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Old 08-23-2006, 10:51 AM   #1
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Mother has severe Alzheimers (only 64yo) (LONG)

Hi,
This is the first time I am posting on any boards regarding my mom's Alzheimers. I guess I am just looking for a bit of support, as we saw this coming on for a long time and my maternal grandmother suffered with Alzheimers as well.
My mom is really young, only 64, which is especially scary for me. I'm almost 45 and have two small children (6 & 1) and worry about what if's in the future. I noticed that my mom was having alot of forgetfulness back in 1997, so 9 years ago when she was only 55yo. Through the years it got worse and I told my dad and brothers all the time, but they were in denial and always said they didn't notice anything. Up until about a year ago, my mom was still coping pretty well. Staying home by herself while my dad worked or went out of town on business. She would cook and prepare small meals for herself, though it would take hours to do so. She lost alot of weight (was already small at 115) b/c I think she would forget to eat. There were sticky notes ALL over the house and she was seeking out Alzheimers groups and reading material all the time. She was even driving a bit still. She ultimately made the decision to give up her license and car early last year. She was finally put on Arocept about 5 years ago.
W live in New Orleans and were hit pretty badly by Hurricane Katrina and my parents lost their house (almost rebuilt now a year later) and she went downhill FAST. They moved into a small (they have a 5000sf house) townhouse and it was very upsetting to her. They lost most of their possessions in the storm, so ended up with new furniture and she was really put off that this was not her "stuff" We did salvage pictures and some momentos, so those she recognized, I think. Anyway, my grandmother had Alzheimers and died at 72 years old with it and I spent alot of time with her so I thought I was prepared for my mom, but her disease is VERY different. My grandmother could carry on a pretty decent conversation with you, even though she constantly asked who you were and thought that she was a young girl, or that her siblings were still alive. My mom cannot even communicate. The doctor said that the part of her brain that is affected is killing off her communication skills. She rambles nonsense and stutters and makes no sense at all. It has really kept all of her friends (she was very social and participated in endless groups) at arms length. Even though they sympathize and spend time with her and my dad on the weekends, they don't try to talk with my mom at all. People she has known for 30 years don't have anything to do with her, not that she really realizes it, but it's sad. She will get lost in her own world right in the middle of a group of people and sit there saying nothing or rambling, humming etc. for hours. She has accidents everytime they go anywhere and my father, who I never thought would handle any of this, turned out to be a saint, but he gets to his wit's ends. He keeps taking her out though to socialize, hear music or eat dinner. He's not embarrassed at all when people stare at her while rambling outloud. But she is getting too much to handle lately and I think those days are nearly over where he can take her out. My brothers finally realize how bad things are now, but they refuse to talk about it or really deal with it, which puts it all off on me, when my dad just needs a long break. I expected that I would step in and take care of her at some time, but with two small kids it's tough, especially for days on end when my dad needs to go out of town. I need to be home and my mom has a hard time coping completely out of her enviroment (though now she cannot find her bathroom in her small townhouse anymore either). I took her to her neurologist early this year and he took her off of all medication. Said that the side effects (stomach problems) were causing more problems for her that the good effects of the drug. He said that he doesn't believe that Arocept or any of the other meds do a damn thing for Alzheimers anyway (heartbreaking to hear that from him). She is in an adult Alzheimers day care M-F and the nurse there really wanted to see her on Arocept and Nmanda (sp) together and thinks they work wonders, but both of her docs refused, saying her Alzheimers were too severe, so my dad followed their advice. I pleaded with my dad to at least look at Alzheimers living centers and get her name on a waiting list, otherwise, he may need it in the future and nothing will be available. He did finally put her name on a list and it's a gorgeous place, but I think she is still too aware of what type of place it is and he could never get her in there willingly. He won't put her there unless she agrees to go, I'm sure. She doesn't know who anyone is, me or my brothers or our kids, and knows my dad, but I doubt that she knows he is her husband. She calls him her buddy, when you can understand her.
Again, I guess I am writing all this b/c I need a bit of support...afterall it's my mom and I am losing her. There are so many times when I just need to call my mom and I stop to remember that I can't. I think this is making the fact that I am losing my mom a bit easier to handle in that, she is no longer recognizable as her former self. This small, frail woman who makes no sense, can't be my mom. I watch videos from just a few years ago and the differences are insane. My biggest fear is that this will happen to me as well. It struck my mom so early, 55! When I am 55 my oldest will only be 16 and in high school. My youngest, only 12yo. The worrying is something I try to push aside praying that something will be done about Alzheimers before my brothers and I might be affected. And long before our kids could possibly be affected. My mom also has a sister that does not seem to be affected, who is older than her.
I guess writing all of this helps me a bit just to vent a little. If you got this far, I really appreciate you reading it. And I appreciate that these boards are here too!
Thanks,
Karen

