Adjusting to MC

hjtucker
hjtucker Member Posts: 1 Member
My mom has been in a MC facility going on 7 weeks now. She has been diagnosed with vascular dementia and possibly mixed. We see a Neurologist in June to find out what other type. On top of that she has a history of bipolar/ depression with some schizophrenia. She does have delusions and hallucinations which she is on rispiradone for. Also it helps with agitation. She also has anxiety. She is not settling in, she is always packed waiting and every time I show up she thinks I am taking her home. I used to be able to redirect her but now she is just mad and I cut my visit short and only go a couple times a week now to decrease her agitation. She is very pleasant with the staff after I leave. I would love to take her out to dinner, for a pedicure, etc. But the problem is her condo is in the same area and she has lived in this area for 20 or so years. Her mind is so focused on going to her condo that I am unable to take her due to exit seeking. I’m having to sell her condo to pay for this and it would devastate her. So can’t find out about it. She is very focus about costs as well. She keeps saying she can’t afford this place. She also thinks it’s a resort at times and then she thinks it’s a hospital. Any advice on how to help her settle down about costs and going home?

Comments

  • caregiving daughter
    caregiving daughter Member Posts: 218
    Legacy Membership 100 Comments 25 Insightfuls Reactions 25 Likes
    Member

    Please remember that you are trying to keep your mom safe. Doing so means you are having to make some of the most difficult decisions of your life. Please start writing down when you see the dementia. Then, when you second guess yourself, pull the list out, read, and keep going.

    It's very good that you have a good clinical team in place. I could be wrong as it's been over five years, but a neurologist likely won't be able to pinpoint exactly what type of dementia. From behaviors and cognitive testing via a neuro psychologist, a probable diagnosis can be made. My mom was also thought to have had mixed.

    I tried so hard to involve my mom in the sale of her townhome in a kind way. The carpet had pet stains, so I had to have that replaced, and I went through hoops to beg a carpet place to allow me to take samples into her memory care. Looking back, I should not have involved her. She didn't understand the dementia, she didn't understand she was living in memory care, and she didn't realize the doors were locked. It took me awhile, but I eventually realized that her peace and calm was of utmost importance and bringing up her home was the opposite of that.

    My mom was also hugely concerned about finances. She begged me to bring her file cabinet of all her statements to her room. Obviously I couldn't do that so I brought the boxes to my house to allow her to go through them. When the day came, and she sat on my couch, she didn't get past one piece of paper. She couldn't. She could no longer understand what it all meant.

    Every situation is different so I can't tell you exactly what to do but I thought sharing my experiences may help. Please hang in there.

  • rolovan
    rolovan Member Posts: 4
    First Comment
    Member

    Thank You for leaving your hearts out out there for the rest of us struggling to find a way to turn the next page without numerous paper cuts.. God bless your journeys. Mine have jist begun with my 90 year old mother and it frightens me to face each and every days new struggles with her.

    More to come..

  • April23
    April23 Member Posts: 214
    100 Comments 25 Care Reactions 25 Insightfuls Reactions 25 Likes
    Member

    In time, my dad forgot about his condo. I struggled as well with not involving him. I vowed I would never just pack up his whole life with him just sitting 4 minutes down the road. But in the end, that’s exactly what I had to do. Two years later I can barely think about it. Luckily it happened early enough that my dad was able to somewhat understand what was happening and at one point even told me I had to sell it.

    My dad showed some similar behaviors, asking how much was this costing and wanting to tip his caregivers. I too worried about him wanting to go to the condo and we have actually driven by his complex several times and he never said a word which also breaks my heart. We found a wonderful RCF in his same neighborhood and I’m glad we did because when he does go out it’s all familiar to him, he enjoys seeing the sights. we can get him all his favorite foods, etc. But I understand your concern.

    It’s simply going to take time. Two months is still early. You can try fiblets (Medicare pays for it, the doctor says you need to be here for awhile, etc.). Visit unannounced so she’s not waiting for you. Time your visits around activities or a meal so she’s more easily distracted. As she continues to settle in and gets to know her caregivers, the memories will start to fade and she’ll come to see the MC as home. I wish I had more answers for you.

  • pamu
    pamu Member Posts: 143
    100 Comments 25 Care Reactions 25 Likes 25 Insightfuls Reactions
    Member
    edited May 19

    I wish I had advice, but I know what you're going through. My mom (87YO) has been in MC since September and has been exit seeking and wanting to leave or "move somewhere else". It has been relentless and in turn has made most of our visits to her dreadful. My mom has mixed dementia along with Paranoid Personality Disorder. She has also suffered from mental illness her whole adult life which has affected our family throughout. She has all her belongings in two plastic bins…refuses to put any of her things in the dresser or closet so she can leave asap. At least once a week when I visit she'll ask me if I'm taking her out (meaning forever). We wish we could take her out for ice cream or afternoon drives but just when we thought she was starting to settle in she had a meltdown at the MC last month and tried to leave which ended up with her ER on a short psych hold/eval. So, I get your extra precaution about taking your mom out since it's near her condo. It could trigger a negative response. It may take a very long time before she settles in. Is there an in-house geriatric psychiatrist at her MC that can help manage her meds? Everyone has a different experience but my mom's neurologist and PCP were of no help managing her symptoms after she was diagnosed. They didn't want to introduce any new meds despite us asking for help (prior to MC). As far as the selling the condo, I'd probably keep that under wraps and not involve her. For now tell her a fiblit that Medicare is footing the bill.

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
Read more