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My husband has terrible sundowning and can be up all night in confusion not knowing where he is and wanting to "go home". He also falls quite often and paramedics have to be called out to help him. I am 72 and no family around to help and getting no sleep. I had to make this agonizing decision to put him in a memory care facility. I just think he would be safer there and I'm afraid my health is going to decline and I wouldn't be able to care for him anyway. I feel depressed all the time.

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A more general comment on “I had to quit my job to care for my husband and that's where most of my friends were”. I also found that I lost the friends related to my job, when I stopped the work. It’s a wake-up to try to establish contacts (with them as well as with other people) outside the work environment.
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Sasha81....my 82 year old mother was primary care for my 85 year old father with dementia ....stage 6. Both got Covid and dad was hospitalized with complications.... Days later, my mother had a stroke...paralyzed one side. Her 24 hour 7 days a week care almost cost her her life. Its a hard decision, but please do not feel guilt. I had to step in and find a facility for dad and mom got the rehab she needed to somewhat recover. There comes a time when it's not safe or healthy for either the caregiver or the receiver of that care to remain home. God bless you....And know, my mother intended to keep him home until our Lord wanted him...
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sasha81 Feb 1, 2026
Such a sad and heartbreaking story. I hope they recover and that you have health and peace.
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I can't tell you how to handle the heartbreak because I am still struggling with mine. I placed my wife in MC 3 months ago and not a day goes by without a moment of stabbing pain. All the logic tells me I made a necessary and wise and caring decision but the heart is not logical. I feel the heartbreak is all that is left of 45 wonderful years together, so in a way, I hope it never goes away. My solution is to get lost in mundane details of life and proceed one day at a time. All the other comments about the benefits of MC are also true and offer a big measure of relief.
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My heart goes out to you.
My husband and I knew about dementia primarily because his grandfather had it and his mother and father both passed from it in the last 6 years. Now my husband has it although he was diagnosed 5 years ago. I had a fall and concussion in June and stirred up a chronic neck problem. No surgery necessary but the Dr. told me not to even think about lifting my husband or I'll need help soon. My husband went through a period of anger and running away this summer, that just about did us both in. He is taking some heavy duty drugs now, and his mood is better and no running away. When he felt better he told me that I should do whatever I needed to do to be safe and not injure myself. He told me repeatedly. He also gets sundowners in the afternoon. His dementia is coming on fast since summer. I've wanted to have him home as long as I can, but I've had to realize it may not happen. Its heartbreaking but I want what's best for him as you do too. Its just not easy. God Bless
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Reply to tblock
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I congratulate you on making this very difficult decision.

It is natural that you feel overwhelmed, sad (and grieving) and certainly depressed. This is a huge decision you've made and it IS a very sad and difficult situation.

How do you handle it?

I'd suggest allowing all the feelings you feel to flow through and not judge them. Be aware of them and watch as they transition into new feelings (also difficult feelings). However, there is no healthy way to 'avoid' feeling as you do - you accept it is difficult, that you feel miserable and sad and keep going while being as gentle on yourself as you can be.

If in your situation, I would perhaps:

surround myself with supportive family and friends - anyone that will be a 'good listener' and not tell you how to be or feel. Even if you do not talk (perhaps just cry and ramble on) - you need to be as you need to be, not as another may believe you need to be.

Find moments of joy - even if memories of the good times with your husband. As hard as it may be, find 'reasons' to feel gratitude / grateful. You can feel both concurrently even if that sounds like a contradiction.

Get a therapist if that might help you.
Or a group (therapy / support group) for spouses going through transitions as you are.

Buy yourself some flowers.
Cry.
Go for a walk in the park.

Know that you are doing the MOST loving option available to you for your husband's optimal care. Find solace in this. Doesn't mean it feels good. It means you are a very loving, supportive wife.

Here's a hug.

