Posts Tagged ‘dementia’

February 15, Another Nursing Home Visit

February 15, 2012

February 15, Another Nursing Home Visit

The weather is warmer and the sky is sunny. I visited Geoffrey again today. It must be about four weeks since my last visit but illness and weather has caused problems.

I found him in the lounge seated by a table. He appeared to be sleeping. I touched his arm and spoke his name.

He opened his eyes as I said, “Hello, Geoffrey.”

He looked at me and asked me what I wanted him to do.

And so began my efforts to get him to talk to me. But he was constantly overtaken by tiredness, and his head would go down on his arms, which he had folded on the table.

So I asked him what he had for dinner.

“Fish, I think.”

“And did you have a pudding?”

“I think so, I usually do.”

I talked about things he has spoken about before: His childhood and ordination.

After a little while his face lit up and he smiled. He looked quite youthful for an eighty-nine year old. We had a little banter about his good looks!

It did not last long but, for me, it was manner from heaven!

His head dropped down again and I thought it best to let him sleep. His body had been giving him hell again and he said he felt dirty. (Of course, he was not dirty but he’d done a great deal of scratching all over his body.) Yes, better to let him sleep and hope he had dreams of happier days.

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A Case For Sherlock Holmes?

January 12, 2012

Geoffrey’s glasses:
The mystery of the missing lens.

Today I called at the nursing home to see Geoffrey. I was told that the day before had been his 89th birthday. I was also told that he was quite bright today. Recalling how sprightly he seemed the week before I was looking forward to meeting him again. But when I reached the lounge where he sits, I found him to be quite tired. It was difficult to communicate. He also had a problem hearing what I said. Not surprising really. A lady in the room was making loud noises as though in distress — she seemed to be taking her shoes off and then struggling to get them back on. A cleaner was at work with mop and vacuum cleaner removing the dinner debris from the tables and floor. Some residents were moving around and muttering in their own distinctive way. The radio then began making loud music. I thought it better not to stay long as Geoffrey tended to start shouting at the others out of frustration at not being able to hear my words. And when he did, he had problems comprehending what I said. However, he did agree to have his photograph taken. Unfortunately he was not spruced up this week but rather the opposite — he was wearing a loose pink jersey. Even so, I think the photograph has turned out quite well in the circumstances.
Geoffrey was sitting at a table with a lady resident. I offered her one of the jelly babies I had taken for Geoffrey. She bit its head off and passed it back. I assured her it was okay to eat it and so she put it back in her mouth. All this time she had been fiddling with her glasses. I feel sure she had removed one of the lenses and was trying to get it back. She pushed the glasses away and started sucking on something. I concentrated on Geoffrey. When I looked across the table I saw the loose lens had disappeared. I looked on the floor and around the area. An assistant was near and I told her that the lens was missing. She told me they were Geoffrey’s glasses. Had he been given a new pair? She said they would find the missing lens and then got on with her work. I looked at Geoffrey’s companion. She was still sucking something. She passed me bits that she had previously chewed. Another assistant came near and I told her about Geoffrey’s glasses. She started looking all around for the missing lens.
“Do you think she is sucking it?” I asked.
“No, surely not.”
She asked the chewing lady what she was sucking, but she just ignored the question. So the assistant stuck her little finger in the woman’s mouth to feel what was in it. A bit of wriggling with the finger produced the missing lens! Glasses and lens were taken away to be washed and mended.
I thought it better to go and leave Geoff to have a nap. Poor chap, it had been a noisy room to have a conversation and most of what he said reflected his worries that he was doing nothing when he thought he should be doing something useful. Conducting a service? Gone are those days. So sad. Before I went today, I had looked him up on the Internet again. I found his name on a number of articles published in a prestigious journal. I recalled some sketches I had done for him years ago — they were to illustrate an article he had done for one of his journals. We often worked together conducting services too.
I kissed his forehead and said goodbye. Maybe my next visit will be more like the one I had last week? I hope so. My word, the people who work in that place are angels! I doubt I could cope.

Geoffrey — now 89!

