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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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I am having a hard time with this. On one hand, it explains much of my childhood. On the other, this is a highly educated high functioning peep, prior. We are still not sure of time line of prior. We had our care plan meeting today. Any insights?
Thanks all. I had to take a break from this. An extended one. Did the delusional disorder pre date ALZ? Who knows. I took some time to think about your responses. And I thank you for them. Love this forum. You guys give me strength when I am at empty. Thank you so much, more than you know.
Segoline, I suppose there are two trains of thought involved in your question.
One: what implications would this additional diagnosis have for your parent's care going forward?
Two: what impact will this new insight into your parent's psychological makeup have on your feelings about your own and your family's history, and towards your parent now?
I don't know any of the answers to either question; but I would try to keep the questions separate - try not to let any stressful emotions about the past influence any decisions you have to make now on your parent's behalf. It is harder to do than you might think, so just be conscious of the issue.
Are you asking if you think your parent exhibited symptoms of schizophrenia prior to the Alzheimer’s diagnosis? Hope the care meeting was productive. Unless you are trying to determine a timeline for relevance to predict what issues you or your children may develop in your older years or for genealogy, I agree with JoAnn, that answer may be unobtainable. Often schizophrenics are very intelligent. But I speak from personal experience- I have a family member who is schizophrenic and while he can fool you at first, on continued conversations the delusions are apparent. As far as high functioning I know that my family member is not able to work or hold a high functioning job even though imo he is very smart. His thought pattern and memory are too scattered which affects his concentration, and he is quite delusional. I often wish mental illness could be treated successfully like hypertension but unfortunately it’s not to be.
Sego, are you saying that with this diagnosis, you understand your mother's personality better? People with delusional disorder , when the delusion is confined to a specific are, can generally carry on quite well in life.
Sometimes it's hard to know what part is dementia and what part is a psychiatric disorder (i.e. schizophrenia)...my mom suffered from schizoaffective disorder which caused symptoms like paranoid schizophrenia (hallucinations and persecutory delusions). In her case, it seems like the hallucinations started after a diabetic coma and TIAs in 2011. I'm not entirely sure that a lot of it wasn't some form of vascular dementia, as she too was always high functioning prior. They did diagnose her with dementia last year, but scans never revealed the exact cause.
However, further complicating things in her situation were both a family history of schizophrenia and Parkinsons on her dad's side, so it was hard to know if the brain damage unmasked something already underlying or if it was the cause.
It would probably be best to see about getting your parent referrals to both a neurologist and a geriatric psychiatrist if you haven't already. Between them, they can decide which meds would be most appropriate for her particular diagnosis, and can run tests and do evaluations to try and determine the best treatment plan.
Maybe I am not understanding the question. Does it really matter how much prior? The person now has ALZ and maybe its heightened the delusional disorder?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Did the delusional disorder pre date ALZ? Who knows. I took some time to think about your responses. And I thank you for them. Love this forum. You guys give me strength when I am at empty. Thank you so much, more than you know.
One: what implications would this additional diagnosis have for your parent's care going forward?
Two: what impact will this new insight into your parent's psychological makeup have on your feelings about your own and your family's history, and towards your parent now?
I don't know any of the answers to either question; but I would try to keep the questions separate - try not to let any stressful emotions about the past influence any decisions you have to make now on your parent's behalf. It is harder to do than you might think, so just be conscious of the issue.
Hope the care meeting was productive. Unless you are trying to determine a timeline for relevance to predict what issues you or your children may develop in your older years or for genealogy, I agree with JoAnn, that answer may be unobtainable.
Often schizophrenics are very intelligent. But I speak from personal experience- I have a family member who is schizophrenic and while he can fool you at first, on continued conversations the delusions are apparent. As far as high functioning I know that my family member is not able to work or hold a high functioning job even though imo he is very smart. His thought pattern and memory are too scattered which affects his concentration, and he is quite delusional.
I often wish mental illness could be treated successfully like hypertension but unfortunately it’s not to be.
However, further complicating things in her situation were both a family history of schizophrenia and Parkinsons on her dad's side, so it was hard to know if the brain damage unmasked something already underlying or if it was the cause.
It would probably be best to see about getting your parent referrals to both a neurologist and a geriatric psychiatrist if you haven't already. Between them, they can decide which meds would be most appropriate for her particular diagnosis, and can run tests and do evaluations to try and determine the best treatment plan.