: care staff will do the washing once a week. He is told not to try and use the machine, notes left to this effect

Response: he utterly refutes our "allegations" tells us we are putting intolerable constraints on his life and independence.

This is just after receiving ANOTHER report of him flooding the kitchen, whilst home on his own, with the washing machine.

He keeps turning it on, letting it go partway through a cycle, then pulls it away from the wall and turns it off at the mains. Sometime later, he opens the door with it full of water (because disconnecting from the mains eventually allows the door catch to disengage) and he floods the kitchen. A family friend had to be sent round on Monday to clean it up. We are waiting for the carers to go today.

Falling: regularly.

Action: give him 2x falls alarms, carers put them on him each morning

Him: removes them immediately

What happens: he fell again yesterday (but fortunately only minor injuries to his knee).

The fall was heavy enough to break an antique wooden walking stick, however.

He denies he falls regularly and keeps trying to get the falls alarm uninstalled by phoning the number written on the box.

Etc.

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By (user no longer on site)
over a year ago

It is very hard to deal with. I can imagine it’s very frustrating for him as in his mind he is fine. I can understand how he feels. My grandad needed carers come in several times a day but it got to the point where he just wasn’t safe on his own at home anymore and needed 24 hour care so had to then be placed in a care home. Family couldn’t take on the responsibility of looking after him 24/7 due to various reasons. This was decided by adult social care and not the family. They felt he was no longer safe. So they can and will make that decision if they feel it’s in his best interests. As for him realising what is happening to him, it is very difficult. Have you got support for yourself?x

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By *atnip make me purrWoman
over a year ago

Reading

I don't have any advice but I did want to say how sorry I am that you are going through this. Dementia is the cruellest of illnesses.

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By *ellinever70Woman
over a year ago

Ayrshire

Isn't there some kind of dementia support group for relatives?

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By *inky_couple2020 OP   Couple
over a year ago

North West

The abuse bit is where, on Friday, in earshot of one of the carers, he told me on the phone to "fuck off and leave me alone, worry about your own fucking life and don't be fucking up mine. You are nobody to tell me if I can do something etc etc"

But with many more "fucks/fuckings"

My crime? To "strongly suggest" that it was a bad idea for him to try and travel 100s of miles from home alone.

He HAS attempted this before, which ended with me being called out by police over 3hrs away from his home, to retrieve him (via hospital because they thought he was having a medical episode. He was not, he was just himself).

I am told he'd forgotten about where he said he would try to visit within 10-15mins, but we don't know this when he makes suggestions. So far this week, he's suggested he will travel to Bournemouth (about as far as physically possible to be from his house) and South Wales.

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By *ouple in LancashireCouple
over a year ago

in Lancashire

It's extremely difficult to deal with, it's pretty heart breaking and hurt but we dealt with it at the time by concentrating on the fact that such behaviour 'is not his nature' and it was solely in our case down to the illness..

In some ways that part was easier than not remembering our names at times, which didn't happen to all which again is one of the cruel effects of that illness..

All I can say is lean on each other, no matter what time it is speak to each other and let go..

Thoughts are with you and anyone else going through this, it's truly awful..

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Isn't there some kind of dementia support group for relatives?"

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

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By *ellinever70Woman
over a year ago

Ayrshire


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work."

Online support or occupational health?

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By *rsMistyPeaksWoman
over a year ago

Essex

Carersuk.org. They have online carers groups I believe.

Carersfirst.org

Both brilliant organisations x

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By (user no longer on site)
over a year ago

If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

"

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone."

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By (user no longer on site)
over a year ago

It’s really hard OP and you have my empathy as someone who can recognise EXACTLY what you’re saying!

It’s easy to say “let it wash over you and understand it’s the DEMENTIA talking”, but when you’re faced with it constantly it becomes wearing and challenging.

I’ll watch the thread with interest as I don’t really know the answer and have to also be on the receiving end of this!

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By (user no longer on site)
over a year ago

I've never been in this situation so I guess my input is capped.

But I think it's very important to try and remember that it's not your dad being abusive, it's the dementia.

Although easy for me to say when I'm not in your situation

Hope things get better for you soon x

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By (user no longer on site)
over a year ago


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone." "

Is there anyone else you can share the responsibility with or are you alone?

