Husband recently had 10 days in respite. He suffers from FTD with Parkinson like characteristics and anxiety. He is classified as Younger Onset Dementia because he is only 63. When he came home I realised just how bad he is getting. Stumbling, poor vision, couple falls (two serious) wanders and now cannot chew his food and has trouble swallowing. I called care facility to make an appointment to speak with director about future permanent placement. He asked me if anyone had talked to me about how FTD can sometimes turn out for sufferers. I said no and he began to explain how as the brain continues to shrink people can become very difficult to manage and even violent and should this happen they would have to move him into a specialist ward of which there are only two anywhere near us.
Having read posts on this site I know that if DH is already in permanent care it is the facilities responsibility to place him in new facility. I am now concerned that if I don’t already have DH “in the system “ and things go bad I will have next to no chance of finding a good placement for him because he is under 65 and he would most likely end up in some terrible public psychiatric ward.
I am tired of hearing family members say to me how awful and sad it is for DH to have worked so hard for the last 41 years and saved and planned hard for retirement and now he will never get to enjoy it. All true. However there was another person every step of the way whose retirement and savings has gone down the drain as well. Me. The last five years of my life has been hell, But nobody seems to see that. My BIL rang two days ago and said you are his wife you should be looking after him. No one else. Mil wants me to try harder to get better doctors and try new methods. Why haven’t I tried pot? Son says today why did Dad sound good a couple of days ago but terrible today? All of them live in other states and have not actually visited. MIL says she can’t even look at him as it will be too upsetting for her even though she knows how much it means to him to see her even if only by video link. Thankfully he has stopped asking about her. Not once has anyone asked how am I coping. Not one of them trust me and think I am scheming to be rid of him. Try harder. Do more. My brother came from England for a week to see DH and helped me with getting him into respite. Completely understands. Understands my feelings and worries how I will cope.
I wonder what the attitude would be like if it was the other way around?
Mmost of us caregivers have found that there are always "helpful" folks who want to give advice without having a clue what you're dealing with. Alone
It's the reason in person caregiver groups can be a powerful help. Of course you need to find someone to sit with him!
I think I'd smile gently at the folks who think you should be trying harder and say "anytime you'd care to come over and stay for a day so I can do some research, I'd be happy to oblige you".
I'd also pound some pillows. Keep posting here; you are so wise to get your ducks in a row by talking to the facility director and other experts about what to expect.
Have you consulted an eldercare attorney yet?
YOU have fortified yourself with useful knowledge about FTD.
As you know only too well, you will never be able to educate whether unwilling or unable family members to learn what they need to understand your husbands circumstances, much less understand yours.
You have confronted your husband’s painful loss and are moving forward to ensure that he will be compassionately cared for as his condition deteriorates.
You have taken this on without the benefit of the support and consolation of other members of his family, who undoubtedly love their relative, but have failed to familiarize themselves with his situation.
Would it be easier on you to adopt a “thanks for your suggestion, I’ll file it for future reference” stance, and ignore them?
If you’re not comfortable with that, can you daydream your own bland, noncommittal response for the inevitable useless offer of their “help”?
You are doing all the right things concerning your husband’s care. Don’t hesitate, right now, today, start listing things you can do that will help you start to make your life better. It’s OK to put TURN OFF THE PHONE at the top of that list.
So, I suggest you find a way to nod and smile and let it all roll down your back. Don't take any of it in. They just don't understand and probably don't really want to know the knitty gritty details.
It's certainly frustrating, but all so common.
You don't owe them any kind of explanations. What you really need to do is try (big word there!) to take care of yourself as well. How? I know, not so easy. But you deserve to have a life too, while ensuring that DH is well taken care of.
Take a deep breath.
For the family idiots who offer unsolicited advice for something they know nothing of, mail or email them info on FTD and let them read up on it. You don’t need their approval to do what needs doing. And when they offer said advice tell them "thanks, I’ll be sure and put that in the circular file (meaning trash can)”!
People and family in particular really can astound us when going through this. Find a support group or good therapist who will listen and be there for you as they sure aren’t supportive. People who have been through it are the ones who understand. Hugs and good luck. Post anytime!
