My dad is declining fast. He has COPD and also can't walk well at all. Literally two weeks ago he was driving (foolishly of course, but still doing it). I took off work to help get him diagnosed and to help get him the care he needs. He can't recall a conversation we had a minute ago, but he's slightly aware that something is going wrong. The five days I've been here, he's not aware of where he is when he wakes up. He believes he's in his home town 20 years ago, so is confused when he doesn't recognize things. He has COPD, is a major fall risk, and has many medications. He needs 24/7 care without a doubt. He really can't be left alone, else he may get an idea in his head and forget he needs his walker, and have a major fall (he's had 3 in the last 7 months.) If memory care near me ends up being the best option, I'll be taking him from his female companion (who loves him very much but can no longer handle this disease) and his cat, the two things he recognizes and loves. What kind and gentle fib has anyone used to get their loved ones set up in an appropriate memory care center?
t even realize she moved.
he may be aware of something different... and that can be an issue, especially if his LOVED ONE is not there, but what is holding her up from moving into a memory or senior facility with him?
The more he falls, them more brain damage possibly... broken bones..
the more he gets an ambulance ride to hospital, and the stuff that goes on there, the more brain cells he will lose too.... an ER doctor told me that.... sadly
It may give you better insight!
The day of the move, another friend took them to breakfast about 45 minutes away, then to have their nails done. While that took place, the movers and I were taking the things I had selected and moved their furniture, pictures from the walls etc, and set up their new apartment to look just like their bedroom and tv room. When they came to their new "home", the husband saw his favorite recliner and sat down with a sigh of relief and never said a word about not being home. All the most familiar things were there.
The wife's brain deterioration continued rapidly and she passed away 5 months later. The husband is still in his apartment, going on 5 years now. He never once said anything about their condo and I never told him about all I was doing to get rid of their stuff and sell it. I saw no upside to discussing these things since they had given me complete authority as their power of attorney to make all these decisions. Any money coming in goes right to their checking account. Any money going out is in response to a bill, so there is evidence to show how their money has been spent. Not a penny comes to me, which is how I want it. I am also executor of their estate, but I am pretty sure nothing will be left to distribute. The husband is in good physical health but could not survive on his own. He is now 94 and shooting for 100. He always tells me that the only thing I have to do is live as long as he does. I always tell him I am working on that. We've been friends since about 1972 and there are no children or close relatives to have involved. Just a few friends.
I went to about 9 different assisted living/memory care facilities before I found the one we are using--the only one that offered a choice of two bedroom, one bedroom or efficiency apartments on the memory care level. And they give good care and gave me great advice on what was happening to the wife and what I should be ready for or do next. This was all new to me and I needed that guidance.
Best of luck on your decision and probable move.
Generally dementia is NOT that fast acting. UTIs, on the other hand, are. He may still need to move or have home help aides, but if he has a UTI and it is treated, the need may be delayed.
When I first joined this forum, I was skeptical of the various suggestions to test for UTI. When mom had her first one after moving to MC (long after the move), I became a convert! The only symptom she had was serious sun-downing. She was out of control, demanding to get out, insisting she had guests coming and had to go home. Later afternoon and evening for her (it can be any time of day.) We needed anti-anxiety along with the antibiotics, to keep her calm every afternoon/evening. Once treated, she was ok and didn't need the other med. Subsequent UTIs have shown up as bed wetting.
ANY change that is SO sudden should be explored - full exam, urine and blood tests. There are other conditions that can mimic dementia, so if all the doc did was a cognitive test, get him fully checked! Not enough fluids, too many fluids, and other medical conditions that can be treated can show up like this.
IF they did check everything and all was good, then try what the others have suggested for enabling the move or bringing in help. Hopefully you can and have applied for FMLA - you don't get paid, but you also don't lose your job! It might take some time to find an open space with no virus restrictions.
Hoping you are dealing with UTI...
You are correct that dementia doesn't escalate as quickly as UTI symptoms. However, it kinda depends on how the original diagnosis was given.
In my Aunts case, her PCP after a joke of a mental status evaluation diagnosed her with mild cognitive impairment.
The recent video exam by a qualified Geriatrician revealed the diagnosis of moderate Alzheimer's.
