Every evening I get asked in a 30 second loop, when we are going home, who lives here, I know we don't live here, so why are we staying here. He has lost 20 years and I don't know what to tell him when he asks to go visit his mother who passed in 1986. His whole boyhood family have passed and there's no home to go to visit. He has begun wandering, going home I think, and was brought back by the police. He's already been kicked out of a wonderful adult daycare. What's next?
Re his mom, same thing. Do not tell him over and over that his mom is dead. He doesn't need to relive grief. "Your mom is on vacation right now. We'll go see her in a few weeks." Then change the subject. And have that ready too since these conversations will be difficult and repetitive.
If he is wandering, you are now in the territory of needing to put him in a memory care facility that is locked for the resident's safety. That may not be the answer you are hoping for but you really can't keep an eye on him 24/7 to keep him safe.
You must be exhausted and need to take care of yourself as well.
There's no reasoning or convincing him at this point, so please don't wear yourself out trying. His brain is broken, and will never get better, so it's best just to go along with whatever he says.
And if he now is wandering, it may very well be time to be looking into placing him in a memory care facility, as things will only continue to get worse.
You must now do what is in the best interest of your husband and his safety. I wish you well.
Do what you can to stay with what he is saying in a calm neutral way.
”One of these days I’d like to travel too”.
”It’s too hot (cold-dark-rainy…..) to go out today. Let’s wait until later”.
”They’re away I think. Let’s wait until they call.”
”we’re staying here to take care of the pets (plants, newspapers, garden……)”
Give him peace and comfort and a little hope. He won’t remember details of the conversation. This stage will hopefully have passed in a few weeks.
keeping your LO on a consistent routine
putting on more lights in the evenings
try diverting his attention to photo albums, tv shows, music
therapeutic "lies" - say you are visiting or vacationing in your home
make sure he gets out into the daylight for at least 30-60 minutes during the day
talk to his doctor about a mild anti-anxiety medication
keep the doors locked
make sure he is never alone
If any/all of these are too difficult for your, please talk to his doctor and your family. It may be time to enlist more people to help with care. It also might be time to consider a Memory Care Unit placement.
If she asked where my dad, who died several years ago, was, I would say, "He is off running errands." or "He is eating somewhere else. We should eat without him."
She often came up with her own "therapeutic lies." Once she spun my sister a long story about how my father was out fixing the air conditioning unit.
Tho you should never tell your loved one that someone is dead to make them relive it over and over again.
Juse change the subject or answer a I don't know, I'll check on it or whatever comes to mind to say to make the loved one feel ok.
Don't argue with loved one regarding where they think they are, ect as it won't do any good and you both will just end up frustrated.
My 97 yr old Dad was in the Hospital with a bad UTI and thought he was in a Hotel and I let him think just that.
The main thing is just let them believe whatever they want and whatever keeps them calm.
You can't change their thinking, just makes matters worse to try to convince them otherwise.
If he says he's not home, tell him you are visiting a friend and will be going home soon.
If he wants to go visit his parents or friends that have already died, she tell him that sounds like fun and you' arrange it or that they are on vacation right now but you'll plan a visit soon.
The point here is don't look at it as lying, look at it as trying to keep your loved one feeling happy, loved, safe and not confused.
Juse be agreeable and let their thoughts be their thoughts because whatever they think is true or happening at the moment is true as far as they're concerned.
Prayers
It is learning how to speak to a person whose brain has changed and speak / interact in compassionate ways. We are speaking to a person in ways which will possible calm them down, make sense to them, or redirect them (in their own brain puzzle). Nothing to do with lying when the brain no longer functions. While I am not traditionally religious (I lean Buddhism and Light). Many people have breakdowns and ruin their own health due to bible references/religious indoctrination void of logic, medical diagnoses, and common sense.
Your not alone in this battle.
Praying for wisdom.
Take some quiet time alone.
If you believe in the power of prayer your see results.
To encourage yourself read James 5:14-16.
Take lots of pictures and videos because your going
to miss them sooooooooo much but in Heaven they are having the time of their life.
No pain no sadness just pure Love from God our Father.
