I'm new to this, so I don't know what I don't know
Hi Everyone,
My name is Elizabeth, and I'm new to this journey.
My mom was diagnosed with early-stage dementia in May 2025, moved in with me and my family in August 2025, and her neurologist confirmed Alzheimer's in February 2026.
She is still highly functional and stays active with Silver Sneakers (me joining the classes with her), church, family activities, and lots of reading from the library. Most days are very good days, with occasional "different" days that remind us this disease is progressing.
I've stepped back from my real estate career to help care for her and make memories while she's able to enjoy them. I've also completed a 4-hour dementia care and CPR/BLS training.
My question is simple:
What do you wish someone had told you sooner?
What are the things I don't know that I should know now? Are there resources, classes, legal considerations, safety concerns, or caregiving lessons that would have helped you had you known them earlier?
I would also love to hear from anyone who has experience with Adult Day Programs, especially in Colorado (Denver metro area). My goal is to spend less time worrying about what's coming and more time making the most of today with my mom.
Thank you for any advice you can share. I'm trying to be proactive, not reactive, and give my mom the best quality of life possible while also being the best caregiver I can be.
~Elizabeth Cherry
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I applaud you on taking classes and becoming the main caregiver for your loved one. My Mom has been diagnosed via Barrow in the Phoenix are where Muhammad Ali went. Many photos in the hallway of him and his funding for the hospital and neuro program. I lived with Mom and saw the Sundowning at night really bad. She plays pickleball daily for hours. Is in great shape. Looks amazing in pictures, but her brain has really been changing. Because of my job demands being up at 4am, I had to move out. I see her once a week for church. We have a live in RN and she tells me of the things she is doing, paranoia, messing with things in the house, anxiety at night, and now trying to leave the house at night even though Mom told us she is scared of the dark. So now I am looking at MC facilities. I would tell you to keep a journal of changes. Different things she is doing that she did not do before. Church is huge for us. I see her participate, praise and worship and say hi during our meet and greet time. She is happiest there. My Mom seems to do new changes all the time. She has 2 dogs and wants to kick the poop or pick it up with her hands. She never did that before. We have doggie bags on the porch. My Mom still knows who I am. I thank God each day I have with her. Giving me 1 more day making memories. I would say get a strong tribe of friends around you, family, or Pastors you can go to talk to. This is a rough journey. Embrace each change and day. I am now trying to figure out the meds for Mom. Dopepezil, mementine, Seroquel and escitalopram. I think they are causing diarrhea. I feel so bad for Mom. Google adult day care centers in your city. I wish you the best of luck. Love your name :)
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What I learned from this site and am extremely grateful for, is the advice to get all legal affairs in order as soon as possible. Power of attorney, wills, trusts, whatever your needs are. I found an elder care attorney to work with and she has been a huge asset.
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Welcome. It sounds like you are on the right track. There is so much to learn and do in the beginning. Mom’s neurologist suggested we see a lawyer right away. I’m so thankful for this advice. We did a DPOA, medical poa, living will and was advised to do a prepaid funeral. It’s my understanding that social security will not accept a DPOA and require additional paperwork filled out. I also believe that some investment accounts may require their own paperwork filled out (Same with life insurance). Im glad things are going well so far, but I would have a plan B in mind. You might want to research what is available for in home care in your area and the cost. Dementia care is very expensive and you will want to try and figure out how long her money will last. Facilities can have a waiting list to get in. If she takes a sudden downturn, it might be hard to find a place in a pinch if you are no longer able to keep her at home. Does she have a doctor that is willing to prescribe antipsychotics if needed. It seems some pcp are willing while others are not. If it comes to that you don’t want to be waiting months to get in to a new doctor. I would definitely look into days programs. Your local commission on aging is a good resource for information. I have found this group to be a great help.
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You’re going to get lots of practical advice here so I want to give you something a little different. Can’t recall where, maybe here, but get some videos of your mom while she’s still functioning. Also, maybe suggest to her that she write some letters to you or your siblings or whomever. Do it now because there won’t be a later.
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I’ll chime in with a comment along the lines that @persevere offered:
When my dad was in the early stages, I talked with him a lot about his childhood and young adulthood. I asked him a lot of questions; I got him to tell me stories. These were phone calls, since we lived far apart at the time. Sometimes when I got off the phone I typed up the stories. Now, several years later, these are a gold mine. I can tell these stories back to him, sometimes framed as questions to prompt involvement: “Did you really like licorice when you were a little boy? Did your mother sometimes buy you candy at the store that was next to your house?” And so on.
Pictures also help. Be sure you find out now who is pictured in old family snapshots. You may need to be the keeper of those memories later on. “Oh, here’s your grandfather John Jones with his dog. I think the dog was called Brownie, is that right?”
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You have gotten such good advice here, coming from a caregiver who finds themselves in a position where no one bothered to establish a DPOA and we are flying blind, making sure POA’s are in order, financials are in order and knowing what you LO wants as the disease progresses will help you a lot.
