Have any questions about how to use the community? Check out the Help Discussion.

Switching from daughter to caregiver… resources, advice, anything?

LMBolejack
LMBolejack Member Posts: 4
First Comment
Member

As the title states, I’m wanting to know the wheres, whats, whens, whos, hows, and whys do you utilize the most?

Not getting much help from my dad’s (newly diagnosed early onset Alzheimer’s) doctor. When I asked for some recommendations (medicine management, in home care, support groups, etc.), all I got was checkout the Alzheimer’s Association they have great information.

Problem being, there is so much information that I am getting overwhelmed and not sure which way to turn.

Any suggestions you could recommend would be more than appreciated, it would be a godsend.

In the KC Metro (Kansas side) area.

Thanks!

Comments

  • SusanB-dil
    SusanB-dil Member Posts: 962
    Fifth Anniversary 1000 Comments 250 Likes 100 Insightfuls Reactions
    Member

    Hello - and welcome to 'here', but sorry for the reason.

    Yes, it is a lot to sort through at first glance. First things... paperwork in order. Does dad have a POA appointed? And someone will also need HIPAA accesses for medical issues.

    Is dad driving? With diagnosis on record, should something happen, insurance may not pay.

    You can also check the book 'The 36-hour Day'. Lots of info, and you can just utilize the chapters that apply at a time. And yes, this forum. You can ask, and you can vent. We understand.

  • H1235
    H1235 Member Posts: 2,332
    1,000 Likes 1,000 Insightfuls Reactions 500 Care Reactions 1000 Comments
    Member

    Welcome. There is so much to do in the beginning. There is a lot to figure out. I’m so thankful moms neurologist suggested she was not safe to live alone or to drive. Without these recommendations I would have really struggled with taking these things away. She also recommended we see a lawyer as soon as possible. If you don’t think he will agree, just suggest it is something he should do because he is getting older (fib). Dementia care is expensive and it’s important to have a plan for how and what you can do. Mom was diagnosed at stage 4 and was not safe to live alone. If money is an issue (and honestly at $5,000 to $10,000 a month for care it probably is for most) you will want to talk with a lawyer about Medicaid qualifications and what it covers in your state. Some facilities can have a waiting list to get in. We waited 6 months. If a facility is your plan when he is not safe at home alone, you will want to get him on a list soon. You can usually turn down an opening and remain on the top of the list if you’re not ready. Many with dementia have anosognosia. This is an inability to recognize their symptoms and limitations. It’s very difficult and more dangerous than you might think. My mom wanted to pant the garage, mow the lawn and reupholster a couch. It can also cause anger and anxiety when they are prevented from doing things. The ability to manage finances is often a problem in the beginning. Be very very careful. Some here have horror stories of loved ones losing an entire life saving. They are so vulnerable and if they don’t see their limitations, a brand new car might seem very practical. A few things you might want to try. If it calms them down, use a fib. I know it seems wrong. Some have disabled the car and told a loved one they would take the car in for repairs. Sometimes it’s best to just do what needs to be done with out discussing it, getting their approval or even telling them at all. There is no way mom would have agreed to assisted living. I signed all the paperwork without talking to her (it wasn’t pretty when she found out). We want our loved ones to be safe and happy. Unfortunately with dementia, happy is not always possible. NEVER try to reason with a person with dementia. Even when I showed mom the results from the doctor saying she had dementia, she said the doctor didn’t know what they were doing. I eventually figured out to just never bring up dementia. Brace yourself for for always being the bad guy. Do what you need to to keep him safe even if he’s angry about it. It’s honestly like they are aging in reverse and the roles are reversed. You are now the adult keeping a parent with dementia out of trouble by restricting their activity. If you have a specific problem. Post it and see what kind of suggestions you get. You can alway search old post too. I will add a few resources that might be helpful. When we talk about stages here we use the dbat. I hope there is something helpful here.


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

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

  • LMBolejack
    LMBolejack Member Posts: 4
    First Comment
    Member

    Thank you for the welcome.

    (Un)Luckily, I am physically disabled and have been living with my parents since 2015. So I have a somewhat understanding of how Medicare/medicaid works in my county and have some resources I can (and have) utilize there. Unfortunately, he makes too much for Medicaid, but not enough for memory care. So for now, I am the caregiver in their home and trying to figure out how to bring some help in. I already have Home and Community Based Services so I have help with MY needs, just trying to figure out how to get some for my dad (and take some of it off me).

