Gransnet forums

Health

Independent living?!

(221 Posts)
Jane10 Wed 04-Apr-18 13:04:34

A gentle warning for those determined to stay in their own homes. Our elderly neighbour has been discharged home from hospital with a 'care package'. Her initial hospital admission was following a fall and lying all night.
Today another neighbour popped in to see how she was. The lady was sitting cold, confused and hungry in her kitchen. It was 11am. No carer had come. She hadn't had her medication and she was thoroughly miserable. She fell again last week and hurt herself but nothing broken.
She needs to be somewhere warm and well cared for. This current situation, due to her determination to remain at home, is cruel.

blueskies Thu 05-Apr-18 12:56:47

I am just hoping we have a caring socialist government before I need help. Perhaps all those who voted for this lot should go to the back of the queue for our depleted services. Sorry to upset anyone but I am politically literate and I am so angry when I see what is happening to our country. .. and the last thing we need is a trumped up war with Russia.

Jane10 Thu 05-Apr-18 12:53:02

It just is annsixty! Something about nursing/care always being a female thing. My neighbour is a very dignified and old fashioned lady. It's so sad to see her having to live like this.

Iam64 Thu 05-Apr-18 12:52:44

Jane43, good points about the profits being made by the companies running residential care for older people.
The same applies with bells and whistles on so far as the companies running private residential/foster care for young people.
I don't see myself as an 'extreme left winger/communist" but I do find it nauseating that some see services for vulnerable people as opportunities to make huge profits. Alongside that, local authority services have been cut and privatised as. result of successive government policies.

elfies Thu 05-Apr-18 12:50:05

In my opinion the problem began in the 60s , Jobs became scarcer ,and we were officially told to 'get on our bikes' and follow the jobs .
We did, moving hundreds of miles from family and friends , meaning our children grew up not seeing family regularly, and when they did , they'd travelled for many hours and were tired and fractious . Our parents never saw the bright and happy kids, just tired over excited ones , who they then spoilt because they hadn't seen them for months .
Moving on our parents now need help, love and care , but we live hundreds of miles away ,in jobs which we daren't risk by taking time off , Our parents cling to the old and familiar and won't move closer to us , because they still have familiar routines and places . Our kids now have children and live locally to us , so we are regular babysitters, and don't want to leave them behind to move nearer to our parents.
Our government don't need to worry about the explosion of baby boom elderly, we are killing ourselves trying to be all things to everyone and not letting anyone down .
Life was much simpler when jobs were secure, and families lived cheek by jowl in the same town , all there to help or advise . Children grew up knowing (and respecting) elderly relatives and the whole family rallied around when someone was ill or in trouble .
How often have you reassured distant parents or children that things were fine when they weren't .

annsixty Thu 05-Apr-18 12:29:05

While I understand the sentiment behind male carers doing personal care of elderly women, in the six weeks care package we have just had only 4/5 times did we have a male carer. My H was washed, showered and dressed by young women.
How is this different?
I would have preferred to do it myself but couldn't.

lovebeigecardigans1955 Thu 05-Apr-18 12:16:14

Most of us would prefer to stay in our own homes and I've always said that even if the care was excellent what would happen if someone suffers a fall between the end of one visit and the beginning of the next? This is precisely what happened with late MIL.
We used to have lots of psychiatric hospitals with numerous geriatric wards for our old folks who could no longer cope. Many have been closed and all these care homes are just like miniature versions with very high costs.

MissAdventure Thu 05-Apr-18 11:58:04

Hmmm. I had an elderly neighbour relying on me for some years.
As her dementia progressed, I ended up taking on all of the usual filling in forms, then getting her ready for bed every night, as well as hearing her tell various people that she had no money because I had stolen it all!

Apricity Thu 05-Apr-18 11:53:57

Woops. Wrong thread.

Apricity Thu 05-Apr-18 11:52:57

A number of posts have suggested that you take up skiing. I think this misses the point that your husband's time away is not just about the particular activity (it could be golf, walking, boating, cycling....whatever) it is about his time with his friends. This is really important female free bonding time for men, let him enjoy it. Sometimes blokes just need time to be blokes.