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By *inky_couple2020 OP   Couple
over a year ago

North West


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago. "

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

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By *ellinever70Woman
over a year ago

Ayrshire


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone." "

Counselling or psychological therapies might offer you a useful way of coping with the behaviours you're having to deal with

There are also an array of online resources where others share their story.

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By (user no longer on site)
over a year ago


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen."

I’m not sure how it worked with my grandad as I didnt have POA it was another family member. He has multiple trips into hospital form falls and I’m pretty sure there had to be an adequate care package or he couldn’t be released. They said a care home in the end as caters as home were not adequate but regards to consent from family, I don’t know.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone."

Is there anyone else you can share the responsibility with or are you alone?"

My brother, sort of. But it's me my Dad phones when things happen. And it's me who the carers and medical alarm people have as the contact because in my brother's job, he drives professionally and he is not allowed to use any form of telephony during the working day, unless out of the vehicle. Basically, I'm the contactable one.

My brother has done more recently, but still nowhere near as helpful as we really need him to be.

Aside me and him, Dad has no other relatives who aren't children.

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By (user no longer on site)
over a year ago


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone."

Counselling or psychological therapies might offer you a useful way of coping with the behaviours you're having to deal with

There are also an array of online resources where others share their story.

"

This forum is also a resource they can use to get advice and hear people share their stories.

Not sure why you have such an issue with them posting about it here?

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By *inky_couple2020 OP   Couple
over a year ago

North West


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

I’m not sure how it worked with my grandad as I didnt have POA it was another family member. He has multiple trips into hospital form falls and I’m pretty sure there had to be an adequate care package or he couldn’t be released. They said a care home in the end as caters as home were not adequate but regards to consent from family, I don’t know. "

He's not long since been discharged after a fall and we had to push hard for this limited home care package. Initially, social services deemed him to have capacity (which was a complete joke) and so they accepted at face value what he told them. What he told them was utter fantasy but we were not believed.

Now he's at home, they seem very unwilling to do anything much different.

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By *ulieAndBeefCouple
over a year ago

Manchester-ish

It's really difficult but while you do any caring, they won't. You basically have to be prepared to 'abandon' him

J

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By *wisted999Man
over a year ago

North Bucks

My mum used to live in 15 minute windows of time.

The start of that window used to be telling her who I was. A little bit of reminiscing the frustration and distress when she tried her very best to remember more.

I used to give her 30 minutes each time I visited otherwise we would both get upset.

I guess it’s about making something work. It’s very important you look after yourself as well.

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By *nightsoftheCoffeeTableCouple
over a year ago

Leeds

It's so difficult and I've been there myself & worked with a lot of dementia patients.

It's hard for them too as you are dismissing their reality which is hard to take, I will always say try see it through their eyes, so the washing machine he thinks he's no issues, you say he has, he doesn't remember any, you say there is, both get annoyed.

If I told you you were flooding your kitchen every time you used your washing machine but you knew for a fact you hadn't & I'd told you not to use it you'd be angry with me because "you know how to use it" this is where he is at.

What I'd personally try to do is get involved a little with his reality as much as is safe to do so, but put some steps in place eg - remove the fuse from the washer, put it back when someone is their to aid with the washing and remove again.

This may sound a little silly but my family had to do this with my nans cooker she was turning it on and leaving it all night, she still got to "cook" what she wanted (usually empty pans) and everyone else could sleep easy knowing there was no risk of burning.

One patient at a residential home I visited thought she was a cleaner they provided her the cloth, brush etc to do this, there was no convincing her otherwise this would have just caused stress both ways, another example which is common in a lot of residential homes some of the ladies have dolls they believe they are their babies, obviously removing a woman's baby would cause a huge amount of upset because this women's reality is that that doll is her child, no amount of arguing will make her believe otherwise.

As much as you can I'd try join his reality rather than fight it, it's so hard to see someone you love change so much especially the aggression, I just try remember that if someone told me my reality wasn't right I'd be aggressive too.

My thoughts are with you, I hope you can find some more support.

Mrs

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By *ulieAndBeefCouple
over a year ago

Manchester-ish


"It's so difficult and I've been there myself & worked with a lot of dementia patients.

It's hard for them too as you are dismissing their reality which is hard to take, I will always say try see it through their eyes, so the washing machine he thinks he's no issues, you say he has, he doesn't remember any, you say there is, both get annoyed.

If I told you you were flooding your kitchen every time you used your washing machine but you knew for a fact you hadn't & I'd told you not to use it you'd be angry with me because "you know how to use it" this is where he is at.

