One year in care during Covid 19 – Living with Alzheimer’s by Chris Suich

I can hardly believe it is a year since Bob went into care. I have fought to have a meaningful visit for almost as long. I have three files of letters, have been interviewed on the main BBC news at 6 pm and 10 pm and done a double page spread with The Daily Express. I have joined 2 campaign groups and worked with human rights lawyers.

Still,  I have only seen him in his room for the last five weeks for 30 minutes each time because I have begged and underlined the guidance – which I have kept up with regularly –and where it mentioned  ‘ end of  life’, which states meaningful visits should be facilitated safely  (with lateral flow tests, temperature tests and PPE.) My GP has supported me, and my Admiral nurse.  My GP wrote a letter stating she thought Bob had months to live. 6-12 months is deemed end of life. This should be recognised by care-homes. It is written in the guidance during COVID-19. That was November. It took till the end of January. There are thousands and thousands more families up and down the country suffering. Yes, many residents have died in care-homes from COVID-19  but I wonder how many have died because they have been isolated from loved ones and have given up? I have seen the mental anguish. I have gone every week I was allowed on site to see Bob at the window. I have witnessed the scratching at the window, the crying for me.

The deterioration in just a year is profound. Bob cannot stand, needs a hoist, has a soft diet as he has a high risk of choking, is doubly incontinent, and speaks in odd words and phrases which are often muddled or random. He is as dependent as a baby. But he’s mine, and he’s still inside there somewhere.

So Bob is a shell of the man that walked into care. He doesn’t know me. I can hold his hand but he has forgotten how to hold mine. All those weeks he reached out to me begging to hold my hands and now he’s forgotten how to. I tell him I’m Chris, his wife and I love him and it’s a good day because I’ve come to see him. I pick up one of the memory books I’ve done for him and I talk to him about the pictures.

‘ Look, this is a lovely picture darling. That’s Eddie with his arm around you.  You were in Skegness having fish and chips’.

There is some recollection and then ‘ Edward, Edward, Edward!’

‘ Yes, and look who this is, it’s your Joey, yes, that’s Joseph’

Another flicker perhaps, a frown, dredging up the distant memory of his eldest son’s name.

And then, ‘ He’s a good chap.’

‘ Yes, he is. Dr Joe , he’s coming to see you tomorrow, darling, as soon as he’s finished at the hospital. He’s  coming to see you. How wonderful will that be?’

He looks around his bedroom as though he might be coming right now.

Then he sees my smiling face on his pictures on the memories blanket on his bed.

‘ She’s smiling’, he says.

‘ Yes darling, that’s me and I’m smiling because I’m here with you’

‘You’re very pretty’

‘ And you’re my handsome Bob’

That has tickled him and he laughs and laughs.

It is magical to have this response. Sometimes it is nothing. Staring in front of him if he’s sat in a chair, or laying in bed with the radio blaring. Lost in his thoughts, days passing, monotony, lifeless and without my stimulation. He jerks and reaches for things in fresh air, hallucinating. Today is a calm day.

It’s amazing what I can pack in the 30 minutes. I take him chocolate buttons and he opens his mouth like a little bird and I pop them in, one at a time. He licks his lips and I know he’s enjoyed them. I read to him. The Owl and the Pussycat last time. I play him our tunes. The Beatles ‘Ooh Blah  Dee Ooh Blah  Da’ and he responds. He wails to the chorus, trying to sing.  He recognises the chorus and I’m pleased I thought of that one. I dance around in front of him singing and trying to get a further response. I play ‘ A Groovy Kind of Love’ by Phil Collins. Our song. He knows the name. ‘ A long time ago’ he says.

It is – a lifetime away.

Out of the blue he says, ‘ I love you’ and I’m overcome, the tears spill. Happy tears tinged with sadness.

Then the knock at the door. ‘ Time’s Up’. I want to stay longer. He is just beginning to know me again, there’s a definite connection. Surely it makes no difference, I’m in his room, I’m not interfering with anyone. It’s not near tea time. Why can’t I stay two hours? He’s dying.  Every minute is precious.

