Paul Z

Paul’s wife has had MS for 20 years. She is now profoundly disabled and Paul is her main carer. He is supported in his caring by his children, who visit frequently, and by health and social care workers.

Paul is in his mid-50s and has recently retired from work so that he can look after his wife, who is profoundly disabled by MS, full-time. He still has some support from paid carers during the week, to help with washing and feeding his wife, and to allow him some time for his own activities (he enjoys playing’ with classic cars and has applied to become a magistrate).

In the interview, Paul tells stories of having to push for information and support. After voicing his frustration that no-one had explained MS, or its likely prognosis, a consultant explained the disease to him. He searched the internet for information on benefits and found that funding for electric wheelchairs had been allocated to local authorities and ring-fenced. Armed with this knowledge he was able successfully to apply for an electric wheelchair which would enable him to take his wife out more easily in the hilly areas where they live. He also gained advice about how best to complete application forms for benefits.

Paul’s wife is now in receipt of continuing care services provided by the health service, rather than social services, and Paul finds that this is much better for his wife, and for him. He speaks highly of the expert care provided by district nursing services, and their close liaison with the GP. The support provided by private care companies, funded through social services, had, at one point, become so unsatisfactory that Paul lodged a formal complaint, which was upheld following an independent investigation had been upheld on every count.

Paul has found that, since giving up work, he has become more knowledgeable about MS and about how best to support his wife. He has learned, for example, about the effects of urinary infection and is alert to changes in his wife’s behaviour which signal that he needs to do a urine test and to consult the GP. He is supported, too, by his adult children, who visit regularly and make their own observations of their mother’s condition, sometimes seeing what Paul doesn’t see because he is too close.

Paul speaks of the importance of talking with close family members and considers himself fortunate to be so well supported by his children and grandchildren. Understanding and support from extended family, by contrast, is not so good.

Paul and his wife enjoy supporting a local sports team, even travelling abroad to attend matches. They are well-known at the club, with the Chief Executive often helping to assist Paul’s wife onto the coach. Facilities at some sports grounds for people in wheelchairs are not always satisfactory, though, and Paul talks about an experience which, again, resulted in a complaint from him which, pursued through the Minister for Equality and Diversity and the Minister for Sport, resulted in positive change. As Paul says of himself, I don’t like barriers and if the rules need changing, argue and change the rules.

Paul concludes with this message for people who, like him, are living with and caring for a relative profoundly disabled by MS: You’re not by yourselves. Have a good relationship with your district nurse, more than anybody, in terms of getting care for your loved one. MS Nurses and GPs are a source of useful information and support. You’re an individual. Don’t allow anyone to put you in a box’.

Paul is in his mid-50s and has recently retired from work so that he can look after his wife, who is profoundly disabled by MS, full-time. He still has some support from paid carers during the week, to help with washing and feeding his wife, and to allow him some time for his own activities (he enjoys playing’ with classic cars and has applied to become a magistrate).

In the interview, Paul tells stories of having to push for information and support. After voicing his frustration that no-one had explained MS, or its likely prognosis, a consultant explained the disease to him. He searched the internet for information on benefits and found that funding for electric wheelchairs had been allocated to local authorities and ring-fenced. Armed with this knowledge he was able successfully to apply for an electric wheelchair which would enable him to take his wife out more easily in the hilly areas where they live. He also gained advice about how best to complete application forms for benefits.

Paul’s wife is now in receipt of continuing care services provided by the health service, rather than social services, and Paul finds that this is much better for his wife, and for him. He speaks highly of the expert care provided by district nursing services, and their close liaison with the GP. The support provided by private care companies, funded through social services, had, at one point, become so unsatisfactory that Paul lodged a formal complaint, which was upheld following an independent investigation had been upheld on every count.

Paul has found that, since giving up work, he has become more knowledgeable about MS and about how best to support his wife. He has learned, for example, about the effects of urinary infection and is alert to changes in his wife’s behaviour which signal that he needs to do a urine test and to consult the GP. He is supported, too, by his adult children, who visit regularly and make their own observations of their mother’s condition, sometimes seeing what Paul doesn’t see because he is too close.

Paul speaks of the importance of talking with close family members and considers himself fortunate to be so well supported by his children and grandchildren. Understanding and support from extended family, by contrast, is not so good.

Paul and his wife enjoy supporting a local sports team, even travelling abroad to attend matches. They are well-known at the club, with the Chief Executive often helping to assist Paul’s wife onto the coach. Facilities at some sports grounds for people in wheelchairs are not always satisfactory, though, and Paul talks about an experience which, again, resulted in a complaint from him which, pursued through the Minister for Equality and Diversity and the Minister for Sport, resulted in positive change. As Paul says of himself, I don’t like barriers and if the rules need changing, argue and change the rules.

Paul concludes with this message for people who, like him, are living with and caring for a relative profoundly disabled by MS: You’re not by yourselves. Have a good relationship with your district nurse, more than anybody, in terms of getting care for your loved one. MS Nurses and GPs are a source of useful information and support. You’re an individual. Don’t allow anyone to put you in a box’.

Paul talks to health professionals, and uses the internet extensively, to find out things that will help him understand his wifes experience and look after her as well as he can.

Age at interview 56

Gender Male

Paul found evidence that steroids could be given as tablets rather than through a saline drip in hospital. The consultant agreed to try it, with good results.

Age at interview 56

Gender Male

Paul and his wife, who is now profoundly disabled, are both passionate about watching rugby. They follow their local team to many destinations, with the active support of the club.

Age at interview 56

Gender Male

Paul talks about fighting for funding to get his wife a particular reclining chair. If the rules need changing,’ he says, argue and change the rules.

Age at interview 56

Gender Male

Paul said his children live it like we live it,’ even though he and his wife have encouraged them to live their own lives and not be affected by her MS.

Age at interview 56

Gender Male

Paul has become friends with his neighbour over the years and values the reassurance of knowing that she is there and willing to help.

Age at interview 56

Gender Male

Paul wanted a particular type of stair-lift but the Local Authority wouldn’t fund it.

Age at interview 56

Gender Male

Paul couldn’t get financial help from the local authority to adapt his bathroom. He was not amused, later, when people from the authority came to look at the work he had done so they could install something similar for other people.

Age at interview 56

Gender Male

Paul thinks that the bureaucracy of care management does not always treat his wife as an individual.

Age at interview 56

Gender Male

Paul has learned to cook differently, to help with his wifes swallowing problem.

Age at interview 56

Gender Male

Paul wants to take a positive attitude. He realises that limitations will come as MS progresses but he makes the most of their life as it is now.

Age at interview 56

Gender Male