 
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Old 08-23-2006, 11:35 AM   #2
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Re: Mother has severe Alzheimers (only 64yo) (LONG)

Dear Karen, I am so so sorry you have to be here - but at the same time it is a good place to vent, tell about your troubles, find good advice etc.

My Mom also has dementia. She is a very very old lady, but has pretty much the same symptoms as your young Mom.

I am all in favor of having her cared for in a good Alzheimer unit of a good nursing home. My Mom is now in such a home - almost a year now. She is so much happier than when she was at home with me, confused, worried, not able to make the simplest decision and knowing there was something terribly wrong. And I lived in a state of constant fear because I had to go to work every day and never knew what I would find when I got back - such as Mom missing, pots burnt, messes on the floor or her sitting in a chair not knowing who I was ....

I can only say that you should not even consider having her live with you and your small children. Some others on this Board will tell you how living with an AD Grandma threw their children off track. It is too hard for anyone to deal with, much less a child.

I applaud your father for his understanding and care, but he too is not a professional caregiver and may inadvertently be doing the wrong things. If taking her out in company causes her to sit and mumble to herself, it seems like a one on one visit with someone would do her a lot more good. My Mom was unable to follow a group conversation so just withdrew. But with one person she can have a sort of conversation.

I suggest you look into nursing homes in your area. What a shame you had to go through that horrible hurricane. AD patients hate change - so I can see how being evacuated and winding up in a different house threw her off also ...

Best of luck, and my prayers are with you

Martha

 
Old 08-23-2006, 06:52 PM   #3
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Re: Mother has severe Alzheimers (only 64yo) (LONG)

Hi Karen .. what a strong lady you are !!!

Your story 'sorta' mirrors mine .. except it was my MIL who came down with this horrid disease that robbed her of memories, speech, dignity and safety. Your Mum sounds a lot like her with without the violence (I pray that doesn't happen to you) ... The lack of speech is aphasia, my ex-charge had Primary Progressive Aphasia which meant she went from normal speech, to a stutter, to replacing proper words with weird words to baby babble to pretty much nothing anymore. She has no brain shrinkage other than typically expected for her age group, so nobody is too sure exactly WHICH dementia she's got, but it mirrors Pick's Disease without the brain shrinkage.

But I digress .... which is typical for me (and you thought you wrote a lot ha ha ha ha) LOL

First off .. communication .. it's really hard when you don't know if what your saying is being understood or being scrambled on entry ... and if she's anything like my ex-charge, she'll say "babble" but she thinks she's saying correct words, but she knows it's off ... its a really confusing time for everybody all around.

You could try picture communication .. make a little flip over book for her .. try focusing on activities of daily living .. picture of a hair brush, toothbrush, toilet, shower ... see if that helps any .. don't confuse it with words unless you want to put the name on the back of the picture .. keep it as simple as possible.

Dad on the other hand is trying to keep the balance of 'normal' which is probably beyond Mum now .. socialising isn't something they're good at because it shows their faults and creates behaviours. They need a steady, regular routine (but not a rigid routine .. it needs to be a flexable routine) with as little disruption as possible. Once the daily stresses are removed, sometimes a little speech can return for a short while, but I mean little.

Now for you .... there is HUGE research on Alzheimers, and there is a lovely little white pill Aussie researchers have discovered that will FIX Alzheimers (but only Alzheimers, not many of the other dementia's) and it's about to be trialled on Humans .. they estimate approx. 10 years before it's released to the public .. but THEY'RE CLOSE and that's EXCITING !!!!!!!!!! Because if they can cure ONE Dementia, they'll be able to cure the others eventually ...

