the new hearing aids

Derek is one of these men who is lucky enough or unlucky enough in his opinion to reach 100 years of age. He can still walk and can read a book in a day. Of late his hearing has deteriorated and this became the regular topic of conversation. Firstly because the nurses do not do home visits to syringe any more so he had to go to the surgery to have it done. Then his hearing was not much better so he invested a lot of money in custom hearing aids. On the first day after they had arrived I found him fiddling around trying to get them in his ear.
'They will have to go back they do not fit' he remonstrated
'Shall I try?' I offered
This is not as straight forward as might seem. There is obviously a left and right hearing aid and unlike the national health ones they are not so easy to differentiate. Also, because they fit snuggly in each ear they are quite tricky to fit. I eventually worked out there is blue and red writing to indicate left and right and life was ok.

Two days later.
'These hearing aids aren't working again'
'Have the batteries run out'
'What in two days, I can't afford to change them that often'
It was the batteries but you are supposed to slightly remove them at night to save the charge. Another problem solved, and everything seemed alright apart from the fact that he would regularly take them out during the day and then complain they were not working when he had not quite put them back in properly' Almost every time I went in I was greeted with
'These hearing aids don't work they will have to go back.'
Two weeks go by and the hearing aid saga is beginning to settle down until, I walk and find him really despondent.
'What's the problem?'
'These hearing aids, I have spent a lot of money on them and now I think they are too loud, I think I will have to go back and get them reset'
'Am I too loud?'
'No you are alright but it's when I watch television'
'Shall we try them out now'
'OK but it's no good'

I turned the TV on and the volume was through the roof; it was so loud I could not get to the remote control quick enough to turn it down from 35 to 10 on the volume control. He had obviously had it that loud before the hearing aids arrived and not adjusted it back.
When I turned it down he said

 'Oh I didn't know you could adjust them from there.'

The Bed Linen

A few of my calls as a care worker involve housework visits which involve anything from shopping to general housework duties. One chap I visit called Jack who is quite a petite gentle man, who I will usually find sitting quietly in his armchair staring at the walls. He has dementia but is generally ok providing his routine isn't disrupted; then you will see him pacing back and forth worrying over the smallest of things. One particular thing that sets him off and gets him very agitated is when I change his bed linen.
'Leave it 'til next week' he will say, 'I  don't want my daughter to be washing every week'
So as a compromise I started doing it every other week, even though this was still too often in his opinion.







After a month or so I got call from the office saying that his daughter had phoned to complain that I was not doing the sheets every week. I see this lady quite often and get on quite well with her, so next time we met I apologised and explained the reason why.

'I see what you are saying' she said 'but I still would like it done every week if possible.'
Then a thought struck me, 'How about if you buy two identical duvet sets and while he is in the shower I will quickly change them and put them in the laundry basket. As you do the washing anyway you can pick it up on the way out and he need never know'
'That is brilliant' she said 'I'll get some today'

So our plan was put into action with two new two tone blue duvet sets; all was going well until after a couple of months I walked in to find Jack pacing up and down.
'Are you ok Jack?'
'No! I am a bit annoyed with you!'
'Oh why is that?' I asked
'Well I have been thinking and I know I told you not to do the bed sheets every week, but I reckon you haven't done them for about 8 weeks. I have looked in the record of care book and you have been writing down that you do them every week!!!!!'

The waiting game

If you ever visit anyone in a care home the entry system involves punching in the number of the  person you are visiting and waiting while it rings for about 2 minutes before cancelling.







Whilst outside one of the care homes on a cold December morning waiting for a lady to answer the door, a gentleman walks up behind me.

'Hello' I said, 'If you like I can cancel ringing my people take an age to answer.'
'It's alright' he replied Mine does too, she's as deaf as a post'
So we stand there and eventually the ringing stops.
'How about if we take it in turns,' I suggest 'If you ring your person now and which ever one answers first means at least we can both get in the main door at the same time.'
So he punches in his number and we wait.

'It really is a nightmare getting them to the door' he says. ' they are usually asleep'
'I know the feeling, I have stood here for about ten minutes trying to get in before now'  I answered, conscious that this was turning into a competition as to who had the worst time trying to get in.
His number stopped ringing, so I punched in my number again.
'It's really quite frustrating as I am a care worker and have other calls to make'
'Yes, I have come by bus and want to get back by lunch time'

Again the ringing stops and my brother in arms takes his turn at trying to get in.
'Hello' comes a familiar voice through the speaker system
'Hello It's John' says the man.
Oh! come in John' and the door eventually opens
'Who are you visiting?' I ask.
'The Buntings'
'So am I.'

Point proven

Norman is a quiet little man who does not have much to say; I have often thought that this is because despite wearing aids, his hearing is quite bad. When I entered the house for the first time the house I could hear the television blasting out at full volume, so suggested putting subtitles on for him; I am not sure it really helped as it was still as loud the next day which makes it even harder to communicate with him because you are always competing with the telly. I spend most of my time shouting my self hoarse or writing notes. Despite all this he seems to understand what is going on around him and seems quite capable.

