The next challenge is to tell our daughter. Our son is on board with the decision "you do what you have to do". Our daughter is going to find the decision very hard to take. The family is having a luncheon together today, and I am hoping that my DH will speak up when we get around to "the talk". I think our daughter might take it a bit better if she knows that her daddy actually wants this to happen.
I tried to broach the subject at lunch, but it just wasn't going to fit in, and everyone was having a good time, and son and daughter were joking as usual. I was almost tempted to wait until after my DH was placed to give the kids the news.
But after lunch, when I was walking our daughter back to the car, I hugged her and told her I had something to tell her, and she knew. We were both calm, and although there were a few tears on her part, it went well. No emotional outbursts. When we parted, I told her that if she wanted/needed to chat about it, she could give me a call. I almost got the feeling that her brother had paved the way for the discussion for me, and its possible he did.
Anyway, that step is over. Thank you for your prayers.
Tomorrow morning I take my DH over to the dementia specific home. He is going in as a respite resident to begin with - the paperwork is completed but the committee hasn't met to finalize his stay. I spoke with the social worker on Friday - there is very little chance that the application will be turned down. In her words, my DH is the "perfect candidate" but I felt guilt when I even thought that he might be returned home, because I don't know how I would handle the situation - I can't do this anymore, and if he were turned down I would be forced to look for some other solution - another secure home, or full time home care - I don't know.
Friday we went to get our hair cut. On the way home, my DH opened the car door while the car was moving in traffic - he said he thought it was open and he was trying to close it! And he has really been "out of it" since then. I put this down to being insecure about what the move means for him.
It is clearly time that he was placed, for both our sakes, and I haven't spoken to anyone who thinks I should try to keep him home longer. I have dealt with my daughter's guilt, and I thought that I had dealt with my own.
But I am feeling like such a traitor today. I am really surprised at these feelings. We have not had the greatest of marriages, and I thought I would feel relieved that the burden of caring for him at home is almost over but instead, I feel like I am letting him down in some undefined way.
Bdq, my thoughts and prayers are with you. It is so very difficult but yes you are doing the right thing despite whatever feelings you may have over this decision. I too did not have the greatest of marriages but I knew in my heart I just could not do it anymore. Placing them does not end the caregiving but it does change it. You will be relieved from the 24/7 care and hopefully can get a solid night's sleep. Placing him forced me to give up some control even though no one really has much control over this disease and it allowed me time to get used to a quiet house and to have some much needed time and space for myself. The fact that you do not feel relieved of caring for him also happened to me. It is just that the caring takes a different form. When I placed him issues came up that I was not aware of like just getting to know staff, dealing with phone calls when he fell or had a medical issue that needed tending to. When I first placed him I was appalled when I saw the other residents just sitting mindlessly in chairs looking like Alzheimer's patients. I naively thought to myself he is not that bad and frantically tried to find activities he could engage in so he did not end up "like them". And then one day I knew things had changed when I went and he was just like the rest of them and it did not bother me like it did in the beginning. You visit as much as you need to but I could not visit every day. It was just too depressing for me and especially as time went on it was impossible to make meaningful conversation. In the beginning tho I did take him out once a week to a restaurant or the park or to church. The last time I took him out was for Thanksgiving which was about 5 months before he passed. Let us know how it goes
The poor buggers. I came to understand a bit by taking in that the evidence of their experience is displayed by their mistakes.
What is so hard to take in is that they aren't inside there right as rain having problems operating the machinery. That's Parkinsons. The fragmentation and increasing lack of sense in their actions is an insight into the fragmentation of the rich personality that once made up them.
It has to be a nightmare experience for them where their own identificiation increasingly and randomly makes less sense while the information about the outside world also randomly and increasingly makes less sense - by the process of random plaque damage. Eventually there's looking through a kaleidoscope without anywhere near enough connected and working pieces to say there's a point of view or a consideration of it.
I know what you're going through BQD or as close as people get. That's why I've taken the tone I have which is that in my world placement was it's own battlefield inside me. From all the comments I've read that experience usually comes with this territory.
Ultimately I came to have empathy for the reality of both of our roads. Her's was to increasingly disappear as Dianne the personality and remain as Dianne the person. Mine was to try and move with the realities suffering enough in my personality for the both of us. That reality includes that I felt every sling and arrow along this road while increasingly she was in a state of comfort surrounded by 24 hour help I could increasingly not hope to provide. Pity must be shared, the very word of which increasingly only has a meaning for you.
