My Mom has always been pessimistic - she can think of the worst scenarios for a sunshiney day. Very negative. She is great for being 85. At her Home, she has musical programs, activities 2-3 times a day every day, personal care givers, beautiful room, everything she needs and more. She's 9 months in her 'Home' having fallen at home with my husband and I. The doctor's diagnosis from the Hospital put her in the Home to keep her safe as she has dementia (and did start fires on the stove at home). She is jealous of her neighbor's attention from the caregivers - the woman can't do anything for herself so 4 aids get her up and ready in the morning. My mother can go to the bathroom, get dressed, make her bed, move in her wheelchair anywhere in the Home - her poor neighbor can't do any of that - yet my mother scorns the attention her neighbor gets. My Mom was also angry about having to 'help' the 101 year old woman at her breakfast table opening her butter!!!! She said the people there are idiots and 'she's not' - very much lacking compassion for these ladies who have been nothing but nice to her. She says she wants out of the facility yet won't go when we try to take her somewhere. Underneath I know she is angry and wants to be home where my husband and I took care of her every whim for 10 years and I for the 20 years before my husband. We quite our jobs and moved in to help her as she has macular degeneration also. One day she is laughing about winning bingo that she wouldn't play previously because of her macular degeneration and the next day she wants God to take her and can't stand the 'sensations' in her shoulder (post surgery nerve damage and then shingles in the past). I don't go running because she will just puppy down with that - if I gave in and ran over there at every call - she would never have tried the Bingo which she has to start taking part in things for her own good. Whatever she does her stimulus is ANGER. She can't do ANYTHING good with a healthy and positive reason. She has a 'church' face and then the 'truth'. Does anyone else deal with a manipulative emotional blackmailer type of parent? My mother was totally codependent on us and me specifically her whole life. She always has to have someone to 'step' on to feel good - she doesn't know that everyone can be on the same level. Also she has no esteem and needs her 'stuff' - jewelry and all - to feel 'better than'. She lives for compliments and has an extremely shallow outlook. She has no off button - if you feed into filling her 'void' with compliments, gifts and attention, it doesn't last - it's a black hole with no bottom. Now, with the complication of her memory and perceptions - she is just in a dither and keeping herself stressed out and anxious. The nurses give her meds and let her eat in her room and stop in to talk - she has a psychiatrist visit every week - has depression and anxiety meds....she is determined to be miserable and just stays constantly 'anxious' and 'stressed' and changes like the wind if the minister stops in for a visit so this is how I know it's somewhat contrived for my benefit to keep me upset and in line. If it was real - I would fly there and move in if need be - however - I know it will do more harm than good and she will then continue her poor behaviors like she's been 'confirmed' - I, therefore, don't 'jump' or call the nurse or anything and she needs to deal with her attitude and damage she's done all by herself like an errant child or she'll never be any better. Thanks for listening. I know what's right - I have has IBS, heart issues, muscular back issues and shoulder surgery over the past years so am trying to manage the stress so do not want to succumb to her exaggerations babying her or she will never 'grow up' and start to adjust healthfully. Anyone have info on how you respond to this kind of stuff?
If you can detach or remove yourself a bit from the constant exposure and realize that you cannot make her happy or content, you will feel much better.
Good luck and hugs to you.
Both my mom and dad were very negative. Naturally, after he passed and she become more stricken with dementia, it got worse. All I can say is, the correct medications have changed our lives...and the medications are:
Citalopram 20 mg. for depression, and
Risperdone 0.05 mg. for delusions.
Oh, let me tell you about those delusions. They were not fun and all directed at me--who else was there? ( no sibs). My mother said such awful things about me to the other residents at the AL that they were all recommending to her that she call her lawyer. They stared at me when I arrived--the ones who remembered anything. Now, after the senior behavioral clinic and correct meds, she is peaches and cream every day!!!!!!!!!!!!!!!!!!!!!!!
As I have mentioned before, I thank the doctors daily who gave this to my mother. We have nice visits because of these medications and for no other reason.
Basically going through the same thing but at home. Nothing we say or do is ever enough or good enough. Negative all around and wanting to bring everyone down to her level, bringing others down actually makes her feel better. Crazy, right??? Anyway to get attention is a good way from not showering to leaving whatever kinds of messes she can around the house for others to have to clean up. She can shower herself, she just won't and she knows where the trash can is but won't use it. She knows it makes people upset and knows if she keeps doing it she will get attention through confrontation.But let someone come over that does not live here and she is like night and day or better yet go to a doctors appointment and she is fine and dandy. I'm convinced she knows exactly what she is doing. Trying to manipulate situations to get what she wants at the moment.
