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Old 11-10-2008, 10:40 AM   #1
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Confusing Confusion

I'm puzzled about my mother-in-law's symptoms. I thought one of the key indicators of dementia was loss of short term memory. She gets very confused about the past, like how many children she had, their names, whether they're married, etc. She does sometimes ask me the same question several times during the same conversation. But if I tell her she has a doctor's appt the next morning, she'll wake up and ask if it's time for her appt and remember it all morning. Or some little thing that I mention, she'll remember for days without fail. Is this normal with dementia? Some things are lost, some things are remembered?

Thanks,
Emily

 
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Old 11-10-2008, 11:07 AM   #2
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Re: Confusing Confusion

Emily when it come to AD and Dementia there doesn't appear to be any particular pattern to the disease other tahn the seven stages. All AD patients are different and react in different manners to different situations. I don't think there is any normal pattern.

My wife gets obsessed with things for days at a time, a couple of weekends ago her obsession was to clean out the outside storage, last weekend it was getting the Christmas tree down out of the attic, put together and decorated, this weekend she decided she wants to buy hereself a little car because she was getting tired of staying home. She is not physically or mentally able to drive. No. 1 son told her she didn't need to have a car, she didn't have any business driving anyway. I tried to handle the situation in a little more delicate and tactful manner. I'm sure No. 1 daughter will tell her the same thing.

It is strange the way they get these things in their minds, but they are all different, we just have to roll with the punches and address each situation as it comes along. Some days she doesn't have the short term memory loss either, but other days she can't remember what she did five minutes ago. Go figure!

Last edited by jim816; 11-10-2008 at 11:08 AM.

 
Old 11-10-2008, 12:44 PM   #3
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Re: Confusing Confusion

Emily, the doctor at the memory assessment research service explained it to me this way. It is not all off or on. It is intermittant, especially in the earlier stages. It is like being in a room... you and I have the big light on and we can see everything. With dementia the light is more directed and flashes on and off. So that conversation you just had didn't occur when the light was on or it was not directed in that direction.... and therefore no memory and the question is repeated. But the doctor's appointment information entered the brain when the light was on and directed that way and therefore she remembers. Since there is not as much cluttering the mind it is crystal clear. As time goes on.... those moments when the light is on becomes less and less frequent. This also explains why there are bits of truth in the tales they weave. They are only getting part of the picture and have to create the rest to make sense of it.

My Mom remembers that Dad fell in the bathroom and that he injured his arm. That was a visual input and she processes visual input much better than auditory. The details of the fall were given to her later... and they have changed every time she tells them because she has no clear understanding of what she heard. During that same time she was obcessed with a small sharp place on a tooth. This went on daily for over a week and through three dental visits. Three days after it was fixed.... she had NO memory of having anything wrong with her tooth.

So memories are made at random and vanish just as randomly. With no reason to why some things stick and others don't or why some stay and some disappear. And yes... it is different for each of patient. You will learn your Mom's pattern..... and then it will change as the plaque and tangles take a little more. I so hate this disease!!!!

Love, deb

 
Old 11-10-2008, 01:44 PM   #4
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Re: Confusing Confusion

Great question...excellent answers!

I've noticed "selective memory" in my loved ones.....but gotta admit...I'm pretty good at it too! I did notice that when Mom had a planned Dr. visit, she'd practice and practice her 6 children's names and such. It was so sad to see her try so hard to impress him.

One "constant" that I've noticed with Mom...both inlaws...and most of the clients where Mom stays happens to be music! They seem to remember the familiar tunes...seldom the words, but almost always the melody. Even at the end, they all seem to recognize the tunes.

Several times as I sing to Mom...usually no words, just a "do-do-do" melody that she used to join in with me...(this is great, because without the words, I can sing even more!)...I'll look around and see several clients singing along with absolutely no change in posture or expression....but it's obvious they are remembering. I do think that music is one of their last memories.

Jim...I had a friend that solved his Father's driving by simply filing the car key so it wouldn't fit in the car starter! He realized that his Dad wasn't as intent to DRIVE as much as he just wanted to know those keys were hanging in plain sight for whenever he might need them! Bless you, bless you for your careful care of your wife...many here will benefit by your posts!

Deb...I've never heard this explained like this...but it makes perfect sense.....thanks!

 
Old 11-10-2008, 02:31 PM   #5
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Re: Confusing Confusion

i am new to this, but i dont see any pattern at all in terms of memory. i wish i understood more.

 
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