I live with and care for my 81 year old friend who has been physically ill for around 2 years. He had an emergency bowel obstruction resulting in a stoma bag, then suffered dehydration with kidney failure three times followed by a stoma reversal operation. Then he suffered a blocked catheter that caused urosepsis with septic shock. He refused treatment each time until doing so would have resulted in his death and it's been harrowing being unable to do anything when he so desperately needed treatment but wouldn't accept it. For example he suffered 3 months of severe sickness before he agreed to a Drs visit and she immediately diagnosed a bowel obstruction saying the vomit was faecal matter that was unable to go down, when a blood test, which thankfully he never refused, revealed he had dehydration with almost total kidney failure our GP rang telling me late Friday afternoon to call an ambulance but he refused to allow this saying there was no way he would get in it because he refused to go in hospital on the weekend. It took him an hour and a half to crawl up the stairs to bed and Saturday night he asked me to ring his son to lift him into bed as after an hour of trying he knew he was too weak to do so. Yet he still would not let us call the ambulance. By Sunday morning there was no output in his catheter bag and he then agreed! Each time I said I couldn't and wouldn't be put through it again but I've had no choice. Because I live here with him his family and I admit even I took it for granted I would care for him. But I had no idea things were going to get much much worse. He had been suffering memory problems for some time but then he started being aggressive and I realized his whole personality had changed, he became impossible to reason with and refused to shower, wash or change his clothes for weeks at a time (I'd been having problems with getting him to shower for some time but this then worsened) and his memory became so bad he forgets he's eaten dinner.
After researching dementia I realized its highly probable he has it. His family refuse to be involved with his care and I feel so alone and helpless. He refused his permission 4 times for a needs assessment before finally agreeing the 5th time and I also applied for a carers assessment. I have no idea when these will be but I'm terrified I'm pinning my hopes on receiving help for the tunnel light to be yet again extinguished. Before he became ill he was my carer, replacing my CPN. I am mentally disabled with many physical and mental problems of my own, I have adult Attention Deficit Disorder, had 4 psychotic breakdowns from 1981 to 2002 and both my physical and mental health have deteriorated in my endeavour to care for my friend and I cannot cope with his aggression that can only be described as abusive behaviour towards me. I am asthmatic but he refuses to stop smoking in the house, I smoked myself for 44 years but 3 months before my asthma was diagnosed I quit as I have a hiatus hernia and smoke aggravates the heartburn this causes but he refuses to believe his smoking also aggravates this. I have lived here for 12 years, 10 of which have been the happiest of my life. He offered me to move in with him as I wasn't coping living on my own. Moving out is not an answer and I can't really see there is an answer which makes me feel so scared. Any advice welcome.
I had to sleep?! on the settee which isn't very wide but my daughter has now gone on her holiday and the kids have gone to stay with their dad so from now on I'm sleeping in my daughters bed and the cats will find it much less stressful without the 3 kids here.
I'm so glad you said it's good I didn't leave the phone number, I've still been worrying which is silly I know but I can't help it. But then I realized that Don has my mobile number although I'm pretty sure he wont remember he has it! Both his sons know my mobile number though so I'm sure if they really need to contact me they will.
I have no idea how often his sons will visit or how long they'll stay when they do but they will see things as they really are and then know I have not exaggerated about how bad Don is and how impossible the situation is.
When I wanted to stay with my other daughter last month I tested Don to see how he would cope, I stripped his bed (where his catheter had leaked) but didn't make it back up, I stopped doing everything for him, didn't do the dishwasher or the washing. He slept in his bed unmade and even though I'd explained to him he needed to do the dishwasher and the washing and offered to show him how to set them his reply when I asked him when he was going to do them was "I didn't know I had to"! So I explained again, again offering to show him how to set them to which he replied "no, it's not rocket science, I'll do them when I'm ready"! But he never did! After 3 days we had no clean kitchen utensils, plates, bowls etc and the washing stunk so bad i'd had to put it out in the shed. He'd taken a dirty duvet cover from the washing and his duvet was stuffed in it in a lump, he had no clean trousers and when his catheter leaked again he took a dirty pair from the washing, I tried to stop him telling him they were dirty but he put them on saying they were dry! He reused dirty plates/utensils which I'm sure was the reason he had a bad upset stomach.