Knock knock. ‘Sorry it’s time’. It’s agony. I don’t want to go. I’ll have to wait another week. I’m in an emotional trauma. Do prisoners get longer?

I tell him I love him and always will. I tell him I’ll be back. I say ‘I’ll bring you chocolate.’ I kiss him with my mask on, on his forehead. He doesn’t respond. He goes back inside himself. My eyes are full of tears. How can this be happening? I should have the same status as the carers. I am the family carer. I know him and can love and stimulate him.

They see my tears. I can’t speak. I try to get out quickly. I ram the PPE in the bin, I wash my hands and I briskly walk to the car. I sit in the car, my head bowed. I cannot stop the sobs. I wait till I can drive the 15 minutes home. I’m numb. The next day is the same. I sometimes just cannot do anything. No motivation for the next day’s tasks. This lockdown and isolation does not help. I cannot wait to mix with friends again.

This is my routine now. I try to busy myself. I allow myself one day of grief after the visit, then I try to keep my mind and body busy. Walking and walking until I tire. School work prep. Box sets. Zoom meetings, Zoom teaching. This is the limbo land and routine  I’m existing in at the moment. Until the next visit.

Living with Alzheimers – Will Bob know me tomorrow? by Chris Suich

I am anxious. Wondering what I will find at the home tomorrow. Will Bob know me again? My window visit is due at 2.10pm. It has changed from 11.10am because it was difficult as Bob was still sleepy. Sometimes, mostly on other days, he wasn’t out of bed. I was told this was person centred care if the patient chose or wanted to get up later they were able to. I tried to argue that he never stayed in bed till after 12 and he was up with me only 9 months ago at 6.30am and went to bed with me at 9pm without sleeping at all in the day. He slept all night at the home too so I was concerned about getting bed sores as that’s an awful lot of hours to spend laying down.

If he was brought to me in a wheelchair for a garden or cafe visit 2 m away (with a minder),  he was often falling asleep or in a kind of unfocused stupor where I couldn’t engage him. I asked if he was depressed or had given up the will to live. I had never seen him like this for so many visits week after week.

I was told by the nurse manager of the dementia unit it’s the onset of the disease, the way it progresses the way it is. But what if it wasn’t? What if it was the medication, the anti-psychotic drugs that he started in March. They are accumulative. Had he had the medication reviewed during covid? Had anyone outside the home seen him and this deterioration?

Two weeks ago he had a kind of spasm and his legs went rigid and he slid down the wheelchair. Luckily I was with my eldest son, a doctor. He was very concerned as he hadn’t seen his father in a while and was worried about his decline  and said he would be reviewed and observed if he was in hospital.

But he wasn’t, he was in a home and even the psychiatrist’s dementia nurse – who knew him since he was diagnosed – had tried to see him but was not allowed access.

So I rang the GP and asked her if anyone had actually seen him, not had a phone call or a Teams meeting but actually donned PPE and assessed him. No they hadn’t. I insisted there and then that a doctor visit him and advised them what I was most worried about. I said that I need to know if the medication was causing the sleeping and decline or the disease. I was really worried and concerned about the safeguarding aspect if medics were not getting access when the families requested it. The same day the duty nurse went in and later a GP – and a GP is scheduled in 2 weeks .

He is off all the dementia medication and he is a lot better. We went to see him 3 days ago and we cried with joy as he recognised us both and called our names out over and over . He was more alert and focused.

But it was a window visit as the home say he is not safe in a wheelchair, so we can’t see him face to face 2 m away . I think this rigidity has now subsided due to being taken off medications and the GP will confirm when she sees him next time.

This is such a blow because he cannot hear or see us very well at the window.  If it just a chair problem to overcome there must be one we can use just to get him out the door? It’s a good job I have a ‘ can do’ attitude as these problems seem insurmountable to some.

Nothing is insurmountable to me and whilst Bob is alive I will fight for him. It is an uphill battle.

What worries me more is how many others don’t have a ‘ me’ to ask questions and check well being and challenge accountability.