Needing advice on aging parent

Posted by januaryjane @januaryjane, May 14 1:39am

First thing is, right now I am not in a position for any legal routes to pursue...so I'm not asking about getting POA or anything like that.

My mother who is 70 has been on a decline for many years. She is still married and resides with my father, they are around the same age.
I would like to blame retirement and depression but she started having cognitive difficulties even before she retired.
Her symptoms first presented with chronic sleep issues...they just never got better. Short term memory problems and agitation followed. Misplacing items has become a huge problem. Again, very poor sleep.
Now she's repeating things she's told me more than a few times. Asking me where certain places are she is familiar with(like navigating in the car) and not physically keeping up her appearance.
I am sure there is long term depression underneath that has not been treated properly, mostly due to her unwillingness to address it.
But she seems different, and i have a feeling there's more going on.
I cannot get her to help herself and feel maybe she doesn't have that capacity to do so.
I do worry about her driving, safety reasons.
It's obviously something I've worried over for years but I'm not sure what I can do to help. I do listen and have more patience but I'm very concerned for her mental well-being.
My father is useless. I have one sibling I cut out of my life because of abuse. The only other family she has is her sister whom she rarely sees and she barely does anything social anymore.
She does have tinnitus, arthritis, extreme brain fog,..so these all make it more difficult to communicate with others like she used to. I get that.

I'd just like to help any way I can without pushing her away but wanting to speak up because it's hard to see her suffer and seemed confused a lot.

I'm not sure how to help. She's a shell of a human being.

Do I take a chance and talk to my aunt, whom I'm not frequent with, call my cut off sibling and voice my concerns...that could end badly for me and not sure he would even help.

I need some advice. Thanks

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@amyb5

You said you can’t get her to help herself, have you spoken directly (in a kind way) of your concerns to her? Maybe she would be relieved to know her difficulties are noticed, & feel less lonely? At that point she may be open to having you accompany her to her doctors appointment, & sharing your observations. I’m sorry you & your mother are in this situation. Best wishes.

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Thank you. Yes, I've been open several times, just last week. She knows her poor quality of sleep has affected her but she just keeps saying she's fine.
She keeps getting defensive, I am a good driver, I do a lot of things. I responded She is and yes she does but I'm worried she's running on fumes and when driving her reaction time is slower so it's a safety issue, not personal. I said anyone else would have the same problems related to poor sleep and I just want her to enjoy things, and take care of herself because she's worth it. To put that higher in her priorities is very important. She understood but maybe thinks I'm making a fuss.
It's hard to see someone you love crumble and I'm trying to be there but she really doesn't listen to anyone.

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@dlydailyhope

@januaryjane
I feel for you as I know how hard it is for adult children to deal with parents/in-laws with dementia. My mother in law had Alzheimer’s and I know how stressful it can be for caregivers. I did more of the caregiving because her son (my husband) was in denial and did not want to accept or fully understand her diagnosis and condition. I kept bugging my husband to do more for his mom but he was very slow in getting her in home care before she ended up in a nursing home (she started to wander and my husband and I both worked full time and had a toddler/young child during her diagnosis/decline.

The best advice I have is to do as much research as you can to understand the condition and how best to care for yourself as a caregiver to avoid/minimize burnout/stress. You need to go through a grieving process throughout the disease as you lose more of your parent over time. It is really hard to watch the disease take over the person you once knew.
1. https://www.medicalnewstoday.com/articles/how-to-deal-with-dementia-parent
2. https://www.chaptershealth.org/chapters-of-life-blog/medical-conditions/10-tips-for-dementia-caregivers-expert-advice-from-clinicians/
3. https://www.healthline.com/health/dementia/what-to-do-when-you-think-a-loved-one-has-dementia
4. https://www.healthline.com/health/dementia/caring-for-parent-with-dementia-at-home
5. https://www.carewell.com/resources/blog/how-to-talk-to-a-parent-with-dementia/
6. https://neuraleffects.com/blog/how-to-help-a-parent-with-dementia/
7. https://stagesofdementia.org/blog/how-to-help-a-parent-cope-with-dementia
8. https://seniorsafetyadvice.com/how-to-talk-to-a-parent-with-dementia/
9. https://www.humangood.org/resources/senior-living-blog/how-to-cope-parent-living-with-dementia
10. https://www.healthline.com/health/dementia-change-in-personality

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Thank you. I really needed to hear this.

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@diverdown1

I empathize with your situation. My mother was diagnosed with dementia but it came on fairly quickly. She is 81. My brother lives with her and does what he can for sure. I would suggest asking if you can take her to an appointment. Are you able to contact her doctor and express concern? I know that due to HIPAA, they will more than likely not tell you any information, but you can ask to speak to a nurse and let them know you understand that they can not give you information, but you wanted, as her child, to let them know some symptoms. I had to do that with my mother and my brother took her to the doctor and they scheduled an appointment with a psychiatrist to test her due to her depression and memory problems. Just a thought. Hang in there.

