Dementia
Violet developed dementia approx 2010 and in Feb 2013, it was arranged for Violet to fly to Singapore to have a final visit and say goodbye to all her friends and family whom she had not seen for a few years. It was sad for everyone to see Violet's condition deteriorating and her memory failing; but she was still very much lucid and could remember who was who. The tears flowed when Ah Thwee and Violet hugged. It was Chinese New Year and a good time to celebrate and enjoy the moments together. They were blood related sisters and nothing could ever change that. Ah Thwee wishes Violet to reunite with their parents and siblings and to rest in peace, with her love.
Violet moved into sheltered housing in 2013 after her return to London very reluctantly as she was no longer able to look after herself in her flat even with regular carers. She stayed in sheltered housing for a year, caused a lot of chaos as she kept trying to run away and leave her room. The sheltered housing felt they could no longer cope with her and she was approved to move to a nursing home in 2014.
The nursing home did not provide the appropriate care for Violet and mid 2014, Chrissie lodged a complaint as Violet was being treated without undue care and the police were involved with over 13 members of staff being fired. Chrissie made sure Violet was moved from the dementia ward from the home into a normal ward downstairs and the care improved though could still have been better as Chrissie would receive frequent calls from the nursing home where Violet had fallen and cut her head open with stitches and so forth.
Violet would have trips out with Chrissie from the nursing home a few times a month. Her condition slowly deteriorated as the care in the home wasn't the same as a family home. Chrissie tried hard to ensure the conditions were favourable by the home manager fought Chrissie the whole way which was very frustrating.
in May 2016 Violet was admitted to QE hospital for aspiration pneumonia and the hospital advised she was at the advanced stages of dementia; even though she could still understand but had lost her speech about 2 years prior. Chrissie used the opportunity to arrange for Violet to move in with her on end of life palliative care. Violet was very happy and thrived in the family environment with her favourite music, dogs, cats, smells and all of her favourite foods and even put on weight.
All was going well with ups and downs as expected, and in Oct 2016, Violet developed a blood infection. She was admitted to hospital and they released her a few days later with two sets of anti biotics. Violet did not like the antibiotics and would chipmunk any food/fluids she did not like in her mouth or back of throat which was dangerous as she had dysphagia. It usually passed and she would eventually swallow but 36 hours after being released from hospital, Violet choked on her liquid antibiotics in her sleep and never woke up. Her daughters and family only hope that she did not suffer. Chrissie was devasted to wake that morning to find her mother dead. it ws a total shock as she had been doing so well and the day before had eaten and drunk very well with no problems, apart from the antibiotics which she did not like.
There's so many ifs and buts as to what could have happened to prevent the choking but one can only conclude it was her time to go. Chrissie wishes she could have had longer with her mom, a few more months as she had so many plans to make mom's life happier over the coming months but never got the change to see it through.