    As a business manager prior to my disability (at a nonprofit organization that provided assistance to individuals with intellectual disabilities), I took on the roll as house manager a couple years ago, including financial POA. We have a meeting scheduled with lawyer to update it for medical decisions, but my dad has already given (both verbally and written) me authorization to communicate with his doctors. My mom has borderline personality disorder, so my dad has always wanted me to go with him on appointments so I could ensure proper understanding of doctor recommendations (as my mom likes to make it all about her, embellishes, and likes to share her interpretation to anyone who will listen so she can get attention).

    Thankfully, since I have been with him everyday since he was initially diagnosed with small vessels in the brain back in 2023, I observed his behavior. After a surgery with an overnight stay that caused delirium and accelerated his decline (literally overnight) this past April I had the foresight to put a plan in place to stop him from driving. My son is going off to college for the first time next week and I gave him my car (that my dad drove) so he had a more reliable vehicle. We are now a one car family (I can’t drive).

    At this time, my dad has some knowledge he has an issue with his brain. He gets frustrated when he can’t recall something. But he knows I am someone he can rely on and when I say I’ll take care of it, he knows I will follow through and usually drops it. I think it helps that I worked with him for 6 years at the business he co-owned when I was in college (umpteen years ago), so I can pull on those core memories when he questions my ability to do something for him.

    Plus with my experience working with individuals with intellectual disabilities as well as raising a child with ADHD and Dyslexia, I am able to step back and look at the bigger picture (without emotion) and find a way to get through to him. We have always been super close so he has a lot of trust in me (even when he thinks I’m his sister).

    In retrospect I have a lot of the “bigger picture” things already in place. Now I need the nuances… how to manage his meds, tips and tools to help me assist him without completely draining myself, are there any iPhone apps that can help,

    I need tools to plan for the inevitable decline my dad will face while adapting those tools into something I can physically manage.

    Wow, this ended up being a lot longer than I planned!

  • LMBolejack
    LMBolejack Member Posts: 4
    First Comment
    Member

    Thank you so much for your insight.

    Yeah, we’ve joked about how the senior years are the reverse of the development years and he’s currently back to his toddler days.

    I’m just trying to prepare for the increasing decline while still being able to manage my physical disability. It’s a balancing act that is for sure.

  • SusanB-dil
    SusanB-dil Member Posts: 962
    Fifth Anniversary 1000 Comments 250 Likes 100 Insightfuls Reactions
    Member

    Do read up with the book… There are also Tam Cummings and Teepa Snow videos for various situations that come up.

    You have a better handle on a lot of the ins-and-outs than a lot of folks dealing with the early stages. That is a huge plus. Again - sorry for the reasons, though.

    He is blessed to have you watching out for him.

  • LMBolejack
    LMBolejack Member Posts: 4
    First Comment
    Member

    Already bought the book. :)

    Will check out the videos.

    Thank you. ❤️

  • Journey813
    Journey813 Member Posts: 22
    10 Comments 5 Care Reactions
    Member

    Stay strong. This is a long journey and very stressful but with support you can do it! I started taking care of my mom full time for the past 2 months and she doesn't know who I am. It may be a brief moment in the doctor's office she may realize it but for the most part she thinks I'm a nice person, her twin sister or coworker helping her. I have now just excepted that I am a "caregiver" first and daughter last. I made sure to get power of attorney first and contacted my mom's bank afterwards to see what they needed from me to show the POA. They requested an affidavit to be completed and submitted so I can have full control over my mom's bank account. We confiscated her SSC, license, bank & insurance cards when we noticed that she throws things away. She has her wallet so she doesn't look for those cards because she doesn't know what they are anyway. I keep moms ID with me at all times and digital copy of the POA. Having the legal paperwork is the first and most important step. This group helps a lot! I wish you good luck and please take a moment for yourself even if it's 5 minutes while your parent is sleeping, do something that makes you happy!

  • Emily 123
    Emily 123 Member Posts: 987
    Fifth Anniversary 250 Likes 500 Comments 100 Insightfuls Reactions
    Member

    What about for you? Sounds like you're doing a great job and are on the ball, but balancing both parents must be tough at times. If you feel like you have a handle on mom and dad things, are there ways you can outsource some of your chores to free up some 'me' time? Cleaning, meals, etc.?

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