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For various reasons, I began visiting my mother in her new memory care placement at the same time each evening (after dinner until bedtime). She now expects me to come every night at the same time, and if I don't (or even if I am running late), she becomes extremely agitated.


I don't mind visiting nightly (when I can), but I don't want to have to be there at the exact same time every night.


Any advice on how to fade out my visits, or at least change the time of day I visit?

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I think you just honestly tell her that you cannot continue, that you are unable to keep up the daily visits. That you will be visiting three or four times a week.
Will she be unhappy about this, perhaps agitated? Yes. That is for staff to work on. She is likely to adjust.

This isn't fair. Your mother is, if she is competent, being quite selfish in this expectation. I suspect that is because there is some level of dementia. That level of dementia will prevent her in all likelihood from "hanging onto this" and working it over and over in her mind.

She may require sedation at some point. Again, that's a medical decision, and memory care will help in coordinating that.

You didn't cause all this and can't fix it, and making yourself overwhelmed and ill won't help anything. I think a real problem that the children of elders have is that they feel obligated to make life OK. Life is NEVER OK. It wasn't OK for your Mom when she was an able young woman, when she was a mom with a family. Life is ALWAYS full of sad realities. This is one.
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LakesideLife800 Jan 13, 2024
Sad, but true. Thank you.
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What if you start switching out some evenings to a phone call (or video / FaceTime chat if she could use an iPad / tablet ) on some evenings ? Then go from there …
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Most MC facilities have things that the patient can do by themselves. The staff is not there to entertain, they have a job to do.

I am 76, after dinner, I kick back and relax, all by myself. It is just fine. I am very busy all day.

I am surprised that the staff did not tell you in the first couple of weeks, for the most part, stay away so that the person can acclimate themselves to their new home.

By going every day you are hindering the process. I would start cutting back, jtell her that you cannot come every day, get yourself back to a normal life her being overly dependent on you is not the answer. Good Luck
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I'd start visiting at different times so that she doesn't have any expectation of when you will be there - for example pop in for 15 minutes when you go to pick up your groceries and then tell her that since you are there now you won't be seeing her that night. And then as strugglinson has suggested a phone call to remind her you won't be there but are thinking of her. Don't allow yourself to get stuck on the phone for hours, she needs to figure out how to fill her evenings without you.
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LakesideLife800 Jan 13, 2024
Thanks!
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I have to ask an obvious question: how does she even remember that you come at the same time every night or what time you usually come?

Are you making this assumption (and association) because she's in an anxious state when you get there?

Is the staff telling you?

She could be sundowning, or just have anxiety in general, which would be very common for someone with dementia.

Is she on any meds for anxiety currently?

Any more info you can provide would be helpful.
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LakesideLife800 Jan 13, 2024
My mom has early dementia, and her cognition fluctuates a lot throughout the day...but she is definitely a creature of habit, so she has strong expectations about what should happen and when. The staff are telling me that she is asking for me, and becoming anxious when I'm not there on time. I believe she is definitely sundowning, and has always had a problem with anxiety - she is currently on low dose medication, but maybe a medication tweak is in order.
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Unlike what some have suggested, people can live for a long time in memory care if they are otherwise healthy and are in a fairly early stage of disease. We are talking 5 or more years. Once you have started daily visits it is going to be a difficult period to change it, for both of you, until her disease has progressed further. You have to go cold turkey for a few days (or longer) and let her and the staff deal with her agitation. What if you got covid or had to have surgery? Then you would be forced to do this. When you go see her again don't stay as long. When you leave tell her you will see her in a couple of days. That is vague enough for my mom that she doesn't expect to see me at a certain time or day. She is very happy to see me when I go visit.
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Just read one of your replies. Yes, the time you are going is a bad time for those with Dementia. Maybe her Meds do need to be tweaked and given to her around mealtime. This may help with her anxiety. I really see no problem in you visiting after dinner but staying till bedtime may be a little too long. She needs to get used to the staff doing for her.
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You do not have to visit her nightly. How about once a week at your convenience? Have the staff contact you when anything very important happens.
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Helenn Jan 18, 2024
Once a week is pretty shabby !!!
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Leave her care to the professionals. That is why she is in MC. she has dementia. If you change your routine she will eventually forget. There will be a new state of normal for her.

Do what you can at the times you can. Make the adjustments as you see fit. What would happen if for some reason (god forbid) you could no longer visit anymore. She would have to adjust.

Stop feeling guilty and go live your life. Be glad she is safe and cared for.
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I found at my Moms AL that after dinner was a busy time for the aides. At dinner they were required to serve the meal. Afterward to clean up. Then take the residents back to their rooms and get them ready for the night. As in put them in their PJs then put them in front of the TV. Later, put them to bed. And this is more than 1 resident and each with different needs.

Me, because Mom would not sit down to eat unless there was food already there, I started coming before dinner. The problem was, Mom would not eat salad. So I sat with her till the main course was served. The aide would say "ready" and I would take Mom to the table. Kiss her on the cheek and leave. She was busy eating.
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