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Does anyone else worry that they are making the wrong decisions?

Tami1504
Tami1504 Member Posts: 6
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My dad has some good days and can be very lucid/agreeable and other days he is very forgetful and or angry. Right now he is angry, refusing to get out of bed, eat or drink, take his meds because I won't take him back to Florida to live in his own house. I tell him that I am following the instructions from the doctor and trying to keep him safe. (he states he doesn't care if it is safe or not). We have a dr appt on Friday and I will be asking for a neurophysiology assessment maybe medication adjustment. He has a mental health appointment in three weeks and a neurologist appt in 2 months. I have also put his name on the waiting lists for three assisted living facilities close to me. Not sure how I am going to get him to move in if he is in one of his angry episodes. I worry what if I am wrong and he is more competent than the episode at the hospital showed and I am putting him through all of this. Other days I am absolutely sure we are on the right path. I can rationalize every decision but it is so hard to be responsible for taking a loved one's decisions from them.

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  • H1235
    H1235 Member Posts: 2,327
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    It is so hard! We can only do what we think is best. I think it would be impossible to go through this and not feel like you had made some mistakes. There is no crystal ball to tell us how quickly things will progress, what that progression will look like or how they might respond to a different living environment. We are making our best guess. My mom was so angry when I told her about the move to Al. She insisted on packing everything herself. I think it was her way of exerting control. It was a nightmare. She had packed cookbooks clothes that didn’t fit…. Once she was there she made friends and I think she enjoyed having her own little apartment. She remained mad at me for months, but when I wasn’t around I think she enjoyed being there. Try not to be too hard on yourself.

  • notequipped
    notequipped Member Posts: 136
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    I worry about making the wrong decisions all the time. My Mom will be moving into Assisted Living within the next week. Is it the right facility? Is it the right room size? Are we moving her too early? Will she like it? Could we somehow manage with her here? I think that second guessing yourself all the time is a sign that you care. I don’t like making decisions for myself. Making such consequential decisions for someone else is the kind of stuff that keeps me up at night. It doesn’t help when things are so different from day to day. I keep hoping that I’ll get caught up with things at some point and it won’t be so bad. That thought gets me through each day. Most things can be undone if you need to. Just need to keep moving forward. I’m doing what I’m doing for the right reasons - it’s coming from a good place. Whether or not it’s truly right is anyone’s guess. Chin up.

  • jen ht
    jen ht Member Posts: 235
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    Yep, for sure. We make the best of awful choices. I think that is an @H1235 phrase if I remember correctly.

    I'm sorry you are going through this. I am glad you found your way here though. We understand.

    Sending 💜 strength your way,

    Jen

  • Quilting brings calm
    Quilting brings calm Member Posts: 3,265
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    We all worry about our decisions. One thing to remember - you have to base your decisions on their worst days, not their best ones. The goal is to keep them safe For example, they can’t safely cook just because they managed it one day out of three last week, and left an empty pan on a lit burner the other two.
    The other goal is to keep you safe. This disease will take the patient, we can’t let it take the caregiver too.

  • Gilmore2008
    Gilmore2008 Member Posts: 7
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    I worry all the time! took me two years to talk my parents into going to AL due to age and moms dementia and dad couldn't care for her on his own anymore. I feel I was 6 months to a year too late moving them. Advice I received during the process was to get them moved before the big crisis hits. I also agree with the way things change day to day and week to week it makes it really hard. One day my mom will be pretty lucid and then turn around and start telling me she's been arrested for robbing a bank! If I take her out to an appointment when we return to MC, it's like the first time she's been there and we have to tour her room and facility!

  • SusanB-dil
    SusanB-dil Member Posts: 962
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    @Tami1504 Try to get some videos of the agitated behavior for the doctor.

  • craftygalinstl
    craftygalinstl Member Posts: 15
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    I worry every single day that I’m making the wrong decisions. If he’s refusing to eat, drink, take his meds or get out of bed, he is prone to falling from lack of hydration, nutrition and muscle strength. It could also explain his agitation. You could have a crisis before any of these Neuro appointments happen. Keep a journal of certain “episodes.” Print them out in very brief form for the doctor on Friday and see if you can get anything expedited.

    Do you have POA? If not, that’s your #1 priority.

  • TrumpetSwan
    TrumpetSwan Member Posts: 141
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    edited August 26

    Yes. I worried all the time I had made the wrong decision about moving parents to AL. Looking back, I would NOT have done it. I would have done what I could to keep them living in the surroundings they were familiar with. They were scared and they both became way worse in AL. They hated it. They never adapted. They were both very social, but social networks in AL are very different. My parents were cut off from all that they knew and it impacted them greatly. Nobody talks about that aspect. You think you are doing "what is best for them", but do the people directly involved get no voice? Even with a neurological condition, it is so complicated that I have no confidence anyone could ever say with certainty how much a person knows or does not know. I personally think their voice still matters. I know it is not a frequently posted statement in forums such as this, but I never would have ever moved my parents to assisted living. Not ever.

  • ARIL
    ARIL Member Posts: 557
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    We make the best decisions we can with the information we have at the time. I suspect all of us have questioned our choices. This is just awfully hard.

