Shifting Mother to reminiscence care

At this time, I did the second-hardest factor I’ve ever needed to do: I took away Mother’s cat.

Mother’s assisted dwelling facility known as final Thursday. “We strongly encourage you to contemplate transferring your mom to reminiscence care,” the director informed me. “I do know we talked about this a yr in the past, and at the moment you and your loved ones determined she wasn’t prepared. We predict she’s prepared now. She’s refusing her meds. She’s refusing to eat. She’s wandering. She’s extra confused than ever.”

I phoned my brother, Jeff, who has dealt with the majority of Mother’s care since she moved to Glad Acres a decade in the past. “What do you assume?” I requested.

“I believe they’re proper,” he mentioned. “Mother has been to the emergency room 3 times because the center of November. She appears comparatively lucid after every hospital go to, however that fades quick. Inside a day of returning residence, she’s out of it once more. And her confusion does appear to be getting worse.”

“Yeah,” I mentioned. “You are proper. Even when she’s lucid, she’s confused. Keep in mind when she known as me from the hospital two weeks in the past? She was talking in full sentences for as soon as, however the sentences made no sense. She was asking to see the sherriff. She was speaking about her canine, however she hasn’t owned a canine because the Nineteen Eighties.”

Then I added, “The powerful half is that she will’t hold her cat if she strikes to reminiscence care. And she or he loves that cat.”

Glad Acres

Mother moved into Glad Acres on the sixteenth anniversary of my father’s dying, 21 July 2011. She was 63 years previous.

She had been living alone at the family homestead — the home my grandparents owned when I was a boy — for all sixteen of those years after Dad died. But without us noticing, Mom began to slide into…well, the doctors cannot tell us what she was sliding into. But it was something like dementia.

That summer, we realized that she was having problems.

• Her schizophrenia exploded. (She insisted the neighbors were firing guns at all hours. They didn’t own a gun. She reported conversations and events that never took place. And so on.)
• She became unable to take her medication reliably. (She’d miss doses or, more often, take a day’s worth of doses at once. Sometimes two days.)
• Plus, she was what the medical folks call “non verbal”. That is, she couldn’t communicate what she was thinking and feeling. (Except on those random rare occasions when she could carry on a nearly-normal conversation.)

The final straw came when Mom drove her car through the back of the garage. My brothers and I knew then that something had to be done. And when the doctors told us they couldn’t explain what was wrong, we made the difficult decision: We found a memory care facility with an open spot and moved her in.

Mom didn’t like the memory care unit at Happy Acres. She shared her apartment with another resident. Mom wanted privacy. She didn’t like the social activities. She wanted to sit alone in her room and watch the Home Shopping Network. She wanted her cats. (She had two cats when she was living on the family homestead.)

Within a few months, the staff at Happy Acres recommended that we move her upstairs to a private apartment outside the memory care space. That’s where she’s lived for the past ten years. She’s had two large rooms to herself. She spends most of her time watching the Home Shopping Network (still), but for a long time she seemed to enjoy going downstairs at mealtimes, sitting in the same chair at the same table with the same people.

Mom missed her cats, though, so before Kim and I left for our year-long RV trip in 2015, I drove her to the Humane Society. There, she chose a cat. (And the cat chose her.) For seven years, sweet little Bonnie has been Mom’s closest companion. She loves that beast, and the beast loves her.

Over the previous yr, nonetheless, Mother’s well being has declined — and so has Bonnie’s. Bonnie was by no means a sturdy animal to start with, and dental issues have made it painful for her to eat. Because of this, she’s misplaced loads of weight. In the meantime, Mother’s had problems with her personal.

Principally, her well being has been secure at Glad Acres (other than her ongoing confusion and a continued “non-verbal” state). Not too long ago, although, she started to have digestive points. These points led to her having three visits to the emergency room on the finish of the yr. For the previous two months, Jeff and I’ve spent loads of time and power making an attempt to determine the perfect plan of action for Mother.

Final week, when Glad Acres known as to advocate transferring Mother to reminiscence care, we agreed it was time. A fourth journey to the E.R. for her over the weekend merely bolstered that call. Then, when Jeff visited Mother earlier this week, he messaged me: “It looks like she’s simply ready round to die. She’s not consuming. She’s not taking her meds. She’s not placing on garments.”

Logically, we expect that is the perfect transfer. Emotionally, nonetheless, it is powerful.