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Thank you for sharing your experience. It eases my anxiety.

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@kudzu

Hi;
It sounds like there’s something more going on here alright; but I wonder if she would get checked for sleep apnea.
You mentioned sleep issues, and I know that can cause a number of other problems like brain fog, depression, moodiness, and nastier things like stroke and heart problems.
Apnea may not explain all her issues, but it was my first thought.
At this point, it might be worth simply having a loving, straightforward conversation with her and see how that goes. Offer to go with her to drs appts. If she’s not receptive, at some point you may need to enlist the help of outside parties, like her dr or social workers, making no attempt to hide it from her.
Best of luck to you; I know how stubborn aging parents can be, and she’s really not that old.

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She found out a few years ago she has sleep apnea. I know she still has problems fighting with the machine and I don't think anyone is really monitoring it well.

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@sharones53

Hi, I was a geriatric care manager for over 25years and, unfortunately, your situation is more common than most people realize. I would suggest that you either call or write a letter to her primary care doctor expressing your concerns. Yes dementia is a possible, even probable cause of her issues but depression and other illnesses can also present with dementia like symptoms. Either way she is dealing with something that will only get worse if not addressed. There is no “cure” for dementia but there are medications that can slow the progression and if it is a different illness then perhaps it could be treated as well. I agree that suggesting that you accompany her to a doctors appointment is a good idea, especially after you have spoken to or written the doctor with your concerns. The primary care doctor can conduct some early testing and perhaps refer her to a neurologist to try to get to the bottom of the problem. There are also support groups for caregivers that can be extremely helpful for you and can offer you other ideas. Alg.org is the official Alzheimer’s association website and lists support groups in your area and perhaps you won’t feel so alone. Your local senior center may also have support specialists that can help refer you to resources. She is very lucky to have you in her life as someone who is noticing these symptoms and willing to try to help.

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Thank you for the advice

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@januaryjane

She found out a few years ago she has sleep apnea. I know she still has problems fighting with the machine and I don't think anyone is really monitoring it well.

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Yes, that’s been my experience. I had to learn as much as I could on my own and try my own changes. It’s the only way way I started to make progress.
Encourage your mom( or you do it with her) to check out cpaptalk.com, Nick the Aussie’s YouTube channel, orapneaboard.com. I’ve learned a lot just from reading and listening.

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@kudzu a you have quite a bit that you are managing. I invite you to check out the Caregiving group which has lots of helpful information. https://connect.mayoclinic.org/group/caregivers/
There is also a group for Caregivers of dementia patients.
https://connect.mayoclinic.org/group/caregivers-dementia/
Both groups are very active and have many helpful tips and tricks!

I would invite everyone in this group to try the two groups I mentioned!!!!!

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@becsbuddy

@kudzu a you have quite a bit that you are managing. I invite you to check out the Caregiving group which has lots of helpful information. https://connect.mayoclinic.org/group/caregivers/
There is also a group for Caregivers of dementia patients.
https://connect.mayoclinic.org/group/caregivers-dementia/
Both groups are very active and have many helpful tips and tricks!

I would invite everyone in this group to try the two groups I mentioned!!!!!

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Thanks so much for the invite; I did look at the sites and you’re right. Who knows, I may need them in the future.
Unfortunately, my caregiving days for my mom are in the past. Right now, I’m a caregiver to my two furbabies only. The memories of my experiences with Mom remain vivid and when I can, I offer sympathy and suggestions.

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@kudzu

Yes, that’s been my experience. I had to learn as much as I could on my own and try my own changes. It’s the only way way I started to make progress.
Encourage your mom( or you do it with her) to check out cpaptalk.com, Nick the Aussie’s YouTube channel, orapneaboard.com. I’ve learned a lot just from reading and listening.

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Thank you. Yes, it is something I'm not familiar with, learning a lot as I go! I pray her doctor pays more attention

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@fala

I have a family member that has some real cognitive decline. She has to have a full time caretaker. Unfortunately, this hired person is not very friendly and does NOT keep her company in any way. She cooks and cleans and goes for walks with her, but is not interested in making friends with her. I talk to my sister on the phone about twice a week and try to find out about her day and who she has spoken with. It helps if I have a joke on hand! Best of luck!

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She left her car on all day until the battery died yesterday. One day while I was there she tried to pick up dry ice from a package, it went everywhere. Fortunately she was ok but I was shocked because I know that's something she would never do.

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