Aging Parents Anonymous

Options
2456718

Comments

  • Yazmin
    Yazmin Member Posts: 840
    edited April 2011

    My Mom is 80 years old. She had been my Rock-of-Gilbraltar since I was diagnosed with BC in 2006. All her life, she's been best at one thing: Being there. No matter what.

    Well... She was just diagnosed, too, recently. As she is getting ready for surgery (then light radiation), I am not at peace at all:

    She is being treated in the south of France, where her family is. OK, I know she will receive outstanding care where she is. But I am unable to get away from here at this time, due to unworkable constraints. I am also her only child.

    She seems to have a bad premonition (or whatever you want to call it) about her own illness: she is constantly talking about the end of her life. I am trying to get her to be more positive, but to no avail. 

    It is just too hard being the only child of aging parents, but I am sure I am not the only one in this most difficult situation......

    Althea: thank you so much for this thread. 

  • Sherryc
    Sherryc Member Posts: 5,938
    edited April 2011

    I am finding it very difficult to juggle things.  I have both my parents and my in laws to look after.  My husband is gone alot during the week so if something happens to his parents it falls on me. They are in their 80's, I have to pay their bills and set up their weekly medicine.   His only sister lives 6 hours away.  My parents health are failing as well, they are in their 70's.  My mom's memory is going I truly believe she is early Alzheimer's as it runs in my grandmothers family.  She refuses to acknowledge there are problems.  My Dad has just been diag with met lung cancer.  So I am constantly going behind her checking on all the schedules ect and trying  to coordinate with my brothers for them to come and help.  I have a big family and everyone is willing to help but I am the only girl and am the coordinator by default.  Becomes stressful at times.

  • althea
    althea Member Posts: 1,595
    edited April 2011

    Sheila, my mom still thinks she's in good enough shape, on a good day, to drive herself to the store or whatever errands she might have to do.  So it's always a mixed blessing when she has good days. lol  Unfortunately, she's had very few good days this year and I'd much rather do her shopping than have her driving around on her own. 

    yazmin, I'm so sorry to hear of your mom's dx.  I hope you'll be able to visit her later while she's in recovery from her surgery.  Does she have anyone with her now who can be her advocate?  

    sherry, you certainly have a full plate.  I hope you can settle into a routine of some sort that keeps you from getting overwhelmed.  

    My mom continues to have debilitating fatigue.  I ordered a new brand of vitamins that arrived this week.  I'll be taking the same things she takes for the first month, and I'm sure hopeful to be feeling more energetic soon.  If it works for mom too, well, I think it'll be time to have the 'talk' about her giving up the car keys.  sigh

  • althea
    althea Member Posts: 1,595
    edited April 2011

    sherry, since we're in the same state and you have a lot more tending to do, I'm wondering if you've investigated what kinds of home health care options are available? 

  • Yazmin
    Yazmin Member Posts: 840
    edited April 2011

    althea:

    Yes, my Mom is with her family (though she lives alone in her apartment). And I am relatively happy with the course of action they have chosen for her: surgery, LIGHT radiotherapy, and nothing else, due to her age.

    The French approach to cancer treatment is most definitely less aggressive than the american one, in general. And that's good, in my opinion. 

  • luv_gardening
    luv_gardening Member Posts: 1,393
    edited April 2011

    Sherry, it's typical of dementia patients to have no idea that they are having problems.  It's not denial.  They remember taking their medications, and paying their bills on time, even though the evidence shows these things have not been done recently, only in their long term memory.  My mother told us the nurse came to give her insulin injections though that had never happened. She was putting her garbage in the laundry each evening to put in the outside bin the next day.  But the next day she'd walk right past that pile of smelly rotting maggot infested rubbish bags and not notice it.  She was previously ultra clean and germ conscious in the kitchen but had rotting food in the fridge, filthy utensils etc yet she'd deny those things were problems.  "Oh I'll sort that out later" was her stock reply when we tried to clean up. She was paying workers to fix her car and appliances thinking they had broken down when she was just forgetting how to use them.  Pressing the wrong button on her remote control would mean we had a three hour round trip to "fix her broken TV".

     These things were happening without us realising as she put up a good front till her phone was cut off and we started to peek in her kitchen and laundry while she was in the bathroom. Yet the mini-mental test showed her as still in the very competent range!

    It took a long time for my sister and I to stop trying to convince her of the reality of situations. We realised you just can't reason with someone who has lost their reasoning skills and short term memory.  So we go along with whatever she says, then change the subject and she's so much happier now.

    The manager of her nursing hostel confirmed that all dementia patients appear to be in denial but just can't remember or reason what is plain and obvious to us. 