Witzend Thu 05-Apr-18 11:38:28

One thing we can all do is make a Living Will. I have one to state that if I ever develop dementia, or any other condition where I am unable both to care for myself and speak for myself, I do NOT want any medical interventions to keep me going when Nature might be trying to let me go. Palliative care only, please.

IMO too many people with a very poor quality of life are kept alive just because it is now possible to do so, when it might be kinder to let them go.

Another thing it says is that I never want my daughters to feel they must look after me. If I need care, find me a nice care home - never mind what I might say once the dreaded dementia has taken a hold.

We've had both my FiL and my mother with dementia, both living until after it was well advanced. I never want my daughters to go through the stress, worry and exhaustion we experienced trying to care for them until they got to the stage where the need for 24/7 care - and therefore a care home - had become urgent.

As for relying on neighbours, it may be all very well when someone is just a bit frail. It's a very different thing if you chuck dementia into the mix. Then you may have someone knocking on the door umpteen times a day because they can't work the remote control, or have locked themselves out yet again. Not to mention knocking on the door at 2 am in their nightie asking to be driven to Scotland - actual case with a relative of mine.

We also had the case of an elderly aunt of Dh's, no dementia but increasingly immobile, who had plenty of money but consistently refused the carers Dh arranged for her - she simply didn't want to pay and thought her neighbours should do it 'for love'.

The trouble was that most of them were themselves elderly and decrepit - I would have the poor things on the phone wailing that they couldn't cope with her demands any more.
We lived a 2 hour drive away - it was extremely difficult until she was eventually persuaded - with great difficulty by my poor Dh - to go into a care home.

grandtanteJE65 Thu 05-Apr-18 11:28:14

In Denmark we have home helps trained and paid by the local councils, but cuts in budgets, decided by parliament not by the local councils has resulted in much the kind of situation you are describing in the UK.

So having municipal home helps won't solve the problem. Most of ours are run off their feet and feel they are not providing optimal care either.

I have no idea what the solution is, obviously more funds, but where are they to come from?

Willow500 Thu 05-Apr-18 11:20:54

Very sad. Having had both my parents in care - Mum for the last 4 years of her life and Dad for the last couple of months of his I don't want to end up like that. The care package we had in place for Dad after Mum went in was ok but we were only round the corner so did most of the caring ourselves. They did get him washed and dressed on a morning and would give him his tea on the odd occasion I wasn't here, I'd arranged for hot lunches to be delivered by a private company which were excellent, but most of the time we would put him to bed and I had him here every afternoon until bedtime. As time went on and his care became more personal it was me who did it, ensuring he cleaned his teeth, toileting him, bathing him etc - he was a big man and as his dementia worsened he wouldn't let the carers do it. They'd had the personal alarm system installed before Mum was taken into care but neither knew how to use it - in fact Dad used to shout at them on the intercom if Mum had accidentally pressed the pendant telling them to bugger off blush.

The council did put a second charge on their house for Mum's care costs which due to her decreased mobility and worsening dementia after Dad died started to reduce as she became fully funded but we did have an outstanding charge taken once the house was sold.

The home they were in was very good and the staff were lovely but low paid and doing a very difficult job - both physically and mentally demanding. I remember one very nice old lady who was in there due to her frailty not dementia telling me the first time she had to have a male member of staff take her to the toilet was extremely disturbing and degrading. I'd rather take myself off to Switzerland than face that but of course by then it's too late.

They are building a huge assisted living block of flats round the corner from us - maybe we need to look at buying one of those for future use sad

Jane43 Thu 05-Apr-18 11:20:46

MissAdventure you have highlighted the main problem. For reasons of budgetary constraint local authorities introduced third parties to handle the caring that used to be done by home helps. I can remember home helps and they used to be paid a reasonable rate by the local councils. They were allowed enough time to build a relationship with their clients thus finding job satisfaction.

The daughter of a friend of mine works for one of these care agencies doing their accounts and they make huge sums of money. The carers are expected to use their own cars and get a very limited time allowed per visit. When carers realise they are being exploited any job satisfaction disappears and they become increasingly less reliable.

