It's been 6 years since we started seeing memory issues but it’s getting to the point that she repeats herself constantly. My sister and I live out of town. She needs a caregiver, to allow us to go to the Dr with her, and to stop driving but she gets so angry every time we bring it up. Any tips to help us?
If you think things are bad inside the home and she needs an assessment you could call APS.
Also contact the DMV and tell them she is not safe to drive. Most states allow for anonymous reporting.
As to the anger, I have no advice there only empathy. Mine is the same way. Fierce denial and anger. I've been trying to limit my contact for my own sanity.
If you read the posts here you will see that dementia never gets better. It will progress and get worse no matter how your mother feels about it. The charade of independence will eventually crumble. What you can do is to research now and figure out a plan for when the charade crumbles. By plan I mean placement in an appropriate care home.
i hope you have POA and have her finances under control.
There is not much you can do except wait for the inevitable crisis. For me it was a bad fall, hospitalization then I moved mom to assited living then dad a few days later. It was a big hot mess, almost killed me but I’m glad I stuck to my guns.
The driving is a a worry. You may have to step in and end it before she harms someone else. You can’t let this go on if she’s getting bad.
I did an anonymous report to the DMV listing my concerns including Dementia, Macular Degeneration and fainting spells. DMV promptly sent her a letter to be reevaluated. The BIG mistake I made was HELPING her fill out the extensive paperwork they wanted from her. Even with my help, because she did not show me the paperwork early enough to be completed by their deadline, they temporarily suspended her license! I was thrilled as she is a "law abiding citizen" and would not drive with a suspended license. However, here's where I made the mistake. I continued helping her get the paper work filled out, proper papers to different doctors, etc. I ASSUMED once DMV evaluated her, that they would permanently suspend her license. But no! Her doctors were fooled by her ability to maintain her social graces and said she was ok to drive. AND, she passed her driving test because she knows the town like the back of her hand. (But her car has multiple dings from minor accidents that she has no idea how they occurred.) So she got her license back! If only I had NOT helped her do the paperwork etc, her license would have automatically been revoked. Sigh!
She also got very irritated that I wanted to go to all her doctors appointments with her. So I just showed up anyway. After awhile, she got used to me being there and even allowed me to just pick her up and take her. The big no-no was if I piped in and told Doc of symptoms she was not telling because she forgot. THIS REALLY aggravated and embarrassed her. So I learned to slip a note or tell the nurse on the side what the issue was.
So she continued to drive, and I continued to take her to appointments. I was more clear with her primary care physician and staff about her dementia and my concerns. (No more assuming everyone was on the same page!)
She eventually had a mini stroke along with a seizure that allowed for a clear reason for her to stop driving and accept more help.( She recovered fine.) She still asks me why she can't drive and says she wants to go to DMV and talk to them. I tell her it is because of the mini stroke and seizure, which she doesn't remember. I don't mention the dementia because she would argue about that.
So, see if there is a trusted friend, someone she knows, who you can pay to go with her. (Maybe mom doesn't have to know the person is getting paid?) If she will accept it, even though it will make her mad, she will eventually get used to it and even look forward to it. Then you will get accurate reports on her health.
This is tricky! If the license could be revoked first, then it would be an easy excuse for someone to start taking her and sitting in on Doctor's appointments etc.
Good Luck. Don't let up because she will need the help. Think of her as a teen, sometimes you can't ask permission from them. You have to insist. (Easier said than done!)
Now we seem to be living longer, laws need to be put into place concerning those people who have been found to have a Dementia. As soon as a Dr. confirms it, he needs to report his findings to the DMV. Then the DMV mandates that the person be tested. And not the average test. Something that tests reflexes. Driving to a particular place and making sure they can get back. (My Uncle drove to Delaware Park for years. This one time, he forgot how to get home to NJ.) If they pass, they are required to come back in 6 months. A sticker can be put on the windshield for the police to see. And there should be restrictions. Only drive in town and no night driving. Why do we have to wait until they kill themselves or someone else.
Medications. ...
Minor head trauma or injury. ...
Emotional disorders. ...
Alcoholism. ...
Vitamin B-12 deficiency. ...
Hypothyroidism. ...
Brain diseases.
Normal Pressure Hydrocephalus. ...
Problems with Vision and Hearing. ...
Disorders of the Heart and Lungs. ...
Liver and Kidney Disease. ...
Hormone Disruption. ...
Infections.
Living out of town, I don't know how you'd be able to help your mother unless she were to give you Medical POA. Either that, or arrange to visit her for a period of time when you could accompany her to the doctor to express your concerns. You could also write him a letter with your concerns and ask that he administer the right tests to determine what might be at the root of your mother's memory problems. But again, I'd wonder exactly WHAT 'memory tests' she was given and if they were extensive enough to make an accurate determination as to whether or not she does have dementia.
Tough situation, I know. Wishing you the best of luck moving forward!
You understand that there are specific tests to prove if dementia is present.
Sometimes dementia is the cause. Sometimes not. It really is important to look at all possibilities.
correspondence doesn’t always get printed out and
placed in patient’s chart.
My Mom won’t complete the hospital financial assistance form-cause she cannot. Ive tried numerous times to get the information from her, e.g. her utilities, insurance, etc. and other expenses. She puts me off and am sure she doesn’t ‘want me to know’ that she can’t fill out a form. Although I’ve seen her in action and her inability to fill out a simple form, but guess she thinks I haven’t recognized her decline. WHO would not want a reduction on their hospital
invoice??
You can not implement huge changes without a plan. Period. It is unfair to the person that is already struggling. Someone that loves her needs to be present to help make transitions.
