Introductions: Are you caring for someone with dementia?

Posted by Scott, Volunteer Mentor @IndianaScott, Aug 30, 2016

My mother-in-law (MIL) had what was finally determined to be frontal temporal dementia. She had the disease from her 60s until she passed away at 86. My wife was especially involved in her mom's caregiving due to some serious denial in other family members and a GP who refused to diagnose, even when significant deficits were obvious (mistaking the UPS deliveryman for her husband and not knowing the difference between roads and sidewalks). The most unfortunate result of this, to me, was the lost time when my MIL and her family could have been having meaningful and important discussions about significant matters of importance to her and them.

In my wife's years of fighting her brain cancer, she, too, exhibited many of the aspects of mental degradation and physical losses one would affiliate with a dementia patient.

As an aside, for several years I worked for the national Alzheimer's Association raising money for their research programs nationwide.

I wish everyone struggling with this disease and their caregivers and families strength and peace.

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

@vimarbarr

First time post here but I have been reading the forums for a bit. My Mom was diagnosed last year with dementia and early Alzheimer's. She had lived with my husband and I for years but the amount of care and oversight increased significantly as the illness progressed. I learned what I could from forums and friends that had been caregivers. I did keep in mind that the disease affects people differently. I had to take over Mom's medication after she double dosed herself and ended up in the hospital. She became very apathetic toward everything not wanting to leave the house, bath or even eat regularly. She still recognized people and said she was homesick and wanted to go home to see family and friends. I was able to organize with my siblings and get her home. She passed a couple weeks after I was able to get her home. She was hospitalized with a severe kidney infection. She then had a massive stroke or heart attack. The physician said she had the infection for a long time. This news hit me like a ton of bricks. How did I miss it? Was I not paying enough attention to her? She never complained of pain. It was after that I learned some dementia patients do not register pain like everyone else. She had the kidney infection but was not saying anything about pain or discomfort so I thought she was doing well physically. How does one manage that part of the illness when pain is a sign of something wrong but your loved one does not feel the pain or does not know to tell you.

I so appreciate this forum and the support given. Much pray and hugs to caregivers of those with this disease. It is very draining of energy and spirit to watch someone go through.

Jump to this post

Hello @vimarbarr and welcome to the Caregivers: Dementia support group on Mayo Connect. I am so sorry for your recent loss.

I would ask you to be gentle with yourself. I have no doubt that you did the best you could under the circumstances. I'm sure that neither you nor your mom could have known the extent of her infections. It just wasn't something visible or known and that is not something that you can be responsible for.

Alzheimer's has a way of taking away from the patient the ability to feel and understand what is going on with them. It is unfortunate but part of the disease process.

It would be good to find something that you can do to take care of yourself now. Perhaps some counseling would be helpful for you to put the past few years of caregiving in perspective? What types of support system is available to you?

REPLY
@vimarbarr

First time post here but I have been reading the forums for a bit. My Mom was diagnosed last year with dementia and early Alzheimer's. She had lived with my husband and I for years but the amount of care and oversight increased significantly as the illness progressed. I learned what I could from forums and friends that had been caregivers. I did keep in mind that the disease affects people differently. I had to take over Mom's medication after she double dosed herself and ended up in the hospital. She became very apathetic toward everything not wanting to leave the house, bath or even eat regularly. She still recognized people and said she was homesick and wanted to go home to see family and friends. I was able to organize with my siblings and get her home. She passed a couple weeks after I was able to get her home. She was hospitalized with a severe kidney infection. She then had a massive stroke or heart attack. The physician said she had the infection for a long time. This news hit me like a ton of bricks. How did I miss it? Was I not paying enough attention to her? She never complained of pain. It was after that I learned some dementia patients do not register pain like everyone else. She had the kidney infection but was not saying anything about pain or discomfort so I thought she was doing well physically. How does one manage that part of the illness when pain is a sign of something wrong but your loved one does not feel the pain or does not know to tell you.

I so appreciate this forum and the support given. Much pray and hugs to caregivers of those with this disease. It is very draining of energy and spirit to watch someone go through.

Jump to this post

Hi @vimarbar, I remember my dad, who had dementia, once had a tooth extraction and did not have anesthetic because he didn't feel any pain.

Recently, I told my husband (moderate Alzheimer's Disease) that he was going for an eye exam and he said, good, he was having trouble with his right eye. He never mentioned it before and after the exam, we found out he needed a cataract extraction as he could see nothing. I had no clue! His vision seemed fine to me and he never complained about it.

As caregivers, we do what we can, but we can only do so much with the information we have. You were giving your mom the best care you could, and the disease derailed it. Don't blame yourself for not being vigilant enough.

REPLY
@debbraw

Hi @daisy2011 - I'm Debbra. My husband was diagnosed with Mild Cognitive Impairment, which seems to be progressing toward dementia. I totally relate to your loneliness. For me, the erosion in emotional connection is the hardest part. My heart is going out to you. Stay here on Connect. it's a great antidote to lonely evenings! Is there anything you do to be less lonely? Visit with friends? Call family? I'd love to hear what helps for you. For me it's calling two friends: one to keep my husband company and one to keep ME company - separately!

Jump to this post

It's hard for me, especially at night, to be alone. My wife has lived in a memory care facility since July. I can take care of all my physical and environmental needs, but the absence of human companionship, even if it's not very high quality, is hard. I am shy by nature, and have a hard time reaching out to people. My wife and I moved into a large condominium building about 2 1/2 years ago, and her condition kept me busy with her almost constantly. I have made some friends here, but they party a little harder than I can tolerate physically, although they're nice people and want to include me. I don't have children, and sometimes feel that my life has lost a sense of purpose, although I do a lot of volunteering in the community. I guess I should try to engage with my imperfect friends and in activities that I'm not very interested in, like going to church, just to be around people more often. Any other suggestions? I am close with three sisters and stay in touch with them via Zoom, phone, and texting, but they also have their own lives.

