Sunday, November 06, 2011

Fragments, a Return

This weekend my siblings and I started hospice for Dad.

It's been almost a year since I wrote in this blog (I'm a little shocked but not totally surprised to see). In that year, my mother's condition has remained mostly stable, which is to say that 13 years of dementia quietly rolled into 14, with no major changes from one to the next. Tonight when I was talking to D. and my brother and sister, I described her conversation as a bagful of disconnected words, sentence fragments, gestures, expressions, questions, phrases, and moods all shaken up and spilled out. I just ride the wave of what emerges— "Oh, no—not that!" "Really?" "I know." "Yeah, I'm Billy." "Don't cry—be happy." "Want to sing a song?" When I'm with her these days, I rarely feel anything but loved.

On Friday, we got a report that Dad was drooling and going in and out of consciousness at lunch. There was more to it, but that was the most alarming development. Most likely, in retrospect, he was probably having an ischemic attack, one more of the stealth mini-strokes that both he and Mom have experienced over the years, she for a much longer time.

He has declined markedly in the last four to six weeks, sleeps most of the day when left to his own devices, eats little and irregularly, and rarely converses at all except in single words. We'd already been taking the initial steps of moving him into memory care (the wing where Mom has lived for the last year and a half), but this turn of events sealed the deal. Among other benefits will be better monitoring of his diet and hydration, although the accompanying loss of independence makes me sad.

Hospice quickly entered the picture, and at this stage it seems essentially just another level of care, one that's more sensitively attuned to his weakened condition and making him more comfortable. It will start out at least once a week but will probably increase somewhat from that according to his needs as the hospice personnel get to know him and us. Nowhere near round the clock . . . yet.

As D. put it recently, my father is winding down. It's very hard for me to look full on at what that means.

When D. and I were falling asleep and talking about Dad last night, D. said, "I'll miss him." That brought tears to my eyes because I really believed him—he's been a great friend to my father—and it made me think about how much I'll miss him, too.

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