  • MariannaLaFrance
    MariannaLaFrance Member Posts: 777
    edited April 2011

    Althea,

    This is a great thread, thank you for starting this topic.

    My mother and father are 84 years old. They live separately, though still married. My dad is in poor health (cataracts, diabetes, dementia and OCD), but I just found out today at the funeral of my aunt (dad's sister) that my mother has uterine cancer. She had told my father, who in turn told everyone else. She was trying to keep it from me so I wouldn't worry. As it turns out, she went in and had a D&C, though her doctor felt strongly that she needed a hysterectomy immediately.  She goes back in 3 weeks for a check up, and insists that she is "probably okay". I guess that means I am in a new risk category, as I now have a direct relative who has a hormonally based cancer??????? I didn't bother with the genetic tests, as I previously had no relatives with any type of cancer.

    I'm saddened that she has cancer, and that I am not living close to her to help her. I have 3 small children, and she is staying with my brother, who, though he is caring and loving with her, does not pay attention to these types of problems. He' s used to her being competent and able to handle her own affairs.

    Again, thanks for this thread and for listening to my vent.  

  • Sherryc
    Sherryc Member Posts: 5,938
    edited April 2011

    Althea yes we have used home health off an on for my inlaws the last couple of years.  My FIL had a bad fall the begging of the year and was in a rehab facility for a short period of time and then back home with home health.  That has stopped now but the Dr. has laid the law down that my FIL is not to bath by himself and my MIL is not to help him in the bathtub so we have hired the homehealth aide that he really liked to come by several times a week and give him a bath.  So far that is working out.  They also have a lady who comes one afternoon a week to clean house. Those things are working well as there is just no way I could handle all that. 

  • NatureGrrl
    NatureGrrl Member Posts: 1,367
    edited April 2011

    I think the saddest thing for me (besides dealing with my mother's  on and off hatred of me) was that my mom did know there was something wrong with her but didn't understand what.  And she flatly insisted it couldn't be anything age-related (don't even touch the "dementia" issue).  But she would just be in tears at times, like when she'd sit at her desk for 30 minutes trying to write a check and realizing she didn't know how, but she knew she USED to know how.  It was hard to watch.

    I didn't agree with my mom because that often fed into and encouraged paranoid behavior.  I also didn't disagree (no point) and did make very benign comments:  that sounds scary;  I'm sorry you feel that way.  That kind of thing.   That satisfied her without feeding her feelings and seeing her launch deeper into the paranoia. 

    My mom drove until she was too weak (and by then she was mostly not even aware of wanting to go anywhere, who people were -- she kept calling me a "nice looking young man" (I was bald from chemo and 58), what time of year it was, etc.).  She was a danger on the road for the last year of her life and I tried more than once to get my brothers to address this (she was convinced I was out to get her, to steal her house, to have her declared insane so I could have her put away, etc., so there was no way I could take her keys away without their support and initiation of the whole thing).   They didn't see the problem (live in different states) and, as someone else mentioned, people with dementia do a great job of hiding how bad they are until you're there with them for a period of time to see it up close, so they didn't understand why I thought she shouldn't drive, even after I explained she was so weak she had to carry a dinner plate (no food on it) with two hands -- so turning the steering wheel was very hard for her.  By the time my younger brother caught on to how bad mom was she was barely functioning and was just a few weeks away from dying. I'm not proud that I didn't stand up to my mom on the driving thing but at the time (going through my own cancer treatment) I was so emotionally and physically worn down that I did the best I could and had to let the rest go.  I did tell my mom more than once, very gently and kindly and in a loving way, that I was concerned about her driving and hoped she would be careful.  I think that got through to her because she did reduce her driving to just going to the beauty shop a mile away. 

    Sorry to ramble on about me, but obviously the last few years with my mom still bother me.

    Esti & Shelia,  I hope things are going OK for you and your mothers.  This thread would have been so much help to me before my mom died but it never occurred to me to start it.  I'm glad it's here for others.

    Marianna, I'm sorry about your mother.  I know first-hand what an extra concern that is. My mom had BRCA tests after I had breast cancer (she had been dx 3 years previously with ovarian cancer).  The test came back negative, but to me that didn't mean much -- because they only test for a limited number of mutations, the ones they know about.  Who knows how many others there are they DON'T know about yet.  So I decided it wasn't anything I could worry about, because even if I have a genetic mutation, there's nothing I can do beyond what I'm already doing. 