Visiting Geoffrey — Make Me Happy… a plea from the heart

November 25, 2011

Visiting Geoffrey — Make Me Happy… a plea from the heart

 

Geoffrey and me 19 years ago

Geoffrey looked at me closely. “Who are you,” he asked, when I walked up to his chair and smiled down at him.

And so began my usual explanation of our friendly relationship, which of course, did little to enlighten him. He was sitting positioned between two lady residents and it was difficult talking to him. I looked around the room and found a chair I could pull over. I had some fruit jelly slices for him. I opened the box and lifted a slice.

“For me?” He put the fruity slice to his mouth and bit it. Delight spread over his face. Soon he was happily chewing the full piece.

“Mm…mm…mm… nice.”

I offered him another and another and another. Each time with him asking if it was for him, and then chewing and sucking merrily. Sheer pleasure glowed from his eyes and cheeks. But I thought it best to give the rest of the jellies to the assistant for him to eat later. This way the enjoyment would come again and again. For it does not take long for the childlike happiness to fade and the “Who are you?” questioning to begin again.

He suddenly asked if I could do something for him.

“If I can. What do you want me to do, Geoffrey?”

“What can you do?”

“Lots of things. What do you want me to do?”

“I want to be happy. Can you make me happy?”

Were it not for my Dry Eye condition, tears would have been rolling down my cheeks. I thought of getting his jellies back to give to him but his need went beyond a few moments of pleasure in his mouth.

I touched his hand. “I wish I could sing to you, but, with my voice, I would make everyone cry!” I looked around at the residents sitting in their chairs around the room. Most were looking in my direction with a hint of curiosity in their dull eyes. How ridiculous of me to try to be funny.

I reminded him of when he sang to me “I am a Nightjar” on the first day I visited him. But no bells rang for him.

“I’m an old fool, aren’t I,” he said, not for the first time that afternoon.

“No, you are not a fool, Geoffrey. You are the most intelligent person I have ever met. You have helped a lot of people. You were my tutor and helped me a great deal.”

“That’s good,” he said brightening a little. So I told him more details of the help he had given, and the work he had done.

Then I asked him about India where he and his family had once lived. The information he gave was brief so I turned to London and got him to confirm that he had worked at the British Library and been head of Oriental Studies, but it got no further. I wondered if he would recall his priesthood and work in the Church but I thought it better to let that sleeping dog lie for now, so I told him that he was a theologian and that his teaching had helped a lot of people, especially me.

His face brightened. All time I have known him, his great delight has been when he has been helping others. I realize much of his distress (though he cannot vocalise it) is that he is no longer able to give of himself. He can only ‘be done to’.

I asked him to tell me about his childhood.

“We played games and such, like all children do.”

“What sort of games?”

But he was looking puzzled. Obviously words would not come to his mind. “I’m a foolish old man,” he said.

He gave a cough-come-sneeze, putting an arm in front of his nose and turning sideways out of politeness. I hoped the lady next to him did not catch anything.

He scratched his neck, looking rather uncomfortable. Evidently he was suffering from a rash covering much of his body, which could make him irritable at times. He had also been suffering from a bad cough but the lady in charge said that he was much better. I thought how awful it must be when you are not in complete charge of yourself. And when your memory fails to offer the only explanation he could — “I’m just an old fool.”

After a while, tiredness forced his eyes closed. I stood up and took the chair back to where I found it. I went back to Geoffrey to touch his hand and say goodbye. He opened his eyes.

“Who are you?”

“I’m Gladys. I’ll come again soon. I’ll bring you some cake or sweets. Would you like that?”

Childlike, his face lit up and a smile came to his lips in a brief moment of happiness.

I found it both touching and sad.

 

Thinking back to when I was training for Church ministry, I recall Geoffrey’s incredible eagerness to help people at all levels, from tutoring students to simple tasks like handing round papers at meetings — “I’ll do it,” he would say, eagerly snatching a pile of papers to hand round, then dropping the lot! Indeed he could be quite funny, but never a fool. No, never a fool.