Shifting to Reminiscence Care

At this time, I drove as much as signal the paperwork. I did all the pieces I might to procrastinate, although, which is a certain signal that I did not need to do it. I took the longest route potential, winding alongside Oregon nation roads. I ended for half an hour at a bookstore (the place I did not purchase something). I ended to eat lunch. Finally, although, I might delay now not.

At Glad Acres, the lady in cost confirmed me Mother’s new room. It is tiny. It is the scale of a faculty dorm room. Plus, it is sterile. We went upstairs to have a look at Mother’s furnishings, and I used to be overwhelmed. Her present area is at least 4 occasions the scale of the brand new area, and she or he does not need to share it with anybody. Mother might not be capable to talk, might not be capable to inform us what she’s pondering and feeling, however she’s surrounded by photographs and furnishings that remind her of the life she’s led. She’s going to lose loads of that when she strikes.

“Mother,” I mentioned, “I am right here as a result of we expect it is time so that you can transfer downstairs. You want extra assist than they may give you right here, in order that they’d like so that you can transfer to reminiscence care.”

“Oh,” she mentioned. I could not inform whether or not she understood or not.

“The room is smaller,” I mentioned, “so you will not be capable to take all your stuff with you. Are there belongings you need to be certain go together with you?”

“What?” she mentioned.

“Are there issues that you just need to take with you to the reminiscence care facility?”

She shrugged. “I do not know,” she mentioned.

“And I am going to need to take Bonnie with me right this moment,” I mentioned.

“You’ll?” she mentioned. She appeared to grasp. However possibly not. In any case, it broke my coronary heart. Bonnie, who had been winding round my ankles, jumped onto Mother’s lap.

“Hello, Bonnie,” she mentioned and she or he smiled. She hardly ever smiles anymore.

Whereas the gal from Glad Acres photocopied the contract that I’d simply signed, I gathered up all the cat stuff. Mother petted the cat. I am unable to make certain, but it surely appeared to me as if her eyes had been watering. She wasn’t crying however she appeared close to to.

“Do you’re keen on your cat?” I requested.

“Sure,” she mentioned, and I died inside. How might I do that to her? How might I take the one factor that brings her day by day pleasure? I felt soiled. And imply. Why did not I merely have Mother transfer in with me and Kim? In different cultures, that will be the expectation, the norm. Not in ours. I felt callous and merciless.

Then a few issues occurred.

Questioning Myself

First, as I used to be trying to find Bonnie’s meals and toys and litter, I seen the state of Mother’s house.

There was a bedpan on her nightstand. There have been stains all around the flooring from current “accidents” the place she hadn’t reached the toilet in time. There have been diapers within the closet.

I recalled the current conversations we have had with the workers of Glad Acres about how troublesome it’s to get Mother to eat or to take her meds or to carry out fundamental hygiene.

Sure, Mother might come reside with me and Kim, however am I geared up to make her care my full-time job? Would I ever really feel comfy leaving the home to run errands whereas leaving her residence alone?

Second, Mother mentioned one thing that jogged my memory why she was at Glad Acres. As I used to be gathering gear, she requested me a query: “Are you transferring in right here too?”

I noticed that, in that second, she did not know who I used to be. She did not acknowledge me. Whereas I believe this has occurred up to now, that is the primary time I’ve identified for certain that she thought I used to be a stranger.

“No, I am not transferring in,” I mentioned. “I am getting issues prepared so as to transfer someplace they’ll higher care for you.”

I stayed for some time longer in order that Mother might pet her cat. Then I hugged her goodbye, mentioned “I really like you”, and drove residence to Corvallis.

I nonetheless do not know whether or not that is the “proper” factor to do. It feels fallacious. Nevertheless it additionally looks like the one possibility. And, as Jeff identified throughout my drive residence, if we resolve this is the fallacious alternative for Mother, it is not irreversible. We will at all times transfer her again into the primary dwelling space at Glad Acres. Or there are different amenities within the space which may work for her.

I notice it is so much to anticipate, however I’ve excessive hopes that sooner or later Mother might be reunited with Bonnie.

We’ll see. We’ll see.

Replace: To ease her transition, I slept downstairs within the visitor room with Bonnie final evening. Doing so added to my torment. Bonnie is nice, and twice in the course of the evening she woke me to pet her. All I might assume is that for the previous seven years, she’s woke Mother to pet her, not me. Final evening, Mother did not have a cat to cuddle. What was that like for her?