    Sherry,I'm glad your inlaws will accept help.  My mom didn't want ANYone in her house except people she already knew.  It was very hard dealing with her alone.

    yazmin,I don't know about the differences in care among different countries, but I do know my mom was 86 when dx with ovarian cancer, and she was treated in an age-appropriate way:  she wasn't given full doses of chemo so it wouldn't weaken her, etc.   Her oncologist's care for her (with family approval) was to keep her comfortable and able to enjoy life for as long as possible, without putting undue strain on her body.  Some of it was trial and error but I thought they did a great job of treating her and allowing her to live much longer than she would have otherwise, and enjoy her life (dementia aside!).  I think oncologists here tend to treat the elderly in a much gentler way unless they want to have more aggressive treatment.

    althea, hope your mom's fatigue is getting better.

    Hang in there, everyone, and a big hug to you all.

  • althea
    althea Member Posts: 1,595
    edited April 2011

    sherry, how do you seek out home health care providers?  What kind of services are out of pocket expense and which ones are covered by insurance?  To this day I managed to not ever learn the finer details of my own health insurance policy -- mainly because I had a chemobrain attention span for insurance policies long before I ever had chemo. 

    carol, your mom's angry behavior must have been very difficult.  So far, my mom continues to be polite to a fault.  She's so polite that she won't fess up to anything indelicate, like constipation or *sharp intake of breath* vaginal dryness.  I feel certain both of these are issues, but I can't be 100% sure.  

  • althea
    althea Member Posts: 1,595
    edited April 2011

    Does anyone else's moms have recurring urinary tract infections?  My mom has had them literally for decades.  Twice last year that I know of she had more episodes.  Whenever I talk to others dealing with aging parents, uti's are invariably mentioned. 

    One thing I want to share is information I've learned along the way.  Eighty percent of uti's are caused by e coli bacteria.  An alternative to antibiotics is a substance called d-mannose.  It's basically an indigestible (to us) sugar that e coli likes to eat.  When it is in plentiful supply,  the bacteria will in theory let loose the intestinal wall where they burrow for their food and happily swim with the d-mannose to the exit.  

    Unfortunately for my mom, her last 2 uti's were caused by pseudomonis aeruginosa.  In July she was given cipro for it, and that was the tipping point I can identify as decline accelerating.  In November, the uti was back and I wrestled for weeks with her doctor to find something other than cipro.  During that time, I was hoping that maybe the d-mannose might prove helpful, and I finally convinced my mom to try it.  She took it daily for 2-3 weeks and the infection was still there.  She took levoquin that time, a sister drug to cipro.  She's had abdominal pain ever since -- constant the week of the levoquin and intermittent ever since.  

    D-mannose is easy to use.  It's a tasteless white powder that dissolves in any beverage.  I found some at my local vitamin store.  I hope others might benefit from this information.  UTI's are hugely uncomfortable and antibiotics are terribly harsh on the digestive tract, which are weakened just by age alone.  

  • Sherryc
    Sherryc Member Posts: 5,938
    edited April 2011

    Althea for my FIL he needed physical therapy three times a week because of his fall.  That qualified for Medicare to pay for it along with his supplement.  Once they evaluated him and he qualified then they also sent out aides for bathing and a nurse to come by and check on him and will fill the pill boxes if you want them to.  You are allowed so many of these days a year which I have forgotten what it is.  We used them last year when my MIL had hip replacement and that did therapy on both my MIL and FIL and provided aides etc.  Just contact a local home health agency if you think your mother could benefit from physical therapy.  LIke I said he is finished with home health now but the aide he liked and we were able to work out a very reasonable deal with her to continue to come and bath.

  • althea
    althea Member Posts: 1,595
    edited May 2011

    Another visit to my mom's doctor prompts another post on this thread. lol 

    My mom continues to have loss of appetite, nausea, abdominal pain intermittently.  She lost another 2 pounds and is down to 100 pounds.  I think she's 5'3".  He recommends Twocal, a high calorie drink and gave her a scrip for Oxandrolone to help her gain weight. Plus, he wants her to have an upper GI to see if she has an ulcer.  I asked if there was another way to find an ulcer, and he said no.  

    The only good thing that came out of all this is I finally got my mom to confess that she does indeed suffer from constipation.  I expressed my concern about the invasion nature of an upper GI.  Her doctor made it sound like a walk in the park just because there's no prep beforehand.  Then he hands me a brochure for the outpatient surgery facility where she needs to go to have it done!  PLUS, he's doing the procedure himself.  

    For starters, I think he should be grilling her about how often she has a bm.  He doesn't.  With an upper GI looming close, I finally felt justified in doing the grilling instead.  I asked mom if she would be agreeable to getting a second opinion from a gastroenterologist, and while we're waiting for that appt, let's just try some more things at home to relieve the constipation.  "Wouldn't you rather do that than have an upper GI Thursday morning, mom?" At the risk of quoting Charlie Sheen, can we say, duh!  