What I'd personally try to do is get involved a little with his reality as much as is safe to do so, but put some steps in place eg - remove the fuse from the washer, put it back when someone is their to aid with the washing and remove again.

This may sound a little silly but my family had to do this with my nans cooker she was turning it on and leaving it all night, she still got to "cook" what she wanted (usually empty pans) and everyone else could sleep easy knowing there was no risk of burning.

One patient at a residential home I visited thought she was a cleaner they provided her the cloth, brush etc to do this, there was no convincing her otherwise this would have just caused stress both ways, another example which is common in a lot of residential homes some of the ladies have dolls they believe they are their babies, obviously removing a woman's baby would cause a huge amount of upset because this women's reality is that that doll is her child, no amount of arguing will make her believe otherwise.

As much as you can I'd try join his reality rather than fight it, it's so hard to see someone you love change so much especially the aggression, I just try remember that if someone told me my reality wasn't right I'd be aggressive too.

My thoughts are with you, I hope you can find some more support.

Mrs "

This is beautiful

J

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By *ou only live onceMan
over a year ago

London

Oh, KC. I'm sorry it's so tough. I have no personal experience of this, so afraid I have no advice.

But, while this is easier said than done, I guess you have to remember that any abuse you receive personally is the illness speaking, and not your relative.

As for the practical care, we can only wish it wasn't quite so difficult for people to get the help they need.

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By (user no longer on site)
over a year ago


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen."

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though.

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By *inky_couple2020 OP   Couple
over a year ago

North West

The other thing about resources for carers, is Dad lives quite a way from us. If his GP or other professionals refer us to a support service, it is locally to him. But we are not local, we are not able to attend carers groups on a Tuesday at 11:00 in a local community centre etc.

I am not a carer in this locale and so cannot easily access certain support services because my Dad's care is not under this local authority.

Charity type support activities are held during the working day and I'm already taking enough time off for my own medical needs plus my Dad's needs. I can't work, be disabled, be a mother, be my Dad's Attorney and attend support groups during the working week.

This is one reason for posting somewhere like this, where lots of people have had or are having, similar experiences. I don't see it as any different to people asking for advice in other areas of their life that aren't "should I try anal" or whatever.

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By *ellinever70Woman
over a year ago

Ayrshire


"Isn't there some kind of dementia support group for relatives?

Not on Sundays at 14:10, no.

I work full-time and every kind of support group we've seen advertised is on during the working week. The expectation seems to be that people with care responsibilities don't work.

Online support or occupational health?

Occupational health? I was sent there by my employer once. It wasn't wheelchair accessible. Funny day, that.

I am asking a heterogeneous group of strangers here for their lived experience. I am assuming those who wish to share experiences will do, and those who don't, will not.

I am not seeking counselling or psychological therapies.

I have found that strangers give better advice, because people who know me just tell me I'm tough, I'll cope, blah blah, or tell me about how their mother sacrificed their job and entire life to care for their grandmother at home and would "never allow their relative to live alone."

Counselling or psychological therapies might offer you a useful way of coping with the behaviours you're having to deal with

There are also an array of online resources where others share their story.

This forum is also a resource they can use to get advice and hear people share their stories.

Not sure why you have such an issue with them posting about it here?"

No issue. I was offering advice

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By (user no longer on site)
over a year ago


"It's so difficult and I've been there myself & worked with a lot of dementia patients.

It's hard for them too as you are dismissing their reality which is hard to take, I will always say try see it through their eyes, so the washing machine he thinks he's no issues, you say he has, he doesn't remember any, you say there is, both get annoyed.

If I told you you were flooding your kitchen every time you used your washing machine but you knew for a fact you hadn't & I'd told you not to use it you'd be angry with me because "you know how to use it" this is where he is at.

What I'd personally try to do is get involved a little with his reality as much as is safe to do so, but put some steps in place eg - remove the fuse from the washer, put it back when someone is their to aid with the washing and remove again.

This may sound a little silly but my family had to do this with my nans cooker she was turning it on and leaving it all night, she still got to "cook" what she wanted (usually empty pans) and everyone else could sleep easy knowing there was no risk of burning.

