Dementia, Cancer, a Colostomy and now a Catheter

Posted by gloro @gloro, Aug 20 8:08am

This is a first for me: starting a topic. Up to now, I have gone in and out of discussions started by others, which reference something of which I have some knowledge. But this morning, I have an issue that is new to me. Working through an IUT (and/or a growth in the bladder), we found ourselves at the Urologist yesterday. It took five attempts before we went home with our newest/best friend, a catheter. It broke my heart to see him go through all the pain and indignities. On the occasions when we were in the room alone while strategies changed, he would ask me, "Why am I here?" It always amazes me that my simple explanations of what is unexplainable seem to assure him I at least know what is going on. . -- The training on how to empty it and how to thread it through a pocket of his sweatpants, of which they cut off the bottom, went well. What did not go well was having to remind him during the night that he did not have to get up to relieve himself and my useless tutorials on the only two options for positions while sleeping so that he does not hurt himself or dislodge the catheter. -- Any suggestions? I have it hanging from an opened drawer, but it was on the floor when I got up at 7 a.m. to find a full bag. I can't believe the output, and I can't believe the red color of it. As I am queasy about this project, I know it is the next step in solving a problem that so far has no answers. -- In my previous chats, I have expounded on being prepared for the moment when things go south. Well, the time has come to prove to myself that my advice has merit. Still, I find there are things yet to be finished. I am waiting for Kayla, who helps out, to show up in a few minutes to paint the laundry room. Ironically, the laundry room needs painting because of the new tile floor necessitated by spills on the previous carpeting. -- Between Kayla, myself, and the visiting nurse, who should show up in the next few days, I hope my army is big enough for what is ahead. What ever that maybe. GloRo

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@jehjeh

Dear @gloro

I always look forward to your posts and just realized it's been a couple of weeks since you last posted. As a fellow caregiver I know how busy life gets and sometimes there's just nothing to post. I just wanted to let you know how uplifted I am by your words. I hope this has been a calm stretch for you (relatively speaking, of course) and that the catheter situation is getting easier.
Blessings,
jehjeh

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Is it only a couple of weeks since I last posted? It feels like months. My days have been busy as I cruise along the new learning curve with the addition of a catheter while still putting into place some house repairs to allow us to stay in our home. So much for planning to be prepared for the unknown; it is often a mythical goal. -- A visiting nurse and a wash aide are in place. The urine has gone from an opaque, robust burgundy to a hideous khaki green, somewhat translucent and less smelly. I am assured this is progress. On Tuesday, there is a follow up appt with the urologist. Hopefully, there will be clues, such as whether there is a surgical fix or this is the new normal. -- To the someone on this thread who suggested the VA as a possible source for help, thank you so much. The social worker on our case gave me a contact number. The addition of the catheter has limited already limited interactions with the outside world. I hope the VA can assist in a home aide for respite so I can attend my Writers Group and occasionally do some shopping. -- As always, I am amazed at the resiliency and adaptability of being a caregiver. I don't know if anyone remembers me babbling about setting up areas in my home with artwork that allows me to focus on something stimulating and beautiful, even if, from the corner of an eye, zipping onto the next challenge. Well, a few small art pieces on a brick wall are doing their job. The effort was well worth the positive payoff. -- Right now, I am steeling myself for the first haircut, shower, and shave without the assistance of the bath aide. I know this must be done if the VA does not come through. That unsweet spot of what I can do and what is required is still unknown, but it is better to prepare and not be entirely at the gods' mercy. When and if I hit the wall is still to be established. -- I can never convey how much jehjeh's note meant. Again evidence we are not alone. GloRo

