I need to vent about my grandmother and an endless cycle.....
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Hello and welcome to 'here', but sorry for the reason.
Grandmother has anosognosia. This is not denial, but rather, the inability to see or believe that anything is wrong. Arguing will not help. It will just get her more agitated and you more frustrated. Do tell her doctor that she is agitated. There are prescriptions that can dial back the agitation without being zombied.
The book 'The 36-hour Day' has a lot of insight, as well as Tam Cummings videos. When you are overwhelmed, you can call the alz line 24/7 at 800-272-3900, ask for care support
Who has DPOA and HIPAA accesses? This is important.
Also - yes - you do need a break. Please look into adult daycare near you for a day or three or more a week.
Rule #1: Don't argue with a PWD. Rule #1: Must take care of yourself. Rule #2: See rule #1 - both of them!
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My 74 years old wife often says she needs to go home. She may pick up some small things like a magazine page when she says this but she hasn't ever packed clothes.
In the evening, I tell we can't go now because it is dark outside and I cannot drive in the dark. I also let her know that we are home. That works sometimes.
Hospice care is specialized support for individuals with terminal illnesses, including dementia. It focuses on providing comfort and enhancing the quality of life during the final stages of the disease. The goal is to manage pain and other symptoms while addressing emotional and spiritual needs. It is not necessarily for the terminal ill.
My wife was placed on hospice. I didn't realize that hospice wasn't only for terminal cases. Hospice allows for a nurse to come in a couple of times a week to check on her. I also get a companion ("babysitter") a couple of times a week that allows me to gt out of the apartment for 2 or 3 hours.
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Welcome. SusanB-sil gave some great advice. You might try calling your local commission on aging. They can give you local resources that might be helpful. Her brain is not working properly, trying to reason with her and use logic are pointless. It’s only going to cause you both stress. It’s hard to get used to. It seems like it’s time to consider medication to ease her anxiety. It can take a while to find the best medication and dose. I’m not quite sure what you can do about her packing up every day. Maybe you could help her pack some things she won’t need into a couple of small boxes and just leave the in a corner so they are “ready to go”. Could you tell her you will take her next month or next week, in the hopes that she will forget and hopefully hold off on packing? Could you stop her from packing by distracting her with something else. You said she acts like a 10 year old. I will attach the dbat if you look closely you will see that it does actually give a rough age equivalence at each stage. She is aging backwards and that’s probably about where she is at. My mom told me she could do whatever she wanted and I couldn’t stop her because I’m not the boss of her. I think she was in the terrible teens. The DPOA is very important. Don’t delay. She needs to be considered competent to sign. I’m glad you found our group.
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welcome. Sorry about your grandmother. For people with dementia, home is a feeling, not a physical place. It’s caused by anxiety. Medication will help her anxiety. Talk to her doctor. Remember that you can’t reason with someone whose reasoner is broken. Try fibbing. Tell her you’ll go in a few days. Some try driving around and returning home and that works temporarily.
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If you are able, you might try to minimize the amount of "stuff" you GM has to pack so there is less to unpack. Move clothes/shoes she doesn't wear to another room, closet, or donate. Relocate pictures and papers so they arent visible or immediately available for her to pack. Keep a bare minimum of bags available for her to pack in. I know trash bags need to be handy but maybe stash several under the current trash bag in the can so the box can be put in a non visible location.
When she talks about going home, deflect... we can go later when it stops raining, when the sun comes up, after we've had our walk. Then maybe ask her what is her favorite thing about home or something similar to have her talk about it and hopefully bring up pleasant thoughts. And gently guide the conversation to another subject. I wouldn't ask her to "remember" anything specific and i would stop telling and showing her she is home. She isn't home in her mind when she is seeking "home" The first rule ofthe dementia fight club (thank you, @harshedbuzz) is that you live in her world now. She can't come to ours.
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First, please don't be offended if you already know these things.. I am a caregiver and learning more every day.. So - make sure you have all the car keys, as it is clear she can't be driving. I love the idea posted above about packing some things and leaving them and telling her that you're going "in a few days".. I would definitely try that. From what my mom says, it's clear she remembers things farther back than I think.. so your grandmother may be thinking of a home she had BEFORE this one. or maybe even before that.. So the one she is in isn't the right one. That is a harder thing to manage, but putting off the 'trip' to visit it is still worth a try. My mom has decided she likes puzzle books. There are many on Amazon, large print, adult, memory help books with word searches, mazes, "find the differences" pictures, etc. Sometimes she gets completely into them and can't hear me when I ask her questions.. I would try one if you can to kind of direct that energy. As far as acting like a 10 yr old.. My mom covers her ears and closes her eyes like a 5 yr old.. I have found that just agreeing with her about most things helps.. because she has to be right.. Her memory is infallible even though she may say she 'can't remember anything' one second.. the next second, her brain has made up something outlandish and it's absolutely the truth!
This illness is one horrible thing, that's for sure.. Try to laugh at things when you can.. I try to laugh all the time.. mainly so I don't scream or cry! But today I found this site and I realize I'm not alone in this..❤️
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My wife went through the same thing for about 18 months. I never found an answer for it, but eventually it ran its course and she stopped.
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Four months of waking up every single morning to bags packed and a knock on your door asking to go home, when she is home, is the kind of exhausting that doesn't have a bottom to it, and I want you to know that everything you're describing is real, valid, and genuinely hard. The "going home" behavior is one of the most common and most heartbreaking parts of dementia, and it almost never responds to logic or proof, which means showing her the address on the house or pointing to her belongings is not going to land the way it would with anyone else, not because you're doing it wrong but because that part of her brain simply can't hold the information anymore. Being called a liar and accused of plotting against her when you're the one showing up every single day, alone, while her son can't be there, is a particular kind of painful that sits differently than just being tired, and it makes complete sense that you're burned out. At 39, being the sole caregiver for someone with advanced dementia behaviors, with no backup and no break, is more than one person was designed to carry by themselves.
