Sunday, January 19, 2014

Interview of Karen, Caregiver for Her Mom

Karen and Her Mom
When Karen sent me two pictures, she said that even after taking care of her mom who had Alzheimer's the last years of her life, she can only remember her mom as happy. At the bottom is one of her parents she says--"happy times". 

Karen and I met somehow in the Alzheimer's caregiver blogging world. She would write on my blog and I would write on hers. She always seemed so lovely and was willing to let me interview her.

Carol: How long did your mother have Alzheimer’s and how did you come to live with your mom?

Karen: In total I believe that Mom had Alzheimer’s ten years or more while we lived with her. I was 4 months pregnant with my son when my dad died and she went right into baby-sitting. I got a divorce when my son was 4. Mom babysat for me while I worked and my son loved her so when I divorced we got our own place but my son wanted to stay with Mom. I figured why pay rent! Why not stay with mom all the time! So we moved in with her. She told me once that my son saved her life. She said she would have died without my son to care for! Mom and I were best friends. It was perfect. I did not date until after my son was in college. I just was so content with our life.

I drove a School bus and worked in the school kitchen when my son started school, so we would have the same hours. He rode a different bus than mine and Mom would be on the front porch at 3:00 waiting for him everyday. When he started middle school, I started driving a transit bus full-time for more money. I did that for three years. That is when mom‘s Alzheimer’s started.

As she got worse, my son would come home from school and find her walking down the street or at a neighbor’s house and not really remembering why she was there. As he got older she was not eating, not bathing and hoarding stuff in her room. She called my brother and sister all day and me at work over and over. My sis worked nights but she started coming over to care for her in the day while I was at work.

Anyway she got worse and worse. After months and months and years of decline she would not get up to go to restroom or do anything for herself. I would get up at 4 am to have her ready for my sis to come in after work to care for her.  Then I would go to work. That was not working for anybody. So I went back to being a part-time School Bus Aid. It just got worse. My sis was wearing down working nights and here during day and I was too from being here the rest of the time and working. My brother helped when we asked and he tried hard, but he is a guy and he felt awkward with Mom’s personal needs. He had to work too. Finally I gave up and became her full-time caregiver.

Carol: So the caregiving role just developed over time and anyway you were living with your mom. Your relationship with your mom seemed so mellow.

Karen: The reason our relationship was so mellow is that I am the baby of the family and my dad was a truck driver—we were used to each other and my sis and brother were grown and gone seems like forever and it was just she and I. We were best friends. I wanted to be with her more than with my girlfriends.

Carol: As the situation changed with the Alzheimer’s entering the picture was it hard to maintain the mother/daughter relationship?

Karen: Over time I lost the daughter mom dynamics. I went from daughter to caregiver. I regret that. I bossed her around so often and now I try to remember if I gave her any loving and did I talk to her in her last stages?  Or, did I just go through our routine of sleeping, eating, bathing, getting out of bed?

Carol: How long did you take care of her full-time after you quit work?

Karen: About four years at the end of her life.  

Carol: You didn’t seem to have much of a break in your caregiving from what I can tell on your blog. Was it stressful?

Karen: I remember sometimes I would be so stressed I would get in bed with her and lie beside her and just cry--wanting some love from my mom. But I don’t' think I gave her enough love.

Carol: Why do you say that?

Karen: Mom became like a child, and then a nothing--she was just there. NO words--never moved. I had to do everything. I hope your husband stays hard to handle because that means he is still “in there”. Hard on you, Carol, but better than his not responding to you anymore, I think.  Your husband might be hard to handle but he still argues and talks back to you a little so you know he still is thinking about stuff.

Carol: I am still fortunate after five years. We do talk and he tells me he loves me and I tell him I love him. Our routines are getting past the stubbornness. He is really not hard to handle, and I do have a volunteer caregiver neighbor who helps out when he can.

Carol: What was it like—switching roles?

Karen: At first she was very independent as far as paying bills and handling her money. She wanted to keep taking care of money matters, but she was writing checks wrong and not keeping up with the bills or losing them. So that was hard. I had to ask her, Mom, do you want me to write the checks for you? And at first it was no then later not now and then she would say later for like months. Then she got to where she would say yes. She always had to have lots of cash in her purse but was losing it. She would want to get $500 out of bank every month but not take care of it. She could not drive. Never did so and that was a blessing because someone would have to take her to the bank. We finally talked her into just getting $200 out. Very slowly she would give in to letting me do more.  As the disease got worse, the more I could do for her.

