A MISPLACED BLOG BY A DISPLACED WRITER TYPING IN A CONFINED SPACE THE SIZE OF A MERE UNIVERSE. IF YOU ARE RUNNING AN AD-BLOCKER, YOU'LL MISS A FEW FEATURES LIKE THE FANTASTIC POLL. JUST SAYIN'.

Friday, 4 July 2025

DEMENTIA CARE: A BIG FAN OF A BIG FAN.

Heat came and went. Then heat returned. I’d arranged a new fan. Big. Powerful. It would help, in the warm times. But how would it help? It’s been a nuisance to place…in the right place. The trouble with a damn good fan is that it will cool you down.
   Okay for you, for me, true. But for someone with limited mobility and almost no concentration, the fan becomes a problem. It’ll make the cared-for too cold. And it’ll dry you out. I can, and do, make adjustments. Eternal vigilance is the answer.
   But there’s a nervous atmosphere to leaving someone in a room with a fan working away. Let’s talk about the hot and the cold of it all.
   What is it like, in summer, in the house of an elderly person? From what the carers tell me about the service in general, really old people feel the cold far more. They reach for the heating in July. Using winter thermostat settings that haven’t been changed since some other century, since you were about to ask.
   On chilly September days, the carers tell me this place is quite cold. So it is. No heating. Extra layers instead. Save your heating money for the winter war. As the weeks grow colder in October, I fire up the atomic pile and prepare for a potential Ice Age.
   I should add that this is Scotland. Air-conditioning in summer? That’s called opening a window.
   I make sure the heating is very definitely off during the summer. If the cared-for needs warming up on a chill summer’s day, there are extra blankets that do the job just fine. This is the rule of chilly days in late spring, the whole of summer, and early autumn.
   No heat required. Just extra layers. Warmer clothing. More of it. Thicker blankets. More of them.
   And the flip-side? No cooling required, except now and again. The heat problem is unpredictable. As with all other matters, Scottish miserliness applies here. There is no justification for adding air-conditioning. On financial grounds, the financial grounds are shaky. There are drinks for cooling you down on that one roasting day of the year in Scotland.
   Air-conditioning? Our weather isn’t built for it. And our houses aren’t built for it. Hell, our windows aren’t built to take it. So we go for the cheaper approach, as our wallets aren’t built for it.
   I choose a fan that stands on a base, and occupies that one part of the room where no one will trip up over the equipment. Leaving someone alone in a room with a fan, there are a million considerations. I won’t list them all here. That would be rude. Here are a few…
   Every item of equipment is a tripping hazard. This includes all items of mobility equipment, as you’ll learn to your cost about five minutes after adding mobility equipment to your floorspace.
   A fan is a tripping hazard. It’s also a tipping hazard. You can’t place the fan in a zone that trips you up. But then you can’t put it within reach of the person who is stuck in the chair. What they can’t trip up over…they might still grab and tip.
   Then you’ll have a damaged fan, an increased tripping hazard to yourself as you walk in the room to find out what made that noise, a risk of electrical fault and fire, and so on.
   Okay. Now the fan is within reach of the socket. No, no, no, you don’t plug a fan into an extension cord. You are trying to limit the cabling on the floor.
   Where was I? You bought the big fan. It’s in the room. No one will trip up over it. And no one in a chair will reach out to grab the unit. Did you find a socket in reach? Yes. Okay. Now you are in business. Using two sockets.
   The primary socket places the fan nearer the person. And the alternative socket is much further away. Which to use?
   Depends on the heat in the room. If the heat is gradually building, you’ll need to use the alternative socket on the other side of the room. Keep the fan at a distance. Let it do its work in circulating the air. Not a big deal. At full blast, it affects the room, but doesn’t turn the cared-for to ice.
   But if the heat is building quickly or turns very warm after a slow build-up, you are on the primary socket space, with the fan much closer to the person you are trying to keep cool. Let the air circulate. Avoid creating a solid fixed cone of air.
   If the fan moves from side to side, use that function: never let the fan dwell on the person being cooled. The machine should do its job of moving from side to side.
   It’s out of the question to point the fan directly at the cared-for, switch it on, and return after twenty minutes to find a mummified husk in the chair. Fans dry you out.
   With the fan close, the strength of the machine can be turned down. The air is circulating nearby. You aren’t keeping ice in its solid form here. Just cooling a person.
   Some people find the sound of a fan soothing. Bless them, the fools. Yes, the fan has variable speed settings. This means it is quiet, noisy, or loud. For a woman with no real concentration, the fan isn’t interrupting anything else. Sad, but true.
   What about falling asleep? If she falls asleep in the chair, she falls asleep. No, no, no, the fan isn’t left on overnight to cover the bed. The only cooling machine that stays on overnight is the fridge-freezer.
   Even in the depths of winter, there’s nothing heating the house all night long through to the morning. Why the hell would you cool even a single room with a fan from dusk until dawn?
   Items stay powered overnight. Electricity is available. It powers the community alert box, the inflatable ripple mattress, the fridges and their connected freezers, the fire alarms, a gas and electricity monitor. That monitor powers down to some minimalist mode after a while…
   During winter, the heating is done for the night and there’s a retreat to warm blankets. There’d have to be mammoths roaming the streets to force the heating on all night long in winter.
   In summer, the sting of heat in the day fades as the sky very slowly darkens…and the fan stops. Consider everything when buying anything as a carer.
   I’ve considered where the fan sits and when. And I decide when to use it and for how long. I check in, periodically, to make sure all is well. If I need to check more carefully, I fire off the temperature gun and take a few readings on behalf of the cared-for…and for myself by way of comparison.
   Always revisit tripping hazards. Check active machines. Hell, check the ones you switched off. Double-check the ones you just bought. And triple-check the ones you bought a while back, to see if they are still useful.
   I have a harsh rule. If a cable is worn or frayed, it is done. Apply this rule, and you’ll live longer. There are no electrical cables leading into the bathroom. Something else that’ll help you live longer.
   But then, this is Scotland, and there are no electrical outlets in the toilets or bathrooms.

I took a break before finishing this blog post. Just wanted to see how the weather panned out. There were warm days that built heat gradually in the main room. The fan was off at first. Then, after firing off the temperature gun, I switched the fan on at the alternative socket, with the fan moving side to side.
   Easy circulation of air, from across the room. Blasting away. Another check-in, and another shooting with the temperature gun. All is well. This is working. Just go with that, for now.
   The day passes. Heat builds. Time to move the fan closer, using the primary socket. The air is still moving side to side. Aiming for the target. And the target is not the person. The person is off to the side.
   I’d cut the strength of the blast. Periodic check-up. Temperature gun. Shoot myself as well. We’re all good. I leave her to it. There are, after all, many other aspects of caring. And they go on in other rooms. Laundry is laundering. Pills arrive and I must sort them carefully.
   The cooling machine has a whole system of its own, set up by me. And it is on. Working away.
   Except…not today. A bump in the weather rolled in from the ocean, and we’re into one of those chill, wet, blustery, autumn days that will happen at any old time in June, July, and August. Rehearsals for September and October.
   Today, writing about keeping someone cool, I’ve arranged warmer clothes and thicker blankets. Well, there’s the Scottish summer for you.

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