(See posts of previous visits to Geoffrey. The last one is ‘and then he kissed me’)

And then he kissed me…

September 9, 2011

Bardsea beach

A lovely day for a visit — and a walk


And then he kissed me…

I visited Geoffrey my friend — once tutor, colleague and champion when pitted against Church Authority — again today. The last time I visited the nursing home, I feared he was at death’s door. He had been asleep most of the time and looking terribly weary and ill, so much so that I rang the nursing home today to enquire if it was all right to visit.
I found the residents large sitting room remarkably quiet and noticed many of the chairs were empty. The few who were present were sitting in a circle having toenails clipped.
“Who are you?” Geoffrey asked, when I greeted him with a smile.
I sat down beside him and told him (with many interruptions due to his deafness) my name and how we are connected. While this was going on I noticed a wonderful change in him. His complexion was that of a young man, he was shaved and his hair neatly cut (I could not help but notice the size of his ears!). He was neatly dressed and looked younger than his actual years — well into his eighties. Moreover, his voice was strong and almost authoritative rather like the Reverent Doctor I have known for many years.
He looked around and said that it was a very nice room. Somehow the church was brought into the conversation and he said that some very nice people attended the meetings. I rather think he thought we were at a study meeting, which took place in people’s homes. He said something about various views expressed and I said something about it being good that different aspects of faith could come together. He said, stumbling a little while trying to remember the word ‘Anglican’, that the Church encompassed a wide spectrum of faith — or some such.
I was amazed that he had been able to draw such views from his memory and express them. He was in a cheerful mood, smiling when I smiled — such a charming smile too! Then he suddenly asked me if I was his wife (mentioning her by name). Again I had to tell him his wife had died. And so it happened a few times. Once he said, “Oh yes, I seem to remember being told that.” But then he looked at the women in the chair next to him and asked if she was his wife. He would not accept my answer and demanded to know who the lady was. I could not answer nor could the poor woman being addressed! I diverted his attention by telling him that it was good to see him looking so young and sprightly. My goodness, he beamed! His whole face became radiant. I had been touching his hand while telling him about his wife and likely what was left of his memory bank made him think of holding hands with her. I had often seen them sitting on their little sofa together, holding hands like a young couple in love. He asked me again if I was she. He found it hard to accept what I told him but moved on…
Finally, it was time for me to go. Smiling, he gave me half a wink and said,
“Come on then, give me a kiss before you go.”
I bent over and he kissed my lips. Was I again his wife?
Overflowing with joy, I left the nursing home, so pleased that he could still smile and laugh even if he did spend most of his life in a confusing fog.
I found my hubby waiting in the car, which was parked overlooking the bay. We drove just a short distance and had a little walk by the beach. Holding hands as we always do, and, hopefully, always will.

The Destructive Force of Dementia… continued

August 23, 2011

The Destructive Force of Dementia…

The lovely nursing home by the shore at Aldingham.


I visited Geoffrey again last week. The assistant told me that he was not well. Certainly he looked quite poorly and spent my time with him sleeping. At one point, he became acutely restless, balling his hands and moving them towards his mouth in jerky movements. “I can’t eat it, I can’t eat it,” he kept muttering. I put my hand on his arm and told him not to worry, there was nothing there for him to eat. He relaxed and continued sleeping.
I was told that he had been sent cards, flowers and chocolates. I wondered it is was his birthday and thought how sad that it all meant nothing to him. How could it, when he was spending the day in some kind of dreamland? He was not looking his best: his shirt had twisted and his belly showed, he’d been using his cardigan sleeves to wipe his nose and a fly constantly hovered over him, settling on parts of his body. My efforts to flick the fly away were fruitless. Had I the means I would have sent that fly to heaven. I hated it. It somehow completed a picture of decay.
Elsewhere in the large room, someone had arrived to get the residents involved in some kind of action therapy. Her cheery smile and actions brightened the place up a bit. The chairs of those willing to participate were wheeled into a circle (all the armchairs are on wheels). A few relatives there were sharing in, I thought it would have been hard work without them. Gradually some of the residents got the hang of stamping and arm waving as a tape played music, and the girl told the story while showing the residents the actions.
A kindly lady asked me if I would like to join in. I thanked her and said I preferred to sit with Geoffrey even if he was not aware of my presence. She spoke of what she knew about him according to what he had told her, but much of it was wrong, at least in the context of the present. For some odd reason, as I spoke of what I knew about Geoffrey and my past association with him, tears rose to my eyes and there was no way I could control my emotions. It was all so sad, so very sad. This man of letters who once was in Wartime Intelligence, head of a department within prestigious national institution, theologian, tutor, missionary, priest and family man, crumpled in a chair like a bag of old bones complete with a fly for company — “Where now your God?” might well have been asked by scoffers.
But why was I sitting there with tears running down my cheeks? I guess it was simply the pathos. I have clear memories of him sitting on a small sofa, holding hands with his wife (she died last year); preaching and administering Communion; working with me as my tutor. Or is it more than that? Am I still locked into the dementia my mother suffered before her release through death? There is a melancholy of viewing a world full of suffering. At that time, Geoffrey in his state of utter confusion and sickness symbolised my inability to come to terms with my own helplessness. I have no answers, I have no solutions.

