February 8th, 2007
From: Rvrrat
HELP!
I am the caregiver for my mom, 76, with non-diagnosed dementia, with what until now were were mostly social needs. I have a recommended doctor for an evaluation but she has been extremely resistant to this and even moreso for drugs. Actually, she wants to do the opposite of what I or anyone else suggests in every area. At one point I tried to push an evaluation with bad results. The anxiety heightened the symptoms and I lost her trust for about a week. My brother and sister are arguing with her, and she with them, about family issues and the symptoms have heightened. Among other things, she is forgetting things that she knows like the back of her hand. I have no idea how to accomplish the evaluation and drugs I suspect she needs. Any ideas how I could get her in?
From: E-Care Social Worker
It sounds like you have your hands full. A few questions to understand the situation better: can you describe the behavioral changes you are observing in your Mom? Are they sudden or gradual, drastic or mild? Does her resistance include agitation, hostility, or is she quietly digging in her heels? Was there an event or incident that precipitated these changes?
Does she have a doctor that she trusts? Can s/he assist in explaining the rationale for referring her to a specialist for an evaluation? How does she feel in general about seeing a doctor or taking medication?
Try to continue being firm, consistent, and focused on her receiving the best care and treatment. Is she aware of her own dementia symptoms? The power dynamics can easily turn into a struggle, as someone who is used to being in charge of her own decision-making begins to need the help of others in making good decisions. She may get mad at you; can you tolerate this?
From: Rvrrat
Thanks for your quick response. Please feel free to post it as I suspect this is a common dilemma. Answering your questions will require in-depth thought, so I will not be able to send my response ’til tonight. Also, I attend group support meetings where others have been helpful in the past.
Posted in Uncategorized | No Comments »
January 29th, 2007
The person you care for may no longer have the ability to do everything on his or her own due to physical or other limitations. This can be frustrating or even depressing for him or her. He or she can even lose a sense of meaning, value, or purpose in their life.
What do you do to empower the person you care for?
- How do you make it possible for them to still participate in meaningful activities?
- How do you give someone the opportunity to still make their own decisions, even if they are small decisions?
- What strategies have you tried? What works or doesn’t work?
We look forward to hearing from you with your responses. Also, feel free to contact us at this email address with questions that you might have related to this topic or any other caregiving issue. All questions and comments will be posted anonymously on the E-Care Message Board–www.E-CAREonline.net.
While you’re visiting the site, don’t forget to visit some of the site’s other pages, which contain a variety of targeted caregiving tools and resources.
Thank you!
Amy, E-Care social worker
Posted in Uncategorized | 2 Comments »
October 23rd, 2006
Balancing Roles
Do you notice a difference between how those in your life respond to your role as a caregiver, such as family members, other caregivers, and friends who are not caregivers? Are you aware of varying pressures from others? How do you maintain balance between your role as caregiver and other roles you may possess in the world (such as spouse, son/daughter, professional/employee, parent, etc.)? As caregivers, how do you stay connected to other people?
Posted in Uncategorized | 2 Comments »
October 19th, 2006
From Linod:
I recently asked my wife’s neurologist if he would consider deleting Aricept and Namenda from the medications that she is taking. She has been on Aricept for 4 years and Namenda for almost 2. Both drug firms claim their medication effective for no more than 6 months. I would like to post this as “something I did.” BTW, there has been no change in my wife’s behavior since she was titrated off the meds.
Posted in Uncategorized | 3 Comments »
September 20th, 2006
From annl:
What about a running chat area about whatever anyone needs to ask?
I was thinking that might help to open up conversations and not be quite as formal. Sometimes, when I was alone with my Mother, there wasn’t anyone to talk to who would understand. All of her neighbors were elderly, and my friends were hundreds of miles away.
There may be people on the group who need what I needed back then, just someone with whom to talk.
Posted in Uncategorized | 3 Comments »
September 19th, 2006
From annl:
I have a question for the group.
How do we go about healing the scars left emotionally from caring for someone with dementia? After 2 years, I’m still working on it.
Posted in Uncategorized | 2 Comments »
September 11th, 2006
Do you notice changes in your loved one at a different pace than those who do not see him or her on a daily basis?
Do you keep any record of changes, and do you report them to your loved one’s physician regularly?
How do you feel about the changes you see happening?
Do changes seem to happen gradually or suddenly?
For long-term caregivers: If you could tell a new caregiver just one thing you have learned from your experience, what would it be?
For newer caregivers: If you could ask a long-term caregiver just one thing, what would it be?
Posted in Uncategorized | 11 Comments »
August 24th, 2006
From annl:
I caregive for both my sister-in-law and father-in-law long distance. The position we are in is equivalent to one person being drug addicted and taking all of the parent’s money, while the rest of us do damage control — badly. This is why I am writing to ask for tools to deal with anger.My father-in-law has legitimate issues of anger with his daughter, none of which can be resolved at this time. Because of a head injury, she has no impulse control, and has gone through a lot of money, several men, and moved herself and her daughter at least once or twice a year for many, many years. Her father has paid for all of this, and continues to do so.
I now have him separated from her, he lives in a beautiful assisted living complex that provides all of his needs. She still has her name on his checkbook, and is bleeding him dry. There is a brother who contributes money to both of them.
None of them will actually address the problem, they just yell and scream at each other in private and public. They were always a verbal family, but this has escalated, and is so explosive that I have never seen or heard this extreme level of anger-denial-rage before.
When we are all together, it can only be for a small time, a day and evening at most then my husband and I have to completely remove ourselves from being near any of them so we can calm down.
None of their problems can be reversed and I do not see this being resolved. In the meantime, I’m looking for tools to deal with their anger, yelling, and screaming either on the phone or in person.
Thank You.
Posted in Uncategorized | 1 Comment »
August 23rd, 2006
The biggest question I am finding myself up against in taking care of my mother, who is showing early-to-intermediate signs of dementia, is regarding verbal handling of the situation. When she exhibits abnormal behavior, I have (except when frustration calls too heavily on my emotions) responded with complete acceptance, even when she is completely wrong (except where safety would be compromised). I am concerned if I am enabling and encouraging an increase in abnormal behavior.
Posted in Uncategorized | 8 Comments »
August 15th, 2006
How do you get some respite time for yourself, from the hard work of caregiving?
What sorts of arrangements have worked well, and what have you learned to do differently?
What stops you from arranging a break for yourself?
Posted in Uncategorized | 9 Comments »