Gena / Touch Matters
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ncross99 Jan 23, 2026
I liked your response and especially feel buying flowers is a wonderful idea. God bless
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My thought very much same as another. Had no heartbreak. Just ckncern. If something happened to me at 78, fell, broken bone, heart attack...spouse could not get help and no one to take over for me.
I knew memory care was 24/7 of excellent care. At some point, being caregiver spouse, you cannot stay alert. Falling asleep, which is once you need, presents a danger to loved one. I spend all of my spouses waking hours
with hysband. Good quality time because mind not wandering to how to get laundry done, pay bills, etc.
If you can spare a call to caregive
agency or talk to his doctor, ask stats on caregiver burnout. when you just practically collapse from exhaustion OR your own medical emergency. I was told caregivers often pass before their partner. That was a sobering thought for me. Thought I could do it own my own. Then i realized someone else could it well and all supples readily available. Look at it this way, it gives you so much time to just be together and giving him lots love.
And that is a vreat gift. Prayers
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MTNester1 Jan 30, 2026
Yes, studies show somewhere between 30-40% of caregivers die before the one they are caring for. We don't often realize just how much time, energy,( physically, emotionally, and mentally) we expend. One day we wake up and realize that we have drained ourselves of everything, usually when we are suddenly in need of care ourselves. That's a pretty bad wakeup call. Hopefully, someone is there for us. That's what happened to me. I cared for my daughter when she had a brain tumor (benign, fortunately), my husband (whose care is ongoing), and my mother (spinal stenosis and dementia, until her death). I am drained. My daughter realized this and she had dh and me move in with her, so that she can take care of me and, to some extent, her father.
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As always, take care of yourself first. If your depression and guilt are an issue counseling can be so helpful. Prayers and good vibes sent for your healing.
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Reply to AnnetteDe
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I had to put my mom in memory care and as Fawnby said, it was the best choice for her and me. She is really as good as anyone can be at this point in her disease. She is super calm and feels very safe and I visit daily so she can still recognize me (not as her daughter but she knows that she knows me - if you get my drift) most days. It is the hardest thing to do - I will always remember that feeling but just trust in the process and give it a few weeks or a month for an adjustment period and you will be on the other side. You will feel better. I will pray for you both. I am so sorry you are going through this. I wouldn't wish this on my worst enemy.
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sasha81 Jan 23, 2026
Appreciate your prayers so much and can tell you know the gut wrenching decision this is for me. My husband is incontinent too which adds to the work load. He is often angry and I stopped talking to him about going into a "safer" Place because he said I just wanted to get rid of him. I am in the process of interviewing at different care centers and I will pick the one that will be the best fit for him. That's all I can do. I will be there often too and might even sleep over the first few nights.
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Please know you are not alone. I’m at this very time making a similar decision. My mother is 92 and I have been her caregiver for five years. I’m going to be 74 in April. I CAN’T do all the things that are needed to provide quality care anymore. I’m tired, worried, resentful, frustrated, etc! Sometimes I thought the only way out was that one of us had to die. That’s morbid and not Christ-like. I wanted to be a good daughter. After prayer I came to another conclusion. Just because I need professional care giving help to provide care for my mother doesn’t mean I’m a “bad” daughter. Because I love her I want the best for her. I gave and will continue to give my best. At this time my best is placing her in memory care. I pray you will find peace with the reality of the situation and your decision.🙏🏽
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sasha81 Jan 23, 2026
Thank you for your care and concern and I will keep your situation in my prayers also. God Bless.
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The condition of dementia is the true heartbreak here. Not the need to place him where a team of caregivers can give him the care he now requires. Otherwise you run the risk of dying before he does, as often happens, and then what? He gets placed anyway.

Be a wife and a visitor now, not a burned out and exhausted caregiver at 72.

Good luck to you.
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sasha81 Jan 23, 2026
Your so right! I am a burned out exhausted caregiver and get scared looking in the mirror every morning. I have never done stress eating before in my life but all of a sudden I am addicted to junk especially during the long nights when my husband wants to roam the house. Your body and mind falls apart and I wonder if I'll even survive him. Dementia is a terrible disease. I can no longer feel guilty about placing him.
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You might want to look into counseling for yourself. It's a very difficult time for you and it's normal to feel down, but there is help out there. Once you can be a visitor with your husband rather than a caregiver, things will improve. It may take a year.
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sasha81 Jan 23, 2026
Thanks for this advice. I have been looking into my insurance to see what therapy would be covered as I feel I need this kind of help for myself to get thru this. God bless.
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I had to make the decision for my husband to go into memory care. It was one of the best things I ever did - not just for me, but also for him.

