Wednesday, March 02, 2011 vivian lollar asks

Q: moving a 92 year old Alzheimers patient

my motherinlaw is in a great assisted living facility my brotherinlaw wants her moved to be closer to him we do not want her moved she likes it where she is and is getting wonderful care

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Answers (4)
AFA Social Services, Health Guide
3/ 3/11 10:41am

When considering such a move, it is advisable to weigh the risks versus the benefits in regards to your mother-in-law's quality of life.  While it may be desirable to have her closer to family, it is just as important that your mother-in-law be secure and comfortable in her environment.  If she has readily adapted to her current living situation, she is likely very accustomed to the environment.  Moving to a new place introduces an entirely different environment, which may be difficult for your mother-in-law to adjust to.  It is important that everyone keep in mind that it is common for individuals with Alzheimer's disease to undergo an adjustment period. For most people, this adjustment can take a few months or even longer.  Having a diagnosis of dementia can further complicate things, as the change of scenery and the new faces can bring on further confusion and/or disorientation.  Something else to consider is how the "culture" in the new location may be different. Since structured, predictable routines are beneficial for individuals with Alzheimer's disease, coming across other types of routines may increase disorientation for her. This could also possibly lead to feelings of frustration, agitation, or depression. However, if your family does decide to move your mother-in-law to a new facility, it would be important to take steps to ease the transition by making her new environment as familiar and as comfortable as her former home.

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3/ 2/11 12:16pm

Hi vivian,

 

I think if she likes the home, she should not be moved. The son may want to be closer to her thinking he can be a close family member there. However, as you know, the elder forgets more and mroe and will even forget about the family later on. Moving her to be closer to the other son can only disturb her. What if she does not really care? Not that she would not love her kids. She would be confused. She would not know where he is anyway. He only needs to make the effort to visit her more. He cannot expect her to move at this old age. Frankly any move will compromise her memory even if it is not a trauma. Also think about the caregivers who are good for her now. They are her "friends" or familiar people so it is not wise to move her unless there is some urgent reason such as the expenses or that there is perfect home for her in his place, but I doubt it.

 

My father-in-law with stage 6 AD (Alzheimer's disease) is in a nursing home too and he loves it. It is a little far from us but we keep him at this home knowing that he has great care there.

 

Take care,

NC

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3/ 2/11 1:18pm

Thank you for your response and taking the time to reply. She has made just a positive adjustment and the staff there really dote on her. She even told me how nice the staff was once in one of her lucid momments. She also commented on the cleanliness of the home. She has always been meticulous with her personal hygiene. She is a retired school teacher and many of her students have their parents there so people alway recognize her and stop to talk to her. Friends and people from her church visit regularly as well. We had to put her there because her husband who had been her caretaker passed away in August. He was diagnosed with cancer and died unexpectedly. He liked the home as well. We thought when he was diagnosed that he might get better so the home was located only a mile from where her house is. Both my husband and his brother live about 2 and Half hours but we can all visit at least once a week and call and talk to her and discuss any problems with the staff. She has a special table with a lot of nice ladies whom she eats with and her neighbor a hairdresser does her hair twice weekly. Her doctor who has treated her for over 40 years is there as well. It just doesnt make sense to move her just to accomodate the one son who is being difficult. He doesnt even work so he could easily drive down for the day as we do. We think it would cause her anxiety and stress. It was hard for her to adjust but know she is doing great. Any suggestions you have would be appreciated.

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3/ 2/11 3:08pm

Vivian,

 

My father-in-law is in a home that is 2 hours drive away as well. It is a nice town that is the best one closer to us. There is a town that is 1 hour drive away only but it is not as famous in terms of the township and airport and etc. We moved my FIL from Chicago by flight last summer. He loves this new place.

I agree that 2 hours is not bad. I also want to say that it is best to keep her with her old friends and background/old home town so she gets to keep her best memory. We moved my FIL because he was too sick at home and needed to be moved to this nursing home to be near us (if he had to move to a home anyway so we moved him to be "near" us.)

 

Unless you find something super near your town, I think it is best to keep her there so she can be happy. The other option is to wait a little bit. Wait until she is very sick like being bedridden in the future, then you may consider to move her closer to your place since she will be very idle and may not know anyone or care about anything anymore. The worse scenario would be to have hospice in your town. But it may still cause stress. In the mean time, as long as she is happy and has friends and etc., she really should stay put as much as possible.

I heard that to move these elders for hospice or in later stage is more difficult/emotional, but I am not sure. If the elders are very sick/bedridden, everything else would not matter. But the familiar caregivers are still important.

 

Good luck,

NC

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3/ 2/11 4:07pm

Vivian,

 

I don't know what her stage is so I really cannot say she should not be moved. It depends on her mental state and your situation in the family. If it is very important and easy to see her everyday in your town, it may be a plus so she can see her sons almost everyday. If she forgets a lot then it may be OK. e.g., my father-in-law no longer remembers his friends by default and he even hits on any lady now. It is meaningless for him to see old friends and the old friends didn't come to see him much anymore. One refused to talk to him on the phone saying he cannot carry meaningful conversation. One is able to continue to call him at times but he has no idea who she really is anymore. The family doctor in his old town was not very good so we were able to make better plan to move him to a better place.

 

It all depends on her state of mind. It also depends on the facility. Do they keep her for hospice? Do they keep her if she gets violent? Maybe she would have to move again, but no one can predict. Her son has a point because he wants to see her everyday. This is a plus too because I saw a sad husband came to feed his wife lunch in the nursing home everyday. If she is closer, you can see her everyday in later stage when she will be in a bad situation (not idle but confused.)

 

To be honest, if you have to move her, it is easier to move her now when she is mobile and happy. She may even be happier to see you guys everyday. It is up to the family. Maybe you guys need a meeting to find out what is going on.

 

Take care,

NC

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3/ 3/11 5:13pm

The other alternative is that the son can move to your MIL's town temporarily to take care of her if it is his intention to see her often since he is retired. However that would be only one relative near her. But it may be good enough. It is ideal that she is with the whole family without moving, but life is not perfect. I know it is kind of feeling awkward that the family is not that close, but I am sure you and your family are doing the best you can.

 

Just a thought.

NC

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5/15/11 10:28pm

Vivian, Is this conversation still active?  I'm just finding it?

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Carol Bradley Bursack, Health Guide
5/16/11 7:50am

Since she is happy, I'd let her be. She's made friends and has a good life. If her health eventually puts her in a nursing home, then I'd look at finding a home closer to a family member, since she'd be moving anyway. Moves are hard on these folks. She's happy. It seems best to leave her there if at all possible, for now.\

Carol

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By vivian lollar— Last Modified: 10/26/11, First Published: 03/02/11