Advocacy, Real life, Toward better care

“good pleasure” #lastmonthwithmymom 16/07/16

July 17, 2018: One month from today, August 17, 2018, will be the second anniversary of Mom’s death. I’m looking back at our last weeks together with joy, sadness, anger, gratitude and bittersweet grief. I intend to share some of my feelings, observations and experiences of that time two years ago over the next four weeks.

~~~~~~~~~~~~~~~~~~~~

I found Mom in a deep sedated slumber on the afternoon of July 15, 2016, so I left without attempting to wake her. The next day, the sixteenth, I decided to flout the time restrictions that had been placed on me (as I often did), and got there at 3 p.m. (when I should have been leaving instead of arriving). I knew the chances were good that Mom would be awake at that time. I was right. She was awake; and she was delighted to see me:

I was still concerned about the wound on her leg and the dressing they had put on it, but I didn’t make much of it, because I didn’t want to upset Mom. Rather, since she was so up and energized, I chose to make the most of the afternoon.

Mom loved the time we spent together, it’s clear from the sound of her voice. To deny her that joy when she had so few pleasures, and when her world had become so small, was cruel and abusive beyond measure, particularly as the arbitrary rule was nothing more than an exercise in power and control by the administrators of Mom’s Dementia Jail and the person who was in legal control of her care.

Mom and I extracted good from the evil that was wrought upon us. These are snippets from the rest of our afternoon on July 16, 2016:

Some people might mistakenly believe that this kind of play is infantalizing. Or they might think it sad that Mom couldn’t do all the things she once could. I thought it best to generate as much positive energy and happiness as I could, and I did whatever it took to do that, especially as most days I found her like this because of the inappropriately prescribed antipsychotics:

I knew the things we did together made Mom happy because she often told me so in her words, actions and expressions just as she did at the end of our afternoon on July 16, 2016:

The sound of the beeping and You Are My Sunshine playing is the pressure sensitive alarm pad on her wheelchair seat going off and being reset when Mom stood up and then sat down again – another form of physical restraint. The tapping and clapping was Mom’s way to express love, approval, energy and happiness; she was discouraged from doing it by the staff and nurses and it was sometimes interpreted as “aggression,” a label which was then used to justify her being medicated.

During the last five years of her life, Mom inspired me with her spirit, love of life, courage and determination. I’m grateful for the extra time we were able to spend together, which was a direct result of Alzheimer disease. It was a silver lining that so many people miss. We created joy, healing and “good pleasure” amidst the hardship and challenges. We were lucky. Too many people living with dementia are left to die long before they’re dead.

Do you have a family member, friend, or someone you know in long-term care? Have you seen neglect and abuse firsthand? If so, please speak out against these human rights violations, and find ways to create joy amidst the tragedy.

https://myalzheimersstory.com/2014/09/07/the-main-thing-is-to-keep-going/

https://myalzheimersstory.com/2017/04/05/dont-mourn-me-long/

#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }
/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.
We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */

Subscribe to MAS now & get 5 free PDFs & a page of welcome links:

Email Address

Take my short survey on behaviour here.

Advocacy, Real life, Toward better care

i still smell the stench

July 13, 2016, was a scorcher. And when I went to visit Mom in the afternoon, the heat made the stench of the dressing on her leg even more disgusting than it otherwise might have been. I gagged.

I had contacted the dressing supplier months before and had been told this type of dressing should be changed if the “perimeter were breached.” Bloody liquid was leaking in feathery rivulets from the edge of this one.

It was impossible to know how long it had been on as the dressing wasn’t marked with the date it had been applied, which it should have been – that’s part of good practice.

There was no point complaining to the charge nurse. “That’s just the way it is,” another one had said to me the last time I dared to make an observation about Mom’s unsavoury wound care.

Besides fighting unsuccessfully to get Mom off the antipsychotics she was being inappropriately prescribed, I’d also been fighting, also unsuccessfully, to get them to stop using this particular type of dressing on her wounds, which seemed to make them worse instead of better, and which lengthened rather than shortened the healing process. All of it was to no avail.

But I did what I could. I sat with Mom for the better part of an hour, as I did virtually every day even though she was “asleep” in the midst of the TV racket. I told her what I saw, even though she couldn’t hear me. When she awoke, I checked on how she felt, tried to comfort her, and asked her what she might want:

When I left to get Mom a glass of water from the bathroom in her shared room, I found a soiled and stinking incontinence brief in the garbage container. There were a couple of wet washcloths — one white, and one blue — on the floor beside it.

Meanwhile, a bevy of student nurses was happily occupied handing out ice cream cones to the residents on the main floor.

By the time I left, I was furious. As I drove home, I vented to no one in particular:

Do you have a family member, friend, or someone you know in long-term care? Have you seen neglect and abuse firsthand? If so, please speak out against these human rights violations.

https://myalzheimersstory.com/2018/07/15/19-ltc-human-rights-abuses-i-hope-quebec-will-have-to-pay-for/

https://myalzheimersstory.com/2016/10/21/10-reasons-why-neglect-and-abuse-of-elders-with-dementia-may-be-the-norm-rather-than-the-exception-in-long-term-care-facilities/

#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }
/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.
We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */

Subscribe to MAS now & get 5 free PDFs & a page of welcome links:

Email Address

Take my short survey on behaviour here.