Could be that OP needs to seek in depth evaluation.
We’re grieving the MIL we used to know. She’s greiving because she knows nothing will ever be the same. This just happened so quick. She’s on a waiting list for AL as soon as it opens to visitors again.
Wish I could just give you a hug.
As to his female companion and cat, once Covid regulations are over, they should be able to visit every day. By they, I mean definitely the female companion and also possibly the cat. If that were me and I could have my partner and my cat visit on a regular basis that would be the best possible solution.
His partner will be sad but she will also feel relieved that he is getting the treatment that she can't provide.
I want to assure you that you are doing the right thing, and that this is possibly the hardest part of this journey, and once it is done and your father has settled in, he'll be well cared for, and you and his partner (and cat!) can visit on a regular basis.
Wishing you all the best during this very difficult time.
I have a feeling this will end up being harder on you than on him.
My mom lived in the home I grew up in since we moved here in 1968. She wanted to stay in her 3 bedroom/2 bath home with a pool until she died. When my dad died in 2004, I tried to keep my mom in her home for as long as I could which turned out to be ten years. Even though I tried all other avenues the problem for us was money. She was diagnosed with Alzheimer's in 2014, I took her car keys away and started looking for an AL facility. After finding one, we moved her in early February 2015, cleared out the house, put it on the market and once sold, I used the money for her monthly rent.
She lived there up until April of this year at the age of 95. She nearly died of severe dehydration and COVID and went to ER along with a very short hospital stay, transferred to a physical therapy/rehab center for three weeks and I did not want her going back to that facility. She lost all mobility, the ability to dress herself, was very weak due to losing 20 pounds so it was time to find a new facility with a memory care wing. With the pandemic, it was extremely difficult to find one that would take any resident in much less my mom who was still recovering from the virus.
She moved to the new facility back in May. I have never told her she is in a memory care wing nor does she know I brought hospice on. I told her she just has a lot of extra care now compared to her previous facility. Before being released from the rehab facility, I simply told her we found a nice, new place and apartment for her. I told her I picked an apartment that was private and had a window so my husband and I could do "window visits." At her previous facility, I was not able to do that because her windows faced an inner courtyard. I'm the only child and her five remaining siblings all live in other states and aren't involved in her life or care so it was very important for her to have us visit from the outside looking in so to speak. She is doing pretty well under the circumstances and for everything she's been through. So my main tactic was talking enthusiastically about the whole move as I hadn't seen her since February 28th and wasn't able to be with her when she went to the hospital where I honestly thought she would die.
The Activity Director has two dogs and brings one of them for pet visits. Maybe you can ask if anyone on staff has a cat or dog who can do that. Is his female companion in good health? If not and she needs help too, they could share a companion apartment.
Because my mom is no longer able to walk under her own power, she has fallen at least 8-9 times now since the end of May so the staff has pushed one side of her hospital bed up against a wall near a window which cuts her fall risk in half and then at night they put a fall mat down. Another thing I would look into is his medications since he has so many. You never know what being on so many can do not just physically but, mentally. Also, has he been checked for a UTI recently as that can also play a role in what he's experiencing.
Hopefully, with everyone's comments, you will find a way to communicate to your dad any change you decide to make in regards to his living arrangements. I wish you luck!
Once we'd made the decision to move him, my sister and I were going through all of the stuff from their apartment (he and Mom constantly complained about all the "stuff" they didn't need) and he asked what we were doing While we had discussed fibbing to him, I decided it was better for us to just be 100% honest with him (as I knew he wouldn't remember anyway). We told him that he needed care from people who specialized with Alzheimer's and that Mom has her own health issues to deal with so we were moving him to memory care and Mom was moving into a studio apartment. He was a little upset that they wouldn't be together but within an hour, he had forgotten. When the move actually happened, he was confused and kept asking when he could come home but now he is doing fine.
After my Uncle passed last
October, I had to make the same decision. My Aunt had obvious Dementia. She since has been diagnosed with Alzheimer's.
She lived in the same house for 43 years.
I used the "therapeutic fib" that her house need repairs/pest control and she needed to go stay somewhere else in the meantime.
She went mostly willingly! She is in memory care. They keep her very busy!! She loves the activities even though she can't remember what she just did.
