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Stressed Rambling Because I'm new to This

magnoliaflower
magnoliaflower Member Posts: 7
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Hi everyone, my mother was diagnosed with early onset Alzheimer's and I started living with her about a month ago because she requires full time care. She was able to hide her mental decline for a long time because she has always been very independent, and we didn't have the best relationship. She is already in stage 5 or 6, but she is full mobile so it makes all of the regular advice I've seen for these stages is not super relevant.

She is so combative because she fully believes she is in perfect health (and also because that has always been her personality). She can't drive even though she really wants to, because she doesn't remember how to get anywhere or what signs mean, and her judgment for what is safe is completely off. She doesn't make herself food (and I'm glad she doesn't try because she can't do that safely either) but she doesn't want to eat anything I cook/buy her. If you take her into a store she wants to buy everything she sees; We have so much excess stuff now because she can't understand a grocery list. She walks around the house in circles moving things and "cleaning" 24/7 but gets really irritated if I pay too much attention to her.

I had to install cameras, because she HAS to be watched; She wanders off up the street and gets lost sometimes. She also gets mad if I just stay up in my room (she comes in and stares at me, then when I ask if she needs anything she just huffs hand stomps away). No activity satisfies her, and she can't hold a conversation. She refuses her medications (she has multiple other health conditions), she fractured her ankle (no one knows how and she doesn't remember) and refuses to wear the boot. She dislikes everyone and everything and I am out of ideas.

I am losing my mind. I want to help her, because she is my mother, but I don't know how to handle it. I am not a particularly patient person in general and we have always butted heads because she sees everything I say as disrespect. She gets so mean, and she does't remember that I'm her kid half the time. She wants me out of her house, and she thinks me taking care of her medical care is me "being in her business". She says I'm trying to steal her money and her house. She comes in my room and claims everything is hers and tries to take it all with her, and I can't even just let her take it and go get it later because she almost NEVER sleeps.

I really could go on forever... I cry all the time and it's only been a month. I'm so tired. I am probably going to loose my job, because I have been on leave so long... there is no proper end to this rant I guess... the end i guess

Comments

  • H1235
    H1235 Member Posts: 2,326
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    Welcome. So sorry you need to be here. First off, do you have DPOA? This is very very important. Next, this is incredibly hard! In the beginning had panic attacks and just lived on edge all the time. I finally broke down and talked with my doctor about medication for myself. I’m glad I did. One of the most important things I learned here is that you can’t reason with a person with dementia (their brain just can’t do it). If you try it will probably lead to an argument and you will always always loose! My mom lived with my brother for about a year. She did (still doesn’t) recognize her symptoms or limitations. This often put her in very dangerous situations. She seemed ok in a conversation, but she thought there was no reason she couldn’t mow the lawn or go for a walk around the block ( she needed a walker). At this point my mom was stage 4, but her doctor said she did not believe she was safe to be left home alone. I agreed. In my opinion (given your description of her) she is not safe to be left home alone. I would consider assisted living or memory care. Believe me, it’s not like it leaves you completely out of the picture and off the hook. There would still be a lot to manage. In home care while you are at work is another option, but it can be difficult to navigate. What do you do if the aid doesn’t show? How difficult will it be to find someone your mom is ok with (im guessing she won’t like this idea and will probably be grumpy with whoever you get). This may end up being more expensive than assisted living or memory care and you will still be completely overwhelmed and have no life. My mom was absolutely furious! I (as her DPOA) signed all the paperwork. She can not make decisions for herself and while we all want our loved one to be happy and safe, sometimes happiness just isn’t possible with dementia. Even if you think it’s way too early, the time will come sooner than you expect where you have no other choice. There is medication that may help with her anger. It’s pretty common for people with dementia to need treatment for depression and/or anxiety. I would talk with her doctor. It can take a while (months) to get it dialed in and working well. If money is an issue, I would suggest you see a lawyer and discuss Medicaid. Don’t just assume she won’t qualify. I will add a few links just in case you haven’t run across them yet. We are here for you. Ask questions or vent all you want. We truly do understand. I hope this helps.


    https://iona.org/therapeutic-fibs-ok/

    https://www.medicaidplanningassistance.org/medicaid-eligibility-income-chart/

  • Quilting brings calm
    Quilting brings calm Member Posts: 3,264
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    Have you applied for FMLA leave? That protects your job for a 12 week leave in a calendar year. It can be a full leave or intermittent - taking days off as you need them.