As someone who now finds themselves caregiving for someone whose progression was hidden by their spouse and no legal heath or financial steps were taken at diagnosis I don’t recommend sticking one’s head in the sand while screaming “I am not listening” as an avenue to dealing with the realities of this disease and it’s affects.
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Good job! There is so much to do in the beginning stages that lots of families deal with in the wake of a crisis. You will be better equipped to manage her care and make decisions. You've received great advice here - which is why I visit this forum often! We have no idea how long this caregiving journey would be or where it will take you. My mom was diagnosed back in 2018 (although we saw the signs before then). This can be a very long haul and can be emotionally and physically draining for caregivers, no matter your relationship with the PWD. My mom is 88YO and is in great physical health, she could live another 5 years if her brain allows it. Her mental state is not - as she suffers continual agitation, paranoia, and delusions. These are behaviors that we were not expecting, never mind all at once. Pace yourself and get as much help as possible. Be sure your family is on board with caregiving as you go along, as it can put a strain on those relationships. I've had a very hard time separating taking care of my mom to taking care of my family. I feel like I've missed out on a lot and my family has been affected in many ways. Now that my mom is in MC (9 months)I feel like I can now be better present for my husband and kids (teens) and I also work FT. I have an older sister that shares responsibility (mom lived with her for a year at one point)….but at some point it takes all hands on deck, full time. You are off to a good start. Wishing you the best.
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I also applaud you for getting educated early, taking a class, and finding this group— that is something I wished I had done sooner. I just recently learned, or at least it finally "sunk in" that the best approach is to always lead with "positive" . . . "yes, I understand", "yes, I agree", "Yes, I will take care of that", and not try to reason why not or give explanations. My mom seemed her normal self often and so I would try to explain why she couldn't or why I needed to . . . and it only brought on agitation. My mom and I are in a much better place now that I just appear to go along with her, even if I'm not. I have learned work around strategies without having to argue with her. There is so much great information out there and you are already well on the road to discovering them. (btw, my mom was diagnosed with MCI 5 years ago and ALZ 3 years ago, and she is probably now in mild-mid level. She lives 1/2 mile down the road in an AL residence, without leveled support, but can't leave the building without family. It is a great place for her and I believe she can stay there for sometime before MC.) Hang in there, and use your resources!
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Hi Elizabeth,
I am new to the group and watching my mom slip into a different stage now. I wondered if you could share information about the 4-hour dementia care and CPR/BLS training? Or, if anyone else could provide more information on online training resources, I would appreciate it. Thank you.
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What I wish I knew sooner was how fast things can (and will) change and the signs of decline that were clearly there early on that I either missed or made excuses for. Granted my dad has LBD which progresses differently than ALZ.
All the legal stuff luckily my dad had taken care of. It sounds like you’re doing an excellent job already.One word of advice I would give since mom lives with you is to listen to outside voices—family members or friends that visit after not having seen her for awhile, friends at the gym, neighbors, etc. Sometimes others seeing our LO’s with fresh eyes are able to see things more clearly than we do.
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@Elizabeth Cherry, welcome to the group no adult child gas ever wanted to join.
You are off to a good start. Family/Patient education is a big thing. I would suggest you get all the resources you can for yourself & your family, not negating the need to find mom a support group for herself. Depending on how much she currently know of her disease process, you could find a grief and loss support group, or get her some psycho-social 1:1 sessions with a psychologist or licensed social worker.
I just had mom leave her ILF to move in with us. I found a day program that she could attend weekly for $25/day. I'd only use it 3 days per week. I took mom to tour it with me. Their nurse tested her by doing a standard MMSE to see which group she would best fit in with. After we left, mom said the place depresses her.
Like your mom, my mom looks amazing. She still goes to church and while at her ILF, she participated in many of the activities, even being a part of the Choral. Mom's diagnosis only betrays her to anyone who spends a minimum of half a day with her.
Your mom may not like being at the day program. At the center mom & I toured, everyone is at their varying stage of mental decline and it is sadly, very obvious.
I am a registered nurse and can honestly say, the thing I wish I knew beforehand would be how little resource & respite is available to family caregivers after their PWD is discharged back home. I would also have appreciated the foresight of building a support system immediately after diagnosis. Sadly, we have to locate any and all of the resources by ourselves.
I JUST found out, Humana has a program which is affiliated with my mom's PCP. The program affords me a Navigator. The person is like a case worker who specializes in Dementia & cognitive impairment. The founder is a doctor. She wrote a book, "Take Your Oxygen First." My assigned navigator sends me resource material and makes a monthly call to check in on ME, the caregiver, not the patient. That program, along with this group, are my 2 lifelines. Extended family is of no value and mom is so private, she would be devastated if friends knew. So, I bear this burden alone. Thankful for my husband and adult child.🥺
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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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