Wants me near always
My husband only wants me with him to care for him - no relatives or caregivers. He wants me around all the time and if I leave the house, he forgets where I am and thinks I am dead, even with reminders from the relative or caregiver with him. He worries the whole time I am gone. I am his everything, which is a lot to carry, but he is a gentle soul and it is hard to watch the anguish.
I am getting ready to place him in memory care soon and I am afraid he will become traumatized without me there with him. I am struggling with the suggestion of not showing up for a week or two right after he is admitted. I do not know how to approach this situation.
Comments
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I am in a very similar situation with DW, and I hope someone has some constructive suggestions on how to make the transition. I have consulted many sources, forums, MC Facilities, PCP, family members, Senior Solutions organization, read tons of material, but everyone is apparently stumped. They don't seem to know how to handle the separation anxiety, the paranoia, the temporary hostility. There is little or no creativity offered. I have been ill, but still carry on 24/7 caregiving, but there may come a time that placement is necessary.
You can DM me if you want to discuss.4 -
By the time I placed my DH in memory care, he had moved past the point of asking where I was whenever I was not around. So my experience wasn’t so traumatic for him - he didn’t seem to know what type of place he was in, he just seemed to go with it. I did stay away for a few days on their recommendation and that was hard but they gave me updates on how he was doing as often as I wanted. Mind you, it wasn’t all rosy because they had to call me several times to make med adjustments for his aggressiveness but he did finally settle down. He knew me when I visited but didn’t ask about me when I left.
Maybe you could do a trial stay - DH’s MC allowed a month’s stay before paying the one time “community fee”. If you tried it to see how he does, it might ease your mind a bit.6 -
Much of this separation behavior is probably caused by anxiety. I would talk to his Dr for medications to ease that.
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It's hard when they first arrive, but very soon the people at mc become familiar to them and they begin to build relationships in the way they are able. They learn to trust the people around them. This process is why some recommend that family stay away for a time, so the pwd can build those relationships rather than avoiding staff and other residents in favor of already-familiar faces.
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Welcome Bowerbird, the MC facility helped me get him there and settled in. A nurse and Social Worker were involved. They do this all the time. They suggested that we come for lunch. My daughter went with us. The nurse was at the table and we joined her. My daughter and I both excused ourselves and gave different reasons (phone call, rest room, etc) and we left. It was the most difficult thing I have ever done but was the most compassionate for him. He was upset at first, but the nurse gave him lunch and took him and introduced him to people and had him join an activity. We dropped his things off later that afternoon and left them with the nurse to put in his room. They waited a couple of days and then gave him a phone to call me. He was so glad to hear from me but wasn't angry or upset. He said I did a good job getting his stuff there. ☺️ They recommended I didn't visit for 2 weeks. When I did he was settled in. They recommended that when I visit first to come at lunch and after my visit they recommended that I not say goodbye, just slip out and let the nurse know I was leaving so the nurse could distract him by giving him ice cream for a treat. The guilt is the hardest thing. Just remember you are not doing it to him, you are doing it for him. Dementia did it to him. Keep reminding yourself of why you did it. You will still be his primary caregiver just in a different role. 💜
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Thank you everyone for your advice. I understand the reasoning and recognize that I too perhaps have separation anxiety. I have not mentioned moving to him, but I am beginning to suspect he knows deep down something is going to happen. I finally decided to tell him (when we get there) that our doctor, whom he likes, has recommended he go there for a while for the care and activities. I don't think telling him that the house needs work or that I am going on vacation will fly with him.
When he was hospitalized in November, I would stay there all day with him and as soon as I left for the evening, he would become agitated, eventually going into delirium. So there is that fear as well.
But, yes the facility said someone would be with him the whole first day and that is good. But he is shy and a loner, not a big people person. One issue at home is not having enough to do, so I am hoping he will participate in the activities.
She said to give him a half dose of Seroquel, but that can cause a bit of delirium sometimes.
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@Bowerbird
This is all hard stuff.
My dad was as you describe in terms on only accepting care from mom. It was to the point if I brought him a sandwich he wanted me to take it back to the kitchen and have mom bring it to him. I didn't play along as she needed a break and he couldn't hold the memory for more than a minute.
When his care became such that a facility could provide better than mom could provide we placed in in a good MCF. He was upset and angry for several days, but he soon bonded with staff and considered the facility his home for the time being. We'd told him that he was there on doctor's orders for physical rehab which allowed us to validate his frustration at not being home while reminding him he was getting best care possible.
Dad never really clicked with other residents (he knew they had dementia despite not recognizing his own issues) and didn't participate in any activities beyond live musical programing which he enjoyed a lot.
A MCF won't have all of the same issues a hospital has. My mom, who doesn't have dementia, sometimes develops hospital-induced delirium. The lack of restorative sleep from lights, noise and nursing tasks are not generally an issue in a MCF. Often medications used inpatient also contribute to delirium.
I hope it goes well for you.