    She agreed.  And if she doesn't remember tomorrow, I won't care.  I'm going to step up my involvement and see if I can't just getting her feeling better without some invasive procedure.  ....so if anyone has experiences with upper GI's, I'd like to hear about it.  If she really does have an ulcer, that might be something she'll need to do.   I did some reading about ulcers today and 60-80% of them have h pylori bacteria present.  There's 3 non-invasive ways of testing for the presence of h pylori.  ...not that they conclude one way or another that an ulcer is involved, but still, it sure seems premature to do an upper GI until plain ol' constipation is ruled out.  What do y'all think?  

    editing to add another question:  also, wouldn't it make more sense for a specialist to do an upper GI than her primary care physician (he's an internist).  

  • Sherryc
    Sherryc Member Posts: 5,938
    edited May 2011

    Althea my Dad and my MIL both had upper GI's but had them done at the same time of their colonoscopy.  My MIL did end up having H-Pylori, they treat it with really strong antibiotics that make you nauseated.  They then tested her with a breath test to make sure it was gone.  Being that both had them with another procedure it was not a big deal for them.  But I agree you need to get the constipation under control.  I agree that I would have the upper GI done by a specialist not an internist.  Can't wait to meet you this Saturday.

  • Janeluvsdogs
    Janeluvsdogs Member Posts: 242
    edited May 2011

    Althea,

    My mother-in-law had UTIs until they gave her some vaginal estrogen suppositories. A dry vagina and urethra apparently makes a good home for e coli to grow. Less dryness, less hospitable! The doctor was worried the UTIs could let the bacteria migrate to her kidneys. At her age a kidney infection is very dangerous.

    Very grateful the doc rxed the treatment.

    I'm sure you know all this. I just thought I'd chime in. Between the falls, and the memory loss and the aches and pains, it was good to at least get my MILs UTIs under control.

  • Alpal
    Alpal Member Posts: 1,785
    edited May 2011

    Ok - if there's a breath test to determine if the H-Pylori is gone, wouldn't a doc do the test before doing an upper GI? Granted not every single ulcer is caused by H-Pylori, but if it's present, put the patient on antibs and see if the symptoms improve before doing the Upper GI. Makes sense to me.

  • althea
    althea Member Posts: 1,595
    edited May 2011

    I'm looking at the list of labs the dr ordered yesterday, and it looks like he took a blood sample to test for h pylori.  So at least that information will be forthcoming.  I so agree with you alpal -- why would he want to rush her into an invasive procedure before knowing if the h pylori is present??  I'd be hoppin mad if he put her through an invasive procedure only to find out there's no ulcer after all. 

    Jane, I've read about the e coli loving vaginal dryness.  And I've wondered about that.  Geez, it took me 5 months to get mom to fess up to being constipated.  I'd be worried she'd have some kind of seizure if I asked about vaginal dryness! 

    Besides, her last 2 uti's weren't caused by e coli, it was pseudomonis aeruginosa or something like that.  I was successful for about 2-3 weeks in getting her to add d-mannose to her drinks once a day.  That's another way to get rid of e coli from the intestines.  In one breath she'll say she'll do anything to avoid a uti, and then the bottle sits unused.  Being stubborn runs in the family.  Sometimes it's a good trait.  Sometimes, not so much.  

  • Sherryc
    Sherryc Member Posts: 5,938
    edited May 2011

    Alpal yes there are other was to test for hpylori other than an upper GI, MIl had a very low blood count and they thought she was bleeding somewhere.  Turns out she was not but found hpylori and put her on mega doses of iron and the antiboitic for hyplori.  She has been stable ever since.

  • Janeluvsdogs
    Janeluvsdogs Member Posts: 242
    edited May 2011

    Althea,

    Your mother's shyness about constipation reminds me of the generational gap we have to face as an additional problem. They just don't talk about things that we would. My grandmother was taken to the hospital after finally telling my mother that she hadn't moved her bowels in two weeks. Turned out she had a blockage which could have been fatal.

    My psychologist sister staged a plan.  She began to talk to our family about every intimate thing she could think of in a chatty, totally matter of fact way. She created the "new normal" in what we could talk about. I told my sister I thought it was too late for old dogs to learn new tricks but I was wrong. These old gals were bursting to confide.

    LOL, I know more about our family's hemmorhoids and bladder leakage  than I thought possible but talking frankly ended up being a great strategy.  In hindsight, we should have done this years before as a pro-active strike before the problems arose with my grandmother's secret health problems.