REPLY

When I first posted about the addition of a catheter to our litany of woes, I was close to panicking; but, like most things, you can become an expert if you keep at it long enough. We are into our second month with the catheter, as we wait for a November 1 appt. with the urologist for a possible diagnosis (or maybe not). Our new normal has come with a visiting nurse and bath aide. Of course, the expertise we have gained means the nurse and bath aide will be leaving us. -- Now, for my favorite part of these posts, I hope to make you laugh at the pitfalls we never thought about. The nurse put us in touch with a social worker. The social worker gave us contact numbers for the VA. I hoped we would qualify for respite care, so I called, left a number, and waited. It seems that timing is everything. Not more than 10 minutes later, I got what I thought was the answer to my prayers. It didn't take the scam artist on the line very long to figure out he had a cooperative mark. And when he called back days later and said my husband was approved for benefits, I gladly gave him banking information. Then, I hired someone for respite care on his say-so. Luckily, I do not do online banking, a favorite tool for scammers. Also, my scammer was pretty dumb and scrambled the info I gave him. But he was persistent. After his failed attempt, he called back three weeks later and when he requested more info to complete his plans to drain my checking account, my brain cells finally went on red alert. Am I a boob? Should I have known better? Yes, and yes. But, I was also weak and weary from the constant beating that caring for someone with dementia brings. -- I am also the eternal optimist who refuses to be defeated by dementia. I contacted the genuine VA rep on Friday. He was a caring person who opened a claim and directed us to the nearest VA facility to our home on Monday. By Tuesday, appointments for tests and doctors and a virtual meeting for education were in place. There might be financial assistance. At least, we are in the system. -- I am looking at this adventure with the scammer as just one more learning experience, on a long list. The woman hired to provide respite care is named Hannah. Somehow, I will figure out how to pay for her services. Since this journey with dementia is not over yet, it is still one step at a time. -- GloRo

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@gloro

When I first posted about the addition of a catheter to our litany of woes, I was close to panicking; but, like most things, you can become an expert if you keep at it long enough. We are into our second month with the catheter, as we wait for a November 1 appt. with the urologist for a possible diagnosis (or maybe not). Our new normal has come with a visiting nurse and bath aide. Of course, the expertise we have gained means the nurse and bath aide will be leaving us. -- Now, for my favorite part of these posts, I hope to make you laugh at the pitfalls we never thought about. The nurse put us in touch with a social worker. The social worker gave us contact numbers for the VA. I hoped we would qualify for respite care, so I called, left a number, and waited. It seems that timing is everything. Not more than 10 minutes later, I got what I thought was the answer to my prayers. It didn't take the scam artist on the line very long to figure out he had a cooperative mark. And when he called back days later and said my husband was approved for benefits, I gladly gave him banking information. Then, I hired someone for respite care on his say-so. Luckily, I do not do online banking, a favorite tool for scammers. Also, my scammer was pretty dumb and scrambled the info I gave him. But he was persistent. After his failed attempt, he called back three weeks later and when he requested more info to complete his plans to drain my checking account, my brain cells finally went on red alert. Am I a boob? Should I have known better? Yes, and yes. But, I was also weak and weary from the constant beating that caring for someone with dementia brings. -- I am also the eternal optimist who refuses to be defeated by dementia. I contacted the genuine VA rep on Friday. He was a caring person who opened a claim and directed us to the nearest VA facility to our home on Monday. By Tuesday, appointments for tests and doctors and a virtual meeting for education were in place. There might be financial assistance. At least, we are in the system. -- I am looking at this adventure with the scammer as just one more learning experience, on a long list. The woman hired to provide respite care is named Hannah. Somehow, I will figure out how to pay for her services. Since this journey with dementia is not over yet, it is still one step at a time. -- GloRo

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@gloro
I am so glad you recognized the scam and that catastrophe did not strike. Funny thing is, I just fell for a scam 2 days ago. I, too, am very cautious but also extremely tired from being a caregiver 24/7. Received a text, supposedly from USPS, and gave my debit card to pay extra postage. Immediately realities made no sense and called the number. Got a message in a language other than english so I canceled my debit card.

I used to wonder how people fell for these things but now I get it. I'm always tired and always in a hurry. Need to remember to take my time when it comes to all things financial.

Things worked out for us both and maybe our posts will help someone else.

