My father, who is 86 who has in the past had an outburst of anger without cause is now having these episodes more often. He doesn't like anyone and calls people names but out in the public appears normal and nice, except every once in a while. I am at a loss of how I can help him. He is not religious so he will not talk to my Pastor. He refuses to see Doctors, Counselors, Psychologists, Psychiatrists, and etc.. He sleeps all day long and stays awake all night long. He is a Vietnam Vet. I know that must have affected him but he refuses the company of fellow Vets or anyone. Everything must be done on his terms or he curses and starts screaming. I am absolutely at a loss. Please help!!!
Tell the doctors the behaviors that you are seeing.
Do you know if you ARE his heir for everything?
You shouldn't be spending your own money on him (paying your grandson for mowing his lawn, building a garage on his property, etc.). If he doesn't mow or get his lawn mowed, then (at least where I am), he will be cited for a code violation and the city will mow the lawn (and it's not cheap). Why not just let that happen?
Yes, he has mental illness issues, but these are not yours to solve. Make sure his doctors are aware.
Thinking of you, Bella
He needs help paying bills. Does he let you help with that?
He needs help maintaining his lawn. You have stepped in and you pay to have it done. What would happen if you didn't do that? If he lives in a neighborhood he would eventually be notified that he must keep his lawn free of noxious weeds and no taller than x". He would either conform or face consequences, right? And if he lives somewhere in the outback with no neighbors to complain, I suppose he'd be providing a nice habitat for all kinds of critters. Does he want your help maintaining his lawn? I imagine that he is very angry that he can't do it himself any more, and not at all gracious about accepting that kind of help.
What other kind of help does he need, in your opinion? Shopping? Cooking? Cleaning?
You are at a loss at how to help him. What is it you want to help him with? Being more pleasant? Not having outbursts of anger? Being more appreciative? To the extent that this might be based on a medical problem, I think all you can do is try to bring it to the attention of medical professionals. I hope that brings some good results.
He still has enough of his social filters in place to behave in public, mostly.
Why do you think he needs help, Sadandlost?
Thirdly, he refuses to see doctors, moreover likely specialists. You said you go to visits with him; that is good; keep doing that! A primary doctor will refer him to a specialist or change dosages to medications, if he deems him a fall risk, in order to reduce his falls from being catastrophic, but the doctor needs to "know" that he has fallen or has cognitive issues, in order to take action. The doctor needs to see a trend of either or both to recommend change, I think. Fourth, he sleeps all day, and stays awake all night. This means his schedule is completely opposite of what any caregiver living with him could manage, I think. Impossible to manage if not living with him 24x7. Changing that schedule is tough to do once it is in place, because it appears that is his current lifestyle that he sees comforting in the past or the present.
Fifth, I think most doctors who treat 80+ year olds know that making too many drastic changes has more of an impact versus keeping them the same, due to lifestyle habits are beneficial, unless routine lab or at the actual visits the doctor readily sees something is wrong. If the doctor is not aware of what actually is going on, then that doctor is on the on the fence as to what he would recommend. Smart patients with a potential disease are smart enough to hide the problems, as in the case of any type dementia. Dementia. Review the "types of dementia" and perhaps you can narrow it down a bit . 6th point: dental hygiene reducing: start with cleaning and xrays at least twice a year; showering less: that is normal, unless he showers at night when he is awake. Showering daily will only occur with full-time caregiving in the home or at a facility, I think. Last point: lawn maintenance: this happens all the time even with multiple kids sharing the load or hiring a person. I think a lot of advisers will tell you if it is his idea, then he likely will be more agreeable. If the house is in good shape, and it is just the lawn maintenance, then figure it out. Since you are only child, you must focus on the health concerns, but I can see it: large lawn, twice the problem of an 5,000 sq. ft lawn that needs weekly maintenance in summer. That is tricky to handle and changes every season of the year.
In summary, increasing follow-up visits to 3/6 month visits instead of once a year should help doctor and you. It can give the doctor a better idea of what changes to make or not, based on health status, but if the doctor thinks he is normal as he was the last visit, then it's wait until the next visit to see if medical care needs to change. Due to privacy laws, patient-doctor confidentiality, you can possibly discuss some concerns with the doctor's clinical/medical assistant who will know what to share to doctor about medical issues: stick to the medical issues only. Doctors are responsible for the patient, not the lawn or house issues, for example. They only have 15-30 minutes to recommend a change, so come prepared, and I don't think you will get a doctor to make a change while you are in the room, unless you have legal authority to do so. One issue that may be worth discussing is: driving. Some 80+ year olds can do it, others cannot when they are mentally or physically unable or have enough medical issues, i.e. heart-related, multiple visits to hospital in last year where a doctor will restrict the driving in order to protect his patient and others are on the road.
Just feedback and hopefully your next approach will work. Good luck!
Anyway... it's not you, and I doubt you'll be able to change him. I don't know any drugs that would be useful if it is his personality. The only thing I can suggest is to decide how much you can do and not to overextend yourself. I bet he loves free labor. :) If it gets too bad, talk to the county about sending in a social worker to evaluate any needs he might have. Good luck!
I was misinterpreting something you said about him not wanting to be involved with doctors.
You can say to the doctor "I'm concerned about my dad's angry outbursts lately." Or you could contact the doctor via letter or fax and explain what your concerns .
I think one of the important things to remember here is that this not personal. It's a disease talking.
Have you ever watched any Teepa Snow videos? She's an awesome professional who specializes in training folks who are caregivers to dementia .
I think one of the important things to remember here is that this not personal. It's a disease talking.
Have you ever watched any Teepa Snow videos? She's an awesome professional who specializes in training folks who are caregivers to dementia .
If he is truly leaving you no option for getting help for this or willing to transition into a new life at a facility, then you might consider seeking a home caretaker that works well with these particular types of patients. They have the training and experience to know what these patients need, and may over time be helpful in providing that his current home transition into a place that won't set him up for these outbursts, by creating an environment that is free from distractions that cause this behavior.
I wish you the best of luck with your dad. I know it is not only hard seeing our parents age, but seeing them act out of character can add a whole new level of hurt.
-The Delegated Daughter
So, it sounds as though your dad is mentally ill in some significant way. You're probably right that this may be service-related in some way, but if your dad is competent, there is not a lot you can do if he chooses not to get help.
It sounds as though you are sad that he is not more generous, both in terms of money and affection.
What are his needs in terms of caregiving? Can he take care of himself in terms of Activities of Daily Living?