Your Dad may ask to go home often. That's the hardest part!
Fortunately, he won't remember how long he's been there. You'll have peace of mind that he is safe and well cared for. As his Alzheimer's advances, he will most likely stop asking.
God bless you in this journey!!
Sounds like you're on the right track!!
His girlfriend can visit as much as she wants.
If at all possible, your Dad would feel live, safe and happy in his own home, not moved to some cold unfamiliar and not so friendly facility where your Dad wouldn't even be able to tell you how he's being treated.
You should let him stay where he is and where he is happy and loved and let him take his chances of falling instead of dumping him at a Facility that will give you peace of mind bur not him.
He will live longer and happier with his ladyfriend and cat and certainly have less of a chance of getting Covid.
You could install Nest Cameras to keep an eye on him in his home.
Ir doesn't matter if he doesn't remember what he said a minute ago.
My 96 yr old Dad is the same way.
He has short term memory loss which means he can't remember something that just happenedor said. But you talk about something he's been doing awhile, he remembers, like my Dad remembers he was a Fireman and he rode motorcycles, ect.
Let him be as happy as he can and live in his own home.
Beleven me, he had just as much chance of falling at a Nursing Facility as home. Maybe even more seeing how they keep you pretty doped up, especially if you're a problem. They'll give him something to sleep, ect.
You need to do something about his driving. Take his keys or disable/sell the car. He is a danger to himself and everyone else driving the road and children out on bikes or playing in yards.
You won't be moving him from all he has known. You will furnish his room with many of his fAmiliar things, that will help.
Be careful about telling him he is on a vacation, this could be disorienting to him and increase his agitation. This was tried with my mom, including a sign on the door to her room, that was eventually taken down as it caused more agitation. Mom just wanted to be home.
Lying to people is the worst thing you can do, especially when it comes to their plan of care.
Nursing homes are NOT safe. They often get neglected, prone to bed sores and contractures, they fall, can suffer malnourishment/dehydration, and infections catching whatever is going around. Explore all other options but if none is available tell him the truth.
Also, it sounds like all this is rather sudden (other than the history of falls). Please ask that he be checked for a UTI. The elderly can have a UTI without physical symptoms. There may be no indicators in the appearance, smell, or frequency of the urine. But there may be mental confusion, forgetfulness, disorientation that indicates dementia. Before accepting a dementia diagnosis, ask that a urine culture be run. It will probably take two days before results are in. This is not the same as the quick urine test that is done in the office.
My own story -- I knew (from friends who have been down this road) the above information about UTI but when it came to my own mother, I trusted the nurses and I trusted my father to communicate to the nurses that I thought mom may have a UTI and needed tested. Mom "declined fast" as you wrote. Weeks passed, she got much worse mentally (but still fine physically), until mom literally lost her mind (destroyed things in the house, included her treasured Christmas cacti, smeared feces all over the house -- curtains, walls, furniture etc. -- ran around outside without clothing yelling at the neighbors "Look at me!" and tried to kill my father). The last month of her life was horrible. I will forever regret not being more forceful and less trusting and calling the hospice agency myself and demanding that they get a urine culture done.
Please pursue this possibility.
Since he can't remember what is said to him a minute ago, then you can say anything you want in the moment in order to get him to agree to do what you need him to do at that same moment. The next moment, you can say something completely different so he will agree to do the next task, and so on and so forth.
So, if you need to clean out his closet, and put all his clothes in boxes, you can make up a story that the clothes need to be laundered because there are bugs.
If you need him to get in the car to go to the new place, then you can say you're taking him out for a drive, or visit some place special, etc.
If he asks why he is where he is, make up something. This new place is a hotel in some exotic place. He's there for vacation.
The point is to tell him whatever you think will work at the moment. If he says NO one moment, he can say YES the next moment when you give him a different reason/story.
Kind and gentle fibs which you want are whatever fibs that will sound good to dad and make him happy and accomplish what you need him to do.
If possible, bring his female friend to visit him often. As for the cat, maybe a realistic looking stuffed cat will give him some comfort. I know it works for some elderly to have stuffed animals to cuddle with.
Good luck and tell us how it goes.