My concern for you at present is just YOU. I think your husband needs placement, or soon will. I think you should consider things such as when/if he is unable to swallow and etc. will you wish to have such things as feeding tubes and etc to prolong what just may be misery, and not "life" as we know it. You will need the support of a Licensed Social Worker or psychologist FAMILIAR with all this to support you, as great guilt is visited upon those with good heart. It is just another sad factor in all this. So first of all, know what it may look like going forward, and what you will do about it. Second decide on placement when it is time to do so. These are the first steps and the most practical. I don't see you being able to do the caregiving alone over time. Thirdly the concern is financial. And this sounds crass perhaps, but you must now consider your own life. You will be left to live without a companion, with your own aging needs, or at the least to live without a life companion who honestly knows who you are, or who even resembles the love you chose. And you are young. You could have easily more than 20 years of life left. I feel it is crucial for you now to protect your finances, and that means a visit to an elder care attorney. You just cannot lose all the financial savings both YOU and your husband depend upon on these remaining years left for him, which may be many. See an attorney with an honest list. There are times when people honestly have to separate their financial life (I have known some to quietly divorce) when this happens. A friend visiting Tahoe as a young Dad with his wife had her fall from a cliff into water on a morning walk; she didn't return back for breakfast. She was found damaged in the brain but her body went on for 35 more years in need of complete care. He was left with two young sons (now grown). There ended up being no other recourse,but a separation of finances. I hate to leave it like this, because all of this sounds so without hope, but you already know where you are right now, and unless someone is in a similar boat to your own they will never understand; don't expect them to, and don't try to make them understand. You will, just when you are about to break, get well-meaning "advice" from someone that makes you want to pull your hair out of your head. Enlist the help of anyone you can to get respite while you seek permanent care if that is what is now needed to save your sanity. So sorry you are going through this. There is no way to make this be without serious pain, but do see someone to help you sort out the reality versus how everyone wishes it could be. Wish I could give you a hug, or at least an hour of respite, and PLEASE do not waste energy on trying to convince the family of anything. You never will. It will never be pretty. Do the best you can for yourself and for your husband.
I know this because I have to restrain myself from telling my close friend that her brother, who has done precisely that, is not a poor put-upon man but a complete rhymes with punt. She told me this morning about his nice new girlfriend and their bijou flat on the river and his travels on the European motor sport circuit. Not a word about how the wife that *she* used to like so much is doing.
But I know when I'm wasting my breath.
Remember that you are giving your husband your very very best not because of his family, but in spite of them.
FTD is a brute. I should get ahead of the curve if I were you - better for him to be in expert hands with you still there, than removed in an emergency because he's injured you.
I also think that nobody wants to face the reality of what disease/illness and especially dementia related illnesses looks like! It's scary to see up close and personal. I had to place my mother in memory care, and I see that none of her old friends from Assisted Living want to come see her........they're afraid of what they'll find. She's fine.........the same woman they've known and loved, but they're scared of what she's 'become' because of her dementia. Will that happen to THEM too?
I'm so sorry for what you are going through.......I had to Google FTD to read about the illness, and it sounds just awful. I am sending prayers that you can make the difficult decisions you're now faced with, and that you can take care of YOU in the process, my friend. I know how easy it is to LOSE who WE are during the caregiving, and start questioning ourselves at every turn. Nobody seems to care about US, just the one who's 'suffering', never taking into account OUR pain and suffering! It's ludicrous, really, but unfortunately, not likely to change any time soon. Use the block feature on your phone when necessary, get your doctor to prescribe some Xanax for you as needed, and make sure to find SOME downtime for yourself, okay?
All the best.
My answer to those comments were either "Your advice will be given the same amount of attention that you give to LO."
Or, "She who sweeps the floor, picks the broom."
Both work well in letting rude people know where they (and I) stood.
Echoing everyone else, you have my support to do what you need to take care of your husband and yourself in the best way that you can.
Tell them to cut it out. Tell them what you need. Be direct, clear, and firm. If you want them to ask you how you are coping, then tell them. Stop being so nice to people who are unhelpful at best.
Except for the brother who gets it. Keep him around.
And so...how are you coping?
However hard it might be, you will have to learn to tune them out. You can only change yourself/your reaction to situations, you won't be able to change them. IF at all possible, get your hands on pamphlets about FTD (I have seen several in mom's MC place with this - so sad to see once vibrant people reduced to this!) This is for you (even though you've been given the initial "tour) BUT get extra copies for the family members and hand them out/mail them. If you are told you need to try harder or do more, tell them to come stay with you/him and show you how it is done. They really do need to experience it first hand - pictures may paint a thousand words, but seeing is believing!!!
People who haven't been exposed to this (and other forms of dementia) are CLUELESS. There are some on here who chide us for putting LOs in a place, especially when it is a mother - oh, she cared for you, yadda yadda... It is NOT the same!!! I suspect those who sing this tune care for a parent with age issues, but NOT a form of dementia. Your brother has now experienced it some, so he understands. The others? Not so much.
Once I realized mom was exhibiting memory issues, I started looking up information on dementia. Brothers did not. Younger brother was even insistent on making her move to AL not MC (she won't want to be in with a bunch of old farts - huh? Clearly NO form of dementia cares what age you are. There are several in mom's place who are younger than me!!! BTW, mom is almost 96, going on 3.) Older brother isn't much better. Uninformed = ignorant.
