An advocate is someone who can help you speak up so that your needs are heard, your rights are understood and your problems are resolved.
Momma and I took an ambulance ride to the hospital on April 30. Momma was in a lot of pain. A LOT of pain. She had a fever and she could not support her weight on her legs. In retrospect, there were a few signs I should have paid closer attention to, but the acute pain came on suddenly. She went from being able to use her walker, to needing assistance to get out of bed, to not being able to get out of her chair (or “off the throne”) in the course of just a few hours.
I must confess that there was a twinge of relief when I was told she was going to be admitted. It meant that someone else was going to help me care for her during this medical crisis. It meant that someone was going to help me make decisions. Continue reading “We all need an Advocate”
I had a little fun playing in the dirt today. It felt good to feel the warm earth between my toes. I had to dodge a few raindrops, but was able to work on a special project. I planted a little succulent garden in the top of a stump left behind when our ash tree was cut down. I decided to take advantage of the gorgeous day knowing that tomorrow will bring some big changes at my house.
Tomorrow Momma comes home to live with us. She’ll move into the dining room turned bedroom and call it “home” for the foreseeable future. Our just-the-two-of-us house will become home to three of us. Life as we know it will change significantly.
Momma’s roommate in the nursing home shared, “I really like your Momma, and I especially like you. But, I’m glad your mom is going home because I will be able to get some sleep again. How are you going to do it? Your mom stays up all night!”
I told Angie that I’m hoping that being busy and engaged during the day will help her rest better at night. I’m hoping that having the security of family will help her rest more securely. But, I know my sleep will not be the same. From now on, we’ll be keeping overnight tabs on mom via a video baby monitor. Her noises and movements will undoubtedly change my sleep habits.
It’s not going to be easy providing home care. It will inconvenience me. It will probably make me tired. It will stretch me in ways I can’t even begin to imagine. I will not have enough strength and resources to go around. I see that already.
But, I know God has lead me to do this for my mother. He will provide everything I need.
I know it has been quiet on the “Barefoot Lily Lady” blog. A surprise ambulance ride with Momma on April 30 brought about a whirlwind of activity and change. I will undoubtedly write about that in the future, but wanted to share the next big thing on our horizon.
We have been preparing a special Mother’s Day gift for my mother over the past few days at my house. Our dining room is being transformed into a special place for my sweet Momma. It will be her new bedroom starting this Tuesday.
For more than seven years now, I have been spending extra time with my mother, trying to help her navigate life without my dad — the past three years with advancing Alzheimer’s. Up until last year, Momma was able to live in her home in Milwaukee, with me commuting back and forth at increasingly shorter intervals (and for lengthier stays) as the years and the wicked disease progressed. By late fall of 2015, it became apparent that it was time for her to move to Madison to be closer to me.
We moved Momma into a nearby senior apartment in March of 2016. It is a lovely 1-bedroom place that suited her needs just fine. We would drop in often, eat with her every evening, do her grocery shopping, and help her get wherever she needed to go. Because her mobility was tenuous, we decided to install WiFi cameras so we could keep an eye on her when we weren’t there, making sure she hadn’t fallen. Momma settled into her new place nicely; however, by September, the combination of her frantic phone calls and rapidly declining cognitive abilities, made it abundantly clear that a new change was necessary. I moved in with her full-time because it was no longer safe for her to live alone. With the help of family, paid caregivers, and a few friends, this worked well.
Until April 30th.
God has a special way of shedding light on the next step I need to take. This time it was an ambulance ride and subsequent hospitalization. God has used Mom’s recent hospitalization and short-term nursing home stay to help us make another important decision. God has made it clear that now is the time to move her in with us.
Moving day cannot come fast enough for my mother, who is in short-term rehabilitation in a nursing home following a brief hospital stay. I visit her twice a day and always find her with her bags packed and ready to go. She pleads under her breath, “Get me out of here!”
Moving an aging parent in with you is not always an option, and may not always even be the most loving thing to do. We recognize not every one makes that choice when it comes time for their parent to receive extra care, but, Wayne and I both believe it is the right decision for my mom’s well-being at this time. I am very grateful for a supportive husband who allows me to follow my heart in providing home-based care for my mom.
