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Perhaps you don't tell him. The usual answer is 'we are waiting for the doctor to say it's OK". Then the doctor is the 'guilty' one - and you have no guilt anyway.
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Reply to MargaretMcKen
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You know he's never coming back home. He doesn't. He never will if you don't tell him. Even if you do tell him, with advanced dementia he won't remember. He may ask you about it, but eventually he'll lose the ability to put the thought together and he'll stop asking.

It's more heartbreaking to you than to him, but please don't feel guilty. There isn't anything you could have done but make sure he's in a safe place and is well cared for. Guilt isn't appropriate; instead, congratulate yourself for seeing this problem through and making the right choice for him. This is a sad journey, and I wish there was something any of us could do to help. Unfortunately, there isn't much to say except that you aren't alone. We've been there too.
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Reply to Fawnby
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First of all, I'm so sorry to hear about your dad. I agree with Fawnby. My mom's 97 and has been in a facility for almost 2 years now. She also has dementia and wanted to go home...The way I handled it was I told her she needed to be released by the Dr,...it wasn't up to me, and that once he says she's able to care for herself, and he releases her......
So my mom's stubborn anyway but eventually she realized she needed to be where she was. I felt it was better to give her hope, even though I knew it would never happen. I know how hard this is. It took her months to even become social with other residents, but I encouraged it and this pst yr, until recently, she did.

Now she's at end of life stages with Hospice onboard. This site has been wonderful and I encourage you to ask away here when you need to. While not everyone agrees with how they see things, everyone has the same intentions,....to help the aging person to evolve as best as possible and as peacefully as possible into this phase of life....and to help you get through it. GodBless
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Reply to Mary1159
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I can’t imagine why you’d tell him at all. With advanced dementia his mind is unfortunately muddled enough without adding upsetting news. Leave him to his beliefs and hope, we all need hope
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Reply to Daughterof1930
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You don't tell them. IF he even understands what you're saying, he won't remember it in 5 minutes.
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Reply to mommabeans
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You don't tell him. You change the subject.
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Reply to JustAnon
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I am so sorry for what you are going through. Do not feel guilty, it is not your fault.

I was in this situation 18 months ago with my dad and it was a very heartbreaking time. No one else was willing to deal with it (mom could not cope and brother was on the other side of the country) so it was on me. I felt strongly that it was an expression of love to not only be there with him but to be honest with him. Up until when he got dementia, he had always been very direct and honest. Meaning he would always say the hard truth while others might pussyfoot around it.

I did not tell him “you are never coming home again.” When he went into a hospice facility and was very mad about it and asked me when he was going home I said, “ It isn’t safe for you at home. You keep trying to stand and falling and hurting yourself and blood everywhere. Do you remember that?” He said yes and asked me why. I said it was because he barely ate or drank water anymore (for years) and he said why again. I said dementia and old age. He then said, “I need to get strong again” and took one sip of his smoothie.

He went back to complaining about how much he hated it there but if he had stayed on “When can I go home” I would have said “if the doctor says you are strong enough” which I knew would not happen.

I listened to his complaints and said I was sorry and then asked him “do you want to hear [favorite music]” and “would you like me to bring XYZ when I come back this afternoon” and such.

You can get through this.
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Reply to Suzy23
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Why do you have to tell him?
Don't over-explain anything to a dementia patient. There really is no point, as they will not remember later anyway, and especially something they might find upsetting. You will have to explain it again every day, upsetting him over and over again! Don't do that.

You can provide more vague responses, such as "You are here until you recover" or "until the Doctor releases you" or simply steer him to another topic of discussion if he is adamant about returning home. Pretty soon, this will become a familiar environment to him, and he will not think to ask about going home.

With one Exception..... Almost Every Dementia Patient talks about "Going Home". The home they are thinking of could be a childhood home or a place in their past where they felt comfortable. They are looking for comfort, and everything around them feels unfamiliar, even family members they no longer recognize, so wanting to "go home" is all they can think when they are seeking familiarity. Some dementia patients Are In Their Own Home, and still say they want to go home. You can't do anything to fix this, but you can ask them to talk more about their home, their memories, just listen and let them reminisce, even if it is completely inaccurate!
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Reply to CaringWifeAZ
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Yes, it IS heartbreaking. The only good thing is that, at this age, it isn't a first heartbreak. It is something that we learn throughout our lives.
Remember, you cannot be responsible for things being perfect. They aren't. They never were. They never will be.
Mourn this with your loved one, but make no attempt to fix what is unfixable. The end of life is far short of perfection. You can both grieve that. But it will not ever change.
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Reply to AlvaDeer
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It's their way of saying that they don't want to be in this position, having Alzheimer's or dementia. My sister had my mother put in memory care not too long before covid. My mom always asked about going back home and we told her that people couldn't be moving around and we had to keep her safe. There were times where she was more lucid and she understood that her memory was failing and that she needed to be taken care of. But then she would forget that... So we just kept telling her that it wasn't safe for anyone to travel or for her to go home yet.
It is heartbreaking... Everything about dementia and Alzheimer's is unfair and heartbreaking. All we can do is the best we can and try to make them happy for the time that we're with them.
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Reply to Hrmgrandcna
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