Hi My name is Pam and I am new here. I am a caregiver to my mother-in-law who has been diagnosed with Lewy body dementia. It has been a roller coaster ride with being told 3 years ago she has dementia and then being told no she don't have it. Then after being told she don't have it wonderi...
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Untitled Comment
Sue
Tuesday, March 04, 2008 at 08:57 PMre: Untitled Comment
pamdogbr549
Tuesday, March 04, 2008 at 09:49 PMThank you so much. I am going to a local support group on Thursday. Have already been in touch with them. So far everyone has been so helpful and supportive. Thank you for having a site like this. I have lots to read as I have recieved a lot of links to check out.
Again thank you so much.
Pam
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responsibility
ninamarczynski
Thursday, March 06, 2008 at 12:23 PMPam, is there any way to share the responsiblity among you and your sisters-in-law? Sounds like you have 3 ladies here and it is good. So you can work out some plan to take care of her in turns. Her sons should help too but maybe women are more sensitive with details. Essentially the decision lies with the sons. Take care! I also take care of my father-in-law from a long distance and I do all his finances. My hubby talks to him everyday on the phone and my FIL wants to talk to him everyday. The other son of his (my hubby's half brother) is in Poland and is too far (only call him on the weekends and has never seen him again for 40 years.)
Nina
replyre: responsibility
pamdogbr549
Thursday, March 06, 2008 at 12:41 PMNina,
We do share the responsiblity. Myself and my husbands 2 sister's. My husband also helps out. We have a monthly schedule so we know what days we have her. If we can't go on a certain day then we call each other and trade days. My husband's brothers only come and help after begging them and that last only for a few weeks after begging. My concern is my husband's 1 sister had a heart transplnat a few years ago and has health issues and she is POA for my MIL. We are constantly telling her to take care of herself so she don't get sick. But we do share the responsibility with each other. I live the closest to my MIL so I get all the calls when something is wrong. I don't mind. We are in the process of getting more help thru the state. They will be having someone to come in and help bathe her and help with meals and cleaning so that will give us a bit of a break now and then. They will also help keep her active as in taking her for walks and excercise. Very appreciative that help is on the way. Thank you for responding to my post and God Bless
Pam
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aricept
ninamarczynski
Thursday, March 06, 2008 at 12:36 PMIs she still on aricept? My FIL has AD and when he first had aricept, he stopped eating. So we stopped the drug and now he is taking namenda and exelon. Check the drug and see if it is the cause.
Nina
replyre: aricept
pamdogbr549
Thursday, March 06, 2008 at 12:43 PMYes she is still on aricept. I just talked to my SIL last night and told her that someone mentioned Nemenda. She was going to call and discuss this with her doctor today. Hopefully we will find the right meds to keep her on.
Thanks Pam
replyre: aricept
ninamarczynski
Thursday, March 06, 2008 at 01:06 PMIt is good that you are checking the drug. The caregiver stopped aricept right away when my FIL stopped eating. Maybe you can try that. Alzheimer's is a little different. Basically he takes namenda and exelon as a pair so he get the max. effect. After aricept, he tried namenda for 4 months and then started taking exelon as well. Exelon is quite powerful and my FIL "woke up" a little bit. It will only delay the progession for months though. So far he is doing ok although he forgot all his friends except the ones that call him al lot.
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I understand
Karen
Friday, March 07, 2008 at 03:08 PMHi Pam,
My name is Karen and first let me say, you were not rambling. There's a lot you are dealing with, and you needed to express it.
What you are faced with is indeed a difficult situation. Unfortunately, a situation that's not going to get any better. However, not only is physical support important i.e. help from your other siblings and family members. But talking with others in a support group who understand what your feeling and what you need.
I am the primary caregiver for my mom who was diagnosed in 2003 with Alzheimer's disease. There was no one I know of I could talk with about this. So, I reached out to the Alzheimer's Association's Helpline, who put me in touch with a support group. The wonderful people I've met have been a saving grace.
If you're not able to physically make it to a support group, doing what you did by reaching out through your writing is another excellent way of "venting" sharing your feelings with others who've gone through and understand. For people who haven't walked in either one of ours shoes, they have no clue as what we deal with on a day-to-day basis.
