Years to go. Dementia is so SLOW.
I'm no longer in the trenches. I feel so much for those of you still caring for your LO at home. I have no idea how I made it through all that. But I'm here to let a few thoughts out again, about life after placement.
I had a care plan meeting for DH at his MC yesterday. Hospice was there, too. It was a nice discussion, and I feel everyone is doing a great job of taking care of DH. If you're thinking of getting hospice involved - do it. Nothing but good to say about hospice.
DH has been pretty stable for the last 5 months or so. I asked what we might see as the next step in progression. I wasn't asking about life expectancy, because I know there's no way to know. Both the facility social worker and hospice nurses made clear that he's young (59) and in good health except for being a victim of having his brain slowly die. He has no other health concerns at all. They told me it's likely he'll live years. Or he could have something happen quickly (like aspiration pneumonia). No one knows.
I knew that. I've done research, I know how long this end stage can take. But it hit home for me for some reason. I'm exhausted going to see him every other day. I hate seeing him in the wheelchair, not able to move, not able to talk, really doesn't look at me. I could go less often, but then I feel like I've abandoned him. (My brain knows that's not true - try telling my heart.) I'm in this routine, and fewer visits would mean I'm not checking on him as often to make sure everything is ok. Yes, I trust the facility. No, I don't trust them to REALLY check on him. I can sit with him for 2 hours and really see what's going on. Staff there just doesn't have the time.
But I just can't see myself visiting every other day for years. I need to move on with my new life, on my own. I'm in this terrible place of being stuck in limbo between being married and being a widow.
I've decided I'm going to start a 2 day / 3 day visit pattern for a while. It's going to be really hard. Wish me luck.
Comments
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This has to be a really really hard thing to handle for you. At some point you'll have to let go, and try to have a life. I know that's easier said than done. But your life is worth something too. I'm sorry it's so hard listening to your heart and your brain when they're not on the same page.
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Exactly, Ed.
It's so hard to move on, when he's still here.
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Oh, Josie!
Your post really tore at my heartstrings. This Limbo is such an awful, conflicting place to be. My DH, although 79, was incredibly physically healthy; he took no medication; he ate well, slept soundly; was a favorite resident- - he was “easy”. I had kept him at home for 11 years prior to placement; I truly thought he would live on for years. But the sad fact was that he was long gone, barely responsive, totally incommunicative for a number of years before placement. Visiting once a week, from the start, was enough for me; he was truly oblivious from the beginning and I could regain some semblance of a normal life.
He is gone, 7 weeks today, aspiration pneumonia, as you fear. I wondered aloud to my daughter last evening what might have happened, if back in December when he had the first vomiting incident, he had been hospitalized. Apparently, he suffered from an internal bleed, possibly very slow, or intermittent. It was probably a blessing that “treatment “ had not been initiated; scoping, probing, imaging and to what end? He seemed perfectly fine (physically) for 4 additional months until the next bout of vomiting (3 incidents, within 24 hours resulting in aspiration pneumonia which ended his life in 4 days.) I was thinking out loud that, maybe had I known about the possible bleed, he could have been treated- -some guilt, I suppose. My daughter quickly talked me off the ledge. “Mom! He was good until he wasn’t! His passing was peaceful; he was peaceful; we were all there. Let it go now.” And so I did and I do. I miss “him” desperately; I miss what we had, I mourn what we should have had. Each day is a little less painful; I know I did my best for him; no regrets, life is good. I promise you will get there someday; just be strong. Listen to Ed- - he said it best. Always thinking of you.
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Josey- I think a gradual reduction in visits is a good idea. Especially since, as you say, he could live a long time yet. In addition, please consider a couple of 4 day trips for you this summer. You don’t have to make a big scheduled trip: just pick a place and go for 3 nights and wander during the day. Or find a tour company and book a 3-4 day trip with them. Just show up at the bus and they do the rest
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Beachfan - I understand that guilt of feeling like you should have done something. I hope this doesn't offend you, but the fact that you did nothing for that bleed was for the best, if it helped him move on sooner. Of course you'd have done something if you knew, but you didn't. I'm so glad you have your daughter to talk with. No regrets. From everything you've said, both you and him had a wonderful life before this horror of dementia. I admire you for what you've been able to do.
Quilting - I'm thinking of a trip. The bus idea is a good one. I have a few co-workers who have actually suggested going on a trip together! I'm not sure I'm up to traveling with others right now, but a low-key trip alone might be a good idea.
Thanks all.
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Josey, everyone has already said it! You need to start living for yourself. Life is too precious for the disease to take both of your lives. I recently placed my DH but I haven't visited yet, based on my own gut feeling and the recommendation from the facility staff. I'm currently going through a heavy grieving process. Sudden bouts of crying will strike whenever something reminds of DH. So I allow myself to cry and grief. I grief for the loss of my previous life with my DH, for being a "widow" because DH is never coming back, both physically and mentally. This just came on out of the blue. I don't know what triggered it but I don't care. Someone told me it's the beginning of my healing, from pure survival mode to the return to health. If it is so, I look forward to the day I can function normally again.
Come what may. Start doing things that you love! Hugs...
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Josey, I sympathize a lot. My partner still very much knows who I am and over the last month, since we switch facilities, i have spent more time with her in MC than I probably spent with her in all of last year. I can visit every day, practically, so am there 5/7 mostly (minus the two weekdays that I work). I want to be there because she wants me there---but yes, it is wearing. It is such a nice change from last year, when I couldn't visit at all---but now it's the other extreme, and I have not yet found the happy medium. She will only let me help her bathe--and I'm glad to do it, but at some point she is going to need to get used to the aides there helping her. And while I had to much time on my hands last year with no motivation to do anything, now i feel emotionally much better, but am scrambling to keep up with everything I need to do and visit her also. It's a 45-minute trip each way.