Aldingham beach, just yards from the nursing home. As featureless as my friend's mind has become, and yet full of buried events with a glorious panorama.


Some years ago I visited a couple as part of my pastoral care duties: Betty, an appreciative dear old lady and Jack, her somewhat strident hubby. Betty was always delighted to receive visitors while her hubby appeared less so, though I strongly suspect he enjoyed any opportunity to have a good grouse.
As time went by it became clear that Betty had memory problems. Her grumpy spouse never allowed for her growing problem and tended to use unflattering language when reminding her of what she was supposed to be doing. The poor woman looked tearful and cowered under the lash of his tongue. Wherever I visited, tea-drinking was an accepted ritual. The last time I visited their house, I offered to get the tea for her. The kitchen was a mess and the fridge was so full of ice that it was impossible to close the door. Clearly, the situation was getting dire. Jack was no support to his wife, and she had problems helping him with his age-related physical problems. No doubt they would be receiving Social Service support but clearly they needed more than that.
Jack had a spell in the local hospital and I visited him there. He was his usual aggressive self. Trying to lighten his mood, I jokingly greeted him with, “Hello, Jack, your young, good-looking visitor has come to see you!”
“Huh!” he exclaimed, a lady waits to be given compliments.”
“Just joking” I said and asked him how he was getting on.
He said he was being kept awake at night by the old b—–r in the opposite bed. Evidently he tended to shout and swear, keeping them all awake. I looked across and saw the poor old guy was no other than an elderly gentleman I knew quite well. I could have wept, this man had once run a successful non-conformist chapel. I had known him as a scholar and a man of faith and prayer. I began wondering about the soul of man — deep theological thoughts — when I turned back to look at the man I had come to visit. Uncaring about my presence, without ceremony he reached for his urine bottle, pulled out his willy and began urinating.
Not long afterwards I left the church as I had been licensed to work elsewhere. But I heard that the elderly couple were both living in a nursing home. He died and she spent her time wandering around looking for him.
I have found that it is often men who find dementia in their spouse harder to cope with. Perhaps a generation thing, my generation that is — wives having been the main carers and home-builders. Of course, both suffer badly when a spouse becomes a victim of dementia. The dementia sufferer dreadfully confused and frustrated as chunks of memory fade away, the carer experiencing the dying of a close relationship, the person they have known and loved for many years unable to meaningfully respond to the love they have for them.
Years ago I visited a couple I had known for years. The man had been a well-known local personality, who had spent years documenting local history and caring for his local chapel. Unfortunately, he had become quite deaf and his hearing aid made a noise that drove his visitors barmy! He also liked a huge fire to keep the home warm, too hot for me to cope with for long. I must admit my visits were in danger of becoming further apart. But I liked to meet his wife too. We had things in common as she loved sewing and embroidery. She would greet me with a smile and say, “Oh, I am pleased you’ve come, you make my day. I’ll put the kettle on.”
But I heard from her husband that she was getting very forgetful. Food would be left under the grill until smoke filled the house. Pans boiled dry. Her forgetfulness was getting highly dangerous and exhausting for all concerned. So easy to get impatient and shout. Hardly surprising she was getting more tearful. Eventually, she went into respite care. Even so, when I visited her at the local hospital, she would always say the same thing, “Oh, I am glad you’ve come,” and tears would fill her eyes. I had to fight back my own tears for I knew she would never get better. Did she really know me? Certainly not my name and possibly she said the same thing to everyone. But holding her hand meant something to her.
I saw lovely devoted spouses visiting the local hospital’s dementia ward. They would sit with unresponsive spouses for hours. Friendships developed, which helped to ease their burdens. The ward, which was also a day ward offering respite care a few days a week, was staffed by caring nurses and assistants. Until my mother had her accident, she was able to go there a few days a week, so I got to know the other carers and they formed the nucleus of the group I formed. One of the resident patients was a tall good-looking man, possibly in his sixties. His wife visited him every day. He wandered around most of the time, occasionally getting into bed, sometimes not his own. Once, as I was leaving, he stopped in front of me, I gave him my usual cheery smile. He bent his head and kissed me. Did he have a vague notion that I was his wife? I gave him a smile and said goodbye.
I heard tales such as shoes being put in the oven, and my own mother did daft things too. If we did not laugh about these things, the sorrow would be too much to bear.

