Telling children
husband newly diagnosed with MCI and subsequent MRI found atrophy in areas of brain associated with Alzheimer’s. I’m wondering when I should tell our adult children? Husband still functions independently and I think they will be surprised.
Comments
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I would say sooner than later. This gives them and you time to spend with your DH while he can still participate. It also gives all of you time to read all you can on this disease. I started with the book “The 36 Hour Day”. There are many good sources to help you along this path.
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a similar post was made today asking when to get the kids involved. The answers to that post apply to you too.
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We told out adult kids very early. At that time we treated it as we would any other medical condition. We didn't make a big issue of the announcement but we had always talked about what was going on in our lives and this was part of it.
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We told ours almost immediately. I think it is a good idea.
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I had been thinking about how to tell my adult stepson. He invited us to join him (and his wife/kids) on a trip to Disneyland. My husband went for a long weekend with his son, I stayed home to tend our small ranch. A day or two after their return my stepson called to ask me if his father is “all right”. I used that an an opportunity to let him know of the ALZ diagnosis 2 months earlier. Since then my stepson takes his father for 4 - 5 days every couple of months. My hope is that in the time together they build memories for the grandkids, plus it gives me a bit of a break. My stepson has said that the visits give him a sense of the level of care his father needs. Husband is early stage 5.
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I told my step daughter right away and asked if she wanted periodic updates. She said yes. I sent them monthly at first then more often as he progressed. She lives out of state. I sent her the book “The 36 Hour Day” to read and told her to ask me any questions she had. It helped our communication.
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Tell your children immediately. They have the right to know so that they can spend time with your husband. Hopefully, they will help you with what you need and help you prepare for the future.
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@turville
Hello and welcome. I am sorry for your reason to be here but pleased you found this place.
Another poster asked this very question just 2 days ago. Here's my lived experience:As an adult child, I would encourage you to share this information, like, yesterday.
They need to be looped in for 2 reasons.
Firstly, if you got hit by a bus tomorrow, your children become the Plan B for their dad's care. If they don't know about his diagnosis and care plan, they will struggle at a time when they will be mourning their mom. When a PWD loses the spouse whose daily scaffolding of skills allows them to function as well as they do it removed, they will have a significant drop in abilities making this even harder on the kids.
Secondly, a DH with dementia does not have the capacity to continue to act as your advocate or agent relative to a POA. Someone else needs to be named and that person needs to understand the situation.
HB
ETA: in the first scenario it was my childless auntie whose DH chose not to share the diagnosis assuming she would pass first given her health. He was wrong. A deathbed plea to "look after your sister, really, really look" was made without details or the legal pieces in place to take over. Auntie would showtime during visits but it wasn't until her sister found her sitting in a cold, dark house wondering when the cable would come back that we understood the gravity of the situation.
In the second situation, it was my parents who between dad's anosognosia and mom's denial had not even gotten as far as a diagnosis. They were at their place in FL for the winter when mom went into autoimmune liver failure. Dad was unable to recognize how ill she was (the woman was the color of a school bus) or get her help. I'd been calling daily. Initially mom would report being tired or under the weather, then dad would answer and complain she was at Publix or the pool with friends. Once he didn't for 2 days and I called local police for a well-check and he fed them the same nonsense. A neighbor saw them out when dad dragged her out to get some food and took mom to the ED over his objections. I only got a call from the hospital a few days later because the hospitalist had taken the time to track down mom's other emergency contact. When I arrived at their house after spending the day with mom I found dad wearing only a bath towel hosting neighborhood happy hour.
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We told our adult children right from the first as we are both quite elderly and the kids have us on their radar already. A couple of them had noticed changes. They have been very supportive and one has even gone to the neurologist with us. When I was overwhelmed by all the responsibility that had been thrown onto me, the kids all sat down with me and they came up with ways to ease the burden.
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I told my young adult kids about my DH (58) EO Alzheimer’s diagnosis right after it was confirmed by a PET scan. I made it a point to tell them together but in a location that was private so that they wouldn’t feel self conscious about how they reacted. Both have handled it amazingly well and both said that they’d suspected for a while that something was wrong.
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I agree with everyone else here. Tell them right away.
It helps to know you have their support as time goes on and as others have said, they can spend more time with him.
I too share a periodic update email with them to keep them up to date.
Take good care and do come back here often. This site has been such a support for me.
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I have tried to keep my kids in the loop. I am waiting on an official diagnosis. The blood test came back with positive markers I will not have the pet scan til July 30. I do tend to talk about it a lot as it is on my mind all the time. They are not to talkative on the subject. I think they look to the end. But I see that I still have some living left. Talking about it seems to help me cope when I drift into my future. Of the problems I currently have one is driving not real comfortable doing it although I can still. I am afraid of getting in an accident causing someone else problems. Things also seem to grab my attention. Which in turn takes my eyes off the road. I don’t drive unless necessary. Why are the test taking so long to get into? It seems like my condition does not have an urgency and I feel it should.
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Welcome @Barry J
It is good you’ve told your kids about your pending diagnosis. I am guessing they are adult children; are any living at home with you? I am not in the same situation as you, but many of the same topics we suggest to caregivers will certainly apply to you who is ‘living with dementia’:
One of the first things is to make sure your affairs are in order. I recommend you enlist one of your children, sibling, or very trusted friend or relative to be your durable power of attorney. Seek out an Elder Care attorney and get this DPOA document, will/trust, HIPPA, healthcare surrogate, etc. taken care of immediately. Make sure your wishes are known - would you agree to placement in Memory Care, Assisted Living, or Nursing Home should your medical needs and safety grow beyond what can be provided to you in your home; are you okay with hospice when the time comes; who will pay bills and manage finances for you, etc?
I imagine you are doing lots of research on the disease while you wait on the PET scan. Is this for possible infusions? There is a separate discussion board for “People Living with Dementia” where others talk about their own experiences that you might also find helpful. The Book ‘The 36-Hour Day’ is a good one for caregivers. You might recommend this for one (or more) of your kids. There are also some good healthcare professionals who have their own websites and Youtube channels and they offer wonderful advice and tools in ‘plain language’ that I have found extremely helpful and timely: Tam Cummings, Teepa Snow, Natalie Edmonds, and Camille Sinclaire.
It took a while for our son to come around to his Dad’s diagnosis. Denial is a powerful protective emotion. I pray your kids will come around and be a strong support for you as you navigate this journey.
Do let us know how you are doing. We care
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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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