Friday, May 24, 2013

Thursday, March 12, 2009 Concerned daughter asks

Q: Will an indoor rodeo be too much stimulation for a newly diagnosed dementia patien (mild to moderate

My father had surgery in January and he came out ok medically but not mentally. He is now in a Memory care facility. He loves to get out and just doens't understand why my mother won't spend the night there with him (he thinks it is a new condo). I got free tickets for the pro rodeo in Portland saturday night in our company suite (with it's own bathroom and only 15 people max). The facility is going to give us a seroquel to take with us so if he gets too agitated we can give him the meds and bring him home. He did rodeo's in his youth and loves them on TV. When I told him we were going to celebrate his 86th birthday he said, do I get to ride (he thinks he is in his (20's most days). I told him, no they had an age limit and he did not qualify. He was ok with that. The Executive Director there is torn. She doens't want him to miss out on a good family time but also doesn't know if it will just be too much for him. Only one way to find out...wish us luck. Has anyone had any experience with a parent in a crowd. It is a Saturday so we can stay in the suite until traffic calms down, if he will stay still that is. Once he is in the suite I think he will just sit down and probably fall asleep as he goes to bed pretty early. Ideas? SInce January the only times he has been out is to the doctors office and the grocery store (which he LOVES doing, and remembers where everything is...)

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Answers (4)
AFA Social Services, Health Guide
3/13/09 3:39pm

The facility director’s concern about the rodeo being”too much” may be justified.  It is important to discuss this further with the staff, and it may be beneficial to involve the physician who oversees your dad's care. 

Although your father used to enjoy the rodeo, sometimes even familiar activities can prompt an unpredictable response for individuals with Alzheimer’s disease.  It is possible that your father could become “over stimulated” at the rodeo and that the environment could be very anxiety provoking.  Due to the fact that your father is already asking you about riding, it is possible that he will press this point when at the rodeo and he may not be able to take no for an answer.  You mentioned that the facility was willing to give you Seroquel in case he becomes agitated; however, this may be of concern.  Medications designed for behaviors do not always take effect immediately and may present an even more intense situation.  You should discuss this medication with your father's physician before administering. 

It is understandable that you want your father to have a good time and enjoy a favorite pastime, but you may be taking a risk.  Aside from the potential agitation and anxiety, there should be concern for his safety; for example, there is the risk for falling.  If this event takes place in a setting such as a stadium, he may be required to climb stairs which could pose safety risks. Going to the doctor’s office or grocery store is a completely different experience and environment rather than a sporting event.  It may be a difficult decision, but unfortunately there are so many factors to consider that could be dangerous.  In the meantime, it may be possible to show him a video or book related to the rodeo, which could turn out to be very effective for him therapeutically.

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Carol Bradley Bursack, Health Guide
3/13/09 3:50pm

Boy, this is a tough one. I know he wants to get out, but an indoor rodeo could really be hard on him. The confusion and noise will be very high. You could try it, but be close to a door so you can get him out if he gets really upset. He may enjoy it. There's really no way to know, for sure.

 

Good luck with this one,

Carol

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Dorian Martin, Health Guide
3/14/09 9:24am

Good morning!

 

I think the previous two answers really cover some of your questions, but I want to add one more situation that you need to think about before you go to the rodeo - getting your father to a bathroom. He may not be able to navigate using an unfamiliar restroom alone at this point, so you may want to think through how you'll handle this situation in advance. Will you have a male member of your family who will accompany him in and out of a restroom? Or does the rodeo arena have a handicapped facility that provides a single restroom that your father can use (and you can be available to assist him, if needed).

 

Also, will someone be available to stay with him if you have to run to the restroom or to the concession stand? Having a tag team of family members and/or friends may be needed to make an outing manageable.

 

Take care and keep us posted!

 

Dorian

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3/14/09 6:09pm

Thanks for your help/advice. In answer to some of your questions regarding the rodeo. We will be seated in my companies corporate suite so there will only be 20 people max there. We have our own bathroom (which was a concern on how I was going to manage that as he listens better to me than my brother in law and husband). He will not have any stairs. My mother is in a wheel chair and he will push her, he likes to feel responsible for her (he was her cargiver). No steps, straight from the parking garage to the suite level. We are going to give it a try. It will be an experience one way or the other. So far he has been good on our outings just doesn't want to go back to the "condo" as he calls it. Thanks again for the responses.

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By Concerned daughter— Last Modified: 12/25/10, First Published: 03/12/09