One patient at a residential home I visited thought she was a cleaner they provided her the cloth, brush etc to do this, there was no convincing her otherwise this would have just caused stress both ways, another example which is common in a lot of residential homes some of the ladies have dolls they believe they are their babies, obviously removing a woman's baby would cause a huge amount of upset because this women's reality is that that doll is her child, no amount of arguing will make her believe otherwise.

As much as you can I'd try join his reality rather than fight it, it's so hard to see someone you love change so much especially the aggression, I just try remember that if someone told me my reality wasn't right I'd be aggressive too.

My thoughts are with you, I hope you can find some more support.

Mrs "

Perfect advice.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though. "

He lacks mental capacity. They said that. When he was in hospital, all the medics judged him to lack capacity and would not ask him to make medical decisions. But social services said he'd have to agree to 24hr care, if we thought it necessary. I translated it as "we don't want to pay for 24hr care".

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By *stellaWoman
over a year ago

London

Just wanted to express my solidarity and love to you, OP.

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By *eliciousDiva69Woman
over a year ago

Schitts Creek

Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

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By *ouple in LancashireCouple
over a year ago

in Lancashire


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen."

I'm not sure this is correct..

If the person has been assessed and deemed to not have capacity then that in our experience meant they couldn't make certain decisions and one of those would be about if they stayed at 'home' or their safety etc was better managed in a care environment..

Especially after POA has been agreed and given etc..

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By (user no longer on site)
over a year ago


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though.

He lacks mental capacity. They said that. When he was in hospital, all the medics judged him to lack capacity and would not ask him to make medical decisions. But social services said he'd have to agree to 24hr care, if we thought it necessary. I translated it as "we don't want to pay for 24hr care". "

Does he have assets/savings/house etc? Or would it be government funded?

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By *inky_couple2020 OP   Couple
over a year ago

North West


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though.

He lacks mental capacity. They said that. When he was in hospital, all the medics judged him to lack capacity and would not ask him to make medical decisions. But social services said he'd have to agree to 24hr care, if we thought it necessary. I translated it as "we don't want to pay for 24hr care".

Does he have assets/savings/house etc? Or would it be government funded?"

He has a house on a sizeable mortgage (interest only) and no savings, only debts. We hope it would be funded. We think this is one reason for social services trying to dissuade us from asking for 24hr care, because they'd have to fund it.

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By (user no longer on site)
over a year ago

The rock and the hard place is that he needs care, but abusing the carers means they will eventually give notice and pull their service

I'd suggest making the washing machine impossible to use. Same with the cooker.

There are alarms you can have fitted to the doors to tell you he's left the house.

When he falls, is it between doors so that the flooring changes? Sounds stupid, but dementia causes loss of depth perception. So if he's moving between 2 types of flooring, his brain won't register it right, often causing them to think there's a step, so they fall

Sorry you're going through this

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x"

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time.

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By (user no longer on site)
over a year ago


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though.

He lacks mental capacity. They said that. When he was in hospital, all the medics judged him to lack capacity and would not ask him to make medical decisions. But social services said he'd have to agree to 24hr care, if we thought it necessary. I translated it as "we don't want to pay for 24hr care".

Does he have assets/savings/house etc? Or would it be government funded?

He has a house on a sizeable mortgage (interest only) and no savings, only debts. We hope it would be funded. We think this is one reason for social services trying to dissuade us from asking for 24hr care, because they'd have to fund it. "

I see. My grades fully funded his own care so maybe this is why we had a different experience perhaps.

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By (user no longer on site)
over a year ago


"If I was in that situation I'd get them put in a home. My life and health is more important than taking that shit.

I don't know how anyone copes with such a situation. I have massive respect for them.

No way I would do it. I'd have quit a very long time ago.

Social services told us last week (after saying he lacked capacity), that he could only be placed in 24hr care if he consented to go. I'm sure that's not true, but that's what they said. We have PoA but they seemed to suggest that in spite of that, we'd have to get his agreement. Which is never going to happen.

They are surely talking absolute bollocks. How can he legally make any decisions if he is so affected by the dementia.

I'd be looking into the legal aspects of them saying this. They should assess his capacity to consent. Likely they are just human too and trying to work within a massively overstretched system that makes them say xyz before another person is put into the broken system.

You still have to be able to live your life though.

He lacks mental capacity. They said that. When he was in hospital, all the medics judged him to lack capacity and would not ask him to make medical decisions. But social services said he'd have to agree to 24hr care, if we thought it necessary. I translated it as "we don't want to pay for 24hr care".

