• Linda Linda
    September 10, 2008
    How do I handle a demanding, aggressive, OCD, alzheimer patient with a great ability to mask in fron
    Linda Linda
    September 10, 2008

    I have been managing the care and cared for myself a 76 year old female with severe stage alzheimers.  She is still very mobile, has 24 hr. home care, however, I have a hard time keeping staff due to this ladies servant type demands and high air about herself.  It's like magic when 3 people are present, as she is able still to mask herself into an extremely polite, proper, and very sweet person.  It's tough on the gal's working and I do believe it really goes on as I have had the experience myself. 

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FROM OUR EXPERTS

  • Carol Bradley Bursack, Minding Our Elders
    Health Guide
    September 16, 2008
    Carol Bradley Bursack, Minding Our Elders
    Health Guide
    September 16, 2008

    Some people are so good at masking their dementia. My mother was a champ and I always got grief from people who couldn't understand that she had dementia. Of course, the staff in the nursing home knew it well. But when she had visitors, she was so gracious and on top of things. Of course, if they asked the same question the next day, they'd get a different answer, but that rarely happened because they were just there for a short visit.

     

    I'm surprise that someone with such advanced Alzheimer's, such as the case you are talking about, is still capable of doing this. Perhaps medication changes could help, but it sounds like she is in a stage that is just plain hard to handle, and she may have to go to an Alzheimer's unit where they are trained to deal with late stage Alzheimer's, if you can't keep staff to care for her.

    Carol

  • Dorian Martin
    Health Guide
    September 12, 2008
    Dorian Martin
    Health Guide
    September 12, 2008

    Hi, Linda,

     

    You're faced with a tough situation. My mom (who resided in a nursing home) could be a pill at times. In fact, she liked to wheel her wheelchair around and "fire" the staff who didn't do what she said. The nursing staff who seemed to "manage" Mom the best were the ones who played along - they asked her if she would do something (instead of ordering her to do something). If she refused what they wanted (like taking her medications), they'd leave her alone for a bit and then come back and try again later. So in hiring staff, you might try to get people who know how to take a similar position.

     

    You also might talk to her doctor to see if there are some medications to help with the OCD.

     

    Take care and keep us posted.

     

    Dorian


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