AND ...... it's 10 years away .. who knows what will happen in that time!?!?!

I am sorry you have such a load on your plate, and I am sorry your Mum is still here, but not here, because it makes grieving just that little bit more awful ... but as best we can, you'll always have a willing ear, a cyber hug and some good friends right here.

Cheers & Hugs
Sally

 
Old 08-24-2006, 07:49 AM   #4
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Re: Mother has severe Alzheimers (only 64yo) (LONG)

Dear Karen, I know how hard this is. I am an only child and my mom has been struck with this dastardly disease. My father is/was in denial and had been Mom's caregiven for the past 4 years as she slipped farther and farther away. A fall during the night finally got Mom in a locked unit for AZ. patients. It's where she needs to be at 86. My dad is exhaused and can't do it alone anymore. They are in Minn. and I am in Washington DC so not a lot of help.

We just found out that our first grandchild is on the way. My mom, who lived for her two grandsons won't ever know this little great child and that breaks my heart and makes me angry! I have lost my mom and it hurts.

That being said, your mom needs to be in a facility where they can give her 24 hour care and take care of her needs. Your brothers need to accept the fact that your Mother is slipping down that slipperly slope and there is no recovery. They need to do what is best for you MOM, not what causes them the least pain....

hang in there..it's hard and it hurts and we cry and pray daily...

 
Old 08-24-2006, 09:26 AM   #5
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Re: Mother has severe Alzheimers (only 64yo) (LONG)

Thank you Martha, Sally and ibake&pray for your responses to my post. Your replies help so much. I appreciate it.
I read through many of the posts here and saw the information about the once a day pill that Australia is testing. I sent the article to my dad last night and this morning he called and asked where he could get a year's supply. He was laughing, but was serious. I told him that they are getting ready to do human trials and the article I read said maybe 4 years before going on the market (Sally you mentioned 10 years). But either way I know that if other parts of the world put a drug on the market, it still seems to take the US many more years to get it FDA approved and out there. I think that is what happened to Nemanda. I told my dad about it while it was being used in Germany for many years and he ended up ordering it on the internet and putting my mom on it himself. I was floored and told him that he needed to have her doc prescribe it. He kept her on it about a month or two (very expensive ordering this way) and saw no results so took her off. I tried to tell him that he could have been giving her anything, ordering it online like that. I told her doc, but he wasn't all that surprised. In the meantime, she went on doctor prescribed Nemanda at one time, but she had some problems with it (side effects that mess with her stomach) and then he put her back on Arocept (with Lipitor for the AD - her cholesterol is very low to begin with) and finally after that messed with her stomach too (she always had IBS) she is on nothing and rapidly declining.
My mom is in an AD day care center M-F and that is very routined and apparently she does pretty well there. She was very reluctant to go there in the beginning, but my dad has no problems dropping her off there each day now. I think he is just trying to hold on to some of their previous social life by taking her out to eat and being around friends. He is a musician and they go listen to music alot. Sometimes we go with them and my mom does like to get up and dance, which is so cute. Maybe it's just a stage of AD, but she seems to be going through (for a while now) a laughing stage. She'll laugh at everything, no matter funny or not. But when she gets mad, watch out. She's not violent (never was) but she tries to tell you what's making her mad and can't commnunicate it. Butyou can really tell that she is p*ssed off. I remember my grandmother getting really mad and I think she did have some physical episodesl.
What about diapers? My mom has alot of accidents and my dad has had to take her home in the middle of being out. She will go to the restroom and finally someone will realize that she is having a problem in the bathroom and go find my dad. He will have to take her home b/c she has messed on herself and in trying to clean herself up made it much worse. I've bought some depends diapers for him but he's not sure about making her wear them. I tell him to tell her that these are her new underwear. Anyone have experience with getting an AD person to wear diapers?
Well again, thanks for the replies! I really appreciate it. It really feels good to be able to write all this on here. It's hard to find someone to talk to that understands.
Karen

 
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