Thursday, March 12, 2009 Sparx asks

Q: Doctors wont help....father in denial.....I am frustrated.

How can I get my fathers doctors to help me get him into a nursing home. My dad is 84, doesnt eat, is fairly weak, dosent take care of his home very well. I really think he has dimentia...is pretty confused, (often refers to me as my deceased mom) but his doctors are in denial and wont test him for dimentia without dad asking them too. How many people would go to their doctor and ask to be tested for alzhimers?????

 

 

In addition he is always saying my mother is a light that visits him. Says she moves things all the time. He is pretty open fisted with money....and is easily scammed. I dont know what to do to protect him from himself and others....his doctors seem unwilling to help....and I cant afford to fight in court to get him proved incompetent. Dad is in total denial that anything is wrong. Help!

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Answers (4)
Dorian Martin, Health Guide
3/14/09 9:04am

Hi, Sparz,

 

My mother also fought for the longest time against getting a diagnosis. So based on my experience, this is what I'd suggest:

- First of all, get your father an appointment to a neurologist. This doctor should listen to the issues that your father is experiencing, and recommend a battery of tests to determine if any memory loss is due to dementia or another cause (such as a previous head injury). More information on this testing is available at this sharepost: http://www.healthcentral.com/alzheimers/c/118/22326/testing

- Once you have a diagnosis, talk to the neurologist about what level of care your father needs. You also may ask the neurologist to call your father's primary care physician in order to discuss any findings.

 

Also, does your father have any other medical issues? This may determine what type of care facility your father needs. For instance, my mom had advanced Chronic Obstructive Pulmonary Disease (from smoking), which meant that she needed skilled nursing (i.e. a nursing home). So depending on your dad's issues and overall condition, a nursing home may or may not be appropriate. You also may wanto to explore an assisted living facility (which doesn't have skilled care). You also may want to see if there's a care facility specifically for those with Alzheimer's in your area.

 

Take care and keep us posted!

 

Dorian

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3/13/09 12:18am

Hi Sparx

Im not an expert by any long shot but I have gone through this kinda situation with my own father. my dad was doing alot of strange things. we thought something was wrong. we took him to the er and they checked him and from there they wanted to evaluate him and they told us he has dimentia. and he was a kicken and yelling some pretty bad words. this was in nov 08 and since then my father has gone down hill really bad.  we had to place him in a nursing home and he can't feed himself no longer nor hardly walk. he is so confused. this is the hardest thing ever.

what I had to do was when they told us he had dimentia they asked us if we wanted to sign a paper and be over his medical, so we made all the decitions. not him. boy he hated us it was awful. our day's was very hard and still are. he was very angry. but I knew for his sake and other people we had to take charge. I was afraid he was going to hurt himself or someone else. he was getting mad very easy.

to some it up. if his doctors are in denial get another one. and a brain scan will show the proof of dimentia. I really hope he don't have it. this is awful for anyone who has to go through it. just be patient with your dad, love every min you have with him. because his shell body will remain but with dimentia will take the person you once knew and loved. take care. you will be in our prayers. tami

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3/13/09 12:32pm

My father-in-law's family doctor didn't really help but he referred him to a psychologist/psychiatrist/neurologist test center when my FIL asked to be tested on his ability to drive (whether he is competent to drive.) We found this Alzheimers diagnosis by accident because he went to the center to  get verbal test for 3 hours. It was Nov. 2006. After these 2 or 3 years, we all know for sure he has Alzheimers given the symptoms.

Family doctors cannot help you unless you get him tested by the professionals. Family doctors cannot do that (maybe some will.) I found that doctors are not very helpful and we had to help ourselves.

Like you, we had for about 1 year and half when my FIL was spending money like crazy and I had to cancel some health food/super vitamins he bought. Now he has no debit card (has one old fake debit card that we cancelled.) It was hard. We just put the water on the fire when it happened. Eventually my husband took over 100%. (My husband took over right after my late mom-in-law died but didn't take over literally until 2007 and 2008.)

The other thing is you can get home care first. Maybe he can get along with a part-time caregiver so you can rest. Doctors don't do caregiving, to be honest, they only treat sickness. So you can call home care or nursing home, it is your call to get him help. The home care or nursing home faculty can help you in the process. Don't count on the doctors for caregiving.

 

Take care,

Nina

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3/16/09 3:10am

It has been my experience that doctor's (of any type, including neurologists) are completely unhelpful when it comes to daily care of people with cognitive difficulties, especially senior care. They simply don't seem to view it as a medical problem. If it's not something they can cure, it's not on their radar, not their department. You have to pay a lot of attention, and research it for yourself. It takes time, but the internet is making it possible. I have had enormous problems with both my elderly mother (now deceased) and my Father and stepmother, with getting doctors to pay careful attention to their medication. Doctors always seem to look for the solution in a pill. It is easy to prescribe them, but not easy to stop them. But now you can easily research the medications online. Overprescribing, and improper supervision of lists of medication is rampant in the indiustry. You have to look up each medication yourself, and look for things like medicines that shouldn't be taken together, and medications that a doctor has dicontinued, but still persist on records, and therefore still get dispenssed. I've seen it over, and over, and over, and over, again. Do not expect a doctor to do this. You will be sorely disappointed.

I feel so much for people who have no active advocate, for they are doomed. Thank you for being there for your father.

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By Sparx— Last Modified: 10/26/11, First Published: 03/12/09