Please don't wait until you're completely empty to ask for outside help, whether that's a geriatric care manager, a local dementia support line, or even respite care for a few hours a week, because you matter in this equation too, not just her.
I hope these references can help you:
https://hopebridge.care/dementia-delusions-and-paranoia-when-nothing-makes-sense/
https://en.wikipedia.org/wiki/Dementia
https://www.psychologytoday.com/us/blog/connection-and-coping/202511/when-a-loved-one-with-dementia-becomes-paranoid2 -
Welcome. Whoever has the DPOA (durable power of attorney) makes all of the decisions for your grandmother’s care. I commend you for talking on your grandmother’s care. However, you are too young to put your life on hold when you are young and need to earn a living and save for your retirement. People can live with this disease for 20 years or more. As it progresses, you are caring for an infant in an adult’s body. You will not be able to do this alone. It will require hiring in home care for her or placing her in an outside memory care facility or nursing home. An Elder Law attorney could tell you what your options are for placement. I would put her on a waitlist now in the event you can no longer care for her. Whoever has the DPOA can put her on a waitlist. Talk to your uncle and take steps to get yourself out of this situation.
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Are you responding to a post from March?
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Yes. I just read it.
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Hi, Sean. Let me just say, I respect you doing all this for your grandma. I'm 26 and I'm dealing with a very similar thing. Reading your comment was like reading a day in my life taking care of my grandma too. She's 83 and was diagnosed with Alzheimer's and dementia 4 years ago. It's hard.
As far as the daily packing of her things, it's a phase. Sometimes a very long one. My grandma used to do it every day as well towards the beginning of her diagnosis. In trash bags too. Absolutely everything she owns; clothes, photo albums, stuffed animals, jewelry, etc. Fortunately, I took away her car years ago (which was a whole other problem with her) so I never really struggled with her loading things into the car itself... Eventually, she stopped doing it as much. Every once in a while it comes back, though. For your sake, it'll be good to be aware that if she's just started (4 months ago) it will probably keep going for a while and will decrease eventually but it will never completely go away anymore.
Just like your grandma, mine also says she wants to "go home". Every. Single. Day. She's been with me for 4 years. Occasionally she'll also say she needs to "check on the house"... Which sometimes I believe to be her old apartment... But, over time I've realized sometimes home isn't the obvious place. Your grandma must definitely feel safe and recognizes her surroundings at home with you, enough to keep her nervous system from freaking out with confusion. BUT from my experience with my grandma, it's almost like they can live in 2 realities at once.
She can feel safe and "at home" with you in the home you've shared for years, and also be experiencing a whole other mental "reality" where it's almost like she's living 10, 20, 30, or more years in the past. It could be in a completely different city, home, with deceased loved ones magically resurfacing in her memory. Sometimes it's all mixed into one moment. For example, for the past month, she has consistently referred to me as her sister and has asked me about how her parents are doing with the shop they recently opened. I'd be so lucky to have great-grandparents that have lived so long and are still thriving :) I can't reason with her that I'm not her sister because her face goes blank with confusion or she thinks I'm lying to her, which only agitates her... So I go along as the sister and tell her our "parents' shop is doing great"... The same goes for when she asks me to "go home". She's lived in so many places that it's hard to know which place she's referring to. Sometimes I'll start naming different cities hoping she'll tell me which one is the "right" one, so I can locate where she is in her mental timeline that day.
My best recommendation is to try to re-direct her attention to something else during those "let's go home" moments. Not a random, "look, there's a bird" that she'll easily identify as you ignoring her request but more like a reasonable task that needs to be done in the present moment before anything else can happen. Often, those kinds of distractions are enough to change the conversation and fill their headspace with something else. Chances are, she'll come back around to it later but sometimes they don't. Ultimately, it's about getting through things one moment at a time with them so take it as a win if she momentarily forgets about going home.
Irritability is a common thing, though, especially if she's not really aware of her condition. I imagine your grandma, much like mine, feels both like she's perfectly normal yet extremely frustrated about why she can't remember simple things. Add to it that sometimes they can pick up on your hyper-vigilance of them, they definitely know something's off... They just don't know it's them that's changing. Caring full-time for someone with dementia is exhausting. The daily packing of her things, the let's "go home", the showing her she's home and not being believed, it all takes a toll on your own well-being and even patience eventually. As much as we try to hide it, they're our grandmothers, of course they know when you're tired, sad, stressed, etc, even if you think she's mentally elsewhere. I think they interpret our micro facial expressions and reactions to certain things over time and it leaves them with a general impression of them being a burden to you. Hence, the "you're planning to get rid of me".
It's not easy and, unfortunately, it only gets harder. Thus, I definitely recommend that you find help. If other family members genuinely can't help out, I would advise you to find a doctor, senior care nurse, adult day care for people with these types of diseases, or even a specialized-care nursing home at some point. You need to be able to take breaks and breathe from all this, regularly. Otherwise, you're going to run yourself to the ground and that doesn't help anyone. If you don't do it for you, think that you can't care for her if you're running on 1%. All the options require some sort of sacrifice, which at some point, can feel unfair, but it is what it is and at some point, you won't have regrets about taking care of her. BUT you can take better care of yourself while you do it.
You're the first forum comment I come across that I've properly related to, so thank you for that.
Wishing you lots of patience and peace of mind. Stay strong.1
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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