HB3 -
I really appreciate your post. It feels similar to my situation and is full of insight, especially about the hospital delirium. I've considered the fact that my husband may not click with any residents, but if he comes to enjoy the staff, that is enough for me. And the doctor's orders "ruse" sounds more and more like to way to approach the move, another issue worrying me.
There is so much guilt along this rough road. I know he will get good care, better in some ways than mine, and more stimulation, but the idea that he will spend the rest of his life, however long, in a facility is tough to take.
Thanks for taking the time to comment. It gives me some hope, which I desperately need.
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@Bowerbird
When I finally convinced mom it was time, we decided it would be best to just bring him to the facility telling him it was to see a new doctor for a second opinion to make sure he was getting best care. Telling him before hand would have been upsetting for him and likely make the move harder on all of us.
We arrived at snack/matinee time where the activities director swept him off to meet two of the more social residents while shooing us off. We had shared our fiblet with staff so they could go along with it.
But yeah, the week or so heading up to move-in date was some of the most difficult time of my life emotionally. I felt physically ill until he was safely there. And leaving, not to diminish or disrespect your husband, reminded me somewhat of the pain of leaving the vet's office with an empty carrier after opting for euthanasia except multiplied exponentially.
Before the move, I moved dad's clothing and things to the MCF. Since this was presented as a temporary move, I brought new linens and art that made the space look more like a Holiday Inn rather than try to replicate his home. Over time, we brought his favorite throw and some pictures.
I drove my parents there so mom wouldn't be making the drive there or back alone. And then I brought mom to my house for dinner before taking her home. If it would help you, see if there's someone who could meet you in the parking lot after so you don't have that solo drive to an empty house.
HB6 -
Thank you for sharing your experience. I too feel physically ill every time I think about all this. I've had to postpone bringing him in, once because of an ER visit and now because of the terrible weather. It feels like it was not meant to be just yet for some reason and just puts off the agonizing inevitable, especially when he says things like "don't leave me." I brought some of his things in earlier, but I am not sure he even notices much of his home surroundings.
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I brought my DH to the MC yesterday and all went quite smoothly. He was in a calm, quiet, seemingly peaceful mood. I told him we were going out to buy some bagels, but that we had a stop to make before that. He said ok and did not ask any more questions. As we pulled into the MC driveway, I began my little speech about the doctor recommending this place, but he was more interested in looking at the building. Inside they welcomed him and whisked him away, introducing him to another new male resident and showing him his room. I was told he did not want to be in the communal dining room for lunch, so ate in his room. He actually asked for help with toileting, which made me feel hopeful that he understands the staff will assist him.
I will take the seven days off option and then go see him next week, which is already making me nervous, though my heart is broken and I miss him more than I could ever have imagined.
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I’m glad that things went smoothly when you took him to MC and that he had already asked the staff for assistance.
I hope your anxiety eases during the coming week. As Diane suggested in her post above, remember you did this FOR him not TO him. Thank you for sharing your experience. Sending hugs.3 -
So glad to hear that things went so smoothly. That is step 1! You will feel guilty, broken hearted, lonely…but it does ease up a little over time. Once he settles in and you see the good care he’ll get, you’ll gradually realize it was the best thing for both of you. You’ll never stop missing him but you’ll begin to feel your stress level going down. Keep us posted on how you’re doing.
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Thank you for your kind words. I did hear today, his first full day, that he became very angry, wanting to know where I was and banging his walker on the floor. He has eaten very little, except for some snacks. So I am, of course, fretting that all is not well, even though I am learning that this is the path it takes to adjustment.
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Yes adjustment can take a few weeks sometimes. My DH was getting very aggressive with the caregivers for the first couple of weeks and the facility doctor increased his meds and added some until he was calmer. They have to do this for the safety of the staff. Every time they called me to approve a med adjustment I’d get stressed out and wondered if I did the right thing. After a few weeks though he had just occasional outbursts and adjusted well. Things should calm down after a while for your DH. I’ll pray for you that it does.
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My husband is always looking for me. He is still home and I plan on keeping him home for now. He is stage 4/5. If I go out in the yard and gets very anxious saying he can’t find me, if I am taking a shower he is calling me. I always tell him what I am doing but he can’t remember anything. Does anyone else experience this with their loved one?
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you might want to start a new thread with your experience to get more replies, but I definitely experience the same thing with my dh. He is Stage 5/6. Several months ago I could give him a note that said I am taking a shower and that worked. But now he immediately misplaces the note or puts it in his pocket and forgets so I can really only shower when he is in the room. It’s like having a toddler in the house.
