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They do come over for short periods. It is a very small congregation. Most are elderly or live an hour the other side of town and it is a half hour in to town. Every semi able body works at the food distribution center we run for the County. I can no longer get there to pick up a box for us so they will pack one and bring it to me once a month. If I run low I can get an emergency box.
So many in the congregation are dealing with the same things. One is in Nursing Home, one is traveling between here and their parents, another wife is dealing with a husband who is getting combative. The one who always did errands for me has broken her pelvic and are older than mom! I really am blessed. Just miss the physical hugs etc. I am so far out while winter was heavy so was the ice on the ramp. It was constructed too steep.
Mom and I do listen to "In Search of the Lords Way" cds. Ah it will all work to His Glory.
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Jim, that's tough. Not sure how you do it. That long term stress will get to you. I hope you can find some relief.
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Sunnygirl1 , yes the stress is tough. My sister kind of does her own thing . We had agreed that she would take over for the spring and going forward that was the plan. Now she is babysitting for my niece three days a week, working part time in a gift shop two days , and wants her weekends off. I have taken care of my mom everyday since my dad passed away in September. My sister spent a month on vacation in Florida and is headed back again. My wife and I have not had a break in well over a year. Not one day. Because time is short I have to come up with a plan. I want her to be safe and not be alone hours on end.
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I broached the subject of having more help for my mom yesterday. She refused and said I would rather be alone . If I go ahead and hire somebody she will chase them away. I know she will be calling me at work all the time. Yesterday she called me and said go to the market and get me some grated cheese. She does this often,calling and asking me to go out and get one item.
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Veronica91-A group home, would end up being my funeral home. Because the staff would not take the time to understand the specific details of my physical health. My maternal aunt made that suggestion last September. Of all people she knows what I have been through, from the very beginning. A social worker would be useless. Because, I am 'on the ropes', so to speak. I am neither a member of MENSA. Nor am dependent on round-the -clock care. But I am dependent on people giving a hoot about my health, and not behaving like a blithering idiot when it goes south.

She has not been diagnosed with Dementia. I have tried to get my father n' step-mother to intervene. Even though they told me to tell them when I have a concern about my mother's health. They just blow it off.
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Veronica
How are you and hubs doing ?
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Thanks for asking MsMadge.
I really don't know how answer that. This morning hubs was demanding I pick him up. he was leaving.
Next he was not going to the new rehab.
After that he had decided to stay where he was and not move as he was already half way through his stay (Ha he thinks) he'd better get working to come home in a week.
Now he has decided he will move to the new facility but he thinks he will have to drive his car there because i may have to go into the hospital.
Now here is what I did today. Had an appt with a cardiologist but when I arrived the appt had disappeared!!!!!!! Told registration that I had to be seen as I had problems.
I was handed a red card and someone would come and speak to me. A nurse came out and said all they could do in the clinic was an EKG and suggested the ER. After further discussion she said she would see what she could do. I eventually saw a FNP who was better than most Drs and spent about 1 1/2 hours with me. She is afraid I am retaining fluid and in heart failure so ordered blood tests and called me this PM and said I was hiding fluid somewhere probably in my lungs as I get so breathless doing very little. I have to go back on Friday and she would really like me to be managed as an inpatient which in the current circumstances would be a great relief with the circus I am living in right now.
The FNP called and told me I was holding a lot of fluid but she did not know where and increased my Lasix to 80mg twice daily. Took the second dose an hour ago and so far no result.
So thats how hubs and I are doing.
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Now my mother argued with me saying table salt could be used on road ice.

Oh, Another one of the ever popular 'would you like to' guilt trip kind of questions. In place of 'can you do this/that'. She doesn't like hearing the word 'no' from me. Like I am supposed to be at her beg-and-call.
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Oh, Veronica! Your plate is full. (((((Hugs))))))))
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Oh Veronica dear
We love you 😘
Your self sufficiency has always amazed me but I
Hope your DD is available to help you