Does he have assets/savings/house etc? Or would it be government funded?

He has a house on a sizeable mortgage (interest only) and no savings, only debts. We hope it would be funded. We think this is one reason for social services trying to dissuade us from asking for 24hr care, because they'd have to fund it.

I see. My grades fully funded his own care so maybe this is why we had a different experience perhaps. "

*grandad

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By *inky_couple2020 OP   Couple
over a year ago

North West


"The rock and the hard place is that he needs care, but abusing the carers means they will eventually give notice and pull their service

I'd suggest making the washing machine impossible to use. Same with the cooker.

There are alarms you can have fitted to the doors to tell you he's left the house.

When he falls, is it between doors so that the flooring changes? Sounds stupid, but dementia causes loss of depth perception. So if he's moving between 2 types of flooring, his brain won't register it right, often causing them to think there's a step, so they fall

Sorry you're going through this"

The fall causing hospital admission was out of the shower onto the bath edge. We are told nothing can be done to improve/change his shower without a disabled facilities grant and the waiting list is over a year just for assessment. He cannot afford to totally remodel his bathroom. It's currently a moot point because the boiler is completely dead and there's no heating or hot water. Getting a grant in place has been my other FT job recently. I am hoping a visit next week will confirm suitability and that can happen.

No idea where he fell yesterday, only that it was at home or in the garden. He managed to get up and told me after. Carers checked him out later.

We have read about this phenomenon with flooring but unfortunately he lacks funds to pay for new flooring and neither my brother or I can afford to either. We have told social services this.

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By (user no longer on site)
over a year ago


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time. "

I mean this in the absolute nicest way, but can get you get Mr KC on the case again?

You will feel guilt and they know this and prey on it.

Mr KC (apart from being a man- of course men are superior to women) will have a different attitude with them.

He worked magic last time. He's your partner, you can ask him for help same as you'd ask a carer or solicitor or whatever.

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By *ustBoWoman
over a year ago

Somewhere in Co. Down

It's very hard dealing with someone with dementia as their reality is completely different to yours. I haven't dealt with it within my family but I do work with people who have dementia.

They forget they fall easily as a lot of them their balance goes, they also will forget that they fell a few minutes after they do,and will always try and walk again lot of them live in the past, thinking family members are still alive who have long past etc. Quite a few get abusive due to confusion and being scared and not believing that anything is wrong with them. It's incredibly hard for relatives who have to deal with it at home and I have the greatest respect for anyone who does.

I can go home after a 12 hour shift and know they are being looked after by others but for people at home caring for people there is no break and just constant worry. Not to mention the mental pain of the constant abuse you can get. And while you know that's not the person you love saying that it's the dementia it's still very hard to deal with.

A someone has said sometimes it's best to help them cope by living in their world and not correcting them about things. But if he is now becoming a danger to himself it's extremely hard. Unfortunately they don't remember or realise the danger they can be putting themselves in as the dementia advances.

You could try and see if he can be referred for going into a residential or nursing home.Even though I know that's probably not what you want,it would be the best thing for you all and would give you peace of mind that he is safe. But I know it can be hard to get into places as well not to mention expensive.

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By (user no longer on site)
over a year ago

If the elderly person had no family, would social services be forced legally to put him in a home or something?

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time.

I mean this in the absolute nicest way, but can get you get Mr KC on the case again?

You will feel guilt and they know this and prey on it.

Mr KC (apart from being a man- of course men are superior to women) will have a different attitude with them.

He worked magic last time. He's your partner, you can ask him for help same as you'd ask a carer or solicitor or whatever. "

Mr KC is helping. I've been ill, as has he this week, so it's not been the easiest for either of us.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"If the elderly person had no family, would social services be forced legally to put him in a home or something? "

I really don't know. I get the impression lots of elderly people are just being left without adequate care or are "bed blocking" because the social care isn't made available for them to leave hospital. Dad's ward was full of very significantly disabled elderly people who appeared to be there indefinitely.

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By (user no longer on site)
over a year ago


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time.

I mean this in the absolute nicest way, but can get you get Mr KC on the case again?

You will feel guilt and they know this and prey on it.

Mr KC (apart from being a man- of course men are superior to women) will have a different attitude with them.

He worked magic last time. He's your partner, you can ask him for help same as you'd ask a carer or solicitor or whatever.