Unfortunately, one of the sad things I've learned through this experience as too other caregivers is the since of abandonment from family and friends. People you thought would be there in a time of need like this aren't. For some reason, hearing about a person with Alzheimer's or another form of dementia makes some people uncomfortable. So much so, that they pull away. Being single and having no siblings or children, I just knew I'd have more support then what I have. I was wrong. I was very angry with not just family but friends my mom and supported and there for them in their time of need. And now when she needed them, they weren't there.
I've since let go of that anger. The energy used on that negativity and channel in a more positive way and focus on my mom. Giving her the love and attention she needs. Thank God, My friends have been a great source of support for mom and me.
In reading your message, there seemed to be so many similiarities between your experience and mines. My mom also has diabetes...know all to well about checking her blood sugar twice a day. In addition to, giving her the insulin injections. Mom was no longer able to do this herself. Living with my mom, made it a little easier to monitor and watch her behavior.
Something you might want to look into is having your mom go to an adult day care center during the day to give you a break. Also good for her to socialize with others. You can check with the Alzheimer's Association for information about adult day care on their website. My mom was going to an adult day M-F, 9a-3:30p. This helped me to do the things I needed to do....going to the supermarket, running errands, etc. When my mom was first diagnosed, I was working full-time as a special events coordinator. But as the disease progressed, I went from full-time, then part-time to not at all. For the past year, I've been working as a freelance writer and public relations consultant. This affords me the flexibility I need in caring out my responsibilities for mom.
A week before Christmas, mom fell and fractured her left hip. A pin was surgically placed in her hip. Thank God, nothing as invasive as hip replacement. However, the Alzheimer's made it difficult for the physical therapist to get her involved in the therapy exercises. The progress was not good. So, near time for my mom to be released from the hospital, I had to decide if my mom was coming home or would she be going to a nursing home. As her sole caregiver, this decision was mine and mine's alone to make. After much soul searching, crying and sleepless nights and many talks with God and made a decision that was in both our best interests. My mom is now residing in a nursing home. Not any easy decision at all for me to make.
The past months have been an emotional roller coaster....a transition. A transition I'm dealing with one day a time. That's how you will have to approach your situation. One day at a time. There will be good days and bad day involved with the care of your mom. In the end though, the most important thing is your love for that person.
I wish I could tell you it's going to get better. But I'd be misleading you, and I don't want to do that. Just know you are not alone, anytime you need to get things off your chest...do what you did...write and we are here to respond.
And, you have to take care of you....if you get sick or run down whose going to be there to do the work you're doing? Have you ever flown on an airplane? If yes, you know how the flight attendant tells everyone about putting on the parent putting on the oxygen mask first then once secured, but it on your child. That's the analog for caregivers. In order to care for our loved ones who need is, we have to first take care of ourselves to best take care of them. Something as simple as going to the movies with a girlfriend, having lunch with a friend once a month, spending sometime reading a book at Starbucks or your favorite cafe. Or when the weather is warm sitting on a bench in the park watching people go by while eating a brown bag lunch or reading a magazine. You get the idea....do something for Pam!
Hope this helped...take care.
replyKaren learns, well and fast....follow her advice
EONE
Saturday, March 08, 2008 at 02:04 AMPam,
You are in a tough situation. Karen has come a long way by learning the hard way -- a reflection of her love commitment to her mother. It is much more difficult with a MIL, somehow try as we might we are not "blood", therefore there's more resistance and limited capability to get close enough to influence.
Wow! 12 kids. A fella I dated had 12 kids in his family too and she was a young widow too. When she acquired memory loss a result of a stroke we had to draw straws to see who could visit and when...something I never thought about with so many kids. (go figure!)
While you may have resentments about everyone not pitching in, you have to put it in perspective. Twelve families could have a lot of conflict. I counseled one family that had 7 kids and they couldn't decide when, where, and how to do next steps with dad. Mom had Alz and Dad had picked a reputable place but she experienced an injury which left her bedridden for the remainder of her life 10 years. The kids were torn as to what to do. By facilitating a family meeting I was able to help them come to terms with a turning point for their decision making on when dad could no longer stay home with their care. Thankfully I was brought in early enough in the process to a) make recommendations on simple safety modifications b) quality non-skilled help to pinch hit (a franchise called Comfort Keepers) c) regular monitoring by me to keep a pulse on changes and make recommendations d) to give them a list of practical options (3) to choose from as a team so that they would all feel comfortable moving him when the time came. A successful outcome was the result and it saved the sibling unity dynamic which was in jeopardy.