I was in tears by the third day and spent it catching up on the backlog, realizing there was no way I could go to my daughters for 3 weeks as he couldn't even cope for 3 days!
Yet he was still adamant he will be fine, that he will cope and was looking forward to being on his own. He has obviously forgotten about those 3 days!
I know he won't cope but have no expectations of him admitting this. I want his sons to see the true picture but at the same time I don't want them going and doing everything for him as HE needs to see that he CANT manage on his own. Maybe, just maybe he will then realize just how much he DOES need me and will treat me better when I go back?
And once his sons know how things really are then maybe, just maybe they will realize they HAVE to help? If they could get him into a routine of going to their houses to shower just a couple of times a week it would make a tremendous difference.
ing with your daughter while you have this time. And seriously think about whether you can go back to living like that!
He asked me to leave him my daughters phone number but I forgot and I'm wondering if that's a good thing? Her number is in my book in the drawer but I know he wouldn't think to look in it if he needs to speak to me. But I'm here for a complete break and I feel I don't want him ringing me. Is that wrong?
He lost his temper several times telling them he just wants to be left alone, goodbye. So we then all went outside to discuss him and Helen said he knows what he wants so has got mental capacity! I reminded her about the four phone calls that Adult Social Care made to him to ask his permission to assess him, Don refused each time and when I asked him why he keeps refusing he said he hadn't refused and wouldn't refuse if they asked. I then reminded him of the last call in which he'd told them to ignore me as I'm "off my trolley" and he said he does remember the call but didn't know it was about an assessment! I would have thought that said more about his mental capacity than him yelling that he wants to be left alone! Helen didn't comment!
They said there is nothing they can do to help even though they said it's obvious he is not looking after himself! I then mentioned the dementia and they asked if he's been diagnosed, I told them he refuses to see the GP so I can't get a diagnosis. They then said they think he has depression, not dementia and Don's son Christopher, who came with them, agreed! I told them Don's eldest son Andrew visited recently and he told me he'd picked up on the fact he has dementia. Andrew obviously hadn't told Christopher though! I showed them my list of dementia symptoms which they all read but they still said they think he has depression!!
I couldn't believe my ears - depression does not change someone's personality making them aggressive and abusive, nor does it cause you to forget you've eaten dinner, make you impossible to reason with, cause you to get AM n PM muddled up, go out without your trousers on or believe you shower daily when you don't shower for weeks at a time. Nor does it affect your short term memory or prevent you retaining almost everything you're told. But nothing I said convinced them he has got dementia and is not depressed!
I told them I've arranged to take my cats to go stay at my daughters house on Friday and even though they admitted Don can't look after himself and know he has said he won't take his medication they said they think this is a good idea. I asked if they will come to check on him, they said no but Christopher said he and his brother David will do. They asked if Don does any of the shopping, I told them he doesn't as he won't use a computer, that I do it online. What I should have said was that Don does NOTHING to contribute to running the household as I had to take over doing it all when he became ill almost 2 years ago. Hindsight is a wonderful thing, I didn't think to tell them that. He doesn't clean up behind himself, he does cook his own meals but these are usually ready meals. I told them how he put his dinner in the oven one night and then went to bed and also that he has blankets with more burn holes than blanket as he smokes and burns them. They asked if we've got smoke alarms, of course we have but Don ignores them if they go off as he doesn't realize that's what they are. They chose to ignore this!
All I can hope is Christopher and David don't just make flying visits as if they spent some time with Don they will see for themselves he has dementia and that I have not exaggerated Don's problems.
I feel very angry that these people spent no more than half an hour between them with Don yet tried to tell me he has depression, not dementia. I've been with him 24/7 for the last 12 years and I know they are wrong.
Just as they're wrong for allowing him to be left on his own for ten days.
It didn't go very well as he completely lost his temper, banging his hands on the arm of his chair and shouting that he doesn't need help, he can look after himself n he just wants to be left alone.
But Chris could see (and smell!) he can't look after himself. He is still wearing the filthy cream sweater I mentioned in an earlier post that's covered in food and port stains with the sleeves being black with filth. Chris didn't stay long, he said he's obviously not going to be able to reason with him today to which I replied you can't reason with him any day as he has dementia. He said he doesn't know what he can do n that he needed to speak to his manager but that he'd be back. I gave him my email address n he went saying he'll be in touch.