Hope you can get a good night's rest
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Snow,, and more snow,,, I am supposed to work tomorrow,, yes indeed I called out. 54 mile drive one way, roads crappy here on the mountain,, calling for up to 15 inches! Mom fell in the tub this week, probably needed stiches but refused, and wobbly as ever. Since hubs wll be outside all day tomorrow getting us cleared out ( if/when it stops) and also our elderly neighbors.. no way can he keep his usual eyes on mom. So I am invoking my FMLA for mom, and keeping her in the house. She would try to help hubs, or walk the dog.. nope,, not going there if I may be stuck in Baltimore and unable to do anything if something happens. I have only called out once in a year,, so I am trying not to feel too guilty,, but my last 5 miles home were crappy and we already have 6 inches, with the worst to come tonight!
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Don't know where your located Pam, but in Maine is been snow and more snow since December. Totally tired of snow. I used to travel in western Maryland from Frederick over 70 into PA. Wicked snow lots of times.
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Send some of that snow this way. We are in one of the driest winters ever!
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Slush here
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Good morning all. Snow in the way for us again today too. My topic today concerns my mother in law who lives with us. She is 96 with late stage dementia. Over the last couple of weeks we have seen another change in her behavior. She has become very combative. The adult day care that she attends three days a week called my wife and asked if we could pick her up earlier than usual as they had seen a change as well. They have started to give her medication to calm her down, but a day ago she refused to take it. A week ago an aid we have help us told us my mother in law became combative with her and shoved her. This happened again a couple of days ago with my mother in law shoving her and then trying to leave the house. My wife was out a couple of hours so we gave my mother in law dinner. The battle started when she sat in her chair. She was half on so we asked her to move into the middle so she wouldn’t fall. She said to us you move . Then we started dinner, where we have to stop her from eating or she just shovels food into her mouth without chewing what is already there. This started another fight. We then needed to do her eye drops. She grabbed the bottle away and put it inside a device one of the nurses at adult care suggested to occupy her unrest. A half hour later she was falling asleep at the table so we said let’s go and get you ready for bed. She screamed you go to bed,I am not going. We let her be and when my wife returned she tried with the same result. We are both exhausted dealing with my mother in law and my mom who I have spoken of here as well. Have we reached the point where it is time to place her in a professional setting ?
On
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Jim; If this is a sudden change in her mental status (and it sounds like it is) the FIRST thing to do is report it do her doctor and ask for her to be tested for a Urinary Tract Infection. Strangely enough, these can cause psychiatric symptoms in elders.

Get her in for testing right away and talk to the doctor about how to address her increased needs.
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We did check for it,but thank you. She was negative. We have been seeing some change over the last weeks,at first just being stubborn. That has gotten worse to where we are now. The adult day care also has a nurse who talks with my wife often. They spoke a couple of days ago and last week as well. They have been keeping track of behavior changes they are seeing too. She gets very agitated after lunchtime at day care. Some of the elderly are transported home by bus. When she sees them leaving she tries to get out the door. They leave about an hour ahead of those being picked up. That is why they asked us to pick her up at the same time the bus is there.
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Becky,, that is too funny! I live in Frederick county,, in the Northern part nearer the PA line. And I wouldn't mind the snow if I was in Maine... we LOVE New Hampshire and used to vacation there every summer.. hope to get back to it one of these days. Rented a cabin on the lakes in Holderness.. miss miss miss it!
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Pam, I live on a lake in north central Maine. Love it. My oldest grandson was born in Frederick, MD. My son and DIL lived in Harpers Ferry, WV, but his wife worked in Frederick. I taught a computerized medical records class in Frederick and in Hagerstown - got to know the area fairly well.
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Becky we were homies!! LOL We have a family vacay home in the HF Sheperdstown area . ( At least we still do,, FIL is making sqeaking noises about us buying it.. not sure we can or want to.. it needs some work ) Love WV.. my second fav place ! When my dad passed I bought a picture of the church in HF and I think of him whenever I see it. I love being on the river, and the Monocacy river runs alongside out current home. But A lake is in my future.. we talk about retiring to NH.
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Jim; who is following her dementia? A neurologist, geriatric psychiatrist? Is she on any meds for agitation?
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Jim; who is following her dementia? A neurologist, geriatric psychiatrist? Is she on any meds for agitation?
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Barb,
Her primary is a geriatric physician. They have tried several meds to see what works. We have one that we give a half tab as needed, but ny wife is reluctant to use it because it makes her so relaxed she loses control. She is incontinent and this med makes it worse. They have used Benadryl and one other.
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Have you talked to the doctor about the increased agitation and the incontinence side effect?

