Moderate Alzheimer's, Frequent Resting and Napping
My husband was formally diagnosed with Alzheimer's in the summer of 2019. I noticed his inability to use the right words two years prior and a withdrawal from social activities, like playing chess, etc. He was on donepezil for a couple of years, without side effects. His short-term memory has worsened lately. The neurologist took him off donepezil and put him on a low-dose antidepressant. Before starting the antidepressant he rested a lot and napped throughout the day. This continues now. He does still help with chores around the house, but chores tire him out and he rests after. His blood tests were good. The neurologist told me that frequent napping is part of this disease. When I've told him he spends too much time in bed, he's gotten upset with me, so I just let him be. He also sleeps at least nine hours a night. He did tell me he's less worried about things on the Citalopram. Has anyone else faced this frequent resting or napping with the person in their care? Are there any solutions or do you just let it go? Thank you.
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@shirleymac, thank you for sharing. I look forward to your post after you speak to the neurologist.
Hello teacher502, My husband has been diagnosed MCI due to AD. We participated in the Mayo Habit program a year ago. From that contact we are a part of alumni support groups. From a lovely woman who’s husband, like yours, has LBD we’ve learned so many clever accommodations for what she experiences. One such tip that might be useful for you is that the two start out in their bed together being sure th end the day cuddling and sharing embraces. Then he sleeps on a mattress laid on the floor next to her side of the bed. This has prevented the nighttime thrashing and injuries she used to sustain.
Hi Georgeaw, welcome to the group. As a HABIT alumni, you’ll have plenty to offer others in the group. You may also wish to follow the Living with Mild Cognitive Impairment (MCI) blog, written by the HABIT directors. See here: https://connect.mayoclinic.org/blog/living-with-mild-cognitive-impairment-mci/
What was you biggest a-ha moment from the HABIT program?
I have trouble getting my wife up in the morning to give her a high proten breakfast. The verbal responses get nasty. After some verbal fisticuffs she finally gets up. How hard do I push this? After she is up, everything gets better fast.
Hi, @goodold I know every patient is different but in my wife's case I let her wake up and bedtimes slip to what she was most comfortable with.
I remember her neuro doctor telling us that the brain worked much harder when broken and it was only during periods of sleep that it could try and 'rewire'. With this in mind, I let her kind of dictate her daily wake-up, nap, and bedtime routines.
Strength, Courage, & Peace
@goodold Welcome to Mayo Clinic Connect! I’m glad you found this site. How long have you been caring for your wife? What other problems do you have that the members could help you with?
Thank you for your reply! How do you get anything done? My wife will sleep until afternoon and stay up until 2 or 3 AM. With those hours, I'm afraid to leave the house with her asleep. Then I poop out after midnight. She also has a very leaky bladder. And that causes lots of washing/dryer cycles a day. They want to put a device in her back in hopes it will reduce massive leakage. I'm resisting because I don't really want to cause her more disconfort.
Thank you for the question. I'm the primary care giver. She has been having memory issues for over 2 1/2 yrs now. We are now in a retirement home. She seems to have memory cycles. Last week she was almost her old self. This week is the worst yet.
She has almost no blatter control That causes lots of; "Go to the restroom." "No, I don't have to go so NO." And that causes many cleanups and waskings/dryer/cloths foldup cycles. We go through a lot of pads. She forgets to use the pads. I have to keep a close tab on that.
Good morning, @goodold Regarding getting things done, I had to alter my schedule and began to let nonessential chores fall by the wayside. I quit ironing, did laundry daily - often at midnight, and as I like to say began to see dust bunnies as pets rather than something that needed my attention. My sleep patterns also changed dramatically. Again, for me, just another life change due to the demands of being a caregiver.
We also changed to pull-up adult diapers for my wife. It was a sad transition but after earlier having my dad ask me to help him put on his diaper, it was just another change in caregiving demands. I also got a waterproof mattress cover as well as waterproof, very thin disposable pads for under my wife when she was in bed.
Every patient is unique but my wife, very early on, decided she valued quality of life over longevity and that guided our decisions for her care. We used this as our litmus test for whether or not to undergo certain procedures, changes, etc.
I'm always happy to answer any questions.
Strength, Courage, & Peace
Just a heads up. Amazon sells reusable bed pads at a cheap price. I bough a package of 4 cloth pads that have worked very well. I have to wash one almost every day. But that is an easy job as I need at least one washing a day any way.