Carol: I have taken clues from others. I happened in our case that when I retired from full-time teaching, my husband fortunately turned finances over to me because he would work for another year. I still compliment him for the fine budget spreadsheet he set up that I follow. He caught me on-line banking and so I write very few checks. At times he asks to be informed. Also taking clues from others in the blogging community, my husband still has a wallet, a driver’s license that he doesn’t use and a key to our car.

At one time you placed your mother in a nursing home. What happened to bring her home?

Karen: We could not pay for another placement. She had too many assets according to DHS and not Medicaid to pay for bills--just Medicare. We lived paycheck to paycheck but she had two houses and they had to be out of her name for 5 years before she would be able to get Medicaid. If she had only had the one home I think she could have gotten it. But one house was rented and so we would have had to sell it and use up all that money before help. She did not want to sell it. It is a long story but she gave it to my sis. And she gave her house to me. But not on paper--just in the will. First thing we did wrong was not to get the titles transferred officially. It is hard but you need to explain to your parents that everything has to be out of their names and in yours for over 5 year now for them to get any government help. And if you are not rich, you will need help or have to live paycheck to paycheck like us. I cashed in my IRA and teachers retirement to pay off any outstanding bills and we used her and my savings as we went along when her Social Security check was not enough.

Carol: Name some extraordinary stress you encountered living this way.

Karen: She got so hard to care for that I bought a van with a wheelchair ramp and took her into see doctor for years, She would yell and scream and it got harder and harder. They put her on Alzheimer’s meds to slow it down and she was in the early stages for years with slow changes.  The mid stages were about 3 to 5 years.  The last stages were around 2 more years. But it was awful. We had to do every thing for her she did not help to do anything anymore. My cousin said to ask for Hospice to come to house. I said, No, she is not ready to die. My cousin said they would come if her doctor agrees with it and she does not need to be near death. Well I asked her doctor and they called Hospice.

To keep Hospice there has to be a decline in a patient every 3 months. Well it was slow but she did decline some. And hospice was so nice and wanted to keep coming. They paid for everything--all her needs. All I had to do was buy food. Thank goodness for them. It was great. They did take her off blood pressure and Alzheimer’s meds but she was never in pain--they made sure of that. She had Arthritis really bad so they kept her pain free. They came twice to 3 times a week depending on her condition. She would have a bad day or week and they would ask me if I wanted them to take her to hospice,  but she would come out of it. This happen at least 3 times in the almost 2 years they were coming.  But then she got Aspiration Pneumonia. Everything she ate or drank went in her lungs. She was choking on everything. They gave me options to take her to Hospital and she might get better but she would no longer be on Hospice or I could send her to Hospice and they would make her comfortable and let her go peacefully. I gave in and we took her to Hospice. It was awful. She was so sick. And I was so tired. I just needed sleep. The first night at Hospice I sleep on sofa all night. First all night sleep I had in years! The next day they said she coughed all night and I told them I did not hear her cough once. Can you believe it!  I slept though her coughing all night. Not good.

When she went to Hospice she had no pressure sores. I worked so hard to keep her turned and clean. I was so proud. That is the only thing I am proud of. I was not nice enough to her, I felt—it was just so hard. I just changed her diapers got her up, dressed, and fed her  like a robot . We had a routine and it never changed except on the days the Hospice Aid or Nurse would come.

Carol: Looking back, what advice would you give someone taking care of his/her parent with dementia?

Karen: If you are going to care for a love one fulltime, have the finances in order. Call an Elder Attorney. Ask for help. Get all the info you can get. And if you can, try not to be the fulltime caregiver.  Be the daughter or son and let someone else be the caregiver. I believe if she had been in a nice assisted living home, I would have loved to come visit her as a daughter--never a caregiver.  It would have been wonderful to have someone able to care for her at home while I worked. We could all be her kids and she our mom. I missed all the years we could have had in the later years because I was her caregiver and not her daughter. You can't get them back.

Carol: Since your mother died, was it hard to get back into the work force?

Karen: I used my recent experience. After she died I went to Lifestyles to work. It was working with people who have disabilities. All ages. I just helped them live on their own. I took them shopping and out on the town.  I helped them with chores or just ran errands. I did that for the first year, but I needed to get away from caregiving all together. I am a Courier now. I am driving again. I love to do that. I run in and out of clinics and banks picking up and dropping off stuff to them. Love it.

