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The smell is really bad. Please advise me because no one at all is helping her and I feel that she will only get worse. I need to help her but i don't know how to get her to let me

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Yes your relationship makes a difference. If you are a neighbor or friend, perhaps contacting her extended family first? Then senior services? There is no reasoning with a mind that isn't running on reason. Maybe have a tea party with some Traditional Medicinals Tea? or Sleepytime Tea? Then when she's napping, you can at least do her laundry. Maybe she is too poor to buy diapers. They are really expensive. You could get some and donate them to her.
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There could be more than a few issues here. It doesn't sound as if anyone is a caregiver for her, so it might be that (a) she's lost in dementia and doesn't realize she needs to be clean (b) she's physically just not able to take care of herself.

Who hired you to clean? Is that the son, or the woman? If it's someone else, perhaps you could raise the issue with them. Have you spoken to the son to see why he hasn't gotten help for her?

Who's taking her to see her doctors? Perhaps that's the best person with whom to discuss the situation.

I think you're kind to be concerned. My first thought would be to involve APS, but I really hate to see that done for someone with Alzheimer's; she might end up being scooted away to a facility and suffer even more confusion than might already exist.
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Corey, what's your relation to this woman? Are you her caregiver or relative?
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im neither , i have known her for a couple of years and i clean for her 1 time evry 2 weeks , she has 1 son who comes to see her once a week and he must see what a state she is in im not trying to interfear but i dont want to see her like this if i didnt think i could make her feel better then i wouldnt bother , should i just be honest with her ?
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I don't think the woman will be receptive if she has Alzheimer's.
The son may not want to acknowledge that his mother needs assistance, but choosing to ignore it, is not the best strategy. Let the son know that you are concerned for his mother's safety and welfare, and ask if he has brought her to the doctor or has arranged for her care. If he is not responsive you can call Social Services - Adult Protective Services who will investigate neglect and elder abuse.
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Corey, if your client has Alzheimer's Disease then she needs more support than a weekly visit from her son and a fortnightly one from you. Isn't anybody else involved in her care at all? It's good of you to take an interest - and lucky for her that somebody does! See what you can find out about her support network. If it's really non-existent, it would be appropriate for you to report your concerns to your local older people's social services. Don't be worried about doing this, they won't just barge in but they may want to do an assessment of her living conditions which they can then discuss with her son or other next of kin.
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