He made friends there instead of being isolated with me in our home. This was a big deal because I could no longer take him out socially due to his behavior, and he missed being around people. In his MC, everyone has a behavior that's not socially acceptable - and it doesn't matter at all. The aides provide a family-like atmosphere, and he enjoys it. The entertainment there is usually volunteer musicians or dance groups, always enjoyed by the residents. Every time a resident has a birthday, there's a cake and lots of people to sing the birthday song. The residents' families are encouraged to bring their dogs to visit. On holidays, there's a celebration; the aides' children participate.

I hope you find the best place for your husband. I certainly did for mine.
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sasha81 Jan 23, 2026
That sounds like it turned out to be a good decision then. I will take your encouraging words and act upon them. I am going to make appts. at memory care homes in my area to discuss my husband's needs.
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If your husband is no longer safe for you to care for him at home, place him in a memory care facility.
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Reply to Patathome01
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Ask yourself these questions
1. Is he safe at home? If no then he is better in a facility that can manage his care.
2. Is he safe with me taking care of him? If no then he is better in a facility.
3.. Am I safe taking care of him at home? If no then again better in a facility.
4. Have you done the best that you can trying to keep him at home? If yes and you have exhausted yourself and resources then he is better where he can be monitored and cared for 24/7.

Placing someone in a facility is never an easy decision and probably one of the most heart wrenching decisions that you have to make. So when you get to that point it is probably long overdue.
You are making this decision for him.
And PLEASE do not let anyone give you any flack about it it is your decision NO ONE knows what you have gone through to keep him at home as long as you have.
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Ariadnee Jan 23, 2026
Thanks for posting those great questions. I’m currently wrestling with how to manage a very stubborn husband who has early dementia. Hard decisions will have to be made. The questions really put a finer point on caregiving and dementia.
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This is one of the most painful decisions to make, but it did need to be made. This is for your husband's safety. You also need to protect your own health. It is heartbreaking; I'm so sorry.

Focus on getting the rest you need and whatever else will help you feel better. Contact friends who you haven't seen because you were home with your husband. Realize that this an enormous adjustment so it will take a while, but you will come to peace. Really, you will, even though it may feel bleak right now.
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sasha81 Jan 23, 2026
Thank you for your kind words and caring. I have made the decision to place him in a memory care. I know that God will work it out as I continually ask Him to lead and guide me.
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It's understandable to feel guilty, but you are doing the right thing. Your health matters as much as his, and you'll now be able to return to your most important role as loving wife instead of all the other roles you had to take on.

My mom's quality of life has improved during the last 6 months she's been in MC. Prior to that she was home with 24/7caregivers. Some of the caregivers were great with mom, but others just sat around on their phone. Mom was losing her words and not able to talk about much of anything.

In her MC, the staff is specifically trained how to deal with dementia. They really seem to enjoy the residents, and Mom loves them. She participates in most of the activities and has even made friends with some of the residents.

Mom was always a people person who likes being busy, and being in MC is giving her that. When I visit, she is more talkative. She repeats herself a lot, of course, but her mood is brighter because she's getting more stimulation in a failure-free environment. I've told my family if I get dementia, to put me in MC sooner rather than later.
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Reply to Dogwood63
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Whenever you feel guilty, depressed or are second-guessing your decision you must review the circumstances that brought you to that decision in the first place: he was up all night (so 2 people getting no rest); he was falling often (and there's no way to prevent this); and, you have no one to help you with him.

If the stress and demands of keeping him at home were degrading your own health, who would be taking care of YOU? You need to take care of you. You chose the best solution. Stop doubting this.
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sasha81 Jan 23, 2026
I am trying do away with doubt and have taken the needed steps to place him in memory care. Thank you for your advice and God bless.
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Handle it by reassuring yourself that you’ve done well for your husband. You’ve insured he’s safe and cared for, no one could ask for more. It is heartbreaking, it just is, nothing will change that, but knowing you’re providing the best you can for you both is important. Of course you’re exhausted after what you’ve been doing. Get some rest, try to get out and do things you enjoy, rebuild social connections, and consider if medication for your depression might be wise. I wish you peace
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sasha81 Jan 23, 2026
I'm grateful for your kind words and caring. I had to quit my job to care for my husband and that's where most of my friends were. What happens is they often drift away because of your depressing life. Makes me feel more isolated. I know After he is placed in memory care I will get my life back hopefully.
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