    As I look back, I remember thinking that I was being pushed to upgrade from AL to MC too soon. I now know that was not the case, and my dad needed MC-level care—not every day, perhaps (although he certainly does now), but many days. It was the right thing at the time.

    I believe he needed AL more than a year before we made that move. For a variety of reasons involving other decision-makers, I was unsuccessful in getting that done. So I waited for the crisis—and agonized. And slept very little. The crisis came. I acted quickly when it became possible. That is one decision for which my regret is zero.

  • AimeeJam
    AimeeJam Member Posts: 1
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    edited August 27

    It's the same thing I'm trying to figure out for my dad. He's impaired, but impaired does not mean completely incapacitated. And some of the behavior is due to OCD and ADHD executive dysfunction, which are lifelong issues. So figuring out what is alz and what isn't is hard, because it's all there. And while he needs help, regardless, you don't lose your freedom for OCD and ADHD. I want to keep him at home as long as he can manage.

    He walks to the store and manages to get his groceries, check out, and bring them home. The physical exercise and cognitive engagement are good for him. Could he fall? Well, yes, but is the risk of a fall worth denying him the ability to live his life? I know what my dad's pre-alz's answer would have been: no. My 55 year old husband stepped off a curb wrong last year and ended up needing major shoulder surgery, but I'm not putting him on house arrest.

    I know my dad will get worse, and one day he won't be able to do this and the situation will need to change, but I want to let him live in the world as long as he can. And I stress to him that I can have things delivered to him at any time, so he does not have to go to the store if he doesn't want to.

    I want him to be safe, but I also want him to live. Now, if he was wandering in traffic, that's a completely different situation.

    It's all so complicated, and I feel like the medical staff only know how to give cookie cutter care. They solve what they think the problem is, not what the person actually needs help with, nor does anyone ever ask if the fix does more harm than the problem.

    This has been a real eye-opener for me about the paternalism in elder care. They want to fix the patient, not treat the person. I am definitely going to consider this when I plan for my elder years.

  • nsifford
    nsifford Member Posts: 1
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    I’m on these boards due to my concern of how I might have harmed my parents more than helped them and yes I believe if I could have kept them in a more consistent setting they might be doing better - it’s just so hard to know for sure.

    My parents are both exhibiting moderate to severe cognitive impairment but were living in an independent living facility. They were doing well in that setting as they moved prior to things becoming more severe so everything was familiar. The biggest challenge that I saw my parents exhibiting was really a happy hour with wine that was out of control due to their short term memory and inability to know that their “little bits” that they were drinking was much more due to their drinking boxed wine with no real control or tell for how how much they drank. They had no real stopping point and it was such an enjoyable part of their day. Both parents are very physically fit just cognitively challenged. I knew there was an issue when I started getting messages from dad that mom wasn’t going to lunch due to “depression” which I began to associate with possibly a hangover. Mom is only about 115 pounds and hardly eats anything but wine consumption would start early afternoons. Now fast forward to this last month.
    Mom went in the hospital for a week due to a bleeding stomach ulcer. She lost 5 units of blood and was really in bad shape. I had to stay with my dad for the week and he was a mess. Couldn’t find the hospital.. thought she had died each day…couldn’t remember where she was the next day etc. Mom came home after about 4 days with strict orders of no wine but that night dad was already trying to fill her glass which I was able to intervene since I was there but she still ended up back in the hospital the next day. Medicine has never been a part of their life so I knew they would be unable to manage the medicine mom would need to let her ulcer heal and then I knew they could not manage the wine consumption so I moved them to assisted living when mom was dicscharged. It’s been a hard move but mom is not drinking and she is getting her medicine but everything else has been turned upside down. I feel the move has increased their confusion and feel bad that I couldn’t find a better way to control their alcohol and medicine management but I was an hour away. They have been so so confused and disoriented since the move and want to be in a house on their farm but I have no guarantees that it would even be a good move plus they haven’t cooked in 4 years nor can they manage medicine. They don’t even remember that mom was in the hospital and have been asking for wine. It’s just been so hard cause I feel that the reasons were petty although I am confident that my mother would have already been back to the hospital had I not intervened.
    I’m just trying to convince myself I’ve done the right thing. Their cognitive impairment is real Dads family has a history of Alzheimer’s (his dad, and both of his sisters) so I figure we have a long road ahead of us Moms impairment is worse than dads and I have no idea where it has come from. The phone calls and texts are just a stuggle everyday. Their requests seem so lucid and I feel that I am depriving them of their wishes and best life I am an only child and we have always just had each other so I feel that I am failing them I HATE THIS DISEASE

  • TrumpetSwan
    TrumpetSwan Member Posts: 141
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    edited August 28

    @nsifford - Gosh… I hear you, and that certainly is a lot! I could have written much of what you posted too. I have one sibling so was not the only child, but I was the only child who actually cared and carried the emotional load. I felt extremely alone in all of it. I know, I know … we do the best we can in the moment with the information we have at that time. I wish I had more information back then. It seemed everyone I went to for help was only functioning in their own silo and nobody was looking at my parents as whole people with unique needs. You go to check out assisted living facilities and I was talking to "Sales", and felt their job was only to make a sale out of me. My parents were invisible. They were treated like things. I will never get over that and never be OK with it.

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