Parent getting meaner, no joy left


I am new to this forum and new to learning about Alzheimer's. My dad has had a steady memory decline but it finally was diagnosed as Alzheimer's. Recently I've noticed things have gotten way worse.
Nearly every time we visit, the tension builds and he has an angry outburst directed at my boyfriend. This time he took a swing at him. It was ugly. He called him every name in the book and threw us out of the house. For years my mom has been relying on my boyfriend to help around the house - fix toilets, clean gutters etc because my dad isn't capable anymore. I assume this is threatening. Plus anytime his routine is disturbed, the pressure builds (it happens when my sibling + his family visits too.)
This particular visit was long because my mom underwent a hip replacement. Since she's his caregiver, we had to take care of all her needs PLUS his (he's incontinent and bedding needs to be washed daily, plus administering meds, cooking, shopping, etc.) They both insisted he come to the hospital which was a disaster. He wandered off, had an angry outburst, told me to go home (3000 miles away). She had complications with anesthesia, so they kept her overnight and he thought she was going to die… he cried… I felt so bad. He was in such a downward spiral of negativity that night.
This time I notice changes like this: when she came home from the hospital the next day, he registered no emotion. He just stared at her and then went back to his book. She asked "aren't you happy I'm home?"
After our final night blowup, she said "you kicked them out of the house. You may never see your daughter again!" No emotion from him. He was never like this! He always had an abusive side, but also a teddy bear side and that seems to be gone. I don't even see him smile.
Advice on how to proceed? My mom needs the other hip done in a few months and needs our help, and I need my boyfriend's help too! He has a background in the medical field and made sure nothing was missed. I know she wants us to stay at the house, but I'm afraid to, and it's embarrassing that my dad acts this way! And unfortunately his explosive outbursts are a trigger for me b/c of how he bullied me as a child. Fighting fire with fire does not work in this case!
I want to support my mom especially during surgery. Should we get a hotel next time?!?! It's too much drama! We also are thinking of limiting contact with him and walking away when we see the signs of an episode coming on. He grits his teeth and makes fists. I also need to limit how much he sees in the hospital (she was SO pale and weak after surgery) and he's getting agitated at the suggestion of caregivers coming to the house to help with laundry/ helping my mom shower. But he cannot be depended on (he also has a bad knee and can barely walk). They just need to show up, I think. Advice please, sorry this is so long!!!
Comments
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Honestly he needs medicated, and placed in MC. He should not be left alone with your mom especially when she’s recovering from surgery. She could be the next person he decided to swing at. His behavior shows he cannot handle changes in routine, your mom having surgery, his going to the hospital, extra people in the house. He gets frustrated and agitated because he’s out of his comfort zone and he doesn’t understand what’s happening. I will tell you from experience that having a PWD in a hospital setting is an awful thing for both them and whomever is with them. My mom got moved to the head of the line once after two hours in the ER waiting room because her behavior was bad enough that the clerk felt sorry for both of us.
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Right!! That is exactly what we thought about risk. She needs 6 weeks for that hip to recover and what if she falls or he pushes her?! He's a big guy! We had taped emergency numbers on the fridge (911, PT, car services) which was part of the reason he flipped out (it's HIS house!)
She's going to try to get some anger meds for him but her head is in the sand. He is still her power of attorney! He can't pay bills. He is 100% dependent on her. I am trying to convince her to change it to me but right now she's overwhelmed.
The doc said he needs to be placed in memory care months ago, maybe even last year, but she has to sell the house to do it. My brother and I both want her to be in assisted living, or to downsize + put him in memory care. She's being stubborn. I hope this situation will shed some light….
Thank you for understanding and validating my feelings. I have been so sad, scared and taking this very seriously (my BF too) and we seem to be the only ones!
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welcome. Sorry about your Dad The book “The 36 Hour Day” will help you and your mom care for your Dad. His outbursts are caused by anxiety. Your Mom needs to immediately get him medication for anxiety. It may take a couple of weeks for them to work. If your Dad has an outburst and anyone feels threatened, call 911 and have him taken to the Geriatric Psyche ward at the hospital. They will start him on medication. Tell them your Mom feels threatened and he cannot come home. He needs 24 hour care. They can move him from the hospital directly to memory Care. Do not discuss anything with him. He won’t understand or remember. His reasoner is broken.
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Oh great, I'll check it out! Thank you so much! I was one digit away from dialing 911 the other night…
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Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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