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My mother and father, are taking turns with my aunt and uncle to help assist in the care of my grandmother. She has early dementia and Sun-downers. There are times she doesnt recognize any of us and other times she still does and knows she close to forgetting you. Its incredibly hard. Recently, she turned more scared and agitated thinking everyone is out to get her and hurt her and wants nothing to do with my mother who is primarily taking care of her during the day or lashing out at my grandfather (her husband for over 50 years). The last few days have been unbareable for my mom. Grandmother is scared and thinking someone is coming to get her, Mom holds her and assures shes ok. she sleeps and snaps out of it. Then shell be fine for a few hours watching tv and humming church hymnals. Its so on and off. At this point I know that my parents and her other children are scared to get help from an assisted living facility because of how my Grandfather on my mothers side was treated recently before he passed.


Surely there are specialized doctors in this field who can help? Who are compassionate and know that her aggressive behaviors are not her. What can we do. Anyone else going through this? It's hardest thing Ive ever seen my parents go through, and its every day. Its hard to see a solution.

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Naomij,
Thanks for the update. I need to be blunt with you after this added information, and I hope it isn't too brutal.
You are 28. You need not to be the one writing us here, but worse, you need not to be the one to try to intercede and to make things OK for your Mom and ALL your other family members doing this care.

You are young. Now is the time for your OWN life.

The sad truth is that your parents, your OTHER Aunt, and the "caregiver" aunt--the three children of this couple--need to get together and figure this out among themselves. These three siblings are the children of these elders. They need to make ANY and ALL decisions now about whether or not they can give care to their parents, or whether their parents need placement in facility.
They need to do internet research.
They need to see doctors.
They need to get diagnostic work.
And they need to stop calling you desperate and needy.

IF you continue to intercede, doing these things will enable their helplessness and create a very unhealthy dependency.

I would suggest you see a counselor, perhaps a licensed social worker since that person may also be able to give you guidance for phone numbers to give your family. You need guidance in knowing you have a right to your own life, you aren't the fixit for your parents, aunts and grandparents. That is imho so very unfair. I think you need help in setting healthy boundaries because if you don't this will get very much worse.

I am so sorry and this may seem unfeeling, Once your parents make their decisions and are able to make their own plans with other family members you could be more free to provide respite, help with grocery shopping, whatever. But you are being drawn now into a net when you are at the prime time to be living your own life. You must not allow this to happen to you.

Encourage your parents to look into placement. They should see an attorney to learn about how to do POA, assets gathering and management, and touring of facilities. And all of that after speaking with your ill aunt and getting what information they can, and then getting on to MD for diagnosis and prognosis and guidance.
This isn't your job to do. It could well ruin your life.
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naomij Jun 2023
Thank you for this.
it’s not unfeeling. It’s helpful. Definitely hear what you are saying.
I am 28. And pregnant. My grandmother is very important to me. She was going to be at my husband and Is wedding 2 years ago when things were starting to go sideways and they decided for her not to come. Since then she’s forgotten who I am.


I talked to my mother last night.
my father and my uncle were meeting up today to discuss plans. Hoping for good news from them.
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There’s illogical thinking going on. What happened previously to another person, causing your mom to be traumatized, really has no bearing on what’s going on with grandma now. Those are two different situations. It would be sad not to place grandma in a place where she can get 24/7 help from professionals based on what transpired before. There’s no “this happened, so that will follow.” It's not a valid assumption.

I’m sorry your family is going through this awful experience.
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Each case is different, because something does not go right with one patient doesn't mean it will for another. These cases are very complex, there are many good homes available to care for your grandmother.

Your grandmother is not in the early dementia stage, she is mid range and needs to be in MC.

Doctors can give her meds to calm her down however that will do nothing to stop the progression of dementia.

Time to make some difficult decisions, your mother and others cannot handle what is going on.

Dementia has tenacles that reach far and wide and will negatively affect all that they come into contact with.
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It’s not your job to fix your parents choices. Just a reminder.

Did the grandfather on your mother’s side have dementia?

This is dementia and it’s only going to get a lot worse. Her brain is broken and it’s dying.

Her doctor can try medicines to ease her anxiety when she is sundowning, but it will remain to be seen if that works.
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naomij Jun 2023
Thank you - I agree and understand
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Naomij I don’t think it’s wrong for you to want to help your mother as well as your grandmother as long as you remember that it doesn’t all fall on you. Your grandparents have 5 children, I believe you said, involved in their care and the they will be the ones making the decisions not you which may be difficult and frustrating the more involved you get. However being your mothers sounding board, doing some research as you are and making suggestions is loving and supportive. You just need to remember where the line is for you, supporting your parents not taking over any caregiving or expecting to have a say in the care of your grandparents.

I say grandparents because they are a unit and that’s the way they are being treated by the sounds of it, that’s a good thing. The first thing I would strongly suggest is to find a Geriatric Psychologist as Barb suggested, this is their specialty and they will include the families caregivers in meetings as well as long as it’s ok with their patient. Both your grandfather and your grandmother should be patient's ideally. A good Geriatric Psychology practice will manage medications as well as help the family decide what the best living situation might be. We recently started my mom with one and they also have support available for the family if we choose to take advantage.

I am not a provider or anything but along with checking for a UTI or some other infection the thing that struck me as a possible contributing factor to your grandmothers rapid cognitive issues might be the moving from house to house. It seems like the perfect way to keep them home with family and share the heads on caretaking but for someone with memory issues any change in familiar surroundings and routine can be very difficult. Just a thought.

You are obviously a caring and loving daughter, your mom and dad are lucky to have you and I’m sure you would say you are lucky to have them.
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Putting a loved one into memory care is not just beneficial for the person who needs care. It is important for the caregivers as well. Your life is often completely derailed due to the stress and responsibility of caring for someone who needs more help than you can give.
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Your grandma needs a geriatric Psychiatrist.

If there is a teaching hospital near where grandma lives, that is the place to contact.
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Definitely confer with her PCP and or a Geriatric specialist to get a " level of care needs" assessment for her; although you all obviously see and are addressing her extensive care needs, getting this formal assessment from a licensed professional will help you go forward with options: then it will be up to the POA to make the care decisions that best provide her with safety and quality of life. This may be addressed by PCP or geriatric specialist with possible medication (s) or , it may even be time to have a hospice of your choice assess her for possible admit to hospice care; this may be provided in home or hospice can also help the family look at facility placement or at minimum provide some " respite" in 5 day increments paid for by hospice. You can call a hospice of choice and they will be glad to talk with your family and provide the hospice care program.
For her safety and quality of life and for the well being of your family do seek one or more of the above options to start getting the help she and your family need now and will need even more.
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your family can’t take care of your grandmother… she’s not safe and well cared for …neither are they …help them find a good memory care place closeby … and have professionals look after her and visit often.
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Naomij, how are things going with GMA?
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