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Is anyone awake to hand hold through a hard time?

(139 Posts)
tingaloo Fri 20-Nov-15 23:54:07

Hi My husband suffers from a chronic, degenerative lung disease and also dementia. We have been ticking along fairly well, although I have been desperate for some respite care for him as I am his sole carer and have not had a break for a couple of years. I have been waiting for weeks to hear from Social Services for an assessment of his needs.
We are now in a nightmare situation. Ten days ago he was blue lighted to hospital with pneumonia, where he has been ever since. He is now physically much better, but as is fairly normal, the infection has exacerbates his dementia symptoms. The first night after he had been admitted from a&e, I attempted to go home to sleep at about 1am, but was recalled to the hospital at about 2:30am as he was so agitated, had pulled out his cannula through which he was receiving fluids and antibiotics, and had removed his oxygen mask. He had had to be restrained by security staff. So I spent that night and the next trying to sleep in a chair next to his bed. Thereafter I went home at night to eat and sleep, but spent most of the day from breakfast to around 9-10pm with him, going home for a couple of hours in the afternoon to feed the cat and sort out things at home. Each time I have gone home, I have returned to find him in a state of high anxiety and fairly delusional.
I was expecting to bring him home at the beginning of next week, although I have been told that a Social Worker would be more likely to come to do an assessment if he is still in hospital.
Tonight, I returned home, and had just got into bed when the hospital called, saying he was extremely agitated, and had again had to be restrained. I asked to speak to him, and he was hysterically demanding that I call the police as "five men had been stealing from him and attacking" him. I asked him if he wanted me to come up, so here I am sitting in a chair by his bed for the night again. It has taken a long time to calm him down from his paranoia that the staff are trying to hurt or kill him, and that I am siding with them, but he is not making much sense. He is quiet now but not asleep, and I am exhausted. He wants me to take him home, and he is actually physically well enough now to go home, but to tell the truth, he is scaring me, and I do not feel able to cope with him on my own as he is now. There have previously been a few incidents at home when he has been threatening, pushed me or thrown food or water over me. I don't know where to go from here.
I love him, and want to be able to care for him.
It is dark, and the night seems to be stretching out before me.

Penstemmon Sun 29-Nov-15 17:33:00

Would two singles that can be fixed together then separated if /when needed be a solution? I know that friends said when the mental intimacy begins to go due to dementia the physical closeness is comforting for both partners.

www.linxbeds.co.uk/zip-and-link

nathansgran47 Sun 29-Nov-15 17:21:56

Thinking of you and hoping that things are improving and you are getting some more help

tingaloo Sun 29-Nov-15 17:11:19

Yes Westie, he did ask if the cupboard was the toilet today, and when he was in hospital was wandering into other people's cubicles looking for the toilet. Luckily, guided away each time before any embarrassing occurrences. Thanks for the tip about the hospital bed. We have shared a bed for so long, that it feels like a huge step to have separate beds, but I guess the threat of incontinence looms. Oh this is all so horrible, not what my retirement was supposed to be at all.

Luckygirl Sun 29-Nov-15 16:55:25

Please ask Social Services to refer you to their OT - this should have been done before you left hospital. They will be able to organise the loan of a suitable bed - we got this for my Dad and it was a great help.

Let us hope that your dear OH settles down a bit now he is back in familiar surroundings; but please do not hesitate to keep knocking on doors for any services that might help you - you have paid lots of taxes over the years and it is right that you should now tap into all the services that you can find.

westieyaya Sun 29-Nov-15 16:47:08

Don't buy a double electric bed. I had our double bed adjusted by occupational therapy, but in a very short space of time he was incontinent and we were supplied by occ therapy with an electric single bed, not very glamourous but served its purpose for over a year and its adjustability made getting him in and out so easy. 'Cosmetic' electric beds do not have an up down movement, just structured lifts at both ends, which is no good if your husband eventually needs assistance getting in and out. the electric beds are also very expensive, if they're any good. I've just bought a single one because I need to sleep in a raised position and that was over £2000, many of the companies were quoting over £5000 - for a single bed!!!! Go down the occ therapy route of a free hospital bed, if you've got the space, and if you sleep in another room set up a baby alarm.

Re the disorientation, make large labels words and pictures for each door, cupboards are often mistaken for toilets. Hope all goes well, glad he's home.

boheminan Sun 29-Nov-15 13:24:24

...Just popped in to say 'hello' smileflowers I can't advise on the bed. I slept on a futon for years, they're very comfortable, but like you I now need something a bit higher up, so will watch out for views on adjustable electric beds on this thread

Elrel Sun 29-Nov-15 12:40:16

Good to see you're feeling more positive. All the best x

tingaloo Sun 29-Nov-15 12:35:05

Thank you everyone. We are home now. The trip home (all of 15 minutes)exhausted dh so much that he slept most of the evening, and then was totally disorientated during the night, thinking it was lunchtime. Much more lucid, and back to his old self this morning, and I have managed to trim his beard and give him a haircut. Now gearing up to a bath. I have to admit there were a couple of times in the night that I wondered whether I had done the right thing bringing him home, but feel much more positive this morning.
He has completely forgotten the layout of our flat, and needs guiding to the bathroom. He has also already forgotten that he was in hospital, although he is vaguely aware that he has been away.
One thing you may be able to advise me on. We have always slept on a double futon (old hippies!), but he really can't cope with getting up and down on and off it, so I have decided to buy a 5' adjustable electric bed - we can't fit in anything bigger. Does anyone have any recommendations, or experience of what to buy or not to buy? I believe I would be able to get vat knocked off with the correct medical proof.
While I have been posting this, he has been falling in and out of sleep, and talking away. I can't make head or tail of any of it, so am just agreeing with everything. This has been going on for a while since before the hospitalization, but seems worse now.

