Does anyone have any experience with Adult Day Care facilities?

Posted by jimdianne @jimdianne, Mar 6 6:29pm

My wife is declining, albeit slowly, with her aMCI. I am tiring out. Does anyone have any experience with Adult Day Care facilities? My wife's day is mostly playing games on her phone, doing crossword puzzles, watching tv. She does take walks around our sizable yard during the day. But she does basically nothing away from the house and I need more time with myself, without hurting her feelings. I've just been made aware of Adult Day Care. I know she won't go for that with a name like that but it sounds like a great place for her to socialize and meet new friends, without me. Any suggestions? I'm in the south metro area. Thank you. We are all in this together.

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

@pamela78

I completely understand your frustration. I've got something similar with my husband. Every case is different but the sense of loss of a partner is present however that loss manifests itself. I feel trapped, as if I had a toddler who needs consistent attention. My husband is still functional but his decline is apparent and increasing. We're seeing a neurologist on Friday, when I hope to get some answers. If she tells my husband to stop driving, our lives will change drastically and not for the better. I guess it's time to look into senior daycare again. I dread bringing it up because I know my husband will resist. Doing arts and crafts or exercises with twenty-something kids leading a group is definitely not his thing. He wants to tell his stories over and over and over. He could do that at a care center and people would listen to him and probably forget they'd heard the stories before. That happens now at his favorite coffee shop. He would hate to give that up. Maybe I could convince him to alternate days. There's a thought.

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Though there is a lot of overlap in cognitively impaired symptoms, they certainly are not all alike and we have to individualize our approach, often based on trial and error to find what works best (or causes the least resistance or agitation). While learning new skills is difficult (or impossible) for the cognitively impaired, long learned activities (like driving or playing a musical instrument) may be retained long after short term memory loss manifests. My wife still drives safely in a familiar path from home to beauty salon and a nearby Walmart. While I would not allow her to drive at night or to an unfamiliar location or to get on the interstate highway, I'm okay with her short trips where her maximum speed is 35-40 mph. I believe she would voluntarily give up driving if she had a significant accident or got lost.

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This is very helpful. I have the same approach with my husband. He knows his familiar routes very well and is, as far as I know, careful. I drive longer distances and we both try not to drive at night. I keep being told to stop hubs from driving but, as you say, it's one of the things he still seems to do okay.

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I’ve read about how the brain signals malfunction with cognitive decline. Things don’t work normally. It’s not just a matter of forgetting something. Other faculties are also affected, like response time and direction. That’s why you see in the news where the driver got the gas and brake confused and drove the car into a building. Or, they got the gears confused and put the car in drive instead of reverse. There is often also misjudgment of distance, which can result in them hitting something with the car. The risk this type of confusion can occur is substantial, when they are at the wheel.

I think because they may be lucky and not hit anything it gives a false sense they are ok driving. It’s something that I chose to step in about after my dad had a minor accident (his fault) and then said he got lost on the road. He kept his license, but we took the keys and under no circumstances is he allowed to drive. His anger over this is a nonfactor. Safety first was more important. Here’s a link about it.
https://www.nia.nih.gov/health/safety/driving-safety-and-alzheimers-disease#:~:text=In%20the%20early%20stages%20of,person%20should%20give%20up%20driving.

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@lmr23

Not sure what state you’re in but Evergreen Adult Senior Center in Stamford, CT is a great place.

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Thank you but we are in Minnesota.

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@pamela78

This is very helpful. I have the same approach with my husband. He knows his familiar routes very well and is, as far as I know, careful. I drive longer distances and we both try not to drive at night. I keep being told to stop hubs from driving but, as you say, it's one of the things he still seems to do okay.

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My wife is the same. I have taped a "cheat sheet" next to the Nav screen in our car. If she feels lost she just needs to follow the instructions to get home from anywhere. She has used it and has thanked me for it. I also have a tracker on her cellphone so I know where she is at all times, unless she forgets her phone. Our car also has a tracker and my Ford App shows me where the car is at all times.

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I was told, early on, that if I drove and had an accident or even a fender-bender, that police could ask about my health. (I have an autoimmune disease that impacted my brain). At that time I would have had to say that I had a brain injury. I didn’t drive until I felt safe and another person evaluated my driving. Now I’m okay but anytime I don’t feel so great, I don’t drive.

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