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Long Distance Care for Parent with Dementia

chenley2006
chenley2006 Member Posts: 1 Member
I am struggling trying to keep up with my step-mother, who has been diagnosed with Dementia. In 2024 she went in for knee surgery and had a cardiac arrest. Since then it has been downhill. I feel like I'm living in the movie "Groundhog Day" living the same day over and over. I have three siblings who live closer to her, but get frustrated fast. I have taken on Financial POA and I make sure bills are paid, groceries are ordered and she is comfortable. However, she has not been taking care of herself as she needs to. The house is a disaster, unclean, she eats and watches TV all day. She may bathe a few times a week, but I just don't think she cares. We are at a crossroads as she does not want to leave her house or pets. I just need some support, ideas, recommendation, etc. to try to get more organized and either get her to look at a facility or take more effort to keep the house in order. I'm just at a loss, I feel like I'm loosing an uphill battle.

Comments

  • H1235
    H1235 Member Posts: 2,342
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    Member

    Welcome. With dementia I doubt there will ever come a time when she is able to recognize she is in over her head and needs a facility. The inability to recognize symptoms or limitations is called anosognosia and it is awful. She could decide she is perfectly capable of frying bacon (even though she has been asked not to use the stove) and starts a fire. She may decide out of the blue she is going to walk to the store 3 miles away. Im sorry, but her symptoms are only going to get worse. Just because it’s safe for her to do something today doesn’t mean it will be ok tomorrow. When I first came to this site a very wise and experienced caregiver told me to plan for a level of care one step beyond what they need currently. While we all want our loved ones to be happy and we want to respect their decisions, safety (in my opinion) has to be the number one priority. I have the DPOA for my mom and was able to sign all the paperwork. Mom did not even attend the meeting. My advice would be to start looking at facilities. There can be a waiting list to get in. If you are DPOA I would recommend you move her close to you. It’s going to be incredibly difficult to manage everything from a distance. Many people use fibs to make the transition easier. You will know best what kind of story she might buy into. Have her come for a visit, then tell her the doctor called and wand her to do some rehab. She is in luck because there is a place for rehab nearby (the assisted living facility you have already picked out). I know the fib feels so wrong. But if you compare a well thought out fib to a blunt your going period, I think the fib is much easier for the person with dementia. Assisted living is going to offer activities and a chance to meet people her own age and make friends. It is very expensive. If money is an issue, you might want to look into Medicaid qualifications and what they cover in your state. A lawyer may be needed. It’s complicated! I will add a few links.

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

    https://www.helpinghandshomecare.co.uk/care-advice/what-is-show-timing-in-dementia-patients/

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

  • SusanB-dil
    SusanB-dil Member Posts: 970
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    Member

    Welcome to 'here', but sorry for the reason - Who has POA on her over-all?

    If there isn't one, if the situation gets dire, wonder if you could have a welfare-check done? If she isn't taking care of herself or the house, she probably isn't taking care of the pets. Also would help if someone could check on expired food. Those who live closer could check on things? Are they just getting frustrated because she will not listen, or because they don't want to be involved?

    she has been diagnosed, so hope she isn't driving? Should something happen, insurance may not pay.

  • caregiving daughter
    caregiving daughter Member Posts: 179
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    Member

    You are such an awesome step daughter!

    Please know that it's not that she doesn't care. She has cognitive impairment and therefore, has likely lost the ability to plan a meal, clean the house, and overall, keep herself safe.

    Training for your self and siblings is key. Find out all you can about this illness. Doing so will allow you to plan ahead.

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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