Just recently his daughter paid a visit and was concerned that he was becoming less able to look after himself. Despite her best efforts Norman flatly refused to consider going into a Care home. The daughter even visited our office to try and get him certified as incapable and my opinion was asked for. I expressed my feeling that there was nothing wrong with him, apart from the hearing issue which was isolating him from the world.

'But what about the fact he does not wear his care line pendant alarm!' She remonstrated
'They all do that now and again, it does not mean that they are losing their marbles' I replied
'He never seems to understand what has been said'
'As I have said, I think that a lot of the problem is hearing related'

No more was said, but the daughter still concerned about the pendant alarm, printed off a note saying  'Have you got your care line on!' and put it on his lounge door so that he could see it as he came out of his bedroom

The next day underneath the note written in a slightly shaky hand were the words 'OF COURSE'

point made I think

the simple things

Whilst preparing breakfast for one of my elderly ladies she commented
 'I don't know why my daughter always leaves porridge out, I don't even like the stuff; What's wrong with a simple boiled egg for goodness sake?'





As I was visiting her the following day, I made a point of taking a couple of eggs with me. Having got her dressed and without saying a word I took her into the lounge where her breakfast was waiting. I had made a point on presentation, cutting up the bead into soldiers and laying them into a neat circle around the eggs.

'Oh that's lovely my dear' What a lovely surprise, do you know my dear husband used to always serve eggs just like that on Sundays. You have made my day and brought back many happy memories'

It's nice to be back

I recently had a weeks holiday; there is nothing like a break to refresh your energy. However, in my job the return to work can be equally refreshing and if honest can massage my ego quite a bit. Everywhere I go, I am continually welcomed with comments like It's good to have you back' and 'We have missed your smiling face'. One lady even cancelled the calls whilst I was away because her special needs son wouldn't have anyone else but me.
Although all the remarks are lovely there was one reaction I was not expecting.
I visit a few ladies in residential homes and consequently speak to other people in passing. Pauline always has visitors from elsewhere in the home so I invariable end up making cups of tea for them as well as for Pauline.  One of these visitors is a 'special needs' lady called Andrea,  Despite seeing her on and off for the past year, she is always a bit stand offish and seems to flinch with any physical contact; even something as innocent as a touch of the hand. I always make a point of including her in conversation and often make her laugh with my child like humour.

Shortly after my holiday I was sitting with Pauline and about to leave when 
Andrea happened to walk in.

'Hello Ian you're back from holiday then' she said with a beaming smile
'Yes, Andrea how are you?' I asked
'I am fine thank you. I have missed you'

Then the unexpected happened, she came running over and gave me a hug and a kiss!

This simple act had a tear welling in my eye as I left the room

A spade is a spade

As a carer I have noticed that the elderly almost go back to childhood see blog http://thelightersideofcarework.blogspot.co.uk/2013/06/be-careful-what-you-wish-for.html

A recent addition to this blog is that they say things as they are, much like a young child would.

For example, I have recently had a very nice man shadowing me called John.  He had finished his induction course and was following me round as the final part of his training. Like me, it is a complete career change for him and he was understandably a bit apprehensive about how he would get on. He was doing really well especially when he got to one call and he asked the lady if she would like a cup of tea.
'Oh Yes please' came the immediate reply
''You never have a cup of tea when I offer' I jested with her
'Well I never fancy one normally'
And out of the corner of my eye I caught her mouthing to John 'I don't like his tea'

So now the new carer is feeling good about himself, I made a point of saying 'Well at least she'll have a drink when you arrive'. whilst making a mental note of how he made her tea should I get a chance to make her one again.  John seemed ideally suited to the job if a little timid, so I made a lot of effort to encourage and alleviate some of his apprehensions.
By the end of the evening round I could see he was starting to relax and settle into the role, all my ladies and gents seemed to take to him and I was pleased that there may be another male carer joining our team who had similar views to me about  Care work.

The last call of the evening was to an elderly lady called Miriam who has her ups and downs with her moods. I did warn John beforehand, but was relieved to find Miriam in good spirits as we entered.

'Hello Miriam' I said as we walked in 'You have another man to look after you tonight'
'Oh lovely' she replied
'Would you like a cup of tea' said John, warming to his task
'Yes please'
So off he went into the kitchen which is within earshot of the lounge where  Miriam and I were sitting.
'Do you have milk and sugar?'  he calls through
'Milk. no sugar please'
Then Miriam turns to me
'Is he new then?'
'Yes, he's shadowing me tonight and will be out working on his own next week'
'How's he getting on?'
'Really well, I think he will make a good carer' I replied, aware that John was probably listening in from the kitchen
'He's not as good as you!!' came the blunt reply

Thanks Miriam that was all my ego boosting throughout the evening wiped  out in six words