We are in this together. I suspect this is somewhere tucked in the “for better or for worse” part of our marriage vows.
Together we have discovered there is an amazing amount of stuff you need when preparing to live with a loved one experiencing Alzheimer’s. For us, it means, two baby gates, a door alarm, a special lock for the basement door, a hospital bed, special bedding, grab bars in the bathroom, a video baby monitor and WiFi camera, to name just a few.
We’ve made some other important discoveries too.
Together we have discovered what an incredible family we have – those related by blood, and those related by heart. Our daughter, in particular, has taken the bull by the horns and worked tirelessly to get her grandmother’s apartment cleared out. Our friends have also found numerous ways to show they care.
Together we have discovered what an awesome, prayer answering God we have. He has provided everything we need in so many gracious, only-God-can-do-this ways. Here’s my Facebook post from May 11 with just one example:
Dining room to bedroom transformation in progress
God’s answer to prayer. Almost paid nearly $1,000 for a refurbished hospital bed. But God connected me with a sweet elderly lady whose husband was admitted to a nursing home. She had just sold their home and needed to get rid of this 1-year-old bed. The same bed I was going to buy…but, He answered our prayers and put a blessing on top…the bed was only $50.
And, together, we will give my mother an awesome Mother’s Day gift. A loving place to call her home, God willing, until her next move to heaven.
I could have written this, but didn’t. Natalie’s beautiful poem describes exactly what is on my heart right now as I care for my sweet mother.
💕 Still Me 💕 This was written with the deepest respect for those living with Alzheimer’s and dementia, and their dear loved ones who know the journey well. I like to believe that although memories become fragmented and misplaced, the Soul never forgets. This is my hope and prayer.
A kerfuffle is some kind of commotion, controversy, or fuss. If you read about a scandal in a newspaper, it could be described as a kerfuffle.
Kerfuffle is a humorous-sounding word for a mostly non-humorous situation: some kind of disturbance, scandal or mess. However, a kerfuffle usually isn’t 100% serious. People talking loudly in public could be making a kerfuffle. If a politician says something embarrassing by accident, it could cause a kerfuffle. Often, people use this word when they think people are making too big a deal of something, as in “What’s the kerfuffle all about?”
Kerfuffle.
This word just keeps floating around in my brain. The reason is not entirely apparent, but I just can’t stop landing on that word today. All day. Constantly.
I guess it’s a sign that I should write about it.
There does seem to be a whole lot of kerfuffle going on in the news today. The mere mention of the name “President Trump” can cause a kerfuffle between the best of friends. But that’s not the kind of conflict I’m thinking about at the moment.
In the world of an Alzheimer’s patient, repetitive thoughts are commonplace commotion of the already fragile mind. Life can be like a stuck record. My sweet Momma will get a thought in her head, then it will just keep circling in her mind, prompting the same question. To her, each time the thought comes around, it’s a totally new thought, keeping her mind in a constant state of commotion – a kerfuffle, if you will.
Sometimes it’s a worrisome thought about money. She’ll wake up in the middle of the night and wonder how on earth she is going to pay for her apartment. She does not remember that her bills are on “autopay” and she has social security, a pension, and a steady stream of investment income, so she’ll get up and search through her purse, her drawers, and closets looking for her money. Even with our constant reassurance, the question is never truly answered.
Sometimes Mom’s kerfuffle is in the form of a fear. Fear of water or the shower continues to be a problem. Even though she informs me that her head itches and she needs to wash her hair, there is no way I’ll get her in the shower without force. It’s just not worth the kerfuffle or (here’s another fun word) brouhaha.
My mind experiences kerfuffle when it’s time to sleep. My husband falls asleep within a minute of his head hitting the pillow, but my mind just refuses to find the “off” switch. My brain is too busy for sleep. I’ll be thinking about my to-do list, something that happened that day with Mom, something I should have said but didn’t, or shouldn’t have said but did, someone I need to talk to, what I’m going to have for breakfast, an idea to try…sometimes all of the above, and then some.
Sleep is one thing I’ve discovered caregivers really need…and really lack.
