We were told my mother had Alzheimers a couple of years ago and she's now mid-stage. My brother and I agreed not to tell her at the time. She now has a caregiver (we call her a companion) four days a week for a few hours a day and we are upping it to five days a week. She is quite angry; knows she is forgetful but doesn't have a clue as to how much; and is now quite angry about the extra hours and says she doesn't need a babysitter. I'm looking for opinions to be frank about her Alzheimers, as a way of more explanation to her. Of course, she'll probably just say we're lying. Thoughts or ideas anyone?
So, yes, call the dmv.
And also call APS, please. If nothing comes of that, well fine, but at least you have made an attempt to help the poor lady.
The son may be right that he doesn't have the authority to insist that she go to a care center. He may be doing the best he can. But it isn't enough. Let APS investigate.
But offering to take her to an appointment now and then is one thing. Taking middle-of-the-night phone calls is way beyond neighborly.
Beyond the very earliest stage, persons with dementia should not drive and should not live alone. It is clear your neighbor is past the early stage.
Could you have a heart-to-heart with her son? No blaming, no accusations, no telling him what to do. You just want to share some observations with him.
If that falls on deaf ears, of if it is not feasible to have a serious talk with him, then I would call the APS and report your neighbor as a vulnerable adult who is not getting sufficient care.
At this point she should probably have at least in-home help, and more likely needs a care center. This is not your problem or your responsibility, but I do think the kind thing to do is to bring it to the attention of someone who is responsible, such as her son, or Adult Protection Services.
Please let us know how this works out. We learn from each other.
Many people can not only grasp that they have the disease but they want a diagnosis - they want to put a name on what is happening. That is generally in the earlier stages. In the later stages the story is often different. Why keep telling a person that they have a disease when they can't remember the fact and they must repeat grieving.
So, yes, every case is different. However, stages enter into the decision. If the person becomes upset and agitated or goes into denial when told about the disease (repeatedly) then I'd say it's time to just be kind and move on.
This goes back to the saying that when you've known one person who has Alzheimer's you've known one person who has Alzheimer's. Flexibility is a requirement for caregivers - that's about the the only constant.
Take care, Carol
I'm am 100% honest with her about her disease, as is her physician, and she's always been incredibly grateful for our honesty. I've asked her if she'd rather I gloss over things to ease her anxiety and she said no. "I'll know when you are avoiding the topic, I know something is wrong with me. I'd much rather know what's happening!!" The truth seems to ease her anxiety more than "playing along."
That said - we all know everyone is different. I know that what works for her might not be right for your mom. But if I were in her shoes, I'd want to know too. Having some kind of explanation for all these rapid changes has eased, not increased, my mothers anxiety; she doesn't think she's going crazy anymore.
Best of luck finding a good solution. Caretaking is all about "on the job training" adapt to her changes, go with the flow, figure out if she'd feel reassured to know there is a medical reason WHY things are so different for her. If you decide to wait until she probably won't understand, you could be waiting a very long time and may be creating more anxiety for her that simply telling her she has a diagnosis of ALZ and that you are here with her and you are going to get through this as a team.
Mom and I make a great team :)
I'd certainly want to know, but to my MIL, who is a former college professor and who prides herself on her intelligence, it would be a terrible blow. MIL has some kind of dementia that causes her to be very forgetful, and to repeat herself over and over, and to fly into rages, but she has been formally diagnosed. She insisted one day during a phone call with my husband that the doctor told her she had spinal meningitis, and that's why she was so forgetful, but when we saw her the next day, she denied ever having said that. Her new story is that she's suffered a lot of concussions from cracking her head against the windshield as a result of refusing to wear a seatbelt (she used to insist that she'd be "thrown free" in the event of an accident, which she was: she was thrown free, right into the windshield.)
One of her friends has advanced Alzheimer's, and she is frightened of becoming like her friend, so she's burying her head in the sand and refusing to be tested. That's her choice.
Take care of yourself, too.
Carol
Just a different viewpoint. My thought process is do what you feel is best, your parent may or may not except it.
If she thinks you are lying, what of it, it could be her way of denial. Take care.
T
I am very glad that my husband knows and accepts that he has Lewy Body Dementia. We can both direct our frustration at our mutual enemy, Lewy.
But there are no one-size-fits-all answers when it comes to dementia. Will your mother remember tomorrow what you tell her today? Will she argue against it not just today while she is absorbing the shock of the news, but day after day? Will the message inspire her to be more cooperative or more rebellous or to give up altogether? You know your mother and you know what she is like at the current level of the disease. You and your brother need to apply what you know, and make a decision in love.
My husband was an engineer. Actions and consequences, cause and effect, measurable data is what he has worked with all his life. I cannot imagine not telling him what is going on in his own body. My mother, on the other hand, has used selectve denial as a coping mechanism all her life. My sisters and I cannot imagine using the D word or Alzeheimer's in front of her. Why cause pain?
Bless you for caring and trying to do the right thing. Accept that sometimes the "right" thing is unknowable. Do your best; act in love. That is all any of us can do.
Tell her that you will do everything to help her get along well. Expect her to be angry. Make sure her doctor is doing whatever can be done when it comes to medications. She'll be changing with time, so keeping in contact with the doctor is important.
I like the idea of calling the caregiver a companion. Use respectful terms and try not to argue. Arguing will get you no where. Sometimes you will just have to let her be angry until she gets over it. If you can distract her, that's good of course, but if you can't, let it go. Good luck. This is never easy.
Carol