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My mom is 80 and I’ve been taking care of her for the past 10 years. I work from home, run a business with my husband, and have two teenagers, so caregiving has been a big part of my life for a long time.


Over the past several months, things at home became really difficult. She was:



  • Hallucinating and talking to people who weren’t there

  • Staying up for days at a time and then sleeping during the day

  • Staring into space for long periods

  • Nodding off constantly (sometimes her eyes would roll back)

  • Confused and disoriented most of the time

  • Very restless and anxious

  • Having good moments, but overall declining


She also needs help with all of her ADLs (bathing, dressing, toileting, etc.), which made it even harder to safely care for her at home.


Because she was up for days at a time, I wasn’t sleeping either and became completely burnt out trying to manage everything — caregiving, work, my family, and daily life. It got to the point where it just wasn’t safe anymore, and we made the difficult decision to move her to long-term care.


Now, in the facility, she’s:



  • Calm most of the day

  • Coherent

  • Knows the day and what’s going on

  • Having normal conversations

  • Even remembered my phone number and called me (which she hasn’t been able to do in months)


Some days it honestly makes me question whether she even has dementia — but I know what things were like at home. Has anyone else experienced this? Is this common?


I’m wondering if it’s:



  • The structure

  • Less stress

  • Better sleep

  • Medication consistency

  • 24/7 care


It’s reassuring, but also confusing and emotional at the same time. I’d love to hear others’ experiences. 💙

The structure (consistent routine)- Yes
Less Stress - Yes
Better Sleep - Well, maybe. If she's medicated to sleep better.
Medication Consistence - Yes
24/7 Care - Yes

These are all things that you could not provide in your home.
People with dementia do have good and bad days - and times when they are lucid and coherent. Just be glad and enjoy the moments you can share with her when she is calm and coherent.

Just think with her muddled mind all that goes on in your household, with teenagers, you and husband, running a business. It's all just a part of your busy day, but for her that could feel chaotic. And she may now have opportunities to socialize with others her age. She probably was pretty lonely with your busy family. Just be happy that she is adjusting well! You've done everything you can for her and are continuing to do everything you can for her, including finding a place where she can be safe and comfortable and receive 24 hour care from professionals whose sole job is focusing on resident's needs.
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Reply to CaringWifeAZ
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From personal experience, caregiver for husband, was able to do it all - until "all"was too much. At some point there is that steady adding on of another care needed. Soon it becomes overwhelming. That is when it is time to transfer loved one to memory care. There is the quick availability of special items needed, that can be ordered and delivered quickly. Well trained
staff who are rested to provide care, adapt quickly to resident needs, have numerous ways and supplies to engage. The days are filled with joy and satisfaction of being able to do something. You can then step back, enjoy time spent visiting. My spouse was in memory care under hospice care with Vitas. It gave us time to be together and enjoy the last weeks. Saw same things you observed. Family member enjoying their days.
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Reply to Memories42
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Has your home ever been water damaged? Is there a possibility that there is mold or bacteria (endotoxins or actinos bacteria) in her house, and the long term care environment doesn't have the same exposures? If so, pray for more healing!
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Reply to lulu2ig
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Yes! All of it. I went through the same thing with my mom. She was living alone when diagnosed. We built her a small house on our property. Running a business, helping to raise our grandson, and our son got a Parkinson's diagnosis at age 44. It seemed like everything we helped her with was to no avail. She kept "falling out of bed" so she could go to hospital for a week and get extra super attention from everyone. Including me going everyday to wherever she was. I could go on and on. But y'all know. After an especially tumultuous and trying month she agreed with us that her best interest was a nursing home close to home. She had volunteered there years earlier and we liked the home and the staff. She flourished for another 3 years before endtime dementia took over. She had friends, activities great care and our mother and daughter relationship healed. I saw her at least twice a week and always for bingo and birthday parties, Christmas, Easter, 4th of July activities at the home. I despise dementia and what it does to our loved ones. But I know Mom was at peace where she was. She was adored by everyone. She passed in December and lived in this caring place for 4 years .
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Reply to Cowdiva
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I am happy for the positive result. I had just the opposite after 6 weeks husband has regressed significantly. He is not very verbal and I think that contributes because he can’t socialize so he is alone in his head. Just hoping for a speedy decline
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Reply to ljkljk
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Memories42 14 hours ago
I know that is so very hard to see this decline but know he is in good care. Staff there 24/7 to assess his need changes, keep him comfortable. There are others on this site who understand what you are experiencing and praying for you.
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Thank you for the uplifting post. It is a difficult decision to place a family member in care, But it can benefit both caregiver and patient. We often only hear the bad things. Best Wishes!
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Reply to Sandra2424
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Glad your Mom is doing well. What a nice update.