  • magnoliaflower
    magnoliaflower Member Posts: 7
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    Yes, I do have FLMA leave, but i'm using it as a full leave right now. I am going to run out of it before I can get everything settled, I think. I had to come to my hometown and HR has gone kinda radio silent for when I email them.. I will see what happens whenever it runs out.

  • magnoliaflower
    magnoliaflower Member Posts: 7
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    Thanks you so much. I will have to read those documents. We can't do the DPOA because it's too far progressed. She doesn't have any reading comprehension anymore. I am working with a lawyer to try and get guardianship, so she is still pretty involved a lot of things, but I am really the one making the decisions. I think we are going to have to put her into memory care, because I doubt we can afford in home care and sadly I think it's coming up quickly, mostly just because she refuses her medication. Plus, like you can imagine, she would treat those people awfully. She is on mood medications but I don't really know that they work. She fights with me in the doctors office whenever it try to describe her behavior.

  • H1235
    H1235 Member Posts: 2,326
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    edited July 2

    I had a few arguments in the doctors office also. I eventually found it helpful to use her patient portal to communicate concerns, provide information and ask questions. In my area there is a 3-6 month wait time to get into a facility. If there is an opening while on a wait list and you are not ready, you can usually turn it down and hold your place on the list. I hope everything works out with your job.

  • Grenah
    Grenah Member Posts: 55
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    Welcome. This is the perfect place to vent and people often know of resources that you wouldn't think of. I vent ALL the time here. It's safe and it helps. I don't have the legal/monetary issues as my mother was very wise that way and set some things up way before hand. My mother is less argumentative than yours but still the constant monitoring is exhausting and the "conversations" are challenging at best. I never know what is real and what is fantasy from her past. She is constantly seeking "mother". Her mother is dead 60 years and she's mine. We still don't know who she is looking for and she can get very agitated to the point of sedation. "Home" is the other place she is always wanting to go to. There is no address, location or anything and she does not want to accept that the place she currently is is home. Her circadian cycle is way off, which is very common. Some medications work but you have to use trial and error to find one. I am in year two of her dementia and at this point, totally burned out. If you can get 24/7 home health aid that might be easier and not necessarily more expensive than a facility. If you have Medicaid it pays something, Medicare pays squat. Accept that you probably cannot please her, just find the least objectionable and what works best for both of you. In NY there is a form, Patient Review Instrument, that needs to be filled out by a doctor before a facility will accept her. I've looked into it but we do not qualify for Medicaid at this point so the cost is prohibitive. Everyone here will tell you to take care of yourself. I know how hard that is. Take what pleasure you can, when you can. I cry a lot. It's a long road with no light at the end of the tunnel. I didn't have much of a life before, now I don't even know what one is.

    We're here.

    Thanks for listening.

  • Victoriaredux
    Victoriaredux Member Posts: 327
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    Sorry about what you are going through . HR radio silence is common as they are probably dealing with an attorney for guidance.

    I wouldn't ignore your employer especially if you like your job and /or it is one that would be hard to replace. If they get advice from their attorney it would be hard to walk any decisions back.

    While EO can move faster than later onset the disease can still takes years and years. If you stay out of the workforce what about your health insurance, retirement, fixed bills? While meds may hopefully help your Mom's behaviors it will always be 24/7 taxing to live with her . Only you can decide if you feel that is something you can and want to do. If not plan for a quick placement to keep your job options open .