So, provide them with the information (obviously you can't make them read it, accept it or understand it.) If they choose to keep their head in the sand, tune them out, don't take their calls, yes them to death, but do what is RIGHT for YOU and YOUR HUSBAND. Take time for yourself. Find time for outlets. Visit here often, to vent or share! Take care of yourself so you can care (remotely) for DH.
When they call to relay all of their wisdom, be prepared with what to say --
To BIL: I may be the wife, but you are the brother - connected to him by blood and known him longer than I have. As a brother, I would like to know if you (and siblings) can help me because I can no longer do this 24/7 alone. The doctor has told me it will only get worse. When can you (and siblings) come to help and would you figure out a schedule for when you can help. If you would call me back by the end of the week with a plan, I would appreciate it. (Give a deadline!!) Gotta go, I need to help your brother.
To son: This is your father. He needs your help and so do I. Perhaps if you spent a week or two helping US you would see how deteriorating this disease is. Maybe spending time with him will help you understand the situation and possibly offer me some suggestions on more efficient ways to do thing. Of course, it is going to get worse so I need commitment on a calendar of when you can come. You may want to talk with your uncle and grandmother to coordinate a plan. I need to know what the plan is by the end of the week. I am begging you for help. Gotta go, caretakers don't get phone breaks.
To MIL: This is your son and there are still days that he remembers you and wants to see you so badly. If you would like to talk to doctors in your area about other treatment options, I would welcome anything that might help. For now, I have to follow the advice of the doctors we are using. I could certainly use your help at this time in YOUR son's life and he really does want to see you. I understand it is difficult to see him like this - I wish this was not something I had to watch either, but it is OUR reality. I do need help desperately - gotta go, your son needs my help right now.
By the end of the week (and you don't get a plan from any of them), just repeat these words ANY TIME the conversation goes to what you need to do, repeat these words: He who sweeps the floor get to select the broom. I have to go now because I do not get phone breaks. And hang up. Do not engage with any of them about what you need to do. They have as much responsibility as you do.
My wife suddenly became a mean 5 year old in 2006.
In 2013, she lost all social awareness, forgot herself, forgot the family, forgot me, became aggressive. She would wander aimlessly, whimpering, whining, growling, barking.
She is now an autistic 2 year old diagnosed with late stage bvFTD and other variants.
She is hyperactive, but her brain does not direct. She forgot early learned motor skills, will bump into walls and fall over objects. She lost language skills and does not comprehend.She wanders without purpose and is enraged by restraint. Sitting has to be her idea. She can not grasp objects with purpose. We hand feed her continuously all day and hydrate her with a turkey baster. A person has to be within reach of her every moment 24/7. She sleeps intermittently at night and I have to be able to awaken at her movements.
She has seizures that make her think she is being attacked. There is no medication for FTD, no medication for seizures except cannabis.
We have discovered that the cannabis makes her an absolute sweetheart for several hours, and she becomes aware, often a hoot.
It took a couple years to dial in the type and dose and delivery method, but we have it, now.
We now absolutely adore this once hellish person and enjoy caring for her.
We thank God for the plant.
My only time of respite was the hugs we shared each day. Boy were those hug great.
We had only her sister in the Philippines and my brother and both of them supported me to the end. I guess I ws very lucky in that sense.
She only had two visitors during the entire ordeal and they spoke mostly to me.
I checked her underwear every hour or so and cleaned her when necessary.
I had to watch her facial expressions to try to read what may be wrong or what she wanted since she could not talk to tell me.
Near the end I was wearing my self out lifting her so I could clean or feed her.
She started to have difficulty swallowing so I fed her softer foods in smaller bites. I left small snacks out for her to eat whenever she wanted. I had glasses of water positioned at the places she would sit or stand to rest. I crushed her pills to a fine powder and mixed them with puddings.
When she could still walk I would bathe her and shampoo and blow dry her hair.
I communicated with all of her Dr.'s as to her regression.
There were no meds she could take for this demon.
We tried some but she had bad reactions to them.
I had no one here to help or to talk to. Still don't. Her friends never called and only two ever visited. One lives in AZ. The other is local. The local would bring something for Luz to eat when she visited, which was not often but much appreciated.
Luz slept or watched her favorite programs on TV. She liked the children's shows. And would sometimes smile during them.
She never got violent but she would get stubborn if she wanted to do something that was not right if I tried to stop her.
Her favorite activity was soaking in the step-in tub or washing the walls around the tub while bathing.
Near the end I had to sponge wash her in the TV area and dress her.
Much of my days was spent listening for any of her sounds and spring into action if I heard anything out of the normal sounds.
I can only begin to understand what the rest of you were or are going thru. You have my deepest support and whatever else I can provide you with on here.
I would also suggest that you get a camera, unless you already have one, and document the memories to build your own scrap book.
As for the relatives not helping but providing faulty advise, If they refuse to help or to believe then just tell to "Kiss my stacking swivel"
I hope some of my good fortune and memories rub off onto you.
God bless all of you.