Sarah Z

Since 2004, Sarah has been making a new life following her husband’s unexpected death. Sarah experienced many difficult years of living with her husband’s primary progressive MS as he gradually became more and more incapacitated.

Sarah’s husband was diagnosed with primary progressive MS after having symptoms of blurred vision, pins and needles and some difficulty walking. He immediately had to stop work and after a period of uncertainty in which it was unclear whether he would be able to return to work, he took retirement on the grounds of ill health, at age 49. Sarah described this as financially disastrous for them, as they were dependent on his income, even though she worked part-time. As a consequence, Sarah went to work full-time, quite willingly as she very much enjoyed her job as a teacher. But she had huge concerns and experienced what she calls a rollercoaster of emotions: outrage, anger, fear’ as she watched her husband, previously active in all sorts of manly’ ways, reduced to staying at home all day and walking with a stick. He occupied himself for a time with being a governor of a local school but as his physical capacities declined he became less willing to go out, or even to have visitors. Sarah found this self-isolation quite difficult as she felt that she was becoming responsible for meeting all of her husband’s needs, a role she felt ill-equipped to meet.

Sarah’s husband became increasingly disabled, moving from occasional to frequent use of a wheelchair and increasingly isolating himself at home. Eventually he became unable to go out, and need to have care at home. They turned the main living room of the house into his room and, increasingly, Sarah felt that her privacy was invaded as carers came in three or four times a day. Sarah appreciated the carers input, as she was still working, but the relationship between them was not easy. She became desperate for respite care but found that her own needs were not being considered by any of the health and social care workers involved in her husband’s care. Eventually, after making repeated requests, periodic respite care in a local hospital was achieved.

In addition to frequent bladder infections which required hospitalisation, Sarah’s husband developed a problem with his bowels and needed to have an operation. Sarah talks about a lot of miscommunication between the hospital, herself and her husband, who by now was slightly confused, and refers to some misunderstandings about her husband’s willingness to undergo surgery. The problem did seem to be life-threatening and, eventually the miscommunications were resolved and he did have surgery. He appeared to recover well but, during a 6 or 7 week period when he remained in hospital because of difficulties regarding the social services care package; he became unwell again and, unexpectedly, died from complications arising from an obstructed bowel. Sarah understood this to be caused by constipation. She was, and is, completely outraged that her husband could die in this way, while in the care of the NHS. She tried for some time, unsuccessfully, to get an acknowledgement from the hospital that their care of her husband had been inadequate.

Over a period of seven years since her husband’s death Sarah has come to terms with being independent, but she misses him all the time and regrets that they did not have the retirement together that they had hoped for. The one thing she is glad of is that she was young enough, fit enough and able enough to cope with being by herself again.

Sarah’s husband wanted to find out all he could, but she preferred to take each day as it comes.

Age at interview 59

Gender Female

Sarah relied on a system of written communication with care workers to keep track of what everybody was doing, but when they were in the house she tried to keep some private space.

Age at interview 59

Gender Female

Sarah really wanted to spend some time alone in their home but her husband didn’t want to go away. Eventually, she achieved one week respite every three months.

Age at interview 59

Gender Female

When her husband died, Sarah got a lot of support from her mother and from the school where she worked as a teacher. After six months off work, going back to teaching was her sanity saver.

Age at interview 59

Gender Female

Sarah felt that social workers were dismissive of the issues she was facing in living with somebody who was experiencing difficulties.

Age at interview 59

Gender Female

Sarah would have appreciated having a mentor’ to talk to when she was looking after her husband, somebody with similar experience who would understand what she was going through.

Age at interview 59

Gender Female