Just as the evidence of their mistakes portrays evidence of their fragmentation, the physical evidence of what is happening is before you which is (I'm very sorry) the increasing seperation of your lives.
In my posts are numerous references to me killing guilt. That battlefield was right here. At first the knowledge of confidence in myself was a source of guilt - where guilt now shows up in numerous guises. Guilt is a battlefield - not the war. Ted isn't the war and neither are you. You're all (in this metaphor) - battlefields. Alzheimer's is the war. Much of that is still ahead of you and everything you do that gives you something to work with isn't just pity shared - you are going to use it.
I won't end on that note. In a year a material part of these worries and doubts will diminish where Ted continues to look to you to manage both of your lives as best you can.
bdq, When I read your post, all I could think was that you're taking whatever happens and turning it into a conduit for guilt. You feel guilt when you think your husband might be returned home, you have to deal with your daughter's guilt, you feel like a traitor, you think your husband opened the car door because he is insecure about being placed, etc. Guilt, guilt, guilt.
Guilt is not going to help you get through the experience of admitting him to this dementia home. What will help you is courage, which you already have. Don't let the guilt undermine that. For your husband's sake, you need to appear calm, confident, and positive, even if you don't feel that way. What is your plan for the morning? Do you have someone who will go with you and your husband? (When I did this a year ago, I had someone go with us, just in case I had a melt-down.) It sounds like you could really use a friend to help you get through this experience.
I will be thinking of you tomorrow morning. Please let us know how it goes.
It sounds to me as if you've done a top-notch job of assessing the situation and taking the proper steps to make sure your husband is safe and well-cared-for with an appropriate plan. Not only is there no need for guilt…you should give yourself a big pat on the back. As others have stated, placement means you are still very much taking care of him…just in a different way. You'll still have 1000 things to do. I'm thinking about you and crossing my fingers and saying a prayer that all goes well.
Wolf - Ted has looked to me to manage both our lives for years. This is just another phase in doing so - I can stop micromanaging his life and let others do that, while I look after the big picture. And you are right, I should stop wallowing in guilt and look at things from his perspective. He is scared and having me feel guilty about having him placed where he will be safer and likely better cared for than he is at home is not going to do either of us any good. And I can start grieving over this step in the Az journey after I get home, not before I get him there.
Myrtle - I don't have anyone to go with me so I am just going to have to pull up my big girl panties and get on with it and focus on the practical aspects of getting him there and in his room instead of all the emotional stuff that goes with it. The social worker is meeting us there and I know she will step in if I have a melt down.
And to CO2 and elizabeth - your thoughts and prayers are most welcome
Now I just have to take a big deep breath and get through the next 24 hours.
bdq, The social worker should be fine. I was not thinking so much of someone to comfort you but of someone who could deal with your husband or attend to the practical details of his admission in the event you become overwhelmed. The person who went with me was a geriatric care manager. In many cases, a professional is better. My only other option was my sister but she would have been just awful, since she knows nothing about this stuff.
bdq, I don't post much anymore, and I know there is alot of support here so I don't really need to. However, I just want to say, you have done the absolute right thing and I believe it is perfect timing on placing your husband. I will not get in to what transpired with us, but just to say I know I just know this is right.
And when I read about him opening the door, I also am pretty sure that is just a sign of his advancing dementia, I remember Dado doing that. I am sending you love and positive vibes and a big suck the guilt out of you hug. It is going to be ok,ok?
I agree with Coco* about dementia causing a person to open the car door while he is a passenger in a moving car . . . My father, who had AD, did that while I was driving at 65 mph on the interstate. It took about 10 years off my life.
bqd, I agree with what others have said. There is one point I'd like to add: when you stated that he opened the door and you think he's feeling insecure about the impending placement, I remembered that I used to try to understand why he did some of the things he did. It took a long time and a huge amount of energy before I accepted that there was no logical cause and effect of what he was doing (if I'm saying this right). When I saw him doing random things (and yes, my husband too opened the car door when I was driving - as well as moved the gear shift into neutral from drive) I came to realize that many times there was no logical reason for his actions, as his reasoning button was broken. It was just the disease. My thoughts are with you now and will be with you and your family tomorrow. I'm glad the social worker will be there with you. She will be a huge support.
Thanks everyone, for your support. I am feeling better about the whole thing this afternoon - I guess its all the positive thoughts I am getting from this site!
And sometimes I just need a good swift kick to the head.
Coco - its good to hear from you - I think the guilt sucking hug worked.