  • justjudie
    justjudie Member Posts: 3,397
    edited May 2011

    Hi,

    I have been reading this thread with interest today. My 89 yr old MIL has been suffering from dementia for about 8 years now. She was diagnosed with Alzheimer's and put on medication for that (Aricept and Naminda) . I have to say that once she was medicated it made a world of difference in her behavior. The dementia was getting worse by leaps and bounds but once medicated it really slowed down a LOT. She stayed approximately the same for about the. past 5 years, in fact. The best part was that it eased the paranoid, nasty stuff a LOT. Maybe we were just lucky with her individual reaction to the drugs, but the difference was amazing and a big relief in dealing with her. She is still in her own home because we have full time caretakers for her. They are very kind, really good women, and we have been lucky to have them for my MIL. We

    are often going by, visiting, checking in on her etc. She is really happy to see us although she forgets we were ever there about 5 minutes after we are out the door. But I think involving a caretaker for at least part of the time if you can do so REALLY helps. It gives you a break and I think that for some reason the person then does not focus on their family member as the main caretaker and therefore resent them as much. If that makes any sense.

    My husband takes care of everything for her, bills, shopping, etc because she is totally incapable. He really is a saint because he is trying to always be here for me too as I am Stage 4 .



    One thing about having cared for an elderly dementia afflicted parent, I myself would NEVER want to end up like that. A burden to everyone around me and totally out of it. Watching her makes me think

    my cancer is not so bad. I don't want to ever live that lomg anyway.



    Judie

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited May 2011

    An interesting thread indeed.  I am the only daughter of an 82 year old hoarder mother.  yes, just like on tv.  My mother is divorced and living alone on the opposite coast  in a 3 story house full of her hoard.  There is nothing but trails through the house and even then some rooms cannot be entered from both doorways. I have come to believe that in addition to her hoarding she has other mental health problems.  Growing up, our relationship was strained as I didn't match her image of a daughter and, I suspect, reminded her too much of my father.  While years and distance has not improved our relationship, I think meditation practice on my part and Buddhism has helped me to cope better.

    My mother was diagnoised early in 2009 with mega heart failure. If you had asked me then I would not have expected her to still be alive 2 years later.  Because of our relationship and the added stress my presence would create coupled with the fact that I work full time and have 3 young children, I did not rush to her side when she had her pacemaker installed.  I did speak with doctors by phone and keep regular contact.  In the fall (right before my BC diagnoisis) I went to see her and to try to deal with making her house functional.  It was a complete nightmare.  The house was so packed with stuff that I couldn't stay there and when I did visit, there was no place for me to sit down.  In all the house, there were 2 seats--a very dirty folding stool in the kitchen and a broken chair in the den.  Suffice to say, I made no progress on the organization.  As an aside, my mother does not acknowledge being a hoarder and specifically denies it.  She presents beautifully albeit a bit excentric to the outside world---well dressed, lovely garden, intelligent, etc.  She is so skilled at presenting herself as normal that she completely fooled her therapist who believed my mother was just a bit messy.  Messy is not putting away things. Hoarding is still having newspapers from 10 years ago in your den and refusing to allow them to be thrown out because there is an interesting article.

    I have never told my mother about my BC and don't intend to.  At the time of my diagnoisis, stress was not good for her so I didn't want to add to her issues.  Now she has recovered (dont' ask me how) and I see no point.

    My mother still drives even though her skill level is questionable.  She will not give up her car keys.  Other than that she has paid off her mortgage, I have no idea of her financial status as she says its none of my business.  The house is clearly way too much for her but she refuses to move out.  Depending on the day the excuse is that she must "clean up" the hoard or she can't decide where to move.  On the rare moments she considers moving, she won't consider anything under 1500 feet because she needs the space.

    It has taken a while but I am resigned to my impotence in the situation.  I call her several times a week to chat and never take issue with anything she says.  I focus my mental energies on hoping that if she has an accident driving, she will not hurt anyone else and that if she falls down her stairs, she will not suffer.  Its all I can do.

    for those of you dealing with dementia, I am so very sorry.  I have a coworker in that situation and I have seen how hard it is for her

  • althea
    althea Member Posts: 1,595
    edited May 2011

    3monstmama, you have a very full plate on your hands!  I'm aware of hoarding just from watching some tv shows on the subject.  It makes my brain short circuit trying to imagine how someone such as your mom can literally have just one or two places to sit in an entire house and not be aware that she's a hoarder.  It just doesn't compute in my brain.  When did it all start do you think?  It's so hard to see that and wrestle between wanting to fix it and knowing that it's really not within your control to fix. 

    judie, can you share some recollections about how your mom's dx of alzheimer's came about?  What kind of doctor can dx it?  My mom is so engrained in politeness that it gives me pause to contemplate what kind of anger she's swept under the rug for 8 decades.  Hope I never have to find out! 