One nighttime kerfuffle fighter I have turned to in recent weeks is to meditate on a Bible passage as I’m settling down at night. I’ll read a passage I’d like to consider, then open my Bible app to that passage, turn on the narrator’s voice, turn off the light, then lay my head on my pillow and listen. God’s Word is a wonderful thing to ponder. A few chapters in and I’m in a restful sleep.
Sleep is good stuff. Even better is sleep nestled in God’s Word.
Within the past three weeks, I have helped two of my loved ones complete our state’s DNR form (Do Not Resuscitate). First it was my brother; next, my mother.
Mom’s mental clarity has been marginal (at best) these days. This morning she needed help completing the various steps within any task. For instance, when we brush our teeth, it’s all just one task. We don’t usually have to think about the process. We just do it. For the individual with Alzheimer’s, the decision to brush one’s teeth involves at least five steps: Continue reading “The Decision: DNR (do not resuscitate)”
I will admit. I really enjoy Facebook. I love keeping in touch with friends – old and new – via this social media phenomenon. I find it outrageously amazing that I can connect with a few of my “besties” – keeping tabs on their kids and grandkids via anecdotal stories, posted photographs, and funny videos. So many of my friends now live several states away, so every post they make invites me to share in their world. I can also catch a glimpse of what is going on in the lives of aunts, uncles, cousins, nieces, nephews and sundry shirtail relatives and family members I rarely see (and a few I’ve never really met in person), friends I went to grade school with (and haven’t seen in 45 years), neighbors who’ve moved away years ago…and the list goes on.
My own children are on Facebook. I assure you that this grandma loves to read their posts and see the pictures they share.
Yes, Facebook friendships are fun. But the best kind of friendships – true friendships – are those characterized by faithfulness. These friendships are truly priceless. I have more than my fair share of that type of friend, but let me tell you about two of my faithful friends who have blessed me immeasurably.
Paula and Shary – faithful friends
I’d like you to meet Paula and Shary.
We three went to the same church for years and years. We raised our families in the church together, grew in the Lord together, and shared the joy of friendship. Now we three live too many miles apart and rarely see one another. In fact, Shary finally had enough Wisconsin winters and moved to North Carolina! Last September, Paula hosted a sweet little luncheon in her Pewaukee home so that the three of us could spend time with one another while Shary was visiting in Wisconsin. It was as if we had never parted. The afternoon just flew by.
At the end of our afternoon tea, the three of us embraced in a little prayer huddle in the middle of Paula’s living room. My heart was so moved as each one of us took a turn lifting one another up in prayer. I tell you, Paula and I know there is no better feeling than being covered in the warm blanket of dear Shary’s intercessory prayer.
Paula and Shary have exemplified the title of “faithful friend” in my life. I cannot begin to tell you how much they have encouraged me in my journey of caring for my mother as she struggles with Alzheimer’s. These two ladies not only pray regularly for me, but they look for ways to be an encouragement.
Faithful friends read between the lines. They look for ways to be a blessing.
Shary “read between the lines” when she picked up on my comment about how much receiving mail means to my shut-in mother. Since then, every so often, Momma is delighted to open a beautiful card from Shary. Within each card is a sweet note and assurance of prayer. Mom reads those cards over and over again. Those cards keep on giving, as mom rediscovers the cards and rereads them again and again. Not only does Shary send cards, but even her daughter and grandchildren got involved at Christmas filling my mom’s mailbox with their love and best wishes.
“Wow, I would love those dominoes!! No more counting dots!”
Most recently, I made a comment on one of Paula’s Facebook photos (pictured). Having just recently played dominoes with my family using a set of dominoes that has a number of tiles with dots that missed being painted, I exclaimed on her post, “Wow, I would love those dominoes!! No more counting dots!”
My kind and thoughtful friend Paula read between the lines. Before I knew it, a package with my name on it was delivered to my doorstep. My very own set of no-dots dominoes just like the ones in her picture!
Tonight, I’m thanking the Lord for these two precious friends and their very encouraging acts of kindness. I praise God that these two ladies paid attention to the “nudging” of the Holy Spirit to bless me in these special ways. May the Lord grant me a faithful heart like theirs – one that seeks to bless others by reading between the lines.