I guess maybe I was just reading too much into my DH opening the car door and his other behavior over the last couple of days. But I know that the symptoms of his dementia seem worse when he is out of his comfort zone, and I also know that deep inside he is scared about going to a new place tomorrow. I know this because he told the occupational therapist this, when she visited last week. But tonight he seems okay, and I hope that carries through to tomorrow.
And Fiona68 - my DH has also put the car into neutral from drive - he did that a couple of years ago, the last time we went away for an overnight trip. And it was that behavior that made me realize that we could no longer take long trips together anymore.
All went well this morning. I managed to stay calm, at least in front of my DH (a few tears were lurking behind my eyelids when I was speaking with the manager.
Everyone I met there seems very compassionate. Ted's room has a lovely large window overlooking a field and a wooded area, and the layout is the same as his bedroom here. I am sure he will adapt quickly. By the time I left he was all unpacked and ready to start exploring. The maximum number of residents is 9, and there are two living rooms, three bathrooms, and an eat in kitchen/diner. A gazebo outside for sitting in when the weather is fine. And the building and the grounds are fully secure. And it was all very homey.
I imagine its similar to the group home that Coco had Dado in for many years.
And even the manager thinks I waited longer than I should have to place him, and I had never met her before today!
I am going to go visit Ted on Sunday after church. By then it is likely that the paperwork will be complete to make his stay permanent, so I can take in his favorite chair, some pictures for the walls, and his CD player and CD's.
Once again I want to thank everyone for their support, advice and encouragement.
This makes me happy and sad, but mostly happy. I am so proud of you bqd!! Sounds like you got in in the nick of time. You are in my heart and prayers today and it is good to know that guilt sucking hugs work. I sucked the guilt right out of you and made it disappear with a sprinkle of pixie dust, it is not going anywhere else. Happy and relieved for you and your love!
You may have a few rough days but know it will pass. It was time and you have done the right thing for you and your hubby. You can now sleep and look after yourself knowing he will be well taken care of.
Hoping it goes easy for you. I was shocked how quickly my DH adjusted to each new situation (and we have had 3 LCF and 4 hospitial, (3 for medication adjustments and one for a medical emergency). The focus of his world had shrunk - he actually did better in a smaller space with less stuff, and over time I removed some of his stuff I'd brough to make him feel comfortable and at home because it too became too much and added confusion. He adjusted in a matter of days in the second two facilities, once he had a routine. I was there a lot a first to assure (probably myself) of the transition. I hope its a good place (if it is you will be able to get some relief and not have to be policing care, which really made life for me difficult at a facility that looked good but was incompetent). Now that he is somewhere where the care is dependable and top notch, I think I had some difficulty giving up/turning over that caretaker role, but he is more stable and often happy now. Considering our very rough road, this is a blessing. I visit twice or three times a week and his best friend visits once a week. They allowed him to have a shelf of personal possessions, and picture books, some photo albums and cd player. And photos on the wall about his life. In the earlier part, having been an artist and musician, they allowed some art supplies and instruments. I hope your transition goes as easily. Sometimes our anxiety transfers to them, so its good if we can act with reassurance and confidence. A counselor I knew once said "guilt is a useless emotion", serves no purpose. But this journey surely has had loads of guilt and second guessing for me to discard. I hope his transition and adjustment and yours go with ease.
Right now, for me, the transition doesn't feel any different than when he would go into respite care for a week - I am used to having a week a month to do as I wish. I did sleep better last night. I expect after the first week is over I will notice the change.
I too am hoping that he will settle in quickly. I was impressed with the care I saw when I took him there yesterday, and my DH is extremely compliant and good natured, so I am expecting that all will go well.
I will be visiting him on Sunday, and taking some of his personal belongings as well as some more clothes. After that, I intend to visit 2 to 3 times a week. The village that the home is in is a very short drive from the town I have a lot of activities in - volunteer work, church, etc, and between the town, his new home, and our home here, the road forms a circle, so as long as it is not going to interfere with his meal time, I think that every time I am in town, I can go visit him, and I know that will make him happy, since one of his "current" fears is that no one will visit him.
bqd, I'm glad that your husband is so close to your house and to the center of your activities. That will make your life a lot easier and make it less of a big deal to get over there. My husband is only 20 minutes away, so I can be more spontaneous than others are able to be. In fact, I just realized as I was posting a comment on another thread that I really miss him today. So I'm going to play hooky from work and pay him a visit this afternoon, instead of waiting until after supper.