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My mother is 98 and in assisted living. She has dementia, probably moderate to severe. When I visit I do all the talking. I ask if she wants to go for a drive etc and she says it’s too much trouble. Sometimes I think she doesn’t want to put me out. She participates in the activities that she can but always says she’s bored. She really isn’t able to initiate discussions with fellow residents to make a friend. I try to visit a couple times a week for about 30-45 min. But I feel guilty about not trying to get her out or not going over more often. Thoughts?

At some point taking her out may no t be safe for you or her.
Keep in mind that the world of a person with dementia gets smaller and smaller. She feels comfortable where she is and to go away from that can be confusing, frightening.
That said if you want to take mom out you do not ask her if she wants to go out.
You say "mom, we are going to get some ice cream today" and you get her jacket and anything else you need and you get her into the car. (go to a drive though so you don't have to get her out then back in if it was difficult to get her in the car the first time)

As to initiating discussions ..that is in her past. Making friends ..again in the past.
It is difficult to start a conversation or make friends if your brain is not working properly.
If she is in AL she might be better in Memory Care. Generally staff in MC make more of an effort to get the residents to engage with activities and or each other.
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Reply to Grandma1954
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Once my MIL and Aunt had memory impairment they stopped initiating conversations. Your Mom says she is bored probably because she doesn't remember that she did anything or saw anyone 5 minutes ago. It is very difficult otherwise keep people with memory impairment entertained.

Also, if she's in a facility there's "nothing new" going on. Even if she watched a program or the news on tv or read something, she won't remember it.

When we went to visit my MIL we brought the laptop and played family videos for her, and funny animal memes on YouTube -- things that made her amazed of laugh, but nothing complicated, just short and funny. Then we had no expectation of her remembering it.

Please don't feel guilty. I used to really struggle with the same thought with my MIL: if she doesn't remember we were ever there then why go so often to visit her? Because we still loved her and knew she wasn't going to be here forever, and to also keep eyes on her, plus show the staff we had eyes on her. We did other things with her, like wheeled her to Sunday chapel in her facility and other events. We believe it had a cumulative beneficial impact even if we couldn't measure it.

May you receive peace in your heart when you visit her.
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Reply to Geaton777
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I think you are a great daughter for visiting her twice a week and caring. You shouldn’t feel guilty. Take her at her word about not wanting outings. My mom is much younger (80) and has no dementia that I know of but she has mobility issues and lives alone and gave up driving. I will suggest ideas for things I am willing to help her do (drives to see fall leaves, lunch out, the library, bridge club, etc). And if she says no 2-3 times — I drop it.

Give yourself a break!
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Reply to Suzy23
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Outings might confuse her at this stage. If you can get her to just go for a ride, that might be enough, but be prepared that she'll just want to go back very soon, where she feel safe. Maybe not happy, but safe. Too much activity just won't be comprehended, so keep rides and conversations simple. Humor always worked well for my mom. Funny stories about you or anyone she still knows. Be well and take care of yourself, including not feeling guilty. You didn't cause this state of her mind. And congratulations to her for reaching 98!
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Reply to ArtistDaughter
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My cousins took my mom out for the day and it set her back so much, she was miserable. They need routine and familiar surroundings. As people get farther along they often speak less. It's just part of it. Stop feeling guilty for not taking her out. You are doing a lot visiting as much as you do.
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Reply to JustAnon
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You cannot make an elder with advanced dementia happy, as a rule. My mother constantly complained about being "bored" while living in Memory Care Assisted Living, yet she was kept occupied all day long. She probably no longer understood what "bored" meant, she said it out of habit for decades. She wanted to be kept amused 12 hrs a day, with or w/o dementia, so how was that a realistic desire?? She'd lost the ability to read, which left her with only the TV when she was alone for the night, so that's life. I came to visit her regularly, only to hear that I "never" came to visit and never stayed long enough.

We family members w/o dementia attend to listen to what the elders with dementia are saying and complaining about, not realizing most of it is senseless!

The disease has robbed them of how life used to be, not us. Ditch the guilt and realize that dementia is a no win situation for all concerned.

As long as your 98 y/o mom is clean, fed, and fairly content, I'd say she's ahead of 95% of the rest of the residents in care. Accept the reality of how life with dementia IS and know that you cannot fix it. You're doing enough.

Best of luck to you.
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Reply to lealonnie1
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Many residents in memory care will complain to family members about it, but if you were to sneak around and watch her, she may be perfectly fine and engaged. It's like a child who cries about going to school but when you peek in the classroom five minutes later, all is well.
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Reply to MG8522
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Most 98 year olds would find it “too much trouble” to go out for a drive. Getting to the car, watching so many things out of the window, getting back into the facility, it’s a lot to deal with. And yes, being anywhere fixed is boring, even with something to watch. Like watching out the window of a train, it’s not something you want to do all day every day. You are doing the best you can, and that’s pretty good!.
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Reply to MargaretMcKen
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Mom’s world is getting smaller .
Two things can be true . She’s bored but also going out is too overwhelming . In general she will not be happy .
If Mom likes music maybe you can play some that she used to like . TV shows can be too hard for her to follow the plot . Maybe just take her for a walk on the grounds , sit in the courtyard of her facility .
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Reply to waytomisery
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Try watching TV with her and letting that be the topic of comments that you make throughout. She may respond - or not. Her choice according to her ability and interest. A favorite TV show makes the time go faster.

Outings are in the rearview mirror now. They can be upsetting to the patient. She might enjoy going through a magazine with you, one with pix of pretty scenery or animal photography. Or food magazines.

I'd still encourage her to be around other residents. Even when they no longer talk, they can hold hands. I see this in my husband's memory care facility. No words, just sitting side by side and holding hands. Take her a soft stuffed animal or baby doll (there are some specifically for dementia patients). Sometimes they trade them with each other. Sometimes they just snuggle with their own baby and feel less alone.

She may be losing her ability to speak and/or understand what others are saying. Keep your expression animated when talking to her. My husband understands facial expressions and communicates with them because he can't talk intelligibly. But somehow his brain can often make the leap to the expression or gesture that suffices to let others know what he's thinking. And he is thinking as best he can. He is problem-solving, and I observe him doing that every day.

It's up to us to accommodate to what they can do and not expect them to follow former styles of relating.
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Reply to Fawnby
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She's 98 years old! She probably is very tired and not wanting to have a bunch of activity.

Bring her a small bouquet of flowers (already in a vase with water), some candy she likes, or other favorite treats. Visit for 30 minutes and then leave. I'm sure something she likes to eat will make her smile!

Don't expect her to "make friends" with people there. You already go over twice a week, which is plenty. No reason to feel guilty at all.
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Reply to Dawn88
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