Carol: What a pleasure it has been to hear your story! You were an awesome daughter and maybe didn’t give yourself enough credit for the difficult job you had. Your advice is timely for others who read this blog. Thanks so much, Karen!
One of Karen's Favorites of Her Parents


Thursday, January 16, 2014

Quilt for a Grandson

What a joy to make quilts for each of my husband's grandchildren! The oldest one and his bride got a quilt at their wedding. Last summer the first granddaughter received a quilt. It is about time I finish this quilt for the next oldest grandson. This grandson's b.d. was in December and my husband and I just sent him a card noting the quilt would be coming. 

We have a karate theme going with black, white and red. I used a rotary cutter over plywood to cut out the pieces as seen in the first photo. 

Then I alternated colors and put two white and one red strips in between. This seemed masculine to me. 

A covered pool table comes in so handy!
What will the size of quilt be? The size of the pool table! 
I sewed all the pieces together and then went to Fabric Warehouse in Lakeland to discuss how to finish it. There was no fleece there that would work (the cheapest warm way to go), so I invested in "wonder under" batting and just the perfect karate cotton print for the back. Red bias will frame the edges and I already had that. 

Two of my husband's pockets from his clothes (red shirt, and too-big and worn-out jeans) were sewn into the quilt for cell phones or whatever. That is how his grandfather is part of this quilt. I texted the grandson about the pockets and he loves the idea. His sister also had pockets in her quilt that I blogged about previously HERE

Now I had promised this quilt would be mailed this week. Then I got sick! I had energy for very little. I texted that grandson and he called back. He said to me "I love you!" This warms the heart of Mrs. Carol, the step-grandmother. He had to get off his phone,  I didn't have the chance to say I love you back, but I do hope that this quilt lets him know we love him. 

I brought the almost finished quilt to show off after church.  Grandpa wore it over his suit jacket to keep warm when we ate outside at our pastor's home after the worship service. I do not know why I had to show it off, but it does give me such pleasure to make quilts for his grandchildren. Two more quilts are coming, but at the right you get the idea of this quilt with red binding and karate material on the back. 

Off to the post office 
to mail the quilt!  

Tuesday, January 14, 2014

How a Dementia Brain Is Working Now

  • Hubby thinks he needs extra protection. I had a police officer talk with him and then he stopped  this obsession.
  • He tells the waitress that the same couple sat there three days in a row; waitress didn't verify and of course it wasn't true. 
  • He believes that he has been in his new doctor's office before, whereas I know he hasn't. 
  • Recently he called me mommy and said he was sad because I was up early and wasn't going back to bed. That was only once and I do hope he meant that I "mother" our dog. We go to bed so early and I am an early riser now. Early morning I can write better than late at night. 
  • He confused sisters and wives. He thought he had three sisters. He still knows I am his wife and that he has two adult children with his first wife. He feels related to relatives that call or that he sees often. 
  • He has difficulty understanding why he hobbles when he walks. He tells someone it originally was a military injury, but I have never heard that before. 
  • DH thinks a barber shaved his head, but his thin hair was always sticking out and I was the one to give him that bald look with a trimmer. 
  • He is increasingly stubborn. The shave is easier, but not always his shower for me; when Kenny is sick as he has been lately, it is my turn to get the shave and shower done. Sunday morning Kenny surprised us and VERY SMOOTHLY took pills with my husband. This is their "pill pippin' buddies" routine where Kenny takes his pills at the same time. Then Kenny easily gets my husband into the master bath for a shave and shower. He has the touch. I appear to be the nag for my stubborn husband. 
  • He forgets that we have a different car that we purchased last month. 
  • He asks where we live and how we came to live in our home. 
  • He can't keep track of relatives he doesn't see often. I have too many relatives, he says. Have I really been married three times? 
  • How remote controls work and how to put in his false teeth are starting to be a concern for my husband. 

I adjust to what he says and does and do not argue with him. I am rejoicing that I have hubby walking and still at home. 

We changed health insurance in 2014 because I felt there are more benefits for my husband's dementia situation. Monday the new doctor asked hubby to take off his shoes so he could inspect his feet since hubby is a type-two diabetic. I was impressed. Previous doctors have not done that. I told the new doctor how, since anesthesia makes the Alzheimer's worse, we have avoided surgery  on my husband's knee and how the chiropractor has helped him. Even though admittedly husband is in a middle stage of dementia and losing memory and function after five years, the doctor felt that he should continue the Exelon patch and of course Namenda. 

Me: Did I put your patch on this morning?
Hubby: You must have because I am not leaking anywhere!