REPLY
@hopeful33250

Hello @vimarbarr and welcome to the Caregivers: Dementia support group on Mayo Connect. I am so sorry for your recent loss.

I would ask you to be gentle with yourself. I have no doubt that you did the best you could under the circumstances. I'm sure that neither you nor your mom could have known the extent of her infections. It just wasn't something visible or known and that is not something that you can be responsible for.

Alzheimer's has a way of taking away from the patient the ability to feel and understand what is going on with them. It is unfortunate but part of the disease process.

It would be good to find something that you can do to take care of yourself now. Perhaps some counseling would be helpful for you to put the past few years of caregiving in perspective? What types of support system is available to you?

Jump to this post

Hi Teresa,

Thank you for the words of encouragement. The loss is recent so the sting is still fresh. I am considering what avenues I have for support outside of my husband, family and friends.

Thank you.

REPLY
@tsc

Hi @vimarbar, I remember my dad, who had dementia, once had a tooth extraction and did not have anesthetic because he didn't feel any pain.

Recently, I told my husband (moderate Alzheimer's Disease) that he was going for an eye exam and he said, good, he was having trouble with his right eye. He never mentioned it before and after the exam, we found out he needed a cataract extraction as he could see nothing. I had no clue! His vision seemed fine to me and he never complained about it.

As caregivers, we do what we can, but we can only do so much with the information we have. You were giving your mom the best care you could, and the disease derailed it. Don't blame yourself for not being vigilant enough.

Jump to this post

Thank you Teri,

I appreciate you sharing your experience and encouragement. I hope I can offer some support to others being care givers to loved ones. It is such a confusing disease for all involved.

REPLY
@fleetwoodiv

It's hard for me, especially at night, to be alone. My wife has lived in a memory care facility since July. I can take care of all my physical and environmental needs, but the absence of human companionship, even if it's not very high quality, is hard. I am shy by nature, and have a hard time reaching out to people. My wife and I moved into a large condominium building about 2 1/2 years ago, and her condition kept me busy with her almost constantly. I have made some friends here, but they party a little harder than I can tolerate physically, although they're nice people and want to include me. I don't have children, and sometimes feel that my life has lost a sense of purpose, although I do a lot of volunteering in the community. I guess I should try to engage with my imperfect friends and in activities that I'm not very interested in, like going to church, just to be around people more often. Any other suggestions? I am close with three sisters and stay in touch with them via Zoom, phone, and texting, but they also have their own lives.

Jump to this post

Just brainstorming here...

Have you got an old hobby you had to set aside? Maybe you could pick it up again.

Join a book club? Cooking club? Are you a fan of a sports team? Collect anything?

What kind of volunteering do you do? Any possible social contacts through that?

Could you mentor someone?

You never know where it can lead. After having a stroke, I learned that people found my recovery story rather compelling.

In the past few months it has led to an interview on a national podcast (https://www.youtube.com/watch?v=0w3W8ekJdZk), a series of self-produced series of videos (https://www.youtube.com/@srlucado/videos), and even an invitation to speak at Texas Christian University (TCU).
And I'm just getting started.

Good luck!

REPLY

Dealing with a lot of stress and anxiety caregiving a 72 year old spouse with what I see as late middle stage dementia. Cannot get a doctor's diagnosis and my spouse refuses to let me accompany her to medical visits so I operate totally in the dark. It's incredibly lonesome except for my dog--I think they just put her on Rexulit but she is hiding it from me and now can't remember where she hid it. Evil disease

REPLY
@ultrajko

Dealing with a lot of stress and anxiety caregiving a 72 year old spouse with what I see as late middle stage dementia. Cannot get a doctor's diagnosis and my spouse refuses to let me accompany her to medical visits so I operate totally in the dark. It's incredibly lonesome except for my dog--I think they just put her on Rexulit but she is hiding it from me and now can't remember where she hid it. Evil disease

Jump to this post

@ultrajko Would it be possible for you to write a letter to her doctor and explain what goes on at home. Explain about her forgetfulness and misplacing medications. Not taking medications could be serious. Ask the doctor to tell your wife that it’s important for you to accompany her to appointments. He/she needs to explain/talk to you also.
Would this be worth a try?

REPLY
@becsbuddy

@ultrajko Would it be possible for you to write a letter to her doctor and explain what goes on at home. Explain about her forgetfulness and misplacing medications. Not taking medications could be serious. Ask the doctor to tell your wife that it’s important for you to accompany her to appointments. He/she needs to explain/talk to you also.
Would this be worth a try?

Jump to this post

Without being rude, I think they have written it off as not very profitable. I have hand delivered detailed letters about her issues, begged them to help make sure she can't drive (I have hidden the keys now) and they know she has dementia. Yet, they hand her the meds, won't even give a short phone call to tell me how she is doing and act like the dementia diagnosis doesn't exist. Hard to put up with a husband needing information during the "magic 15 minutes every six months" that is our medical system!

REPLY

No, I can't switch her doctors! Her primary care physician was regarded as a personal friend until the dementia set in and the concern level plummeted! My spouse won't even consider using someone else and I can't get her Covid and flu shots at the drugstore; she is convinced that her doctor will take care of that which, of course, does not happen. I have tried to talk her into getting the shots at CVS but it just results in a rude response that her doctor takes care of that! She was hospitalized last week for high blood pressure and heart rate (likely due to refusing to take her meds) and I notified her PCP about the situation. Nothing, Nada, Zilch...not even a courtesy call to see how she was doing. I'm stuck with this one which just adds to the anxiety level!

REPLY
Please sign in or register to post a reply.