    I'm still curious about how anyone knows the difference between dementia and forgetfulness that is a side effect of prescriptions.  

  • luv_gardening
    luv_gardening Member Posts: 1,393
    edited May 2011

    Althea, I find it's the lack of reasoning skills that's the big give away.  

    When we suggested she could be fined for driving without renewing her registration and insurance, she said the police would understand when she explained she needed to get out to buy food.  The reason she gives why she can't drive has changed several times.  She tells people now it's because she's passed the maximum age of 65. I have to quietly signal strangers not to argue with her that people can drive over 100yo if they are fit and safe drivers.  She couldn't remember which bills were being automatically paid from her bank account and which required her to go into the office to pay, despite decades of paying the same bills.  When there was bad TV reception due to bad weather, she thought her TV had broken down.  The reason she gave for missing bill payments were quite illogical.

    She argues when she can't remember something that it's because she's so bored all day with nothing to do that it affects her memory.  She forgot which of her brothers living overseas were still alive.  When visiting her youngest daughter and family she thinks they are living in the house she and dad built 20 years ago though it's nothing like it and in a very different area.  While out with her family she took a young GD's handbag thinking it was hers.  When GD complained she started to go through it with all the young girl's bangles and knick-knacks and still insisted it was hers.  Her indoor plants that she was meticulous about all died.  Her fridge filled up with rotting food.

    To anyone who doesn't know her she may sound reasonable but over a period of time the jaw dropping errors stand out. 

  • otter
    otter Member Posts: 6,099
    edited May 2011
    I've been afraid to post here because the subject is too close to home: my F.I.L. died of complications of Alzheimer’s Disease 7 years ago; my dad was dx’d with Alzheimer’s Disease 5 years ago and has been in a nursing home for the past year; my mom had several chronic, debilitating medical problems at the time of her death earlier this year; and my M.I.L. lives in an “independent living” retirement center but the likelihood of assisted living or in-home care for her is looming. (She’s in the hospital right now, for the 2nd time in less than a week.)

    My dad was showing signs of Alzheimer’s Disease well before it was officially dx’d by a neurologist. At first there were isolated incidents I wanted to overlook – after all, he was nearly 80 years old at the time.  It soon became obvious that there were too many incidents and they were too unusual.
     
    Dad would announce, “I haven’t talked to Jim [his brother] for awhile – I think I’ll give him a call,” and start dialing Jim’s number … forgetting that he had just talked to Jim an hour earlier. He would be driving through the town where he’d lived his entire life and stop at an intersection, not knowing which direction to turn to get to the grocery store. He would struggle to cut his steak at dinner, not noticing that he was holding the knife upside-down. He would tell stories of his childhood that we'd never heard before, but forget who he had just spoken with on the phone or what he'd eaten for breakfast that same day.

    One day early in the process, we were at a WWII commemoration and Dad decided to buy a book written by one of the vets.  The cost was $17.95. Dad pulled out his wallet and started fingering the bills with a puzzled look on his face. Then he took out a $20 bill and handed it to the guy, saying “I hope that’s enough.” I was watching, and my heart stopped because I had no idea until then that my dad was having trouble.  Thinking about that incident and my tall, strong father's sudden vulnerability still makes me cry.

    Things got worse, and we finally convinced Dad that he needed to see a doctor. We had to use a ruse to get him there, because he denied that he was becoming “forgetful”. The official dx was early-stage Alzheimer’s Disease.  Dad lived at home for 4 more years, until Mom just couldn’t care for him on her own anymore.  With both children many hours away (I’m across the country) and Mom unwilling to allow a home health aid or nurse in the house to help her and unwilling to move herself, there was no choice.  After two successive hospitalizations for dehydration and malnutrition, it was time to admit Dad to a skilled nursing facility (a.k.a. nursing home).

    Dad is doing okay there – it’s a nice, clean place, and the staff are very kind and observant.  But, inpatient skilled nursing care is terribly expensive – we’re paying between $6,000 and $8,000 a month from my parents’ life savings for the nursing home plus the co-pays and deductibles for doctors’ care and prescription drugs.