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I've cared for SEVERAL dementia patients and am now with my mother, and the hardest is when they first begin getting it and you can't find ACCURATE answers. What you are speaking about is normal in the beginning, but you need a proper diagnosis for type of dementia. Our physician gave mom a drug for sleep and her schedule is VERY SET. She takes it at 4 or 5 and out by 7. She and others I've fully cared for MUST HAVE A SET SCHEDULE. They must have everything done for them at the beginning to remain home, like set TV remotes, heat and air set and fixed where they leave it alone, fire alarms checked regularly for no low battery chirp, meals without having to heat, regular cleaning and sheet changes, etc. Mom calls EVERY MORNING and I MUST ANSWER or she calls repeatedly unless you do the anxiety is so bad. They are terrified they are losing their mind and alone. They seek the comfort of home because they lose SHORT TERM MEMORY FIRST, THEN LONG TERM. So, home is a recognizable place, and a new location they become completely confused unable to remember due to it being a short term memory process to remember a new place, which is why they show up at places they haven't been to in 20 years thinking it's still their doctor's office or home! They have the long term memories they built when they were younger as all the newer memories go away. Our doctor gave several drugs and we had to trial and error because she went nuts on some, but others helped. YOU MUST DO THE WORK OR RESEARCH AND READING THE BEGINNING, MIDDLE, AND END OF VERY SUBTLE SYMPTOM RECOGNITION LISTS and writings. Had I not learned through the first person I helped and done that process Id of NEVER known she was getting it and she signed a POA to people that she met ONCE AT CHURCH that are PROFESSIONALS THAT LOOK FOR ALONE DEMENTIA PATIENTS TO PREY UPON. They sold her home and depleted her account of over $80,000 in a week!!! Laws to protect dementia patients when they FIRST get suble symptoms MUST CHANGE to protect them when they STILL HAVE MOST OF their memory and can pay bills, yet the other symptoms like hours they forget cause them such fear and anxiety they sign ANYTHING OR BEFRIEND ANYBODY to take care of them out of a promise to not be put in a home. Sadly, ALL of the people we put in SUPER UPSCALE nice facilities became EXTREMELY AGGRESSIVE, ANGRY, VIOLENT, HURT, and DIED NOT LONG AFTER being put there. It was not the disease progression, but I believe the stress and fear of being taken from the only place they remember, home. If I had of known this when I was younger Id of been able to plan to save for a 24 hour dementia care person, but the cost is so prohibitive now it was impossible in every case. Others could have gotten a reverse mortgage to pay for it but greedy family want to inherit her home, and once they get the dementia diagnosis it's illegal to sign a contract to sell or reverse mortgage without a POA. Or the POF for finances. There are several POA types giving different permissions. The anxiety and calling a hundred times is better with mods and just answering and comforting them and telling them not to call unless they really need something and they call less throughout the day. But, it's out of fear you'll get angry and not care for them, sadly. They are just fearful of absolutely EVERYTHING. Mom calls every five min to ask if the groceries are there waiting on Door Dash! I assure her and just answer if she calls, which becomes overwhelming and agitating to OUR LIVES and disrupts OUR SCHEDULES. But, when you see how rapidly they go at the end with memory and death you would want all the time to talk back again. It's SO DIFFICULT, but just BE PATIENT, GET HELP, GET SELFCARE DAYS, TAKE BREAKS AWAY FROM THEM WITH HIRING HELP, UTILIZE AN ATTORNEY SPECIALIZING IN PROTECTING ASSETS AND GETTING GOVERNMENT SUPPORT SERVICES THAT PAY EVERYTHING. You must wait a year for some services, like home help care people, and such, but it's WORTH USING AN ATTORNEY FOR UNFORSEEN FINANCIAL BURDENS AND TO NAVIGATE HEALTHCARE OPTIONS. READ, READ, READ, BLOGS, AND PROFESSIONAL MEDICAL SITES ON SYMPTOMS AND PEOPLE'S IDEAS THAT HELP WITH LITTLE THINGS LIKE THE TV REMOTES, AND TAKE THEIR CAR KEYS AWAY AT THE BEGINNING OF THEIR SYMPTOMS AS THEY FIGHT THAT BIG TIME!!! GOOD LUCK. PRAYING FOR YOU ALL. PRAY FOR A CURE FOR DEMENTIA!!!1
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Yesterday, after three months in MC, out of the blue with no prompting from me, my DH said to me, "I've decided I'm going to stay here." I didn't question it or get excited. I just said, "OK." Of course, I realize that doesn't mean the next time I visit, that will have changed.
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Bowerbird may I ask what type of facility it is; corporate owned? Name of facility? Staffing levels? My failed attempt at placement last year they had promised someone to be with him the whole first day and that did not happen; they didn't even have a person come sit with him until I'd been there an hour or more. They didn't attempt to sit him next to people who were cognitively aware—just plopped him at a table with several women with drooping heads and no eye contact. This was a highly recommended facility. Now I'm looking again everywhere in Tucson, but….
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I'm sorry to hear that what they promised did not occur, a typical marketing ploy perhaps, but it causes havoc when you have to move your LO to another place or bring them back home because it was not as you expected. I was assured of several things when I "applied." but the reality was rather different. My DH has adjusted as well as can be expected after 3 months, but when I visit, he still wants to be with me all the time.
My LO is in a corporate owned MC only facility and is one of only a very few here. I am in Ohio and the company does not have facilities in the western US as far as I can tell from their website. There is some staffing turnover, as the work can be grueling, but I've also heard that some of the caregivers have quit and then returned later. The place has a good reputation, so I can only imagine what it is like at other facilities.
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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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