Mr KC is helping. I've been ill, as has he this week, so it's not been the easiest for either of us. "

Sorry, I didn't mean to infer he wasn't helping. I meant like last time he kicked their arse that's all.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time.

I mean this in the absolute nicest way, but can get you get Mr KC on the case again?

You will feel guilt and they know this and prey on it.

Mr KC (apart from being a man- of course men are superior to women) will have a different attitude with them.

He worked magic last time. He's your partner, you can ask him for help same as you'd ask a carer or solicitor or whatever.

Mr KC is helping. I've been ill, as has he this week, so it's not been the easiest for either of us.

Sorry, I didn't mean to infer he wasn't helping. I meant like last time he kicked their arse that's all."

Sorry, didn't take it that way! Now we're in lacking capacity/PoA territory, they probably won't interact much with him, only note down info.

I tried to have him there as the family rep for the visit this week but they said it had to be me or my brother only.

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By (user no longer on site)
over a year ago

I don’t have much advice but after helping to look after my father in laws mother quite a bit when she had dementia, I know they are reluctant to offer any help if they know he is being looked after at home. She started becoming increasingly aggressive and my in-laws had to tell them point blank that they could no longer provide her with the care that she quite clearly needed and she was eventually placed in a care home but it was a fight to get her there.

I’m so sorry you have to go through this with your dad. Dementia is a devastating illness and I hope you get the help that you and your dad need

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By *eliciousDiva69Woman
over a year ago

Schitts Creek


"Oh KC, I’m so sorry to read how bad things have become for you and your dad. Dementia is so very cruel! I don’t have any advice on how to deal with the abuse and I sadly lost my mum before she got that bad on a regular basis (although the times she was I used to just sit and cry, and generally feel inadequate and alone).

The next time he is admitted to hospital, insist that he is discharged to assess, this basically means he’ll be discharged into a care home to assess his capacity to live independently. I am happy to share the details of my own journey with my mum if you want to DM me. D x

Thanks. We did ask for that this time, but they told us he had capacity when in hospital and so it was all our efforts just to get 2x daily home visits. Since then, it's been a constant nightmare. Every agency involved has reported problems to social services almost daily and so they came out late last week. He was then judged as lacking capacity (surprise, surprise). But, in the follow up phone call to me, they said he'd have to agree if it were 24hr care/residential care.

He fell again yesterday but not seriously injured this time.

I mean this in the absolute nicest way, but can get you get Mr KC on the case again?

You will feel guilt and they know this and prey on it.

Mr KC (apart from being a man- of course men are superior to women) will have a different attitude with them.

He worked magic last time. He's your partner, you can ask him for help same as you'd ask a carer or solicitor or whatever.

Mr KC is helping. I've been ill, as has he this week, so it's not been the easiest for either of us.

Sorry, I didn't mean to infer he wasn't helping. I meant like last time he kicked their arse that's all.

Sorry, didn't take it that way! Now we're in lacking capacity/PoA territory, they probably won't interact much with him, only note down info.

I tried to have him there as the family rep for the visit this week but they said it had to be me or my brother only. "

Have you contacted citizens advice? I also found mind were really helpful in support (sadly also only daytime week day visits ) I just can’t understand what grounds he needs to agree if he lacks capacity smh

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By *inky_couple2020 OP   Couple
over a year ago

North West

I've been reflecting on the "run with his reality" feedback, which I totally understand and would like to be able to do in all the circumstances. However, because we live a fair way away, and these conversations are mainly had on the phone when there's no-one supervising him, we don't feel safe in saying "oh yes, sounds lovely to go to Bournemouth....." because in the fairly recent past, he HAS acted on his unwise decisions and managed to wind up lost, halfway across the country. It's a bit different in the controlled environment of a care home or if someone is with them all the time.

I suppose it cements my deepest feeling that we should be asking about 24hr care, but having had such a fight with social services to get what we have now, and with my own challenges (and my brother the same), I suppose we have felt lacking in the energy to fight even more with social services. It's one thing when the person is able to self fund and family can select whichever home meets their needs and finances, but we will be relying on local authority funding or will have to sell his house and use the limited equity, both of which will take time and require social services to agree to actually finding a placement in the first place (if that's what his finances dictate).

In the immediate short term, we will be trying to disable the washer but will need to leave it such that the carers can use it in their very limited window of time and will try to play along with his vision of things, when we think it's safe to do so.

