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Posts Tagged ‘Alzheimer’s’

Alzheimers

My mum’s deterioration continues.

Whereas just a few months ago she would argue that there was nothing wrong with her memory and try to help with the cooking (she actually thought she WAS doing ALL the cooking), she now seems to accept that she is no longer capable of either remembering, or cooking.

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During the second visit to the memory clinic, the consultant prescribed a pill for mum. This is designed to slow down her memory deterioration. The doctor told us that there was a choice of two pills that would help mum. Because mum’s kidney function does not look great, but her pulse rate was ok, she had to prescribe Donepezil.

“All three cholinesterase inhibitors (of which Donepezil is one) work in a similar way, but one might suit a certain individual better than another, particularly in terms of side effects experienced.” **

I had to ask then, given that the pulse rate suggested mum’s heart function was ok, what the cardiology appointment was for at the end of July (which, by the way has now been cancelled and is causing no end of phone calls to be made to find out why and/or re-book).

Readers of the previous post will know that as the consultant was not aware of that appointment (which came following an ECG mum had had as part of this memory clinic process), we had to hold off on the prescription, and she said would get back to me as soon as possible.

Three weeks on an I am still waiting to present the prescription at the chemist.

Since our first visit to the memory clinic at the beginning of May, we have become aware of many previously unknown support organisations. These however, seem to be seriously undermanned and overworked.

  • An Admiral Nurse phoned me to ask what they could do to help – but as we were at this stage, I could not say. She did however, give me lots of information that I have yet to fully digest. Most of it seems to involve the council and lots of waiting.
  • The lady from Making Space said that she would send off for, and then help us fill in, Attendance Allowance forms – as these were reputed to be horrendous. This she did and the forms arrived two weeks ago. However, getting in touch with the same lady on a day that she is working has been impossible. I eventually presented myself at their office and sought the help of someone else – who will meet us tomorrow.  Even if the help isn’t as urgent as it may seem for my mum, the forms are official forms with a date stamped return date, which is fast approaching.
  • At the memory services clinic itself, I never seem to get the same person twice. When I first became worried about mum’s prescription, I phoned and was told that they (the consultant’s office) were waiting for a reply from mum’s G.P.  So – I visited the G.P. surgery and found that the reply had been sent by FAX the previous week. When I phoned the clinic again and told them that the G.P.’s answer should have been received, I was told that the consultant was on holiday, but that mum’s case would be one of the first dealt with on the Monday (this week).

I phoned again on Monday and left a message with whoever answered the phone.  I called in at the clinic on Tuesday and left a message with whoever answered the phone that was handed to me on reception. It is now Wednesday and I was told yet again that a note had been left for the consultant/doctor to call me to say “yes” or ‘no” to the prescription.

If there’s one thing I’ve learned from all of this so far, it is to begin early (i.e. when you are much younger and more capable of pushing hard for the services you deserve) and to try and avoid June – August, when everyone goes on holiday.

** From: https://www.alzheimers.org.uk/info/20162/drugs/105/drug_treatments_for_alzheimers_disease/3

Photo credit: https://www.flickr.com/photos/118316968@N08/19444505382 – with thanks for using Creative Commons.

Future posts on this subject can be seen here: https://failingtoremember.wordpress.com/

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Following on from my previous post about my mum’s fading memory – https://saturdaywalks.wordpress.com/2017/05/04/memory-test/ today was the day we visited the specialist doctor.

Sharon and I accompanied her to the same place as before.

Mum’s memory function has deteriorated quite a bit since the first visit almost two months ago; not so much that she has no awareness of things around her, but nevertheless, there has been a significant decline. E.g. she introduced me to the doctor as her brother.

So, we were not expecting any ‘good’ news.

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The CT scan she’d had showed nothing more than age-related deterioration, her pulse is perfect (72) and the only ‘bad’ (inasmuch as it’s not a worry for this memory process, but it’s not ‘good’) is that her eGFR1 (estimated glomerular filtration rate2) was only 35. This could be another issue to watch, given that it shows moderate to severe loss of kidney function, but for now I’ll stick to the issue of memory.

The doctor mentioned dementia, but then avoided it suggesting that she didn’t like the word (neither do I) and towards the end of our interview suggested that this was Alzheimer’s, without actually dwelling on that. I suspect that once the paperwork all comes through – that’s what will be the diagnosis.

As part of this process, mum had also had to have an ECG, the result of which is that she has to visit the hospital again on July 31st, to see a cardiologist. Today’s doctor knew nothing about that – but promised to follow it up, especially as the drug she was prescribing for my mum depended on heart rate to a certain extent. She phoned me about an hour later to say that the G.P. was out right now, but that she would be in touch again next week. The medication aims to slow down the memory loss process.

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We were then introduced to the local Making Space representative. Making Space provide specialist dementia care alongside support for sufferers that enables them to stay in their own home for as long as possible. At this early stage, we only required information, advice and guidance. Sharon, the lady we met, was superb and was able to put my mum’s mind at rest and to answer the questions we had brought. She is sending me leaflets to read and more information about the services available to my parents. My job will be convincing my dad to take some, if not all of these up.

Some of the support I will be aiming for over the next few weeks will be to find an Admiral Nurse5 to pick up on my mum; to get my dad to reconsider applying for a Power of Attorney over my mum’s health and finances and to apply for Attendance Allowance on behalf of my mum.

Sharon, at Making Space has promised help with all of those.

References

Photo Credits:

https://pixabay.com/p-544403/?no_redirect

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