Memory care personnel use:
* Redirect
* Engagement
Try a radio or CD player to shift his attention.
Read TEEPA SNOW website for "how to talk to a person with dementia?
* Find a day care that will keep a closer eye on him
* Check with MD re medication adjustment
Gena / Touch Matters
The wandering can be more problematic as he could get hurt or lost. I believe some has already suggested extra door latches up high where he can't see or reach them. Check with your local Alzheimer's group so see if your local sheriff or police department has a protective program for people with memory deficient. In Mercer county, NJ the sheriff has partnered with the Lifesaver program to provide tracking devices for people who wander. These devices are battery operated and fit like a watch. They can't be taken off unless they are cut off. My Mom didn't wander but I felt so much better know that she was wearing the device. I also got two door alarms from the Sheriff's office that were portable and could be easily installed even we traveled. Believe............ those alarms could wake the dead.
I tried bringing aides in, 1 hr/day to check on her and get her used to it, but that failed less than 2 months later when she refused to let them in. Plan B was MC. I had to muddle along while we found a place, and wait for the chosen place to open (it was rebuilt IL/AL/MC), which was done in stages. MC was last and was delayed further until they had a few residents to move in.
Anyway, every time my YB visited, she'd hound him about taking her back to her condo. Thankfully she didn't hassle me! This went on for about 9 months. During my visit at that point, out of the blue she asked me to drop her off at Nana's place on my way home (her mother.) Nana had been gone about 40+ years. Quick thinking, glanced at my watch and said 'Gee, it's a little late in the day, not exactly on my way home, maybe tomorrow." She said okay, but then promptly asked if I had a key to their previous home, citing the street address and town. That place had been sold about 25 years earlier. Looked at my lanyard and said 'No, not with me, I'll check at home'. She said okay, but then said she'd go stay there tonight if she had a key! Bet whoever owned it then wouldn't be too happy about that!
So yes, they tend to regress in time, living life some time ago. You won't be able to convince him, because his reality is now that life 20+ years ago. Based on the Nana issue and some chit chat about a cousin's baby (who would've been about 40 then), it pretty much said she was living life/reality 40+ years ago (although the house was sold 25 years ago, they lived there many years, so it would have been our home at that time as well.)
At some point later, I expected further regression, however we never made it to that next "step down" due to strokes. Depending on his age and progression, he likely will experience further regressions, even far enough back that you are no longer recognizable.
Although it gets tedious, just keep replying with vague responses, such as those suggested by others. Keep it short and simple and repeat as needed. If possible, try to redirect his focus onto something else, an activity or a snack/beverage. Even if you succeed, it'll come back again. Deep breath and vague responses.
Now, given the fact that he is wandering, you need to consider moving him to a facility, if it's affordable. If it isn't, then hiring someone part time might help. There are times when we can't keep an eye on someone 24/7 (bathroom trips, showering/bathing ourselves, preparing meals, etc.) Having someone there to keep him occupied and keeping an eye on him will allow you to take care of things you need to do and/or give you a break.
Depending on income, he may be eligible for Medicaid assistance (not full time) and/or VA benefits, if he's a veteran. EC attys often give a free limited consult. If you have all financial information and whatever else they need (ask when you set up the appt) ready for the consult, it will make the most of your time - take notes. They may have suggestions.
You might also want to reach out to his doctor, to see if there's any medication that might calm his anxiety. You mention this happens every evening, which sounds a lot like sun-downing. If you or others are not familiar with this:
"The term "sundowning" refers to a state of confusion occurring in the late afternoon and spanning into the night. Sundowning can cause a variety of behaviors, such as confusion, anxiety, aggression or ignoring directions. Sundowning can also lead to pacing or wandering."
Source: Mayo clinic
An antianxiety med like Lorazepam might help if taken prior to the time this happens.
I'm sure you've tried, but redirection instead of answering his question. Or ask him what his home looks like. If there's any busy work to give him to 'help' you, try that. Folding towels, sorting socks, etc.
the wandering is a problem but even in a facility, if that’s what you have to do, he’ll still be wanting to go home.