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Nurse daughter long distance to mom with moderate Alzheimer’s

Cincydaughter1
Cincydaughter1 Member Posts: 2 Member
Mom is 78 and lives with dad 4 hours away. Sisters in town but I’m supposed to help with the medical stuff. Problem is mom still drives ( I know) she has always been dads caretaker although he is only with slight memory loss and gets around but distant with diagnosis. Mom says she’s fine. We want to get her a neurologist local( she saw Cleveland clinic for diagnosis- took year and half! And her pcp is a general NP. She needs a geriatric doctor. Family attorney said we all to let her know when POA needs to change to med medically. Dad is now but makes no decisions even tho he says he’s boss and moms fine. She needs a medical bracelet and appointments made and pills to be put in bubble packs. She lays out their pills and has given dad her meds before. For all of this and more I’ve found she has to be present to sign permission but she challenges us doesn’t trust us and I’m long distance. She complains both do about cost of attorney and they have plenty of money. Sisters are doing legal mess they left us and other daily duties bringing food etc? How do I work this on my end. I think all of this should’ve been down a year ago. She isn’t even on a med for memory because everyone sides with her or is too busy to address all the medical stuff. I’m a nurse and frustrated. Our first family meeting with a social worker at local Alzheimer’s center for aging is in two weeks. I’m traveling to be there for the 2 days I have off work.

Comments

  • towhee
    towhee Member Posts: 582
    Eighth Anniversary 500 Comments 100 Likes 25 Insightfuls Reactions
    Member
    edited October 17

    Hello and welcome. This particular board does not get much traffic. You might want to repost this on the Caring for a Parent Board also with your other post.

    Yikes! I can feel the tires spinning with no purchase thru your entire post. Trying to deal with dementia in the beginning is a lot, the learning curve is insane. Take some deep breaths, step by step it is doable. You already have a major plus in your corner with the family appointment with a social worker. Many of us are never able to have that kind of help. May I suggest that you do everything you can to take advantage of a mediated meeting with your siblings. Sharing a basic framework of information before the meeting is crucial. Letting the social worker have access to a clear succinct picture of the current situation will help the meeting flow more efficiently so that you can focus on problem areas. In my personal opinion this first meeting is better without your parents. Once the siblings are on the same page then you can bring the parents in if you decide to do so. You say you will be handling the medical end but in order to do that you will need a general picture of how the finances and financial and medical power of attorney have been laid out. Literally, you need to read the paperwork. You need a clear picture of how much and how well your parents are now handling their ADLs and IADLs. You all need an understanding of how dementia progresses and how the right kind of communication with your parents can make or break your care plan. There is a youtube channel called dementia careblazers that has very helpful communication tips. This is one

    How To Convince Someone With Dementia They Need Help

    Go to Groups on this site and find the one called New Caregiver Help. It has a lot of good references about dementia and caregiving. (There are a few regular posts scattered thru there, just ignore them)

    Try not to overwhelm your siblings with info, choose what you think is most important. There can be lot of frustration between long distance and close to home caregivers. Please try to leave the you could have and you should have outside that meeting door, and keep that first meeting to those most directly involved. I was unfortunately involved in one such meeting where sides were drawn up beforehand and all the spouses attended. Something that should have been a blessing was a complete disaster.

    I will try to answer some of your other questions on your other post.

  • H1235
    H1235 Member Posts: 1,275
    1000 Comments 250 Care Reactions 250 Insightfuls Reactions 250 Likes
    Member
    edited October 17

    I’m a bit confused, is there a DPOA? Is it active or is a spring form that needs two doctors to sign off that she is not capable of making decisions for herself? I’m not really sure how you can do medical from your distance. It sounds like she needs to have someone come to the house once a week and put medication in the dispensers that are very clearly mark for each of them. As far as driving you can report her. I’m not sure how effective that would be. It sounds like she has been diagnosed. If that’s true her insurance company may not cover her in the event of an accident if there is a dementia diagnosis on record. I agree that the councilor needs to be given information prior to this meeting. If you start bringing up the concerns you have, I imagine your mom would be very upset. People with dementia often have anosognosia. I think this is the most difficult symptom. It is the inability to recognize their symptoms or limitations. With anosognosia neither of your parents are going to be able to recognize their need for help and will probably get angry about it. It is hard to get into the mindset that - you have to do what is best for them and if they get mad so be it. Trying to convince a person with dementia they need help or can’t do something is pointless. A common saying here is never argue (try to reason) with a person with dementia. To avoid this there are a couple of options. Tell them fibs. I know it seems wrong, but telling her you are going to do something for her because she is not capable is not going to go well. It’s best to make up a fib about how you were going to be in town anyway or the doctor said…. Another option is to just do what needs to be done behind their back. They may even think they were the ones that did it. Regardless of diagnosis and treatment, it really doesn’t sound like they are going not going to be safe to stay in their home alone for much longer. Assisted living facilities can have a waiting list. I would recommend you and your siblings start discussing a solid plan B. Good luck.

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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