I suppose we have questioned our own observations and wondered if we, his children, are finding him less capable than he is, but the past fortnight, which has involved many different services meeting him and family friends being called at short notice to intervene, has cemented our views from prior to the last big fall. At the end of August, we were trying to get him assessed for home support but then he fell and spent much of September in hospital.

Another thing this experience has cemented is that I never want my children to go through this. We are looking at various insurance options to pay for care in the future because we don't want to burden our children. The problem is, I have been denied life insurance which often has the care stuff built in......

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By (user no longer on site)
over a year ago

I don’t know if you’ve already looked into it or not but is there any options for your dad to go into respite care or a day centre? Just until you can get something more permanent sorted and it would reduce the amount of time he is left alone.

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By *a LunaWoman
over a year ago

South Wales

I work in care and Kinky, let me tell you, you’re doing far more than a vast majority of others out there would for your dad. That’s not a criticism to others, just a reality.

Has dad been officially diagnosed with Altzheimers? Found to Not have capacity by Social Services?

I think if Social Services were more involved with his care and had reports back from the care staff then they would probably push for him to go into a home.

There comes a time when it is simply not safe for people with Alzheimer's to live alone. They are a risk to themselves and others.

It is incredibly stressful for you I know, but know that you seem to be doing the best that you can under extremely upsetting (for everyone) circumstances.

All Councils are different (and indeed Wales Social Care is managed differently to the rest of England etc) but I think you need a Social Worker for your dad as a sounding board and to push for extra assistance, be that more care calls put in, respite care, social calls whatever.

You could have social calls put in and they could take your dad out somewhere, so that he feels like he’s been out on his travels maybe?

It’s a struggle I know xx

Sometimes they just get lonely and the company of others helps.

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By *inky_couple2020 OP   Couple
over a year ago

North West

^^^Yes, he has a diagnosis of vascular dementia with probable Alzheimer's too and yes, deemed to now lack capacity.

Social services were there with my brother and me listening on the phone at the end of last week but as I said, their follow up phonecall was that 24hr care would require him to agree to go. They don't seem keen to do any more than provide the 2x 30min visits and 1x home help visit in the week.

In the past, attempts to have Dad join in with activities specifically designed for older people came to naught because he refused to go or was rude to everyone. He's never grown up beyond the age of about 21 in his head, he's always been immature and very self centred and when in hospital recently, was very loudly telling everyone how he wasn't old like the people in the next beds, how he was so capable, unlike the others and how he's glad he doesn't need any support, unlike the others. He doesn't see himself as 84 at all.

I'll certainly look into things and see if any organisation are willing to pick up and supervise someone with dementia because he's definitely not safe to make his own way, other than on defined routes he's known for a long time. Even those are starting to become problematic though. I can't take him to such things unfortunately.

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By *affron40Woman
over a year ago

manchester

I’m so sorry you are going through this. We went through similar with my nana. Mums an only child and nana was both excessively demanding and really rude to my mum constantly. It crippled her and she’s still damaged by it several years after she died. We had to take the cooker and washing machine out of my Nanna’s apartment to stop her blowing the place up. We were constantly in hospitals when she fell. It was a living hell for many years. The only saving grace was that she was much kinder to me so we managed to get some information through.

Do you know what they have assessed capacity based on? There are several different capacity types and if he’s deemed to not have capacity to choose his care needs that means he falls under the local authority to manage. It’s a Fucking slog getting all the relevant assessments done and services are so understaffed and sadly carers aren’t taught what steps will get them the help they need. And like you say there are thousands of old people stuck in limbo like this and it’s heartbreaking

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By *eralt80Man
over a year ago

cork

About 10 years my father had a hip operation and he was never the same after it. We learned that if people are susceptible to dementia a trauma like that can accelerate the development of the disease and he was never the same after the surgery. He even had to be restrained by the staff while in the hospital which is totally out of character for him. Once he was home and in familiar surroundings and constant routine he was fine but if anything out of the ordinary happened he would get very confused. I guess we learned to manage it. But at the same time he would get very verbally abusive towards our mother, with her being reduced to tears.

Again at Christmas he got very sick with the result the dementia progressed even further. He kind of knew us but didn’t know how he knew us. For other medical reasons a public health nurse would come visit and she’s tell us he’s fine yet staff and doctors in the hospital would tell us the opposite. We ended up getting him assessed privately and they said he needed 24hr care and then we’re able to get him on the public help system and into a care home. I’m not sure how the system works in the UK but this worked for us in Ireland.

