The Fraud

Lena’s moods swing. It’s me who’s the cause. Some dementia expert I’m turning out to be. When will I start following my own advice?

The changing faces of Lena

It’s six in the evening and I’ve spent the whole day on the computer. I know I should stop now and throw something together for dinner. But I have to get this newsletter finished. It’s an important one – explaining the differences between a normal care-home or day-care centre and the Bine. And besides I was supposed to have published it this morning. Just a few more minutes then…

"Many care-homes and day-care facilities are wonderfully kind and comfortable. Nevertheless, most of us think of them as places where you're gradually signing off from life ... a golden sunset. We'd prefer The Bine to be seen as a beautiful sunrise, the anticipation of a new day."

Odd to be writing about sunset and sunrise on a day like today. It hasn’t stopped raining for the past 24 hours. It’s been grey and cold, one of those nothing days. Once it might have been a baking-day: an unlogged memory of a dark day in my mother’s kitchen and the smell of fresh bread always had me reaching for the flour  when rain set in. Not any more though. I haven’t baked for ages.

What’s Lena doing? Nothing probably. She’s been quiet downstairs for a while. I haven’t seen her since I popped out to the corner shop a couple of hours ago. Perhaps she’s dozing. She’ll be all right for a few more minutes.

 

"Other Bine characteristics? Well, FUN will always be high on the agenda. PHYSICAL ACTIVITY too. We want to keep our members mobile and able to participate in those outside-the-building sessions for as long as possible. Even just being able to go for a walk is important."

I didn’t even take Lena to the shop today. Well, it was chucking it down, so she wouldn’t have liked it. And besides, it was just to get milk and bread. I was only going to be away for ten minutes. It would have taken longer than that to find her shoes and coat and get them on.

But I couldn’t just leave her down there any longer. Time to take a break.

 

– Hello.

– Hello.

-What you doing?

– Huh?

– What are you doing?

– Oh. Nothing.

I needn’t have asked. Sitting there at the dining-table, with her head resting on her hand, her face was as long as her day had been.

I headed for the kitchen, looking for something I could just whiz into the oven now it was this late.

Oh, she had been busy. The oven – the fan-oven I hardly ever use – was switched on. And where was the umbrella? I’d left it drying in the sink.

– Lena.

– Yes?

– Have you seen the umbrella?

– What?

No, forget it. It’s not a word she would remember.

– Are you coming to help me?

– Yes.

But she didn’t. So I went to turn the TV on, scanned through the channels till I found something with audience laughter. Sometimes that’s enough to get Lena’s attention, even if I’m not sitting there with her.

While I waited for the food, I was back in thinking-mode. Why was this newsletter taking so long to write? Why did writing always take so long? Was it even a good use of my time? How could I get my Bine message across faster, reach more people?

I smiled ruefully as I remembered a conversation I’d had a couple of days earlier with someone who was frustrated at work. There was so much that needed to change in his small business, he said, but because everyone was always so busy, there was never any time to put a change programme into place to make them less busy. I knew exactly what he needed to do. Get a consultant in for a few days, I advised. An outsider to look objectively at what you’re all doing. Looking for duplication and waste. Finding out which processes actually contribute to the business, which are holding you back, and which could be improved. Someone not afraid to be ruthless.

It’s easier dispensing good advice than taking it yourself. I knew I needed to stop and think too. But after I’d finished the newsletter. Maybe. 

The food was ready. I’d paid so little attention that I can’t remember what it was now. Something Chinese though, with rice, and easy to eat with a spoon, so I risked serving it in front of the TV. Lena often struggles with food on her lap now. Anything runny invariably ends up all over her or on the floor. But this, whatever it was, seemed safe. She managed to cope well, and today she cleared the plate.

Now perhaps, I could get her to settle down with me for a while, watching the TV on the sofa. After all those hours writing, I really owed her some of my time and attention.

But no, after a few minutes she was up and pacing, finally coming to a halt just in  my peripheral vision as I watched the screen. Without looking, I knew she was staring at me, and I knew why.

– Are you tired?

She nodded.

– Shall I get you ready for bed then?

– Yes, om du vill. If you want.

