Mrs. Dubois lives in the western region of Switzerland. She is 78 years old at the time of the interview. Her husband, 77, who lives in a nursing home, was diagnosed with Alzheimer's disease and vascular dementia four years ago. Her husband's aggressiveness and incontinence made home care impossible. Before deciding to transfer to a nursing home, Mrs. Dubois increased the amount of time her husband spent at a day program, which he had attended once a week, to ease the burden. In between, he spent several weeks in a home, where he behaved just as aggressively. Mrs. Dubois receives support from her sisters and from the nursing staff in the home. With the dementia, her marital happiness collapsed. Mrs. Dubois had worked as a doctor, running a joint practice with her husband. The imminent sale of their house feels like a great loss.
AUDIO
Mrs. Dubois recounts an episode when she left her husband, who was behaving aggressively, to his own devices one day due to exhaustion. The situation could have put him in mortal danger, and reflecting on it causes Mrs. Dubois strong feelings of guilt.
TRANSCRIPT
Herr Jenny und Herr Jenny
Slipping into the role of caretaker causes Mr. Jenny trouble.
Whether Mr. Jenny has eaten a hot meal, his brother is often not sure. He thinks his brother sometimes overplays the situation, which puts him in a clinch because he has to take on the role of chaperone. He wrestles with himself again and again.
Processes of adaptation
Herr Sonderegger
Mr. Sonderegger comes into moral conflict with himself because he has to patronize his wife and restrict her freedom of movement.
Mr. Sonderegger recently installed a fence in the garden to prevent his wife from falling as much as possible and thus avert potential complicated medical interventions. It remains a moral conflict for him to patronize his wife and restrict her freedom of movement.
Processes of adaptation
Mrs. Dubois lives in the western region of Switzerland. She is 78 years old at the time of the interview. Her husband, 77, who lives in a nursing home, was diagnosed with Alzheimer's disease and vascular dementia four years ago. Her husband's aggressiveness and incontinence made home care impossible. Before deciding to transfer to a nursing home, Mrs. Dubois increased the amount of time her husband spent at a day program, which he had attended once a week, to ease the burden. In between, he spent several weeks in a home, where he behaved just as aggressively. Mrs. Dubois receives support from her sisters and from the nursing staff in the home. With the dementia, her marital happiness collapsed. Mrs. Dubois had worked as a doctor, running a joint practice with her husband. The imminent sale of their house feels like a great loss.
Frau Dubois
Mrs. Dubois believes that it is important to have multiple opportunities to receive information and ask questions; when one is directly affected or involved, it can be hard to absorb information.
Mrs. Dubois believes that it is important to have multiple opportunities to receive information and ask questions; when one is directly affected or involved, it can be hard to absorb information. She thinks it would be nice to have a chance to consult with the family doctor and a disease expert together.
What helps? - Caregivers' perspective
Dementia
Frau Dubois
Mrs. Dubois recounts an episode when she left her husband, who was behaving aggressively, to his own devices one day due to exhaustion. The situation could have put him in mortal danger, and reflecting on it causes Mrs. Dubois strong feelings of guilt.
Mrs. Dubois recounts an episode when she left her husband, who was behaving aggressively, to his own devices one day due to exhaustion. The situation could have put him in mortal danger, and reflecting on it causes Mrs. Dubois strong feelings of guilt.
Processes of adaptation
Dementia
Frau Dubois
Mrs. Dubois has a very good connection with the nursing specialist. This influenced her decision not to move her husband to another home closer to her house.
Because Mrs. Dubois has a very good connection with the nurse, when her husband needed more care days, she decided to keep him in the same nursing home despite the fact that it was farther from her house than other options that would have been more convenient. She found the nurse comforting and understanding. Her connection with the nurse helped soften feelings of guilt that she could not live up to her ideal to care for her husband at home.
What helps? - Caregivers' perspective
Dementia
Frau Dubois
Mrs. Dubois has an idea to get the relatives who visit the nursing home involved in engaging the dementia patient there.
Mrs. Dubois thinks about possible ways to get the residents of the nursing home more active and, based on a previous experience, she came up with the idea of involving the relatives who come to visit. Having people commit as volunteers one afternoon per month seems reasonable. She thinks communal volunteer work is a good way to keep the costs down.
What helps? - Caregivers' perspective
Dementia
Frau Dubois
Mrs. Dubois says that her husband's son has not had any contact with him. She conjectures that this might be because the son is afraid of having dementia himself one day.
Mrs. Dubois says that her husband's son has not had any contact with him. She conjectures that this might be because the son is afraid of one day having dementia himself and prefers not to face the situation since he would then consider the implications for himself.
Four levels of communication of the caregivers
Dementia
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