Luke 20:45-47 (ESV) – “And in the hearing of all the people he said to his disciples, ‘Beware of the scribes, who like to walk around in long robes, and love greetings in the marketplaces and the best seats in the synagogues and the places of honor at feasts, who devour widows’ houses and for a pretense make long prayers. They will receive the greater condemnation.’”
Wolves are masters of deceit and cunning. The ones that were most trusted in Jesus’s day were the scribes and the Pharisees. They were viewed as people of integrity. But Jesus knew their hearts and their real actions.
One of the things we learned as we cared for Cindie’s mom was that there were wolves in her mailbox and calling her on the phone. Some were people she knew who were seriously failing to serve her and meet her needs with true fiduciary…
Today could have been a very discouraging day. It seemed the Enemy was definitely intent on throwing into my path every obstacle he could muster as I tried to minister to my mom and brother.
It was obvious to me that from the moment mom awoke, her state of confusion was worse than I had ever seen it. As she stood in the middle of the kitchen of the home she and dad had built in 1962, she looked at me and said, “I’m really in a fog. I can’t remember where anything is. This doesn’t even look like my kitchen.”
My heart sank. Mom’s dementia was on the move again, claiming another piece of her short-term memory – and maybe even a little bit of her long-term memory as well. Together, we made it through the morning, enjoying one another’s company and figuring out life’s little dilemmas like, “Who took ALL the pens and pencils in this house?” Momma was now ready for one of her frequent naps.
While Momma napped, the next thing on my agenda was a trip to the VA hospital where my brother is a patient. My mission was to speak with the Social Security Administration (SSA) in a second attempt to set up an on-line account for Brad so I could help him apply for disability and monitor communications from home. [Last week’s previous failed attempt included getting “locked out” of his account and an unfruitful phone call to the SSA to unlock his account – a long story, complete with a one hour 20 minute hold time and a lecture about committing fraud where I was admonished that Brad needed to be present in the room while I was working on helping him.]
I arrived at the hospital armed with my generally trusty laptop and fully charged iPhone, parked myself at Brad’s bedside, and made the second call. Thankfully, our hold time was just 35 minutes and we were able to speak with a very kind and helpful representative named Brandon. In the end, even Brandon was unable to help me accomplish my goal, but he did assure us that we would be asked the very same questions at our phone interview on February 15.
Kind of frustrating. As frustrated as I was, I did recognize that even this situation was an answer to prayer. It was not the answer I was looking for, but a closed door is still an answer. I have every confidence God will open the right door in His time.
When I arrived back at Momma’s house, I was dismayed to find yet more evidence that mom was experiencing a very bad memory day. Mom was fretful and talking about “all the kids” who were visiting her yesterday. There were “so many” of them. According to mom, they were well behaved enough, but messy. She said she enjoyed spending time with each one of them, but now she was left to find where they had put all her stuff.
Sadly, there were no kids here yesterday…or any time in the last several weeks (unless you want to count her 55 and 58-year-old daughters in the kid count). Mom’s “stuff” was indeed missing. Not only were all of her pens and pencils missing again, but so was her checkbook, her shampoo, and nearly every Kleenex box in her home. Mom accused “the kids” of taking her stuff. She accused “those girls you hired” of stealing her Kleenex, complaining, “They should really bring their own.” She even accused me of using up her shampoo.
The truth is, the increasing paranoia of dementia makes Mom hide her own stuff. Her pens and pencils were tucked in her dresser drawer. The checkbook was in her purse where it belonged, but her purse was hidden. Her shampoo was sitting on top of her dresser, rather than in the shower. And the Kleenex boxes were stacked up in the corner next to her favorite chair.
Yep, it was definitely a very discouraging day. Thankfully, over the past several months, God has impressed upon my heart the need to look for joy in the midst of life’s difficulties. It’s always there. I sometimes have to look a bit harder, but I can always, always, always find joy.
Brad spent much time as a patient here from April 2015 thru March 2016
Today’s joy was found in seeing my brother looking content and better than he has since Christmas. I felt it in his heartfelt “Thank you for all you’re doing for me and Mom, Cin.”
That little bit of joy would have been enough for me to treasure in my heart, but God had more in store.