So we went upstairs. There in the bed was the umbrella. A new variation on wetting the bed.

 

 

Fifteen minutes later, I was back at work on my Bine description.

"And then there will be those who decide that they don't want to participate at all right now. If that's their choice, that's their right. Perhaps they just want to rest for a while - telling your brain that it has to keep up all the time can be tiring with dementia."

But Lena wasn’t in bed because her brain had been working overtime. She was tired because she’d had no stimulation all day long. She was bored.

That’s why we so desperately need The Bine. With dementia, it’s not enough simply to take care of the basic functional needs – keeping people safe, warm, fed, clean, medicated. That might be enough for a pet. But we’re dealing with people. And people need to belong, to share, to have purpose and variety and choice, to feel free. None of that changes with dementia. The only difference is that now, just the same as with the functional needs, people need a bit more outside help. Or in the case of someone like Lena, whose Alzheimers is well advanced, a lot more help.

Technically, the brain is not a muscle. But just like a muscle, it needs exercise. Stop using it altogether and it will wither and die.

There’s an uncomfortable paradox in my life. Here I am, campaigning for The Bine, purporting to know all the answers, how to get people reconnected and engaged. But every moment I spend at the computer or going to meetings, I’m leaving Lena alone and unengaged. I’m a fraud.

I look back at today. How much time have I actually spent with her? Maybe a couple of hours. How have I stimulated her? Hardly at all. It’s all been the functional stuff. And I wonder. Am I capable of giving Lena what she needs? Would she be better off in full-time care? Not because she wants it, but because I’m failing her. At least there’d be other people around.

 

It’s 2am, and my newsletter is finally finished. I close everything down, then go into the bedroom, deliberately making just enough noise to wake Lena up. It’s become a habit over the past six months, after we had a series of bedtime accidents. I write till the early morning hours, then before turning in myself, I rouse Lena, and lead her off to the bathroom. So far, it’s working well.

The bedside light is on – I always leave it on – and I can see she’s awake, though her eyes are still closed. I gently call her name:

– Lena. It’s that time. Would you like to come to your nice bathroom?

A smile plays on her lips. She knows it’s me, and she’s happy I’m there with her. She stretches, but the bed is warm and comfortable. She’d like to stay there. But when I take her hand, there’s only token resistance. She knows what she has to do, and slowly allows herself to be eased out and up. As her feet touch the floor, she sings her little going-to-the-bathroom-in-the-middle-of-the-night song:

– Dum ti dum ti dum ti diddely doo.

I take her other hand and we slowly work our way along the corridor, me the train, she the carriage, puffing and hooting as we reach the bathroom door. I shunt her in, help her with the clothes, sit her down.

She’s still only half-awake, but she’s studying my face as I stand by the door, waiting. There’s trust in her eyes. Then she suddenly breaks into a broad grin. So do I. She snorts, and she’s giggling, can’t stop. Isn’t it silly, this situation we somehow find ourselves in? I’m giggling too.

How could I ever have thought that Lena might be better in someone else’s care? How could anyone else know the secret codes, the little looks and touches and gestures and words and timings built up between us over months and years? Without them, a dementia life would be intolerable. With them, there are still little moments of delight.

I’m on the right track with The Bine, I’m sure. A care solution that would preserve and protect our home relationship, while giving Lena the social stimulation that I’m struggling to provide.

I’m struggling, but I’ll try to do better tomorrow. That’s what I always say.

More from The Care Combine

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Alan Miles

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2 thoughts on “The Fraud

  1. You’ve set yourself such a tough, complicated task that it surprises me not in the least that you would feel defeated, or at least somewhat disingenuous, every now and then. I think, although I could be wrong because I don’t have much information, that the feeling may also be provoked by a lack of close support for your own efforts. Having personal face to face contacts, rather than digital media ones, to discuss your ideas and setbacks is always a more potent feedback mechanism. Goes right back to that “consultant” thing you suggested…💗

    • You’re absolutely right about the importance of personal contacts, Alli. In fact, that’s exactly what I’m planning to write about next time – the difference that face-to-face discussion and personal recommendation has made to my web campaign. And yes, I still need to step back and think – or find that consultant.

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