I am glad she doesn't have much sense of time--if I tell her I will be there tomorrow, she doesn't really know the difference if it's the next day. For you, maybe there's some mercy in his not knowing. There's just no easy way to do this. You do need to live your life.
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Dear Josey,
For those of us still in the trenches, please live your life. Take a trip. Do things you may have been dreaming of for years. You have a life and you need to start living it. Let us know what you are doing that is fun and uplifting. Maybe you can now help us live vicariously through you.
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Dear Josey, thank you for your post. I, too, have recently placed my DH in a memory care center. He is not adjusting well and I find I have the need to still be his strongest supporter and loudest cheerleader. After being married for 57 years and working our way through many challenges together, this is the most separate we have ever been in trying to make sense of our life. I, too, have a very difficult time staying away from visiting him most everyday--and the trouble is, once I get to the center and see him, I need to stay not only for him but for myself as well. On his bad days I want to be there to make it a little easier for him; on his good days I want to be there to share that time with him. I asked the memory care center if it is better for me to stay away in order for him to gain some familiarity and comfort without me being in the picture. I get two different opinions: (1) it might be easier for him to accept the new without my being a reminder of the old. This would also give the staff the opportunity to interact with him without his looking to me to help answer questions and give him assistance in his needs. (2) This is a very difficult time for both partners. Visit as often as it is necessary for both of us to feel calm and connected. I feel none of us know how long we will live whatever age we are and I don't want to ever look back on wasted opportunity. Having said all of that, I understand your yearning to start living your life in a way that is authentic to you. I somehow thought it would be easier to put all faith and trust in the memory care center and be able to step away from being the caregiver. I was wrong. I am trying to live one day at a time. I, from time to time, take a day off from visiting and find that doesn't relieve my heart; it doesn't know how to take a day off. Yet. But both you and I will continue working on this challenge. Best of luck to you!
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Thanks to Josey and the rest of you for sharing. It's so helpful to hear your experiences caring for your spouses. This is so hard, even when you get help with the caregiving. There's still all of the emotional baggage we have to sort through. Best to all of you.
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Josey, you expressed exactly how I feel. My wife just finished her first year in MC and while she still knows me, I'm noticing that she doesn't smile as much when she sees me and even seems detached while I'm visiting every 2-3 days. Today while I spoke to a nurse about my wife's swollen wrist, I watched as she casually wandered to her "place" on the sofa in the TV room and didn't pay any attention when I left. That is a major change just in the past week or two.
I have so many mixed emotions I'm not sure I will ever straighten them all out. But I fully realize I have lost her. Now I must take care of me and get on with the years I have left. And, yes, easier said than done!
This book helped me realize there is no longer a "we". Now it is "me" and I'm determined to have a life I've been missing since dementia took my best friend. The book title is Neither Married Nor Single by Dr. David Kirkpatrick.
.
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Josey,
I'm not able to take advantage of this now, but with your DH in MC you may find this useful. Road Scholar has caregiver grants. https://www.roadscholar.org/about/giving/caregiver-grants-form/
Please have an adventure this summer
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DJnAZ,
I hadn't heard of that book. Thanks for sharing it. I'm going to get it. The title alone says what I've been struggling with.
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PlentyQuiet - thanks for that link. An adventure is just what people have been telling me to do. I'm definitely going to look into it.
I'll hopefully get back to all of you with my adventure plans.
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I placed my DW in memory care 6 weeks ago after caring for her at home for three years. She was diagnosed with MCI 2 1/2 years ago but I knew something was amiss months earlier. She is now at the beginning of stage 7 and mostly non communicative. She’s only 70 and we’ve been married for almost 50 years. I still see her almost everyday. I’ve also hired private caregivers to supplement her care for 6 to 7 hours day. My DW has adjusted very well to her new home exceeding my wildest expectation. She settled in from day one and is never upset when I leave. She still knows me and smiles when she sees me. The staff said she laughs all the time. It helps me to see her daily and warms my heart when she smiles when she sees me. She is healthy otherwise and we may be looking at years at MCF. However, given her rapid progression, I expect we’re looking at months and not years.
I just ordered “Neither Married Nor Single” by Dr. David Kirkpatrick. Thank you for the recommendation. I’d like to move on with my life and have a friend who is helping me but being neither married or single is a hurdle we can’t get over yet. Hopefully we’ll get some guidance from the book.
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DJnAz, could you please post on the "Books" thread on the General Caregiver board so future members can easily learn about it?
Iris
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I have been on this road 13 years DW has been in a facility for 5 1/2 years. 5 years since she had the slightest idea of who I am. And please don't say "she is in there and just cant talk"
I am just back from a 3 week cruise and semi work trip to Germany and Norway. I Facetimed with DW almost every day even from North of the arctic circle. no change. Saw her yesterday. she is well cared for.
My daughters want me to have a life. Cruises are nice for that. I went to Nuremburg to study how the Nazis came to power . it is really something to stand in in the court room where the trials took place. It made me think about life and suffering and death. I met with a colleague who lost his wife in January. We had dinner on the Rhine. Life goes on no matter what
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Crushed, I often think of you when I think of how long I've been on this road. You were already traveling this road when I found this site, before my husband was even diagnosed. Your DW (and my DH) is that exception to "early on-set always goes faster."
And I couldn't agree more with the "she's still there" comment. DH isn't there any more. Unfortunately. I've seen the CT scans and MRIs. You can't be there when "there" is gone.
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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