He then sent a test email to make sure the address was right and I replied telling him I'd spoken to Jacqueline about going to stay with my daughter and that my daughter had just told me she is on holiday from 16/25th April so her house will be empty. Going on the 15th will be easier for my cats as they're not used to children and I decided if nothing has been done by then I will definitely go.
At first Chris emailed back saying he was out of the office until the 11th and would email me when he gets back but he obviously changed his mind as he then sent another one saying he'd tried to arrange for the mental health team to visit Don but they are reluctant without Don's permission. So he said he and a colleague are coming on the 12th as the mental health team are questioning Don's mental capacity and his colleague, Helen is going to assess this. She won't be doing a full test as he said that takes more than one visit but he's hoping they will find a way forward from her assessment.
I'm certainly hoping so too but if they can't then my daughter will fetch me and my six cats on Friday. Both Jacqueline and Chris know he cannot look after himself, he admitted he wouldn't take his medication if I wasn't here and although he believes he'll be fine we all know he is deluded.
But if I don't make a stand then I've a feeling not much will change n after trying to care for him for almost 2 years I need this nightmare to end. I've had to quit trying to get him to shower as he became so aggressive and abusive, nothing I've tried has worked so I'm just having to grin n bear his horrific smell for a few more days. I've already packed everything except all the things that have to be done at the last minute, like cat litter trays, food n water bowls etc.
Oh yeah Chris also said in his email that he is going to contact one of Don's sons so he is aware of the situation. I'm pleased about this as I feel very bitter towards his family for refusing to become involved in Don's care. Don should be their responsibility, not mine but they have done nothing to help despite my pleas. I asked for a meeting with his 3 sons so we could discuss everything but they don't want to know!
I will post again after Don is assessed tomorrow.
I had my assessment yesterday, it was done by a lovely lady called Jacqueline n she saw the state of his filthy clothes which told her he's far from fine. He asked her 5 times if he'd offered her a cup of tea and she agreed he's definitely got dementia. He also spent the first hour slagging me off to her which she told him is not on. She asked me if he's always been like this towards me and I said the old Don would NEVER put me down, he always used to treat me with respect but that his whole personality has changed. She also told him a few home truths about his lack of personal hygiene, that his jumper is covered in food stains, that he needs a shave, that his hair needs washing and cutting, his finger nails need cutting and cleaning and even that he stinks. He took it better from her than he would have from me although he did get aggressive a couple of times. He told her he showers every day when in fact it's almost a month since he last had one.
Right the way through the assessment he was adamant he will not allow anyone to come in to help him as he believes he doesn't need help. Then right at the end he changed his mind and agreed to allow it as we seemed to get through to him the detrimental effect this is having on me. Even so I'm still not getting my hopes up as he could easily change his mind back again!
I expected it to be a one off meeting but Jacqueline said she is coming back to see us again. The assessment was for me, she said someone else will come to assess Don, I feel it would have made more sense to do us both together but maybe mine got brought forward because I wrote to the MP.
All I can hope is that Don won't go back on allowing help. I told Jacqueline how I've considered taking my cats and staying with my daughter but I'd worry as Don needs medicating daily. He immediately said he doesn't need his medication and wouldn't take it. But he has hypothyroidism and DOES need it. He's also on Omeprazole which he also needs. He is adamant he would be just fine if I went but I know he wouldn't be. He put his dinner in the oven one night, forgot about it n went to bed. Jacqueline asked if we've got smoke alarms, we have but Don would ignore them as he has in the past. Another worry is Don has a permanent catheter which he forgets to turn to off. This morning I found 4 wet pairs of pajama bottoms in the wash basket but when I asked him about them he said he doesn't know what happened! His bed is soaked and so is the pair he's wearing which I've just told him to change.
So I've decided going to my daughters will be as a last resort only if all else fails.
I also made a Drs appointment for next Thursday and have written a list of Don's dementia symptoms to show her. I don't know what she will do but I'm pretty sure she will agree that his symptoms can only be dementia.
I will post again when I know more.