I refuse to live like that so I do not respond to any of it anymore. I do what I have to do as far as cleaning or care but I just do not say anything about anything that does not have to be said.
Well, dementia, memory loss, alz. Is there ever clear diagnosis?
She is great and no bad reactions.
So while one set of meds works for one there are no guarantees at all.
What I would say and it is really hard to do is detach yourself as much as you can and go visit when YOU want to. Remember she may need help you may be offering help but ON YOUR TERMS. If she is rude to you walk away you don't have to put up with it. Narcissism is a beast that can only occur if you allow it - that said I have allowed it so don't think I haven't a clue....I've fed the beast for years and now reap the consequences and they aren't easy either. You DON'T have a DUTY to care for your Mum you do have a choice and it is OK to choose NO. You just have to live with your choices. Being the coward that I am I chose yes because I can't live with the alternative - this would be breaking a promise to my Dad and I really couldn't live with that. So sit back consider what you are going to accept and make a decision and stick with it. Good luck because none of this will be easy at all xxxxx
We become what we absorb. Hence, if we have a Standard American Diet (meaning focusing on high-carb processed foods), we become mentally and physically ill. If we dwell on negative thoughts, we become negative even with the best diet.
If you can, you might try to get her to make some dietary changes. Maybe she can take more fish oil, and put butter, olive oil, and coconut oil on her food. You’d need an enlightened nutritionist to back you up; I don’t know if they’re available where you are.
Yet if she’s determined to be self-absorbed and pessimistic, it’s unlikely she’ll improve.
But at least you can take care of yourself! Eat your good natural fats (not trans fats). Reduce your carbs. (Look up the ketogenic diet – it’s helped many people.) You can deal with stress better if you’re physically and emotionally stronger. Blessings to you.
I don't really have any miracle message for you. Just do what you have to for yourself, and maybe if your view of her changes, you will find a way to connect with her on a loving basis. Prayers and hugs to you.
The simple fact is, when certain people deteriorate and decline with old age, they cannot function like before -- or like the rest of us. Alzheimers affects cognizance, perception, manners, socializing, even reason. In some elderly, their formerly negative tendencies get hugely magnified, and they don't have the social sense to hide them. Be patient, loving and charitable with your mom. She's declining and she knows it probably. And it's scary to her. We don't know how we'll each decline and what we'll be like when we're close to dying. All you can do is love her and reassure her. I found that for my elderly dad, when I brought our priest to him to talk with him, give him the sacraments, and represent that Christlike presence to him, it was greatly affirming to him. I, too, took care of my dad for 8 years in our home before a serious hospitalization for sepsis forced us to put him in nursing care.
I even got him to go to day care three times a week and he likes them and they love him. Talk to your doctor.
I hope you can find so some peace in all this. Don't make yourself ill or you will be in worse shape than her.
1) "I want to go home!", "I'll walk home soon if no one takes me", "This is no place for me.", "What's wrong with my home?", "Its ridiculous to have a home and not be there!" - I answer: "I know grandma...I want to go home too." (She thinks I am traveling more for work now) "How about we go home when (the weather is better, so-and-so is back in town, the swelling in your legs goes down, doctor bills are paid off, etc.)... for now let's go for a walk. Then just get up and walk, knowing she'll follow. All the time I talk about other things, such as the facility cat, the clouds, the green grass, current events, family happenings. (Validation & Re-direct )
2) "No one does nothin' 'round here. No one talks to me. Everyone sleeps." - I respond with: "I know grandma...not everyone can be as active as you. Let's go for a walk and talk to some of the other residents." Then we go and she follows and I meet and talk with the other residents and do the introduction between her and others and we all talk about anything and everything. (Caregivers know by now that a person with dementia can be doing something every waking minute...though due to their condition, they will not remember what they just did...and unfortunately feel like they have done nothing.) The other residents with lessor degrees of dementia really appreciate me talking with them. My grandma asks each time how I know "these people". ;-)
3) "Why am I still here (alive)? This is nuts!" or other anger issues. - I just try to do the validate and re-direct method again. "I know grandma (give her a hug). How about we go play the piano?" Then just go towards the piano and tell her I want to hear her play. Even when she says: "Okay, that's enough, no one wants to hear my noise!." I just tell her that I do...Its important to me...that others do, that she plays beautiful music and I want to hear more." That usually gets at least 5 more songs outta her. ;-) 5 more songs worth of her being content, 5 more songs worth of her mind being at the age when she was happier, 5 more songs where I don't hear "I want to go home NOW!" ...and I again re-setting to remember to just validate, then re-direct. Continued best!