These are tough decisions you face, it sounds like you are taking your responsibilities in stride as best you can. Know that many churches now offer Respite Care as well. That can be a day care or maybe a couple who does community service by coming to sit with mom one night a week to ease financial and or stress burdens. Likewise youth from church will often to easy stuff like shoveling snow and/or raking leaves, cleaning gutters etc. Things that would prove time consuming for care givers to do on a weekly basis. Always call your local Alz Assoc and/or Area Office on Aging for helpful resources.
Truthfully, it sounds as if you may be riding on borrowed time as Karen says. You need to begin exploring your options and doing some research on potential quality environments. (start by getting a list from www.aplaceformom.com -- free, www.medicare.gov, or the area office on aging)
Family is the best advocate available to failing parents. The few who are stepping to the plate should not necessarily feel obligated to take criticism from out of town, non-involved siblings. Part of what I recommend to families is neutralize the information by using e-mail and/or a blog page to update everyone on progress or regression. The facts will represent themselves, you need not defend yourself or your position, stick to the facts. That in and of itself will be laced with the emotional turmoil often will bring other family members to a position of recognizing your dilemma and stepping forward to "at least throw money at it" if not step to the plate. Regardless, keep putting your best foot forward, if I can help with support or guidance for you please write.
God bless!
replyOne Important Tidbit that could help
EONE
Saturday, March 08, 2008 at 02:11 AMFind a Gerontological Doctor, they will bring a more focused skillset to your situation.
Dementia, Alzheimer's, Parkinson's and many diseases are difficult to diagnose. It takes a skilled professional equipped with the right knowledge at time right time.
Why Consider a Geriatric Physician?
The advantages of geriatric care over conventional care may not be so apparent to the average individual. Like many of today’s “boomers” treating the whole person is important. A geriatric physician treats the whole person in comparison to others in their age bracket determining a course of action which takes into account a reflection of aging adults who have gone ahead and walked in similar shoes. General medicine somehow may miss the specific needs of the aging adult via poor over-simplified service provided to those people in other settings.
The Geriatric Process
Assessment: Health (diagnoses, prognosis), Function (physical, mental) Resources (culture, education, social, economic)
Agree objectives of care: What does the patient want? , What is feasible?
Specify the management plan: Objective—To close the ecological gap between what the patient can do and what the environment requires
Therapeutic changes—improve the patient
Prosthetic changes—reduce environmental demands
Regular review: Is progress as expected? , Does the plan need changing?
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Untitled Comment
Kristi Marie Gott
Wednesday, March 12, 2008 at 04:01 PMHello Pam,
I send my prayers and best wishes for you and your mother-in-law. Please don't let the hurtful things that people who have dementia say cause you mental and emotional pain. I can relate because many years ago a relative of mine with vascular dementia said terrible things to me. I did not realize at the time that the dementia was causing these words and I was devastated. Now I know it was just due to chemical and physical changes in the brain, and the overwhelming frustration that can occur to those with dementia. Sometime they verbally lash out at others, but now I know it is now what they would really mean or say.
Take care,
Kristi
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Untitled Comment
Kristi Marie Gott
Wednesday, March 12, 2008 at 04:04 PMSorry, I need to correct an error in the last line of my comment. It should read "it is not what they would mean to say if they were not suffering from dementia."
replyre: Untitled Comment
pamdogbr549
Wednesday, March 19, 2008 at 12:41 PMThank you all for your posts. I am reading everyone of them and taking it all in. There is just so much to learn. But I figure this is the best place to learn. Thank you all so much.
Pam
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Dear Pam:
Thanks so much for your post and welcome to our community. I'm a moderator for the site and though not medicaly trained I will try to help you find answers to questions and information that might help you and your family.
This can be a really difficult time for your loved one for sure, but for you as a caregiver. If you can find a support group locally it would be a great help to you. Check out our Caregiver Center for groups and tips to help keep you healthy.
You may also want to read about Dementia on our site.
There are lots of folks on this site who can offer help and guidance and a shoulder. Come back soon.
All the best, sue
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