I agree that caring for him is beyond my capabilities, it's a carers job to see that he keeps himself and his clothes clean but I am unable to do either as he fought me every step of the way, becoming aggressive and abusive towards me. He goes weeks between showers and wears his clothes 24/7 but I now say very little about it. It's a carers job to see he gets exercise but he goes out once every 2 months to buy 1000 cigarettes and then he goes on the bus! He spends all his time either in his chair or in his bed although he does make frequent trips to the kitchen for snacks and meals which I make a point of not doing for him.
Yes it is stressful having to watch him self neglect and spend hours lying in bed every day but I can do nothing.
I put a lot of time and effort into getting our assessments with Adult Social Care, he refused his permission 4 times to be assessed but then said he had never refused and that he wouldn't refuse if asked! He said he didn't realize the calls from ASC were about an assessment! Finally last month ASC asked our GP to ring him and he agreed.
So I feel I need to wait for these assessments, ASC have a legal duty to provide help to cover our needs and my biggest need is to relinquish being solely responsible for Don. If they can do this then life should improve. If it doesn't then I'll have to think seriously about moving out. But if I move out there is no way Don can look after himself. He does nothing in the house and hasn't done since he became ill in 2014. He won't change his catheter bags, he can't even medicate himself as many months ago he twice took 4 tablets instead of one so I have to medicate him. He won't use the dishwasher or washing machine, last time he went out he bought his cigarettes but forgot to get the bread and coffee we needed and won't use a computer to shop online. He also forgot to put his trousers on when he went out, he normally wears them over his pajama bottoms but after he'd gone I saw he'd left them on the chair!
We see no one from one month to the next so if I wasn't here no one would know that he wasn't coping.
I've heard nothing from ASC about the assessments, I told them they are urgent, that my physical and mental health are suffering and that I can't continue caring for Don.
So yesterday I wrote to my local MP in the hope he will speed things up. I will update again when I know more.
If he continues on the downward slide I'll have no choice but to watch him deteriorate and it will be his choice whether he decides to accept medical help or not.
As for Don, he has been spending more and more of the day in bed these last couple of weeks often saying he doesn't feel well. My suggestion that he sees the doctor was met with a flat NO, saying he would only ply him with more pills! The last couple of days he's also stopped the continuous over eating he was doing so he's obviously on the downward slide. And normally as soon as I come upstairs to bed he's up eating, smoking and watching tv but tonight there's a blissful silence down there and no smoke polluting my air.
But I dare not to get my hopes up that this nightmare may be coming to an end as I've hoped before only for them to be dashed. I feel pretty certain that this is what he wants too as he often says he just wants to be left alone to die in peace.
Each of the 5 times he's been seriously ill he has always accepted medical help only when he'd reached deaths door but something tells me he has had enough and would willingly go through it next time. I just hope I can deal with the feelings of guilt for being unable to be a good carer to him.
And no, I live in the UK. A couple of days ago I emailed Mind which is an organization to help with mental health. I don't know if they can help but anything is worth trying. They said the reply will be within 5 days so fingers crossed.
Has anyone had problems with their caree smoking as I really need some advice on this?
With the help of e cigs I quit smoking in May last year as it aggravated the heartburn I suffer (caused by a hiatus hernia) but unfortunately Don still smokes and although he won't smoke when I'm in the same room I can't get through to him it permeates the whole house and rises up the stairs. He smokes 20/30 overnight starting as soon as I go to bed and although I keep all upstairs windows open, they only open at the top and the air quickly becomes foul.
Even when I was diagnosed in August with asthma with a reduced lung capacity he still refuses to smoke outside or even open a window downstairs. I often come downstairs to open a window/door in the night to clear the smoke but this is met with aggression and abuse with vicious words often being exchanged which help neither of us.
I have tried every way possible to explain how his smoking affects my sleep and my health but he takes it as criticism and replies by saying he's not listening, then putting his headphones on.
I feel overwhelmed with intense frustration, rage and hopelessness that builds inside me and has no outlet.
It's obvious you don't live in the US, so I'm not sure what services are available for YOU, but you need to start looking into them. You need some emotional support and also some support in paying your bills and managing your money. Are there services where you live to help you with those things? You need to start looking into those things now and not wait for him to get worse. It sounds like he's going to pass away before long, if he refuses help, but then what happens to you? You need to start getting your plans in order and get support lined up for that time. I also wouldn't count on you being able to stay in that house. Plan for the worst and hope for the best. So line up some other living arrangements and if you don't have to use them, great.