I'm glad to hear help is coming your way. jehjeh

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@gloro

When I first posted about the addition of a catheter to our litany of woes, I was close to panicking; but, like most things, you can become an expert if you keep at it long enough. We are into our second month with the catheter, as we wait for a November 1 appt. with the urologist for a possible diagnosis (or maybe not). Our new normal has come with a visiting nurse and bath aide. Of course, the expertise we have gained means the nurse and bath aide will be leaving us. -- Now, for my favorite part of these posts, I hope to make you laugh at the pitfalls we never thought about. The nurse put us in touch with a social worker. The social worker gave us contact numbers for the VA. I hoped we would qualify for respite care, so I called, left a number, and waited. It seems that timing is everything. Not more than 10 minutes later, I got what I thought was the answer to my prayers. It didn't take the scam artist on the line very long to figure out he had a cooperative mark. And when he called back days later and said my husband was approved for benefits, I gladly gave him banking information. Then, I hired someone for respite care on his say-so. Luckily, I do not do online banking, a favorite tool for scammers. Also, my scammer was pretty dumb and scrambled the info I gave him. But he was persistent. After his failed attempt, he called back three weeks later and when he requested more info to complete his plans to drain my checking account, my brain cells finally went on red alert. Am I a boob? Should I have known better? Yes, and yes. But, I was also weak and weary from the constant beating that caring for someone with dementia brings. -- I am also the eternal optimist who refuses to be defeated by dementia. I contacted the genuine VA rep on Friday. He was a caring person who opened a claim and directed us to the nearest VA facility to our home on Monday. By Tuesday, appointments for tests and doctors and a virtual meeting for education were in place. There might be financial assistance. At least, we are in the system. -- I am looking at this adventure with the scammer as just one more learning experience, on a long list. The woman hired to provide respite care is named Hannah. Somehow, I will figure out how to pay for her services. Since this journey with dementia is not over yet, it is still one step at a time. -- GloRo

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I am intrigued and impressed with your tenacity and courage. From reading your posts, I wasn’t sure what the cause was for your husband’s catheter. I am curious as to how he reacts to it. My father, who has CKD, which is progressing, probably due to his CHF, would have a huge issue over anything touching his body. He would constantly be complaining something was stuck on his body, asking why it was there, etc. His dementia causes him to fixate on minor things like a pimple, insect bite, etc. and he can’t let it go. He becomes inconsolable. I worry that he could not handle something attached to his body. He’d likely remove it and suffer a lot of mental distress in the process.

How did the doctor know your husband would be a good candidate for this procedure?

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@celia16

I am intrigued and impressed with your tenacity and courage. From reading your posts, I wasn’t sure what the cause was for your husband’s catheter. I am curious as to how he reacts to it. My father, who has CKD, which is progressing, probably due to his CHF, would have a huge issue over anything touching his body. He would constantly be complaining something was stuck on his body, asking why it was there, etc. His dementia causes him to fixate on minor things like a pimple, insect bite, etc. and he can’t let it go. He becomes inconsolable. I worry that he could not handle something attached to his body. He’d likely remove it and suffer a lot of mental distress in the process.

How did the doctor know your husband would be a good candidate for this procedure?

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Celia, blood in the urine, and pain brought us to a Urologist with a diagnosis of a UTI. The catheter was introduced only after the infection was cleared, and normal urination remained an issue. Whether or not my husband was a good candidate for a catheter was just the next step in his treatment. My husband proves to be unique. Usually a short-term solution, he is now 2 1/2 months with it. We hope that on his next appointment with the urologist on 11/1, there will be a diagnosis and a treatment plan. -- My husband also fixates on things, but not those that beleaguer your father. With health issues that can lead to a catheter, I fully understand you trying to prepare yourself with information. I wish I had something to share, but like dementia, it seems the variations of kidney and bladder issues can also be tailored to the individual. If and when our situation changes, I will post new information. GloRo

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@gloro

Celia, blood in the urine, and pain brought us to a Urologist with a diagnosis of a UTI. The catheter was introduced only after the infection was cleared, and normal urination remained an issue. Whether or not my husband was a good candidate for a catheter was just the next step in his treatment. My husband proves to be unique. Usually a short-term solution, he is now 2 1/2 months with it. We hope that on his next appointment with the urologist on 11/1, there will be a diagnosis and a treatment plan. -- My husband also fixates on things, but not those that beleaguer your father. With health issues that can lead to a catheter, I fully understand you trying to prepare yourself with information. I wish I had something to share, but like dementia, it seems the variations of kidney and bladder issues can also be tailored to the individual. If and when our situation changes, I will post new information. GloRo

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Thank you for the explanation. I hope things continue to improve for your husband.

My dad once told us that he hadn’t urinated in 24 hours and was very distressed and worried. So, I took him to the ED at local hospital. They did an ultrasound and determined that his bladder was not full. He was under a delusion. So, we have trouble relying on his accounts. Other times, he says he is continually urinating…..but he isn’t. He does have CKD so I expect something regarding that to pop up soon. He’s not a dialysis candidate. I think we have limited options. Will discuss soon with his primary.

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