Any suggestions/advice? Or should I just accept this is the way it is and that it will just run it course to the end? My 85 YO mom who was place in a wonderful nursing home 15 months ago (she has mid stage dementia, chronic depression, obsessive/compulsive dissease, COPD, diabetes, chronic anemia and is incapable of most ADLs/IADLs) but can walk a few steps with a walker but only has good use of one arm). She refuses to socialize at all at the home. The home has many activities each day. She won't even get out of bed to sit in the recliner in her room, much less try to do any walking down the hallway.
The nurses, aids, social worker, the geriatric psychiatrist on staff, her geriatrician have all tried everything for 15 months now. My mom, literally lies in bed 24/7, blinds closed, lights in the room off, every meal is taken in her bed (she refuses to go to the dining hall), she often refuses showers when offered, and the TV just blares at top volume 24/7 (she is 80% deaf and refused hearing aids for last decade). She has a private room, so this TV on all the time is allowed.
Her care team does not force things, not that they could force anything (not criticizing them), I know they have tried. She lashes out at me, so I have had to stop calling/visiting. It is impossible anyways as the TV is so loud it is impossible to be in her room much less talk or hear her when I did call. Yes, she is on 2 different Rx meds for chronic depression (depression has been an issue all her life, but it is so much worse now with a "overlay of moderate dementia".) She never did therapy, was in denial for decades about her mental health problems.
I do not feel much guilt at this point, more just empathy (sad) for where this has all ended up for her. I am an only child, no siblings to share or fight over what to do. And my father passed away when I was a kid. My mom has been widowed since she was 35, never remarried. Would be great if she did socialize or do anything to improve her situation, but that after 15 months it obviously is not going to happen. I guess I just have to accept this as it is and things will just run their course until the end.
I am sure others have had to deal with something similar. Any advice or suggestions? Sadly, I am just not able to visit or call her now as I cannot take it, cannot stand to see or experience this utter craziness. I did care for her in my own home for years before this nursing home placement and even in my house it was similar, her "living out of her bed" and refusal to do much of anything.
How are YOU?
Sorry, I have NO helpful advice.
But there is nothing unusual about this. My grandmother, existed this way for months, maybe years (I was a youngster so don't recall how long.) She had good nursing care. There was no TV and she did precisely nothing. Stayed in bed. Ate only cereal with cream. Lived in her own world. She couldn't converse much (probably had Alzheimers, but it was not known then.). Eventually she died, peacefully, in her sleep. Expectations were different then. People accepted this behavior from the very elderly and were thankful if elders were not in pain.
Please don't get me wrong I'm not comparing . We all humane animals have emotions and if you look outside the box for solutions there's more ways to help a situation. I pray this helps,but keep trying even if uour not directly hands on. I wouldn't be able to sit with the guilt of stopping trying. Please reach out to me if you want. I know what your going thru YOUR NOT ALONÈ.
The OP herself should schedule visits around dining and the activity calendar. Tell her that you were so looking forward to seeing the dining room or going to the party that you're going to go look at that yourself if she stays in her room and then do that. The next visit's conversations were about how fun you thought it was.
I do believe that music soothes the soul. If you can muster up a visit, tell her you would like to play some music while you're there. Crank up some classical or jazz or country...whatever she would appreciate. We'll call this music therapy!
my only suggestion is to get a Bluetooth speaker for her TV set so that the speaker can be placed near her head so she can better hear. If it is an older TV set, there are inexpensive converters that can go into the audio output and transmit the signal to a separate Bluetooth speaker.
amazing the results you managed to get.
and amazing all the love, care and attention you give your mother.
hug!! :) :)
I know the feeling of sadness of when I drop him home and watching him walk into the house knowing he's all alone. But, like you I lost every attempt to move him to AL facility. Do I stop being sad, no, but learned to worry about what I CAN control and let go what I CAN NOT.
My daughter worked in rehab/nursing facilities for 20 years. She explained to me that when entering a Nursing facility you are considered a resident not a patient. The State considers this your home and as such you have rights. One right is to not be forced to do something you don't want to and this includes those suffering from Dementia. Yes, like Willy said, there is a routine and most do well with it. But! you cannot force someone to get out of bed, get dressed and out to breakfast. You can't force them to shower or eat. Its their home and they have to be able to have the same freedoms they would have in their own home. You can coax you can't force. Its considered abuse.
If in 15 months your Mom has not shown an interest in socializing, then don't force it. Especially if she didn't socialize before.
'you can lead a horse to water but you can't make him drink'.
Your mother is waiting to die. That's why she remains in bed all day with the blinds closed. When she was with you in your home, she expected to be waited upon hand and foot from her bed. Many elders do this because they believe that if their family basically lives like slaves that they stay in control of the situation and will not get placed in a nursing home.
Your mother like so many other elders when they're placed think the nursing home is the end of the line and they are just waiting to die. They're not wrong. Your mother does not want to take part in activities or even get out of bed because she refuses to allow herself to become acclimated to life in the nursing home.
Is it still possible for your mother to be taken out? Like for a drive? Does the nursing home have an outdoor area where you can visit with her? Sometimes it helps an elder acclimate to their new living arrangements if they know that they will get taken out once a week. Or even that they can visit with loved ones outside and away from the other residents and staff.
You're right, with her dementia, deafness, and depression it's unlikely that she's going to all of a sudden change her behaviors and engage with her surroundings. As you noted, she already had those behaviors living with you. The dementia alone makes it so a person loses their ability to do more than one or two step tasks, and apathy increases. It sounds like she's incapable of more, and this is what works for her with where she is right now.
It's hard seeing. What would your mom have wanted for herself if she knew she'd be in this state? Is it time for hospice?
Your mom is a lot sicker, but there may still be hope. She may eventually forget her passive aggressive protest of not getting out of bed and having people fret and orbit around her. I would let that topic drop. You're not responsible for her happiness and you can't control anyone but yourself. I would work with admin and staff to continue to offer help and opportunities to get out of bed. Do they have visiting musicians and pets? This was helpful and uplifting to my MIL. May you gain hope and peace in your heart!
Some times I am just numb with all of this. Thx again for all the messages of support, advice.