It was the hardest time and very rough, but I rejoice in the bits of laughter we had, loved seeing her laugh.
For the most part, everything I did was wrong, according to her. They are having a hard time adjusting to the fact that they CANNOT take care of themselves.
In the last year, she went to live in a residential home. She acted the same as you mother.
Now my father in law is going through the same. Acting the same as you describe, the same as my gram.
One thing I noticed that I'd like to tell you, is that both my grandmother and my father in law were given the TWO dementia drugs Aricept, and Namenda.
The U.S. Food and Drug Administration (FDA) has approved two types of medications — cholinesterase inhibitors (Aricept, Exelon, Razadyne) and memantine (Namenda) — to treat the cognitive symptoms (memory loss, confusion, and problems with thinking and reasoning) of Alzheimer's disease.
Neither my Father in law nor my grandmother had Alzheimer's they both suffer from dementia.
Those medications caused BOTH of our family members worse emotional pain. They caused delusional thinking. Both of them even had hallucinations.
They also gave my FIL Ambien! Everyone in the family thought he was AWAKE ALL THROUGH THE NIGHT, but in reality he was in his sleep. Those are the side effects of the medications.
We took my grandmother OFF the "memory help" drugs and she no longer hallucinated.
The same for my FIL. We took him off the "memory" drugs and the ambien and he is so much better.
Dont know if your other is on those. But it's worth looking into.
WHAT DID WORK FOR BOTH: Seroquel. Very helpful. Yes, you will read online that it says "not for the elderly, not for dementia" but it worked well for them and it works well for many with dementia.
On top of the Seroquel, both my grandmother and FIL took/take depression medication SSRI My grandmother took Celexa, I cant remember which my father in law takes, but he takes one.
They both were sometimes on xanax. Whatever works
My grandmother tried the Resperidal that someone mentioned to you already. For some reason it didnt work. But I remember look back and studying the medication and others that used it and realizing that we didnt give it enough time, I believe is a medications that takes time to work and also, we didnt adjust the strength. We just gave it to her and thought it didnt work.
Because the MEMORY help drugs caused such horrible behavior, side effect and reactions from both my grandmother and FIL. They both needed to be heavily sedated. Because we didnt know that those were side effects, till I read it on boards like this one. Doctors never told us, the pharmacist never told us.
For my grandmother we did not know how to handle her hulucinations, she thought everyone was against her, she didnt trust us, she was scared....she would try to fight us, she thought she was being kidnapped.... it was bad, so bad that no medication would calm her down.....until the doctor gave us Haldol. I DO NOT RECOMMEND Haldo, unless a last resort. The thing that makes me mad, is that she wouldnt have needed the Haldol, if we knew that it was the Aricept, and Namenda. (memory drugs) causing this trouble with her. We did not know the side effects, so instead of taking them away from her, we gave her more drugs on top of it. The Haldol worked to sedate her, nothing else would, she was getting physical, she wouldnt sleep for days, she didnt want to eat, she thought she was being poisoned. Looking back, she was right, she was being poisoned by the memory drugs, they were making her feel and see things she didnt need to feel and see.
The Haldol sedated her, but she began dribbling, very week, shaky voice, couldnt talk. Some people never recover from haldol. Thank God my Gram did. We got her off of it in less than a week.
We got her off the dementia drugs. And things were better. Not perfect but better. She no longer needed the xanax daily.
Same with my FIL. Took him off the Aricept, and Namenda. and he no longer needs xanax to calm him.
Just something to look into and to be aware of.
The rest of the problems..... Well, they are not happy. They never will be really happy. They have lost their lives and their families, they are dying....its a no wonder they need depression medication, anxiety medication and seroquel or resperidal.
They arent going to get any better in that department. If they do, they are just dealing with all their feelings alone and keeping it inside.
At the same time. WE AS CARETAKERS go through the same. And we have to take care of ourselves. And sometimes that means we CANNOT anylonger take care of them. For me that was heartbreaking, sending my Gram to a residential home.
But, I WASNT takeing care of myself at all in those last year. I was caring for her and raising three children and homeschooling them.
I ended up heaving health issues caused by stress....and the doctor said I could no longer do it.....