    Sorry for the long post. There is much more we’re dealing with, including things that have been mentioned in this thread and others that have not.  Some days I think having BC was a lot simpler than dealing with all of this.

    otter
  • althea
    althea Member Posts: 1,595
    edited May 2011

    otter, I'm so sorry about the loss of your mom and your dad's alzheimers.  It sounds like your dad must need 24/7 care.  The amount of the cost sounds very high, until the math breaks it down to an hourly rate.  Then it's $11/hr, and that would need to cover a whole lot of expenses.  Does medicare or medicaid kick in toward any of that cost? 

    Sheila,  I agree that the decline in reasoning is a big part of the equation.  And that's part of why I get so frustrated when I accompany my mom to her doctor.  They don't spend enough time listening to ever become aware of problems in her reasoning.  

  • otter
    otter Member Posts: 6,099
    edited May 2011

    althea, I'm glad you re-calculated the cost of my dad's care to an hourly rate. Yes, he needs skilled nursing care 24/7; so the hourly rate sounds cheap when put in that context. 

    Dad was transferred to the nursing home directly after a 3-day hospital stay last year.  The hospitalization was the second time in 4 weeks that he went to the hospital for for extreme weakness and dehydration.  Everyone was hoping that a few weeks of rehab might enable him to go back home again.  (At least that was what everyone was saying.  I think some of us knew it wasn't likely to happen.)  Because of the "rehab" nature of the nursing home visit, Medicare and his private insurance paid for the first 4 weeks there.  He really did get a lot of physical & occupational rehab and speech therapy during that time. 

    But, his medical problems were too serious to be managed at home, so he ended up staying in the nursing home for good.  Medicare doesn't pay for nursing home care except for post-hospitalization "rehab", and my parents didn't meet the income threshold to qualify for Medicaid ( = indigent care).  The entire cost of the nursing home care (room, board, etc.), except for medications or physician-ordered therapy, has to be paid by the resident or his/her family. Some people have long-term care insurance for exactly that purpose, but my parents didn't.

    If my dad outlives his life savings, we will probably need to apply for "medical assistance" (a.k.a. Medicaid).  That brings a huge list of issues of its own.

    It's really amazing (and frustrating) to watch a doctor or nurse interview an elderly loved one. I am sitting in my M.I.L.'s hospital room as I type this, and I can't count the number of times she has told a nurse she is not in pain, or has been eating "just fine", or is perfectly capable of getting around her apartment by herself, or can do her own laundry.  None of those things is even remotely true. In her case, she isn't forgetful -- I think she's just hopeful.  <sigh>

    I'd like to hear everyone's thoughts about the problems our parents are having with urinary tract infections.  That's actually what put my M.I.L. in the hospital 2 weeks ago -- she was too weak and nauseous to eat or drink.  It turns out that one of her bouts with UTI caused a blockage of a ureter which led to hydronephrosis and irreversible damage to the kidney on that side. <more sighs>

    otter

  • justjudie
    justjudie Member Posts: 3,397
    edited May 2011

    wow otter...you really have a lot to contend with. My MIL also has severe dementia (was diagnosed by a nuerologist, I believe, as having Alzheimers) As mentioned in my previous post, she is on medication and living at home with caretakers full time. YES, she does have frequent UTI's. I wonder why elderly people seem to have them so often? At first I thought it was because she was refusing to wear Depends so was often wetting herself. But after a very long time...probably 4 years or more of wet pants, she lately has given in and is wearing Depends, thank God. But she still seems to have problems with UTI's. One thing the caretakers and we have noticed, is that when she has a UTI her confusion is worse. As she has no clue about anything, UTI's or anything else, thats what usually tips off the caretakers that she might have one. Suddenly she is more confused than usual. Does not think she is home, keeps saying she has to go gome etc etc. Does not recognize her house.

    My sister in law usually takes her to the doctor when necessary, so I have not had the opportunity to ask the dr why she has these infections so often.

    I know what you mean about they have no idea of reality. If you asked my MIL if she does the cooking or the laundry she would tell you she does. She has not been able to do anythimg except sit at the kitchen table and "read the paper" for about 7 years now. She still can read but has no comprehension at all of what she just read. Within seconds she has no memorynof reading it either. It really is a terrible disease. My husband and I keep hoping she will go peacefully in her sleep. If she has to go to a hospital or anywhere out of her home she will be totally confused and frightened.



    It is very difficult to deal with elderly demented parents when you have huge health issues yourself. We can only do the best we can, I guess.



    Judie

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited May 2011

    otter, I'm so sorry about your dad.  My coworker is dealing with that with her mother and its so hard.

     althea  you have no idea what a hoarder can convince themselves of.  Last year---15 years after the death of my grandmother--my mother and her sister (also a hoarder) finally sold grandma's house.  In the time since grandma's death, the house had been vacant. . .all 15 years.