I think diet/food and hydration are really important.
She may be getting more consistent protein in her diet.

Structure/routine/meds on schedule etc.
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Reply to brandee
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Yes, indeed they can get better/more stable in a facility. It's the structure and management of their symptoms, better care. My 106 year old great grandmother had to be placed in a Medicare facility when she ran out of money (we should all plan so well for our retirement!) She was more cognizant than she had been in YEARS, up, dressed, talking. I went to see her and she knew me for the first time in 5 years. Lived 2 more years to be 108 and some change, when the previous time I had seen her at 105 I was convinced she had a month to live!
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Reply to Hirilain
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You said: I’m wondering if it’s:• The structure• Less stress• Better sleep• Medication consistency• 24/7 care

Yes. It's all of it. This is another reason why people should check into care homes before they are burnt out. They think that their loved ones will suddenly decline, but in cases like this they stabilize instead. My mom is far less stressed now than she was living at home.
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Reply to JustAnon
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I feel so bad for your mom. She has really had a tough time with all her surgeries. Not surprising it has taken awhile for her to get better mentally. The sleep disorder alone could make her seem demented. The body and brain are so fascinating and there is so much that can go wrong and so much we don’t know. What unique circumstances enabled her to heal might be something simple or more complex. I’m glad she has arrived at 80 in better health. You might consider giving her one of the cognitive tests to see if her improvement can be documented. I have heard of others improving though it didn’t last. Enjoy her while you may.

How are you doing these days? I hope life is easier for all of your family.
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Reply to 97yroldmom
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Yep, you are on to something. After the experience of keeping two parents in their home for 5+ years while they died, and taking care of another relative at home for 2 years post-stroke, and now my husband at home until he went to memory care 18 months ago and is thriving as best he can, I tell you from experience and observation that facility care is THE ONLY way to go for many people. The socialization is priceless. They interact, they enjoy each other, they are made to feel important and loved by their trained professional aides.

I wish my parents had not been spectacularly uninformed and stubborn so that they could have ended their lives in a beautiful well-run facility instead of at home being the bane of my existence. Managing their care was a full-time job, and I also ran their business. I was already a senior citizen myself when they were demanding all this. OMG. Don't do it to your kids. Don't do it to your mom, for that matter. Mom deserves professional care, not the haphazard and often chaotic mess that home care often ends up being because family caregivers have to learn on the job. Some aren't and never will be up to it, and that's okay.

In facility care, the staff knows what they are doing in a way that a non-professional home caregiver cannot. Leave it to them! Home care, no matter how loving, is NOT always the best.
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Reply to Fawnby
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michelle7728 12 hours ago
That's great....if mom can afford to go to a home like that....
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I was reluctant to move mom into LTC and she refused to go, but then she broke her leg. Although there have been bumps, what I've noticed after a year of her being in an assisted living facility is that she's more calm, even as her memory gets worse. In her case, it's three things: the structure, the regular meals, and the activities. She's almost deaf, even with good hearing aids, so probably doesn't benefit from deep socialization, but she sees people, and they're friendly, sp she's alone when she wants to be, and with people when she doesn't. It's expensive--she doesn't qualify for medicaid and hasn't saved anything--but it's working. I'm now a believer.
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Reply to shadwell76
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I will also add hydration. In my MIL's very good LTC facility they filled their measured tankards with water every morning and paid attention to how much she drank. Although they can't force anyone to eat or drink, they can take action if they are seeing problems and can at least consider or discount causes. Dehydration can cause dementia-like symptoms (confusion, disorientation) and is easily remedied. Seniors can become dehydrated very quickly.
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Reply to Geaton777
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You nailed it......mom is doing better now due to the structure• Less stress• Better sleep• Medication consistency• 24/7 care. And socialization.

My cousin called dh and I to come say goodbye to my aunt who was living with her at home. My aunt was skin and bones and semi comatose in bed when we said our goodbyes. Shortly afterward, Medicaid was approved and my cousin placed her in a SNF where she came back to life right away. Perked up and went on to live another 5 years.

Home life can be boring or non stimulating sometimes. Communal living, while not perfect, keeps the residents busier. They have activities, an ice cream parlor in my aunt's SNF, movies, other residents to talk to, attention from nurses, things to complain about, meals to eat together with others, etc.

My mother was always dressed up in Assisted Living and the "mayor" of the place. She loved that. Even in Memory Care her girls dressed her up and put her costume jewelry on her. She put her lipstick and eyebrow pencil on (all over her forehead) and felt compelled to look good (male residents were there!) She wheeled herself into the activity room every day to play the "baby games" and complain about the food. It all kept her alive to 95. So did the care and regular meds, seeing the doctor in the facility ALL the time, etc.

Autonomy is nothing to sneeze at. Truly.
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