The way funding for care homes has been changed means that families of the elderly are reluctant to see their inheritance, i.e. their parent’s house and savings, disappear and indeed the parents desperately wants to leave an inheritance for their children and will often unrealistically want to stay at home.

FlorenceFlower Thu 05-Apr-18 11:12:23

I agree Nemos Mum in general but I’m afraid sometimes, as described in this thread, some relations then block spending any money on their vulnerable older relation/s. Financial abuse of older people has been rife for many years by relatives, carers, and others and I suspect may be getting worse.

I also agree that many paid carers have a rough time with their employers but there are some carers, and always have been, who are unkind and thoughtless.

Am hoping to go the way of my wonderful grandma who died while gardening of a heart attack aged 85. She revived for long for a neighbour to call for an ambulance and she was able to speak to my mother before she died. Sad for us as a family, but a quiet and dignified way to die. ?

Marion58 Thu 05-Apr-18 10:54:13

Unfortunately unless you are able to pay to go into a nursing home or they deem you ill enough to put you in, which could be the other end of the country, you have no choice. We see it all too often where we live. It is very sad. It concerns me for our future but I try to put it at the back of my mind.

Blinko Thu 05-Apr-18 10:53:38

Good advice, Nemo's Mum

NemosMum Thu 05-Apr-18 10:51:45

I do wish people were more realistic about ageing! You cannot hold back the inevitable, but people are very poor at judging their needs in the future. They seem to think that they will be the exception that proves the rule. Not so! A good care home (and yes, they do exist!) is far preferable to a lonely and degraded existence waiting for local authority carers to do 'hit and run' caring. And yes, most people have to pay for that service, however bad it is. Unfortunately, most people leave decisions about where they will end their days until far too late, after a fall, a stroke, dementia, and their choices are very very limited. Start thinking about it now and get your children involved so they can act for you (Lasting Powers of Attorney for Property and Affairs, Health and Welfare).

Blinko Thu 05-Apr-18 10:39:20

I'm hoping the proposal (if that's what it is) for a voluntary euthanasia facility in Guernsey is implemented.

Rosina Thu 05-Apr-18 10:35:24

A recent news item in our area was about a lady who was virtually bed bound and had died because of confusion about carer's holidays and arranging cover. She had nobody to help her for a week and not surprisingly was found dead. Her family were highly vocal on TV with criticism about the shortcomings of the system but it was obvious not one of them had picked up the phone to see how she was or called in. What a terrible ending - very frightening to think about.

MissAdventure Thu 05-Apr-18 10:22:00

Don't forget that people are working until their late 60's these days, and often helping out with childcare for grandchildren too.

dogsmother Thu 05-Apr-18 10:18:42

Oh this is all so sad, take me back to families caring for their own.
It makes me shudder when people demand so much from 'systems' for people who deserve so much more but would not dream of asking.
The very strong elderly people who can only make it through to being elderly by being made of strong stuff don't ask for help they think they can still cope.
I just wish that people hadn't lost the traditional values that still exist in poorer countries where they love and cherish and respect the elder people. I hope that my children don't do this to me and rather than being a burden it would be as an esteemed family member who may sometimes need a little extra help.
My eyes are wide open too, having worked in this field most of my life!

Madmartha Thu 05-Apr-18 10:17:20

Before blaming ‘the system’ ask yourself where that person’s family and/or friends are? Sure, some may not have family or friends alive, but most GNetters will be old enough to remember neighbours popping in to see if an elderly neighbour is ok, taking in a covered dish with a bit of whatever they had at teatime, doing a bit of shopping with their own, often that’s all that’s needed.

MissAdventure Thu 05-Apr-18 10:15:06

There is no way district nurses would be calling three times a day here, unless there was a medical need.

radicalnan Thu 05-Apr-18 10:13:33

I hear that Guernsey are considering the vol euthenasia thing............wish we had it here.

Grampie Thu 05-Apr-18 10:11:38

Friends, neighbours, sons and daughters must monitor the care of their infirm parents who are determined to stay in their homes.

...that is what my brother, sister and I do.

We have found that AgeUK provides an excellent service of screened helpers too.