    Because our relationship is strained my godbrother bit the bullet and went to help.  He flew across country and then drove her 8 hours to the location and then spent 6 days there trying to empty the house.  He has considerable experience at moving and packing (navy brat) so we both figured he had the skills to deal.  That said, he will be the first to say that until he visited the house, he didn't fully grasp how bad it would be. 

    First he couldn't get my mother to leave her hoard--she delayed for a day.  Doesn't sound like much but they had such limited time. 

    Then after they arrived, it was 2 days before he could actually get her to pack anything.  Once he got her packing my mother carefully boxed up half empty bottles of cleaning supplies---15 year old cleaning supplies mind you--and insisted he box up some lovely blankets that absolutely reeked of mouse and were full of mouse poo.  In my mother's mind the cleaning supplies could be put to good use in her house and well, we can just wash the blankets.  My godbrother discovered that no one had ever cleaned out the refridgerator.  I leave it to the imagination what might be found in a fridge that had not been opened in 6 years and which still had food from 1996.  I will say that he took photos of the mice nests he found in the kitchen.

    My mother wanted to have a yard sale.  She priced everything as though it were a treasure so of course nothing sold. For some reason no one wanted things that smelled like mouse pee. People tried to make her offers and she rejected them as stealing.  Eventually they had to call a second hand store to get the "treasures" but when the woman came out, she told my mother it was all junk and garbage and bought nothing. 

    My mother packed boxes of mouse poo items and god knows what else.  When he couldn't distract her long enough to get the item into the trash, my godbrother carefully sealed every box as tightly as he could and drew a big X on the box.  This was to tell me that, when the time comes, I should ditch the box straight to a dumpster without opening. 

    My mother got in an intense argument with my cousin (oldest son of her only sister) because he refused to load up a 50 year old tv--the big kind with a tube and a wooden frame-- and take it to his mothers.  But when he asked for a few items that were sentimental to him, she refused to give it to him and said he had to buy it.

    The ultimate insanity:  my godbrother took my mother and her sister to lunch and then took my sister back to her house.  My aunt is also a hoarder, just like my mother.  She seems more intrigued by paper (anyone want to read a 1972 Reader's Digest).  Like my mother's house, there is no where to sit and one can barely cook a meal.  (my cousin has had no more luck in getting her out of her hoard than I have had with my mother).

    So my mother and godbrother are walking away from the house and my mother whispers to me "Aunt is a hoarder!  She doesn't even realize it!  Look at her house---doesn't she watch oprah?"

    My godbrother nearly fell over.

    Now she has a giant shipping container in her driveway full of "treasures" from my grandmother's house.  You know---all those boxes with an X on them.  She says she is going to clean out her house and then sort through the shipping container.  Oh and then she will have a yard sale.  Me, I'm just waiting to see what happens when the neighbors realize that the shipping container isn't going anywhere.  Its one thing to have an unheated shipping container in the winter, its another when spring comes and nothing changes because one decides they would rather do gardening.  And if she tries to do it over the summer, given her climate and age, odds are good that she will drop dead.  And then it is winter again. 

    Not to be dismissive of anyone who is dealing with dementia--its a horrid disease--but there are days that I think that might be easier.  I could do something dramatic and she wouldn't remember the next day instead of being angry at me for getting rid of treasure.

  • althea
    althea Member Posts: 1,595
    edited May 2011

    >>So my mother and godbrother are walking away from the house and my mother whispers to me "Aunt is a hoarder!  She doesn't even realize it!  Look at her house---doesn't she watch oprah?"<<<

    omg, 3ms, that is priceless.  Your mom has me rolfmao.  And I don't think you're being dismissive at all of anyone dealing with dementia.  Your mom's hoarding is like dementia times 10.  Yet, I find myself feeling so curious about how a brain can work in a way that your mom can see hoarding at her sister's house but not in her own.  Gosh, my heart goes out to you.  Thanks for sharing. 

  • YramAL
    YramAL Member Posts: 1,651
    edited May 2011

    3monstmama-

    my mother-in-law is also a hoarder. The only thing that saves the family from a situation such as your mother's(an entire house full of hoarded stuff) is that she has managed her finances so poorly, she does not have a house to fill up. Instead, she is on medicaid, in assisted living, and does her best to fill up her room there with hoarded items-newspapers, mail, drink cups, etc. She also has a storage unit that the rest of the family is paying $40 a month for. We all need to go through the storage unit, but she wants to be there and tell us what to do with the stuff. *sigh*

    Mary 

Categories