Hugs to you - you're a wonderful friend who has been supporting a person who is very, very problematic. I hope you can find some good support for you!
I have considered just walking out, going to stay with one of my daughters, leaving him unmedicated and with no care and see what happens but several things have stopped me from doing this. I have six cats who would have to come with me as he certainly couldn't look after them and I have no one else here who I could ask. And although both daughters have said I can take them (even though one daughter has a dog and two cats of her own) it would be no easy feat to do so with all the paraphernalia they would need and it wouldn't be easy for them either as they're not used to children or dogs. Yeah ok this probably sounds like me making excuses but my cats are my babies and I know I worry about them too much. We did get as far as doing a trial run once, my son in law fetched me and two of the cats for a day to see how they fared (not brilliantly!) but taking six would be much more difficult. Another thing that prevents me going is not knowing what state the house would be in when I came back as Don never cleans up behind himself, if his catheter leaked he'd trail it through the house and into his bed and he'd never lock up at night. And if I'm honest I did wonder if he would allow me back as he believes he doesn't need me to care for him!
As I said I don't know if he changed his will, I will ask him when I feel he is lucid enough to remember. If he didn't I do know he wrote a clause in the old one saying that I am to be allowed to live here until I die. Surely this would prevent his sons being able to evict me?
I emailed Mind yesterday not really knowing if they can do anything to help but feel anything is worth trying. I have no idea how long the wait will be for the ASC assessments and feel so scared that they too will have no solutions. Don would NEVER agree to going into a care home and while I understand his need to stay in his own home, this has only been possible because I live here too.
There have been no contracts but he has always said he's leaving the house to his sons but after he dies I can live here for the rest of my life. Last summer he asked me to get him a new will form as he wanted to change his will to leave the house to me, I think he said it would be better regarding council tax. He took the will form back into hospital after a visit home and I don't know if he changed it or not. Nor do I care as I was quite happy with it as it was, knowing I have a home for life is all I needed.
Yes I have thought that maybe I should ignore this and think seriously about moving out but the thought scares the hell out of me and I have no idea where I'd even start never mind whether I could cope living alone. I lived alone for 4 years after my marriage ended and did not cope well especially with bills and paperwork. Don has always dealt with those here, I assume he is still doing so and haven't thought far enough ahead to the time when he can no longer do this.
I just feel so totally exhausted all the time and know I'm not thinking very clearly. I feel strong resentment towards his family and can't believe they refuse to become involved with Don's care and needs, instead leaving it all to me. I feel so alone and dejected at the hopelessness of the situation and just want to wake up from this nightmare.
I am agoraphobic, the only place I go out to is the chemist and local co op as I don't cope well meeting people I don't know and cannot cope with public transport. To get legal advice I would have to go into town 7 miles away and to be honest the thought scares me and I feel it's beyond me. My CPN helped me sort out my benefits years ago and I receive DLA and also SDLA. Maybe if I could have a CPN again she would help me to get legal advice? Would my GP help me to get another CPN? The GP Practice I was with for 30 years closed down a few years ago and the GPs at this practice have been as much use as a chocolate teapot when I've asked for their help. I have many health concerns regarding my friend, for example he's not had any follow up hospital appointments since his stoma reversal in June 2015, he's not using his glaucoma eye drops but hasn't had any eye appointments for about a year, when last in hospital in October he was diagnosed with hypothyroidism but no one was monitoring him and many more but all the doctor doctors at this practice just ignore my concerns. I even wrote them all in a letter to one of the GPs but this too was ignored! Only one, a locum took notice of me when I told him Don's bowel movements are exactly the same as they were before his bowel obstruction and he did a home visit to give Don a rectal examination but Don refused to allow this telling the doctor to go away! Oh it had been good to see that tunnel light!
I would consult with an attorney in your area to see what legal recourse you may have. Perhaps there was a contract that you could recover from, even if it was verbal. I would explore my legal rights and also explore what benefits you may be entitled to due to your disabilities. They may be funds, therapy, housing, transportation, etc. I would not delay in seeking safety and legal advice.