When I walked in the door with arms full of groceries later in the day, I found Momma standing in the kitchen in the same spot where earlier in the day she had stood in a scary state of confusion. This time, I found Momma experiencing absolute delight having just received a phone call from Jean, one of her friends at church. Jean told Momma she was planning to visit her on Friday and she would be bringing Momma’s friend Bev. We added that special bit of joy to Mom’s calendar so Momma can smile every time she looks at it.
Mom as a teen in front of her girlhood home
But God still was not finished. Momma had also received some mail – a very special Valentine from her very thoughtful sister. My Aunt Carolyn had also enclosed several old photographs from Momma’s younger days. Each picture evoked a crisp as can be memory and story for her to share with me. Incredibly special moments in time.
Thank you, dear God, for infusing incredibly difficult days with even more incredible bits of joy.
Getting my mother to leave her apartment for ANY reason is difficult these days. Mom had an appointment with her memory doctor on Thursday and I was very relieved it was Viv’s turn to get her ready to go. I told my sister she’d need to start about 2 hours beforehand, gave her a few tips, and warned her Mom would likely give her a little guff about the doctor’s appointment and ask where they were going about 50 times. I was at home getting ready to leave the house to go out to lunch with my husband when I received this text from Viv.
It made me smile.
I wasn’t smiling because it was funny (well, maybe a little). I smiled because I knewViv knew. This experience had helped her better understand that taking care of our mom was hard…and that I need her help.
I know in my heart it’s not “me” doing this, so I sent Viv this reply text.
The appointment was just a routine check-in with her geriatric specialist to make sure all was well with regard to her Alzheimer’s medication regimen and to find out if there were any new concerns. I did have a concern. Mom had been complaining of difficulty breathing for a few days and seemed a little more irritable and confused. She always has troubles with her allergies, but this seemed different.
Sure enough, when the medical assistant took her vitals, she expressed concern that mom’s heart rate was only 44. That would be a good heart rate for an uber-athletic man, but not an elderly woman whose heart rate is usually around 68. I was pretty sure that the medication donezepil (Aricept) was the culprit. I didn’t think that the Aricept was providing measurable improvement, so wondered if we should discontinue it.
To be on the safe side, the nurse practitioner wanted to rule out heart problems. Orders were placed for blood tests, an EKG and a chest x-ray. Mom even got an escorted wheelchair ride as part of her ordeal. The medical assistant who pushed mom had the sweetest personality and threw me looks of compassion for mom as my sweet momma asked the same question at least five times between the doctor’s office on the 2nd floor and the lab in the basement.
Mom is mobility challenged and hard of hearing, so I suited up in a lead apron and helped my mom stay in position for the chest x-ray, using a loud voice to instruct “breathe in and hold” and “exhale” at the appropriate times. Then I answered mom’s questions as the technician got her hooked up for the EKG. Long story short: all is well with her testing. No A-fib, heart problems or stroke. The medication was probably to blame, so we were instructed to discontinue that medication, take her pulse daily, and visit her primary doctor in a week or two to reassess.
I followed Viv and mom out of the nurse practitioner’s exam room. As I stepped toward the door, I felt her hand on my shoulder. I turned toward her and saw a look of compassion. Her eyes were telling me, “I know this is hard. I’m here for you.”
I’m extremely thankful my sister was able to accompany us on this bit of the journey. As I have gotten to know other family caregivers along the way, I realize all the more how blessed I am to have a sister who is willing to help out a few days each month. Sadly, there are a lot of lone ranger caregivers out there who have zero support from members of their family.
Please. If you know one of these dear people, do what you can to bless them with your help and encouragement. Be God’s grace in their lives. They need it.
Facebook Journal Entry – February 2, 2016
Getting my mother to leave her apartment for ANY reason is difficult these days. Mom had an appointment with her memory doctor on Thursday and I was very relieved it was Viv’s turn to get her ready to go. I told my sister she’d need to start about 2 hours beforehand, gave her a few tips, and warned her Mom would likely give her a little guff about the doctor’s appointment and ask where they were going about 50 times.
I was at home getting ready to leave the house to go out to lunch with my husband when I received this text from Viv.
Barefoot Lily Lady 