I always tell her I don’t know. I know she can’t go home, she doesn’t. Caregivers there tell her covid is going on and she needs to stay there. I remind her that they are taking good care of her there. I feel guilty. Do they ever stop asking? Is this normal? Sometimes she says she’s in prison, not sure, if she’s joking or not... I don’t ask. She doesn’t realize she has dementia
My mother occasionally talks about her house where she lived for 50 years and where I grew up, but she doesn't ask to go home now. She's far enough into dementia that she often thinks she's 16 and in her childhood home, so the concept of "home" I think is kind of gone for her. My brother now lives in her house, so I can tell her the house is being well cared for on the rare occasion she mentions it.
”When it gets a little warmer (cooler)”. And is comforted and satisfied by hearing it.
This is a pretty common occurrence among newly rehoused people with dementia, and normal, and also typically much more painful for caregivers than for their LOs.
After several months, my LO would often talk about how pleasant “the hotel” where she was living was. I was grateful that she was no longer searching for the place where she was born, 90 years before.
but it takes time
I don't feel 'guilty' about keeping her safe & secure in Memory Care, b/c she'll be miserable & complaining no matter WHERE she lives. My mother hasn't had more than a day or two of happiness in her entire LIFE, in reality. I do feel sadness and a bit of grief for both of us b/c of the level of misery we're both exposed to on a daily basis, however. THAT is what's sad. There are some people who are happy at my mother's MC; they smile and they're content. And then there's my mother who's snarling and angry all the time, looking to create a problem even when one does not exist. And I am the only child and the only person in her life who gets to be the sounding board for ALL of it. She also refuses to acknowledge she has dementia or that there is anything at ALL wrong with her. Again, it makes for a no-win situation.
Even elders with dementia who DO live at home talk about wanting to 'go home', so knowing that should make it easier for you deal with what your mother is saying! "Going home" is more representative of wanting to be at a better place in time than an actual brick & mortar building, for those suffering from dementia.
My advice to you is the same as it is for me: let go of 'guilt' and know that you're doing the best and safest thing for your mother. Guilt implies wrongdoing. Our mothers are unhappy with their age and with their infirmities, THAT is what we're seeing and hearing, I believe, more than anything. And we're trying to fix that which is unfixable. Set down some boundaries for YOU now. When and how long you will speak with her; when and how long you will visit with her. When you will cut off the visit and/or the conversation when it becomes too toxic. This isn't ALL about our mothers. WE count too. OUR lives matter TOO. You are killing yourself right now cleaning out her house to finance her life in the MC, and still having to deal with the daily questions and complaints. It's a lot. And you're feeling sad, rightly so, so give yourself a break. As long as your mother is safe and well cared for, that's all you can do. You can't fix old age and dementia, much as you'd like to. And that's what this all boils down to, really. Things only continue to worsen as the condition progresses, too. Know that she's in the right place for the staff to deal with her accordingly. All you can do is love her and let her know it.
Wishing you the best of luck dealing with a difficult situation and letting yourself off the hook with the guilt aspect of things.
This is my struggle and everytime I hear her say she wants to go home, to her home of 60 years, I physically feel pain for her. It has taken a tremendous toll on every aspect of my life.
Just don't feel guilty for making that hard decision.
I'm so glad I found this forum.
She does not realize how compromised she truly is. And I repeat that to myself often.
Heartbreaking as it was to pare down her prized possessions and sell her house, it had to be done. She could not live there anymore and it's a legal issue when nursing home and Medicaid are in the mix. Just today she informed me that her dear friend had recently been hospitalized, but she didn't go see her friend because "I didn't find out in time" that she was in the hospital. ?????? Nope. Not the reason. She would have no physical means to get to the hospital (other than an ambulette), she would need 100% assistance just to get to her friend's room, and she would be lucky not to have a fall or medical emergency herself while visiting her friend! Sad truth is that she might not even have remembered the visit - even if there was a realistic way to get her there.
I'm so sorry about what you're going through, but you made the right decision. Cleaning out the house hurts so badly as it seems so final.
Her telling you she feels like she's in prison is certainly not joking, it's her perception of her environment. After all, MC IS a secured area. So deal with it as best you can, and what you and the staff are doing now is appropriate, knowing “That, too, will pass”.
Every place is different, but in general NHs tend to be understaffed AND are for those who need specialized nursing care. MC is more for people with cognitive issues. Certainly some are mobile, others need walkers and still others are in wheelchairs, but it (at least in mom's place) is NOT like a NH.