Did I switch the light off?

October 4, 2010

Light in the gathering gloom

Did I switch it off?

Did I switch off the light? Turn off the TV ? Turn off the tap?
I know I have a problem when I keep going back to a room to make these checks. Yes, I go back feeling pretty sure I did the right actions. It isn’t just the cost and waste of fuel and water, but just as important are the safety issues. Am I going bonkers is what I ask myself, or have I a hidden anxiety that manifests itself in repetitive actions? Fears of senility?
Well, I don’t think I have dementia. I know the questions asked of dementia patients and I can answer them all. Apart from which, having lived with dementia (my mother suffered from the worst kind and her life was a living hell) I know the signs.
Is it stress? I have to admit, I have been working on the computer doing actions that require more knowledge than I possess. Not having been brought up with computers I don’t understand the language and I tend to work trial and error style. I get shown how to do things but I soon forget again. I have to go over and over to make things sink in.
I recall doing psychology during teacher training and one model was that we build on an already acquired concept. Growth comes with building on that solid foundation. Trouble is, as far as new technology is concerned foundations can change. Even some of the web sites change and grow and I can’t keep up. Or different sites have slightly (or totally) different ways of doing things. AND they will use pale text, sometimes quite small too, for important actions. I get tied in knots.
Governments want everybody to be on the Internet. Impossible. Not just because it does not adequately reach some areas, but many older people do not have the skills and computers are no-go areas. Maybe they do show ancients grinning because of their achievements at getting on line but they are a mere few. Fears of losing money is enough not to get an on-line bank account. Deafness (and foreign and regional accents) are enough to make oldies shudder and cling to their local bank, even if they have to travel to get there. The hole in the wall for doing business may be simple to most, but to some elderly it could well be a hole to lose money in.
So the computer has become important in my life for I am the one in our long partnership to use it. Not just for business and information, but for my writing and books. It has opened up the world to me. And found me new friendships at a time when friends have become thin on the ground. But I admit to getting frustrated and feel like putting the mobile toilet roll holder (it is heavy metal) through the screen. I yell with frustration as my son comes into the house HEEEEEEEEEEEEELP! Poor lad!

So that’s one thing that could be making me anxious. I guess there are a number of things though that I can do nothing about. Things I would so much like to help with, but have not the money, the talents, the time or the health to oblige.
It is then I start to look back on my life and wonder if I should have done things differently. Have I wasted my talents? Taken a wrong turning? (That is a constant thought over certain matters that were costly at the time and just as much so in retirement.) But looking back is useless. As the sands run speedily through the hourglass, I am keen to make the most of the present, while being aware of what I leave behind. No, I have no desire to go off on cruises or fly to foreign lands. Maybe I just want to be successful in my own efforts, not be a burden on others and to have the satisfaction of a job well done.
Now then, did I turn that tap off?