My grandmother was mean to me as I cared for her, she was also nice sometimes. She treated me like I do nothing for her, when I did everything. She needed CONSTANT emotional soothing and conversation to sooth her and tell her "Its going to be alright".. that was CONSTANT for YEARS....and the minute I went to the kitchen to cook for her, or to do her medications, or to talk to her doctors on the phone....she was yelling "Sandy! What are you doing?!" as if I was waisting time.
She never even know that I took care of her all those years, because she had a memory that lasted one minute. As soon as I took her lunch plate, she forgot she ate. So she never knew all that I did for her. So we get no THANK YOU'S and we get YELLED AT sometimes and it feels like we are NOT APPRECIATED.
But, it's not their fault, they have dementia, their brain is disintegration and dying.
If they were younger and already had some problems in behavior/manners/ personality (as my Gram did) than, we cannot expect that to get better as they are aging with dementia. We can expect it to get worse....and its not their fault.
Their brains ARE NOT going to progress. There are little things we can try to teach them.... like consequences.... because they act like children.....but there is no guarantee that will work, because they are not children with brains progressing.... they are our elderly with brains digressing. None of us would be happy in that circumstance.
If my grandmother had my phone number while a caretaker had her through the night (in her home care a few nights a week, so I could take my kids home and we could TRY to sleep)....then my grandmother would call me all through the night.... there were times that I finally had to not write my number down for her....and just have the caretaker call me when it was an emergency. Because I couldnt deal with that anymore. Sadly
But, when she was in a home....they need lots of visits. They need us to visit without calling, so we can check on the caretakers.. They may seem nice....but take lots of notice of their personalities.
My grandmother was abused in her "nice" Residential home. They hit her, they pushed her, they were rude and harsh with her and they knocked her down in a bathroom and she broke her hip and died from it.
Please visit your family members and go through the trouble of removing them from homes if you have ANY INDICATION of wrongful personalities working for them.
Install camera's, I wish I did.
Regarding medications we had the opposite situation with the Haldol; far from sedating him it made dad worse but then instead of them seeing that and quitting they just kept giving him more, saying they must not have given him enough - 4 doses they gave him till I said enough - I never knew some never recover and maybe he didn't; he never really seemed the same after that but he did get over what they claimed they were giving it to him for, which he was getting physical as well; they had a nurse sit with him before they started giving it to him but giving it to him didn't help, just made it worse; this was when he'd been taken to the hospital, admitted to icu, but mainly think then because it was policy in their icu to be catherized, was what he was really fighting and thinking, yes, basically, that he'd been kidnapped and taken to the hospital, if he even realized that's where he was - he'd collapsed at home and been found but had been at least somewhat roused up enough to finally agree, in that sense, to go, but not really up enough to really realize he had so he was scared and maybe not hallucinating but certainly didn't realize he was in the hospital or if did, why, and honestly, looking back, not really sure myself - I know they did find he'd had a heart attack but they weren't going to do anything about it and they said it was not uncommon for patients in icu, maybe especially elderly, maybe already with dementia, to have what they called hospital psychosis; anyway, he'd taken a sleeping pill every night for a long time and that's all really he was wanting, was his pill, which of course you know how that is once you're in the hospital; what told them, if they'd just call the doctor and quit trying to calm him down with a shot but just get him to give him a pill, or honestly, I was just about ready to send somebody to the house or store - they were just otc - or somewhere and get him some kind of pill - a M&M might have worked at that point - and get him something to take - so they finally did - they didn't want to; it was late at night by then but if they'd just done it earlier wouldn't have gone through all that I don't believe; Ambien is what they ended up giving him and at least it did - or at least didn't seem to have adverse affect, like some have said, thankfully - or at least the act of taking something - calm him down and he - and I - were able to get some sleep - and the staff was able to get back to work
Also having said all that I never knew anything about these side effects of Aricept either; don't remember ever seeing that but may not have been on these type boards back then when they gave it to my mother, who did have hallucinations but was also dealing with other things back then that I attributed it to; will say though that she did have things to say about being on it, that, now I wish I'd paid more attention too; actually even as I type this it's making me really wish I had; I wonder how much difference it might have made - I'm now just hating that so bad - so glad you at least found that out to at least ease her from that - it was so horrifying for her
Having said that, I'm not sure I'd known that about what's said about Seroquel but my friend's mother, diagnosed with Alzheimer's, is given that - they say somewhat to help her sleep, or at least to help with her agitation when it's bedtime - not that she doesn't have it other times but that's when they really would like for her not to be in order to sleep, which it does help with it and therefore then does help her to sleep, not that it necessarily in and of itself helps her to sleep so...