I would agree. Some websites make it sound like it is SO easy to manage care for someone with dementia. The problem is it's not like any other medical issue. It affects each person in an individual way, depending on the underlying cause, what part of the brain is affected (which can change over time as it progresses), the person's personality, relationships with family and background. There is no real one-size-fits-all.
Certainly the information provided helps us to understand a bit more, know what we might expect, and provides a little information on how to deal with some aspects, but never will any one document or website be able to plug our LO into a slot.
Many point to Teepa videos. Perhaps some are useful, but the one I tried watching was just so condescending that I've never watched another. Patching together what I could learn online and monitoring my own mother's progression was all I had. I could see similar behaviors and symptoms in others, but I could also see different behaviors and symptoms in some. How to deal with them is as different as how we have to deal with various people we encounter in life, as no two people are alike. Dementia just makes it more difficult, as you might be able to reason with those without cognitive issues (not always!), but you can't always reason with dementia. Some methods work, others don't. We just have to try to "go with the flow" and gear our care and responses accordingly.
My dad often referred to his NH room as a prison cell and he lived with the other inmates. It was sad, but I knew this was his inability to accept what his life had become.
sad...of course it is. But you can only control your own self and no one else. Just continue with short answers and redirect her towards another subject or activity. This is one of the hardest journeys we will go through in life.
Have you checked out every MC facility? Until you have, it isn't right to lump them all together as you have. Are there bad ones? Certainly. Are there good ones? Absolutely! There are plenty of us on this forum who have had a LO in a good place. Good food, not dog food as some will proclaim. Good care. Individual interactions, once they get to know the resident. My mother was ALWAYS clean, well dressed and pleasant when I visited. I didn't have to prearrange visits, so they couldn't "prop" her up. I'd also eaten there, including times with no prior warning, so I know the food is good.
It is up to US, the family, to ensure the place is a good one by checking it out, not just reading online reviews (waste of time) or brochures.
As for this:
"Dreadlocks, long nails & eyelashes appeal to these so-called paid caregivers are more important to them than a client."
Biased much?
Never had this issue with either in-home care givers or the facility. No dreadlocks, no long nails or eyelashes among them Are they out there? Sure. Does it impact the care provided? Most likely for some, but inept care knows no bounds. There are likely just as many, if not more, who don't have these concerns who are useless. Some people are not good care givers, but again, lumping them all into one isn't a useful comment.
I also laugh at "so-called paid caregivers" - do you know how little they get paid? It may sound like a lot to those who do the paying, but the hands-on caregivers don't make squat. This results very often into not getting the best people hired. A person with good skills and caring will seek out better circumstances and likely get there. Those who are marginal will be what we're left with. Despite the care-givers being the backbone of facilities, they are generally some of the lowest paid people in the place.
Advocate for better training and certification along with decent pay, maybe this could change! We went with a non-profit facility and I can't say enough good things about them (other than feeling bad for those who do the hard work for so little pay.)
Maybe in conversation you and your mother could talk about "home" and things she would like to be doing there. If she liked gardening, for example, you could talk about wonderful things to have in a garden. Encourage conversations about your mother's "at home" memories and talents.
She doesn't like where she is so she wants to leave.
So sad but most can't live at home unless they can afford a 24 7 Caregiver or they live with a relative.
Prayers
For my mother, it was initially the condo she was in for 25+ years. Then it was our house before that, where she lived for about 30+ years. Had she lived longer and had another "step back" in time (pegged her reality to be about 40 years or so ago), this could have been any other place we/she lived in prior to that.
I think the pictures triggered something way down in his memory. It was scary for me.
He now lives in a memory care facility. When I visit I never say that I am going home when I leave. He thinks that I live there with him. I say that I need to go to the store and that I will see him later. He tells me BYE.
This was the first time I didn't break down once I got in my car. That 87 year old was speeding in that wheelchair. I didn't know an 87 year old could make corners and speed like he was in that wheelchair. We had to duck around a corner and I heard him asking hey which way did they go.
She doesn't recall ANY of my previous visits. She wants to 'come home' but she's forgotten where we live (even tho she lived with hub and me since 2002). And forgotten how miserable and grumpy she was when she was here!
The carer I spoke to said she'd had a lovely day yesterday sitting outside in the sun - she'd had to persuade mum to go inside at 9pm! But mum only really lives in the moment now and that's so hard to accept, especially when my visits just unsettle her. My heart bleeds for her and for everyone here. It does help though to know I'm not alone. xxx
This is important to focus on. With you being there to visit, it is likely triggering some older memories, so she gets into that going home routine.
Clearly she's "fine" after you leave and is distracted/redirected by something, tea, coffee, snacks, meals, a little time out in the sun, etc.