It’s tough seeing the person change into a complete stranger but that solace in the fact they don’t mean it. We had to learn that there’s no point in letting the abuse get to you as they have forgotten 10minutes later and will be looking for your help.

Is there any changes ye can do around his house like cameras assessable from your phone?

Washing machines and the like can be chained to a wall so they can’t be pulled out or water can be turned off to the appliance and the carers can turn it on as needed.

You could get a tracking device like a watch or fob so ye know where he is.

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By *nightsoftheCoffeeTableCouple
over a year ago

Leeds


"I've been reflecting on the "run with his reality" feedback, which I totally understand and would like to be able to do in all the circumstances. However, because we live a fair way away, and these conversations are mainly had on the phone when there's no-one supervising him, we don't feel safe in saying "oh yes, sounds lovely to go to Bournemouth....." because in the fairly recent past, he HAS acted on his unwise decisions and managed to wind up lost, halfway across the country. It's a bit different in the controlled environment of a care home or if someone is with them all the time.

I suppose it cements my deepest feeling that we should be asking about 24hr care, but having had such a fight with social services to get what we have now, and with my own challenges (and my brother the same), I suppose we have felt lacking in the energy to fight even more with social services. It's one thing when the person is able to self fund and family can select whichever home meets their needs and finances, but we will be relying on local authority funding or will have to sell his house and use the limited equity, both of which will take time and require social services to agree to actually finding a placement in the first place (if that's what his finances dictate).

In the immediate short term, we will be trying to disable the washer but will need to leave it such that the carers can use it in their very limited window of time and will try to play along with his vision of things, when we think it's safe to do so.

I suppose we have questioned our own observations and wondered if we, his children, are finding him less capable than he is, but the past fortnight, which has involved many different services meeting him and family friends being called at short notice to intervene, has cemented our views from prior to the last big fall. At the end of August, we were trying to get him assessed for home support but then he fell and spent much of September in hospital.

Another thing this experience has cemented is that I never want my children to go through this. We are looking at various insurance options to pay for care in the future because we don't want to burden our children. The problem is, I have been denied life insurance which often has the care stuff built in......"

I totally get the don't say oh yes go to X places but maybe rather than no say, let's sort it another day and arrange a trip kind of thing so you aren't dismissing his wants but just trying to kindly put it off in a nice way rather than saying no you can't do this.

Mrs

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By (user no longer on site)
over a year ago

Mrs KC, your original question was about how to deal with the abuse. Have you looked at WomensAid type sites? I know it's not a DV situation but they may have some good advice. Grey rock etc.

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By *nightsoftheCoffeeTableCouple
over a year ago

Leeds


"If the elderly person had no family, would social services be forced legally to put him in a home or something? "

Yes they wouldn't be allowed to discharge them if the support needed wasn't available, they'd usually stay in a hospital setting until social services do their assessment and decide if home care cam be provided for them to return, this can take a long time, if not a suitable home would be found.

Mrs

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By (user no longer on site)
over a year ago


"If the elderly person had no family, would social services be forced legally to put him in a home or something?

Yes they wouldn't be allowed to discharge them if the support needed wasn't available, they'd usually stay in a hospital setting until social services do their assessment and decide if home care cam be provided for them to return, this can take a long time, if not a suitable home would be found.

Mrs "

Thank you.

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By *inky_couple2020 OP   Couple
over a year ago

North West


"Mrs KC, your original question was about how to deal with the abuse. Have you looked at WomensAid type sites? I know it's not a DV situation but they may have some good advice. Grey rock etc.

"

I hadn't thought to look at something like this, no. Thank you for the suggestion.

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By *inky_couple2020 OP   Couple
over a year ago

North West

Struggling on carers support stuff because it's all Mon-Fri daytime.

There are dementia support groups and activities for people who have dementia near him, but this is the issue:

"We ask that carers attend our events with the person living with dementia, as we are unable to offer respite care at our activities"

I am not able to do this, nor is my brother, other than highly infrequently. His social services care provision does not allow for this kind of thing and so we're a bit hamstrung

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By (user no longer on site)
over a year ago

I never thought I'd do this to any family member, but when it happened to grandad we had to put him in a care home. It was the safest thing to do and he was under constant surveillance.

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