Persistentdonor Sun 29-Nov-15 12:12:47

Gosh, what a desperate situation!
I feel it ought to be possible for the hospital to arrange for a few days of respite care on d/c from hospital so that you can rest a bit before your husband comes home.
I agree you really need to discuss it with management and be firm with them.
I wish you some comfort soon. flowers

tubbygran Sun 29-Nov-15 11:14:36

Just sending you my love Tingaloo. I am thinking of you.

Voni Sun 29-Nov-15 11:11:56

Tingaloo
Where do you live? Would you like some company at the hospital with you? Sometimes things are much easier to cope with if you just have someone by your side

westieyaya Sun 29-Nov-15 10:53:57

Tingaloo, I'm sorry I didn't see your message sooner. I was in an identical situation for 2 years prior to losing my husband 3 years ago, including the security restraint in hospital and the hallucinations. Because my husband was a lot older than me, the hospital assumed I was the same age and called my son in the middle of the night. Having some experience of the working of the nhs I kicked up such a fuss that he was transferred to a single room where the noise and light of the ward didn't disturb him. But for whatever reason the refused sedation and more importantly didn't call out the psychiatric team, which they should have done. You should ask if this has been done.
As its now a week later I hope you and your husband are peacefully at home. Sadly if your husband becomes too difficult to handle you will have to consider residential care, there are some very good homes out there with superb caring staff.
I was lucky, I knew a private career who would come and give me a break occasionally and who was brilliant with my husband, I also had the local social services team in to help get him up and dressed each day and in my area this was a free service for the first 3 months. But it's very much a case of if you don't know who to ask you don't get. I found the once he had been assessed the local dementia team were a brilliant source of information and help.
I know that different areas have different set ups, and I wish I could be more help. My thoughts are with you, hang on in there and make a fuss if you're not getting the attention you need.

angie95 Sun 29-Nov-15 10:53:22

Hi tingaloo,
I hope you managed to get some sleep, and remember to eat, as I know you want to look after your hubby, but you need strength, I agree with Galen, Do you have any help?
Nana3, has a good idea, maybe that will help you too, #
Know that even though we only virtual friends on here. we care sweetheart, so don't feel alone Sending hugs xxxx

grandmaz Sun 29-Nov-15 10:33:14

Thinking of you both Tingaloo...Just don't run yourself ragged now that he is home again... as many have said, here, your own health is just as important as that of your DH...and if he were not ill, he would be adding his voice to others by reminding you of that.

Keep posting and letting us know how things are going...flowers

boheminan Sat 28-Nov-15 15:04:24

Just over a week from your original post tingaloo and so much has moved on for the better. I'm intrigued to know how things pan out for you and you DH now and in the future, and hope you keep chatting to us on here flowers

loopyloo Sat 28-Nov-15 14:09:16

Dear Tingaloo,
So sorry to hear about this situation.
He definitely needs an assessment by a psycho geriatritian. Has he had a diagnosis of dementia? Is he on any medication. I found my brother was helped very much by Memantine and lorazepam. Has he had a brain scan?
If he is this aggressive there is no way you should agree to have him home and he should go to a proper dementia unit, hopefully near where you live.
You are not alone .

I know this is upsetting but it would mean you would be able to visit him and support him while maintaining your own health.

tingaloo Sat 28-Nov-15 13:29:54

He has just been weighed - 51.3 kilos, or 8.08 stones. He is 6 foot. Time to up the food supplements I think!

Stansgran Sat 28-Nov-15 13:20:29

Very heartening post Tingaloo. So pleased for you. Don't disappear. Keep updating.

Buddie Sat 28-Nov-15 11:38:54

Tingaloo, I am so pleased that help is being offered and plans put in place for you both. It is natural to want to do everything for ourselves for our loved ones but sometimes that means drawing on the strength of others and we shouldn't be afraid to ask for that help as it isn't always freely offered when we appear to be coping without. Pleased to hear you are feeling upbeat about welcoming your husband home and hope the familiar surroundings with comfort and calm him, too.

Luckygirl Sat 28-Nov-15 10:40:08

So glad that you have been able to build a bit of a safety net around you so that it is possible to carry on. That is good news indeed. smile

tingaloo Sat 28-Nov-15 10:17:13

I saw the Social Worker yesterday, and I am to have respite for one to two weeks three or four times a year, and emergency respite if I am ill, or if there is a problem with my 90 year old mother who lives over 100 miles away. At the moment Iam more than happy to do his personal care. He is coming home this afternoon. I am excited and apprehensive at the same time as he is still very confused, especially as the day goes on. He says he cannot remember where we live, but I am hoping he will recognise it when he gets home. He has been referred to the adult Mental Health team, who will be coming to the house to assess him, and I am in contact with my Admiral Nurse. So I am feeling fairly upbeat, and a lot more confident about creating a fuss if I think it is necessary. His son came up from Wales for a couple of days to see him, which delighted him (and me). I can't reiterate enough how much the support and advice I have been given on gransnet have meant to me during this dark time. What a lovely knowledgeable group you all are.

Luckygirl Sat 28-Nov-15 09:36:21

How are things tingaloo?

deaneke Sat 28-Nov-15 09:33:18

What lovely people on this post. Lovely words of support. It certainly is refreshing to read during these dark nights and times. I realy hope things are in place for you.

Luckygirl Tue 24-Nov-15 14:23:33

Hang on in there. Glad you had some sleep last night smile

Anya Tue 24-Nov-15 13:43:06

Good about the urologist. MiL's dementia was always worse when she has a UTI.