How do I help my husband cope with his mother's dementia? She is a strong willed otherwise fairly healthy 88 year old. She provokes "arguing" behavior with him. He spends one night a week at her home since we live almost 200 miles away. If I am with him she is less likely to "argue." She lives alone and insists that she will never leave her house. She will nag him for hours with "I don't want you coming all this way. I don't need you to come. I am not hurting anyone." If I am there I tell her she is hurting him by saying these things to a loving, caring wonderful son and let's talk about something else. That is usually enough to make her settle down, but if not, she just keeps hearing the exact same thing from me. He tries to reason with her, point out why she needs assistance. She fights back and this can last for hours. He comes home mentally, emotiionally and physically (he takes care of her yard and maintenance as well as all financials) exhausted. Any suggestions on how he might deal with this?
Arguing with a person who has dementia just makes matters worse. The Alzheimer's Association has a terrific brain "tour" on their site that can really help people understand what is happening to their parent or spouse's brain. The organization also helps counsel and educate people and offers enormous support.
Both of you would do well to spend a lot of time on www.alz.org and take advantage of the education. Knowing how to handle the person who has dementia can go a long way toward making life more bearable for everyone.
Good luck,
Carol
I do feel that much of your frustration is in having a husband who is being passive-aggressive in his behavior. I'm passive-aggressive myself, and I know how much I can resent things after they happen, even when I was not brave enough to say NO in the first place. '
I think you should tell your husband NO, his mother is not moving in with you; you will help him find a nice facility either near you or near where she lives now, but NO she is not physically moving into your house.
If she really does lose her license from the RMV (DMV?) at least you and your husband are not being the bad guys in that case. But if she doesn't, your husband needs to take her keys away before someone gets hurt! If he's not brave enough to have that discussion, you may have to start the discussion but make it very clear to him that he needs to back you up, no questions asked, no waffling, no "she will be fine."
If she refuses to move out of her house, then really you will have to decide if you need to get Protective Services involved.
Stay strong, skinonna!
The way things seem to be developing, everything your mil feared is coming to pass PLUS it is painting you and your husband into a very tight corner. Elders who have no relatives manage somehow; your mil can manage without you - especially if that continues consistently to be her stated wish. Let service providers do the donkey work of security and protection and negotiating in-home care - all the bits that drive you mad and are difficult to manage at a distance - and you're off the hook. All the best x
I would suggest to husband that he hire (vis moms finances) some in home care however many hrs you can afford. Hire a reputable agency with a good contract that outlines care needs, duties, hrs, etc. suggest that everyone tries this for a couple months and sees how this works out.
Tell husband that your mom needs more skilled care than the two of you can provide and you want to respect moms wishes to retain her independence and remain in her home a little longer. This will work to your advantage while getting you off the hook.
He can still visit one or twice a month to see how things are going. Hopefully mom has the finances to afford.
In the meantime, take it upon yourself to research and visit some AL or memory care facilities nearby. Narrow down and then pick one or two that are a good fit and ask hubby to visit with you and meet with director. Let him see how great they are and how much they have to offer to your moms quality of living and meeting new friends her age in a new place. Give him some time to warm up to it and then he can help mom to adjust to the idea.
Good luck. If you aren't comfortable with mom moving in...then don't do it! I know I won't let my mom move in because I know I won't be happy doing it and it won't be the quality time I want to be able to spend with her as a daughter not a caregiver. I tell her I love her and will work to help her adjust to a home nearby but not live with us.
In two weeks she has a PCP appt. and on the last visit the Dr. told her she has to give up her license or he will call the RMV and they will take it. I expect big fallout from that one!
I am trying to make it clear that although she can come stay with us, I will not be her caretaker. He will have to quit working or at least cut back and take care of her. I will do my part, but I will not do his.
Look, she doesn't have to have the capacity to come up with a reasoned argument for things (let alone the killer argument that will once and for all convince her son that She is Right and He is Wrong - and I've gone a few rounds of that with my own lovely lad) to prove that she has still got sufficient capacity to know where she is and what she wants. She retains the right to have her life arranged as she likes it, as far as that can be ascertained and accommodated (accommodated does not necessarily mean accommodated by you two). I get a bit of a feeling that your husband's battle to move her to a place of safety, while in itself a good cause, may however also be the continuation of a lifelong war. This looks like a battle royale of wills, to me the outsider anyway.
I hope your husband is not tempted, not even for good reasons, to use the dementia as a bunker-buster. All is NOT fair in love and war.
Why are you flogging yourselves up there once a week if she doesn't want you to? It's not often enough to prevent risk, and it's far too often for a 400 mile round trip. It sounds like a sacrifice your lovely husband is making to demonstrate that he loves his mother. Clearly he loves her and worries about her. But the sacrifice is futile, and from his mother's point of view - as far as one can tell - uncalled for.
She "provokes arguing behaviour with him…" Less so when you are there. Mm-hm. And you're sure that when you're not there to referee it isn't six of one and half a dozen of the other?
I think this question has trodden on my corns because, aged 50 and with a wonderful, loving, caring and newly married 30 year old son, I'm imagining being in your MIL's position. My son is my first born. I adored him from birth and still do. But from the time he was physically and verbally able to dispute my authority - i.e. aged 0 - he did exactly that. We can't be alone or in intimate social circles together for more than a couple of hours without the fur flying. Clash of personalities? Hmm, not sure: a client I was on the phone to once overheard the tail end of a "lively" discussion between us - which I closed with "Alexander will you STOP arguing!" - and drily commented "Yes, I can't think who he gets it from." Perhaps it's more that identical personalities can clash very hard indeed.
But your question, of course, is: how can you help him? Well. Somehow, you have got to get him to delegate the house maintenance, practical tasks, safety issues and personal care to people who can support her in her own home. Because that's what she wants, and from what you describe I can't see you've grounds for overruling her. Then you call her, you visit her, you send her clippings and photos and post cards, you take her out on her birthday, invite her to clan gatherings, you build good close relationships with her support network, etc.; and you encourage your husband to treat her more like an individual, a little bit less like the mother he loves but cannot ever hope to convince.
Bring her to live with you? Forget it! You'd go insane; and what on earth makes you think that would be ok with your MIL? Don't you dare. It would be hell for you as a couple, and an outrage to her right to autonomy WHICH SHE HAS NO MATTER HOW CRACKPOT SHE GETS. It's your job to support her in exercising it as she gradually loses the capacity to do so, not to strip her of it for her safety and your - ha! - peace of mind.
What more can you do to help him? Again, discourage exhausting sacrificial trips; encourage celebratory and social ones. Comfort, sympathise, research that support network, and make the tedious calls. But also, see if there are aspects of his mother's personality that you genuinely rather like, and share your enjoyment of those with him. Praise them to him (caveat: praise them to him only if they aren't aspects that regrettably get right up his nose, of course). And the saddest bit, prepare him for the long, hard, slow letting go he will all too soon have to face.
He sounds like a lovely man. She must have got something right! And a lucky man, having you to help him. I'll wish for things to go easy on you all xxx
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