  • Anonymousjpl123
    Anonymousjpl123 Member Posts: 947
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    welcome and I’m sorry you are dealing with this! It sounds like you have gotten a lot done, and I’m glad to hear you are working with an attorney on guardianship.

    Becoming a caregiver for a loved one with dementia is incredibly difficult but becoming a loved one for a parent who you didn’t have the best relationship with is a special kind of hell. I believe the most important thing is shoring up supports for yourself so you can weather this storm. That may mean therapy, meds, and I would definitely try to work with HR (although radio silent is definitely not good); I would also ask yourself if maybe work would be good for you. I know for me, if I hadn’t kept working would have gotten sucked in deeper than I could have handled.

    I would visit a few MC facilities and see what you think; also, remember this is a marathon not a sprint and in my opinion stage 5/early stage 6 are so so so much harder than when it truly advances. Your LO still knows enough to be aware of the changes, but not enough to understand. I had an awful 2 years with my mom in this stage. It has gotten easier, sadly, as the disease progresses because as long as she is safe, respected by staff, and cared for, she’s ok. She hardly talks, but sometimes she’s not right there mentally. We’ve found the right med mix and she’s settled in her MC.

    3 years ago - when my mom was closer to where yours is - I was so stressed out I truly didn’t know if I would make it. It’s been 5 years since I became my mom’s caregiver and trust me this is a marathon not a sprint. You want the oxygen mask on yourself. I’m glad you found this place - lots of good, practical support from people who know firsthand here.

  • magnoliaflower
    magnoliaflower Member Posts: 7
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    Luckily I do have a therapist at the moment. She is actually the one who recommended I come here. I am not sure that I will be able to continue with her. I am pretty worried that my job is going to fire me as soon as they can, then I wont have insurance anymore to be able to afford it.

    I just want to be sure that my mom is safe, I feel bad about it but I don't think I can handle years of being her care giver. I think this is already going to cost me my job and I am not super established in my career. I didn't finish college until 25, and then I started my job at 26 and have been working here 3 years. I am 29 and even though it feels pretty selfish I just don't want to wait to be able to live my life, especially because of our past relationship.

    I am thinking that she will have to go into a memory care facility because like I said earlier, she refuses her meds pretty often. Her lupus has been acting up because one of her meds is an injection and she only lets me give it to her about half as often as she is supposed to take it. I just worry that she will be miserable in the facility, and that she will decline faster because of it. I've noticed her symptoms are a lot worse when she is unhappy.

    She is only 55, and I don't think I can spend the next decade or more being the one to care for her. No one else really will help me with her for more than a couple of days max. I don't imagine I will ever feel happy with the way things turn out, regardless of what I choose. It just a shitty situation I guess.

  • magnoliaflower
    magnoliaflower Member Posts: 7
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    That is kind of where I am at now. Unfortunately I don't think I can handle being her caregiver, so I am just trying to see what other options might work out. It's just since I have to wait on the courts things are pretty slow moving. I think I might be able to get on at a new job where I have a connection, but I am waiting on a more accurate timeline to see when I should actually put in the application. The real issue is that I had to leave the city I live in and come to my hometown, which is a lot smaller and doesn't have much opportunity. I make sure to respond quickly to anything I get from HR, but they don't reach out much and the ignore my emails to them. I've been asking the same yes or no question for over a month now and still have not gotten an answer…

  • Victoriaredux
    Victoriaredux Member Posts: 327
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    I'd ask your attorney if you can refer her to Adult protective service because you need to go back home to keep your job. If they have a documented list of the "whys" that she isn't safe at home alone & you have to leave then they may be able to get emergency guardianship.

    Look at "filial responsibility laws" for your state -see if they are enforced where she/you now live

    On "I just worry that she will be miserable in the facility, and that she will decline faster because of it." Because of brain changes "happy" isn't a realistic goal. Safe & calm-yes.

    If you read here most PWD adjust to MC - what would be dull routine for us is a same old same old comforting framework for them . Less input- like from the stores, not dealing with having someone in her house moving things as part of normal life can be good for their frame of mind.

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