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Old 03-12-2009, 07:02 PM   #1
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N"ew to this!!

My husband and I are struggling with how to deal with/cope with a parent who has dementia. We've arrived at the point where we have now moved her into an assisted living complex (5 months ago) and she just seems to be deteriorating rapidly. Today we dealt with her soiling herself while sitting in her favorite chair and not even realizing she'd done it. We're not sure how long she had been sitting that way, however, when we arrived to take her out to do some shopping we noticed a horrible odor and when she stood up, realized what it was. She didn't seem to be bothered by it, just said, "Oh, I wonder how that happened?" We had to ask her to clean up a bit before we took her out. All she did was change her clothes, but she didn't wash up or anything. She's come to the point that she doesn't bath, wash her hair or set her clothes out to be washed, but refuses to have someone come in to help her. There are laundry facilities in the complex or she can have someone do it for her for a fee, but she won't put her clothing out. She'll leave canned meat out on the counter and not realize how long it's been there. Luckily, we go over to see her 3-4 times per week and manage to throw everything out. My husband, being frustrated, said to her, "It seems like you're giving up." All she replied was, "Yes, I guess that's it." I think if she were truly giving up, and realizing what she was doing (soiling herself) that she would show some type of embarrassment, however, she's not, so I'm thinking she just doesn't realize what she's doing. Is there anyone out there who can share a similar experience and how you dealt with it. Many thanks.

 
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Old 03-12-2009, 07:33 PM   #2
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Re: N"ew to this!!

First off, your post, while appearing understanding is also coming across as frustrated. But you will just make yourselves sick or more angry at the person if the frustration continues to fester.

First off, she isn't aware of anything. The part of her brain that controls emotion or empathy/embarassing, etc has been impacted but the disease.
Is this an actual diagnosis from a doctor or just a label you think it may be?

Did you and your husband get medical POA and regular POA's; if not, you have to.

In terms of soiling herself, leaving meat out, not leaving clothes out to be cleaned -- you will find a lot of stuff hidden in the back of closets or drawers.

Her lack of feelings is just a sign of the disease. She is neither angry or happy, she just is. and yes, in her own way her brain is giving up and there isn't a thing she can do.

You will need to just hire the person to do the laundry yourself and get someone to make sure she eats -- while the meat is out, she may not have made anything, etc.

You have to realize this is a one-way trip to the end. There's nothing to make it better, there's just medicine to slow the progress but not eliminate it entirely.

Please understand that even though you put her in an assisted living facility, she needs assistance and sometime in the future she'll have to be moved to a more secured environment.

We are a big family here and all of us are going to help you every step of the way. It won't be pretty and it certainly won't be easy but you did the hard stuff already by not having her under your roof and trying to take care of her yourselves. God Bless You.

One of your newfound friends
CaringSister54

 
Old 03-12-2009, 10:33 PM   #3
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Re: N"ew to this!!

Welcome to our little group web. Sorry you needed to find us but glad you did. Each of us here is also dealing with a loved one or loved ones with this diesease.

First you have to understand that she has no cognitive awareness of what she has does. As Caring said, the part of her brain that that controls learned social behaviors is one of the first to go. She more than likely has no memory of soiling herself. She is as baffled as you are as to how it happened. She has no idea how the food got on the counter either. She doesn't know if she has eaten or what she might have eaten. She doesn't remember when to put out the laundry and each night is just another night because the time frame disappears. She no longer can tell Monday from Thursday.

Task like doing laundry, fixing meals, taking a shower, even going to the bathroom, and other task that we find so easy become terribly complicated to someone with dementia.

Emotions are either completely absent or extremely exaggerated.

It is not that she has given up, it is that her brain can not process the information.

My Mom has Alzheimer's and my Dad has Vascular Dementia. They are together in Assisted Living that is specifically designed for residents with dementia. Many days they have to come remind my parents that it is time to eat. Mom never did figure out when to put out her laundry, even if she was called the night it was due to be put out. By the time she hung up the phone it was gone from her mind. I have found cans of soup open and put back in the cabinet. The stuff that is in that fridge is disgusting. Dad has had accidents in the bed and then made up the bed. Dad only showers when we can catch him between getting up and putting on his clothes and coax him into the shower by taking away his underware and turning on the water. They you have to stand there and remind him to wash his hair, rinse off, give him a towels, sometimes even tell him to stop washing. Dad only changes when you take his dirty clothes away and put out clean clothes either while he is in bed or in the shower. Mom only wears white pants. Her hair used to be impecable but now it is always a mess. She has no clue what to do with it. She used to go down to the beauty shop once a week but she's not doing that now. It is just what they do. It is not a conscious choice that they make or even a subconscious. It is just what the disease does to them.

As for the answers she gives you, as when you hubby ask if she had just give up. They will give you an answer but it still may not have registered in their brain what you are saying to them. On a recent call to my Mom I ask to speak to the sitter. Mom said ok but kept the phone. I repeated the request in different words. Again she said ok but kept talking. I repeated the request no less than six times before she finally grasp what I wanted and gave the phone to the sitter. At other times I have ask her something totally rediculous and she has given me an answer that was just as rediculous with no awareness. Are you going to jump out of the window today?.... Sure I am! They don't process what you say but know from the inflection in your voice that it is a question and they give you an answer.... usually positive.

Until you truly understand that she is not doing this intentionally it will continue to frustrate you. Once you relalize she is doing the best she can it become a little easier to deal with. It's like a child. You don't expect a toddler to remember what night to put out the laundry. They don't have the time frame necessary to know when it is laundry night. Mom is the same. You put a toddler in the tub and don't expect them to do it by themselves. Mom is the same.

If her assisted living has care levels then it is possibly time for you to discuss a higher level of care for Mom. If not, it may be approaching time to move her to a facility where there is more assistance. Just understand that she is not doing these things by choice.

Yep, it is frustrating. Hopefully you will find the support, caring, and answers that you need here. Hope to hear from you again soon

Love, deb

 
Old 03-13-2009, 08:30 AM   #4
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Re: N"ew to this!!

Wow! Thank you soooooooo very much for your supportive comments. We have suspected that Mum's absence of understanding has been present longer than we even realize. She was once an impeccable dresser and perfectionist and it is sad to witness this declining state. Her "memory doctor" has suggested her taking Ebixa to stem the rate of decline, so maybe we'll just need to follow that for half a year and see how she responds. Again mega-thanks for your calm caring words!
Cheers

 
Old 03-13-2009, 08:46 AM   #5
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Re: N"ew to this!!

One thing all of us here will tell you is to keep a diary of her actions, inactions, personality changes, etc. Some medication is taken with no side affects, others may make them manic depressives, some others may make them zombie-est.

My mother was on articept and namenda - and I found her having hallucinations, and other things that she was no longer able to vocalize as she lost her ability to talk long before the illness became truly unbearable and the end.

So -- please keep in close contact whenever they start to put any medication into her. You must be able to understand changes in her for the better or the worst and know that you may make medication adjustments as necessary.

You and your husband are sharing the role of advocate for her but someone has to be the primary traffic cop to avoid confusions.

Take care, as I said, you did the hard decision already by putting her in a facility. All too often family members feel unnecessary and unjustified guilt of doing so and insist on keeping the loved ones home. They don't understand that it does take a toll on the caregiver as well as the other family members who must watch the caregiver suffer through this.

Our love comes your way.
God Bless You

CaringSister54

 
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