Are you thinking that perhaps the consistency of a caregiving facility might be what she needs at the point?
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Jim, my mom who was diagnosed with dementia, was combative. Angry all the time. Accusing us of stealing from her or trying to make her go crazy. Mirrors - we had to cover the mirrors. When she saw herself in the mirror, she became instantly a very, very angry at that person. Such hatred/anger. She was prescribed meds to control her but it left her like a zombie. So, dad took her off it. Her violence worsened. She was sundowning and violent. Even when she had a stroke and became bedridden, she was still violent... If her violence is not controlled, the hired help will discontinue their care with her because she's a danger to their workers.
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Our thoughts at this point are that we are not equipped to handle the anger . The med prescribed by her doctor leaves her like you were saying zombie like. Barb, yes we feel helpless in that she sundowns and it leads to anger and violence. Book , my wife is reluctant to give her the med because if it’s effects. I don’t think my wife has talked with her physician, but is in contact almost daily with the nurses at the adult day care. Tonight we had a small episode. She was sundowning most definitely and as we began to eat dinner she just shoveled food into her mouth. My wife made multiple efforts to slow her down. Her mouth was full of unchewed food yet she continued to shovel it into her mouth. We gently explained that we didn’t want her to choke. No response,just a continuation of shoveling food . My wife gentley held her hand to slow her down and my mother in law shoved the plate across the table and said you eat it. She was enraged. I think at a facility they are trained to handle this anger. Both of the aids we have our good, but what I have noticed is my mother in law takes out more anger on the younger girl than on the older guy. I am not sure why that is because each offer a variety of things to engage my mother in law and most of the time she was fine, just the last two or three weeks we are seeing more anger and physicality.
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JimL, did you give the medication a long enough trial? I know that sometimes medication side effects (the doped up effect) are worse at the start and can taper off once the body becomes accustomed to them, plus you could ask that the dosage be reduced.
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Cwillie,
Her doctor advised us to only use this med as needed. My wife hates to see her mom drugged so she uses it sparingly. That being said she realizes we are in a new phase and it needs to be addressed. We are waiting for one of her brothers to return from a work assignment in the Caribbean. We are expecting him back at the end of next week. I will advise my wife of all your thoughts and that she needs to sit down with the doctor to discuss the current med and what else is available. On my end I am headed over to my mom’s to take her for an eye appointment. She stayed with us two nights ago when we had a storm. The morning after it was the usual,take me home. I plan to sit with her after and come up with a plan for her care. My sister offers zero help which is a long story. It is the time of year where I get very busy at work and have no time off for six months. I don’t want my mom alone ,but she fights me every time we have the discussion about getting more help for her. So we have in essence kicked the can down the road for the last few months. I have one aid with her four days who she loves. Actually for half days as she will not allow anyone overnight,but I feel she needs the overnight. Any insight would be appreciated.
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Jim, I noticed with my mom, that there WAS that one person she was angry with. That person was stealing from her, taking her food, her pans, her money, etc... But note this, as she worsens, she will then start accusing another person - now it's the 2 people who are stealing from her, causing her to become very violent... As time goes by, with no meds to control her violence, it will spread to everyone.

My dad refused to give her meds. My dad had to go to an appointment. It was in the afternoon. My younger sisters and I were 'babysitting' mom in the locked house. Mom wanted Out. She kept banging the doors. Finally, in frustration, with evil in her eyes (well, it sure looked evil to me), she came after us. We thought we were smart and pushed the long sofa away from the wall. So, when mom came charging after us with great anger and hatred, as if she wanted to pound us to death, we screamed and ran behind the sofa. Mom just reached down and flipped the whole sofa as if it was nothing! Terrified, we ran screaming to our shared bedroom with mom chasing after us. We got into the room in time to slam and lock the door. In time. Mom was banging the door so hard, it shook. We were so terrified that she would break the door down, we, three skinny girls (all weighing under 105 lbs) were screaming our heads off and leaning against the door.

Ahem... I later found out that the neighbor, an automotive mechanic shop.. their workers heard the whole commotion and found it so funny. Years later, someone told me that her boyfriend told her about this incident and how they all laughed... It. Wasn't. Funny... I'm permanently traumatized from this experience. I'm actually terrified of old women. Who knows? They might suddenly become violent and attack me. {{{chuckling... I have fond memories of mom chasing my very pregnant younger sister around her car, in her high heels because she just came home from her work the bank, screaming as mom chased her... Unfortunately, I was too afraid of mom to intervene... I don't think sis ever forgave me for that time....}}}
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Tonight was a perfect example
there isn't a magic wand for dealing with dementia even in a memory care facility
There is medication

I received a text from my caregiving agency saying mom was ok but they needed to speak with me

Seems as mom's caregiver was entering hoca tonight a resident was being aggressive and trying to escape
The resident landed a punch to her face and as he was winding up for a second slipped and fell and hit his head

While she is not seriously hurt this could have turned out much worse

The resident has been agitated for awhile and I have to wonder if tonight's incident could have been prevented with meds 

While staff had cleared other residents from the area they weren't trying to keep him away from the door which he was kicking 
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