Two months in really nothing in the scale. It could take longer before she might stop, although some continue periodically with the "going home" routine. It is hard, but reassure her that you're working on it with her doctors, or some other issue like home repairs, virus, etc (I know, it's not the truth, but if it works, why not? Some insist we be honest, but to what end? They don't remember and the merry-go-round spins again. Sometimes home isn't even what we might think it is!), then try to distract her. Bring items like magazines to look at, ask about long past events (you'd be surprised what you might learn from that!), snacks, a walk in safe outside areas, etc. Anything to push the thoughts back and get them onto something else. I often liken this to a scratch on a record, where it will play the same thing over and over until you can nudge it past the scratch.
Yes, it will come back, but we have to understand that and find ways to move the mind along onto something else. It doesn't always work, but as we get better at it, and the condition progresses, there should be less of the "going home" begging.
It is hard to "fib", when we're generally raised to not tell "lies", but if it keeps them content and moves them on to something else, it is well worth it. We know this is it and it can't be changed, but the so called lies are NOT said to hurt them, but rather to soothe them. In some ways, it keeps the door of hope open for them, so they feel less like this is forever. Of course that gets forgotten and we have to do it again.
We should not think of these things we say to calm them as lies. There are many medical treatments, medication and physical help, that can be just as painful or negative, but we do what we have to do to help the person or ourselves to heal/get better. This is really no different. It's like a medication for the mind, to calm it and help it be happier.
If it works, why not?
Sometimes. It may also morph into some previous home they lived in.
"Is this normal?"
Very often, yes.
For the prison comment, just pass it off and try to move onto some other topic or activity.
"She doesn’t realize she has dementia"
This is also common. Sometimes they will vehemently deny it too! I never used the "D" word around my mother. Her definition of it was wrong and she'd get angry just mentioning forgetfulness!
lealonnie1 said:
"Even elders with dementia who DO live at home talk about wanting to 'go home', so knowing that should make it easier for you deal with what your mother is saying! "Going home" is more representative of wanting to be at a better place in time than an actual brick & mortar building, for those suffering from dementia."
This is often true. Unless we can become detectives and explore where their minds are, we don't know where "home" is for them. For my mother, the first 9 months in MC she would hound my YB when he did visit to take her back to her condo (25+ years she lived there, about half of it with dad and half alone after he passed.) Out of the blue while I was visiting one day, she asked if I could drop her off at her mother's on my way home. She's been gone over 40 years! I had to think quick, glance at my watch, said it's a little late in the day, not exactly on my way home, maybe tomorrow. She said okay and then promptly asked if I had a key to the place in X, you know, on XXX road! That was our/her home for about 30+ years, but over 25 years in the past. I looked at my lanyard, said not with me and I'd look for one at home. She said okay and indicated she would go stay there tonight if she had a key! She also associated her mother with the place (her mother lived with us and mom's sisters her last few years, but it was never really her home.) So, memories became older as she regressed in time and also became mingled.
Babs75 said"
"The memory care told me to acknowledge him but move on with the conversation to something else."
This is often the advice given, both online and from staff. In many cases it works. It might take multiple attempts or time to achieve this, but it is best. You can't argue with dementia and win. You can't convince them their "reality" is wrong. Trying to do this leads to anger and frustration for one or both of you! Acknowledge it, indicate you'll look into/take care of it and do your best to move the mind onto something else - tasks, snacks, whatever diversions work. You need not feel guilt when doing this - it's to help, not hurt!
(some repetition but drives home the point):
My mother hounded my YB for months any time he visited, to take her back to her condo. She never asked me, thankfully! This is either because I had him and OB do the move (I took care of most everything else before and after!) or because somewhere in that mind of hers she knew better than to ask me.
That lasted 9 months, when she had a step back in time and was focused on our/her previous home, from 25 years prior. At some point, based on various conversations/discussions, I pegged her reality as being about 40+ years ago. We/she lived there 30+ years. Sometimes if you ask the right questions or get into the right discussions, you can figure out where "home" really is. Had she lived longer (she was in MC 4 years), there would likely have been further "step backs" in time/memories, who knows which "home" that would have been. It's different for each person.
The best you can do is give non-committal answers and leave them with some hope. It's false hope, for sure, but if it satisfies them, calms them and mitigates the current issue, it is worth it. Don't think of it as lying. True lies are told to CYA or hurt others. What we do isn't to hurt, but rather to calm them. We need not feel guilty or let others guilt trip us for doing this.
In the meantime, distract her and enjoy her while she is still able to communicate somewhat rationally. It is so hard when they refuse to accept that they have dementia (my Mom refused to admit to any deficit). Hang in there. You're doing the right thing.