MIL was telling us what she wanted us to know about medical appointments and her health. Once we all got involved and started going to appointments, we discovered that she rarely told us what the doctor truly said/diagnosed. She told us what she wanted the truth to be -- and this was pre-dementia. She's just stubborn and refused to accept the limitations that doctors were putting her under.
Being far away, you’ll need to partner with her PCP via mail, detailing the changes you are finding with your LO. Send it regular mail, return receipt requested, to know they have received it. Follow up with doc office via phone. Maybe they will share info. If not, you’ll need their HIPAA form for LO to sign.
i understand she is stubborn. Mine is too. Just keep the conversation going as much as you can.
Prayers for all our situations.
I won’t be too happy with my freedom being taken away for me either and driving as it is a privilege And it gives you freedom.
We all have memory issues - everyone just seems to focus on the elderly, and many are doing exactly the same things.
I hate it when people tell me, "you already told me that," but have repeated themselves constantly - I was taught it is rude to say you already told me that so I get the brunt of the criticisms when pretty much everyone repeats themselves.
Thankfully I am still a safe driver - but I'm also smart enough to drive closer to home and at hours that are not "rush" hours.
Kudos to you for your answer!!
My caregiver doesnt not go to appointments drs prefer me but take her to lunch or whatever meal appropriate or use as motivation... we need to stop here (at dr) real quick then we'll go to lunch or store or whatever they like best. As condition worsens going out doesnt have to be specific I need to run a couple errands want to go? Good luck.
The other friend had her license taken away due to a letter to the doctor from her daughter-in-law. She described her house as being messy, and said she had dementia, or Alzheimers too. That doctor told the senior he was taking away her driver's license because her vision was poor. She was a college graduate with a Phd. degree and knew she had no vision problems. , She just has a spiteful (vengeful) daughter-in-law. That senior went to one of the stores that sells eyeglasses, and got a 20-20 vision result on her eye test. When she returned to her doctor he admitted that the daughter-in-law was concerned about her possible Alzheimers and gave her the letter that her daughter-in-law wrote. She requested her medical records from the doctor who wrote that she was unable to see, but she never got them. Doctors are making many mistakes and looking at ages, then removing driving licenses. I would hope that all who read this know that if they live to be 80, their rights can be removed be lying relatives and stupid doctors. If an older person repeats themselves, it does not mean that that they should have their rights removed or that they have dementia. Dementia occurs when a person is unable to complete daily chores, (dressing, eating, preparing meals,) without help. Getting lost all the time when driving is another sign of possible dementia. My own sister lost her sense of direction but was able to care for herself, and write down directions I gave her, and follow them to get places. She had memory loss,, but not to the point of self care and home chores.
I had to chime in. Driving while older is a danger to All. The reflex time is reduced tremendously.
I just wanted to say, her physician would be who you contact.
Let the office know the above concerns.. he or she will have a good chat session with her, anonymously of course. I'm hoping she has a doc that knows her good enough to.
Also there comes a time in point that HIPAA laws need bending.
If a daughter calls in, she can state her concerns, pass it on to the physician.
1-you don't believe the tests
2- she should give up her keys.
3-DMV has a way of helping. In calif, they are supposed to have seniors come in every year, & do a driving test..you may want to Google that in your area.
Goodluck
So I did, and in return the DMV sent her a form that she needed her doctor to fill out as well as she had to come in and take a written driving test.
Luckily for me I already had a diagnosis of Dementia for her so I added that to the original form submitted. In the end my LO bailed on any idea of taking a written drivers test knowing full well that passing it was never gonna happen.
Also, the doctor stated that my LO should not be driving.
So I submitted all this paperwork back to the DMV, and in less then 3 weeks later we received a letter suspending my LO’s driving privilege.
The POA we had for her clearly stated when they can no longer drive that I can sell the vehicle. Which is what happened.
California is where this scenario played out. Whatever state your in I’m guessing they have something similar.
Good Luck
Often doctors do not want to get in the middle of this mess. In CA it may be quite clear what must be done, but it isn't clear everywhere.
My mother's doctor never noticed any of my mothers issues or memory issues, because my mother was so good at hiding her issues until she received the letter. I live 10 hours away and I told my mother that I was going coming up and going with her to her doctor's appointment. She kept saying you don't need to do that and I told her I know I don't but, I want to just to hear what your doctor says. I told her as you age it is good to have another set of ears just to make sure you are hearing everything correctly that the doctor is saying. She said no again, but I stayed firm and told her I wasn't taking no for an answer. When I went in and her doctor was checking her over her doctor asked her how's your memory and my mom said "fine, I have no problems". You would have never suspected by my mother actions and her talking that there was anything wrong with her. When my mother said her memory was fine I spoke up and said well mom you have been very forgetful lately, my mother shot me the most dirty look, but I held my ground and her doctor jumped on that and beautifully said I would like to refer you to a specialist (neurologist) just for some testing just to make sure everything is ok. You know as we age our body changes and we want to be ahead of any issues so if there is a problem in the future we have a baseline to refer back to. My mother agreed to the testing.
Since I wasn't able to be there for the testing my brother went with her and my father and after all of the testing was completed the doctor stated that my mother had Alzheimer's and she was entering or already in the mid-stage. I reached out to the neurologist and asked for a letter stating that my mother could no longer drive and live alone. She sent me a letter which I promptly filled out the State of Michigan form and send a copy of letter to have my mother driver's license revoked. I figure if she did drive and something happened or she was stopped by the police they would know why and who to contact. My brother put the letter on the refrigerator so if my mom asked about her car my brother referred her to letter, but my mother wasn't interested in the letter and she was argumentative saying it is my car I can drive when I want. After this happened several times my brother was clever and took the keys and moved her vehicle to his house one day when she was sleeping and my SIL brought him back. He lived pretty close so my mother was not aware what took place. When my mother asked where her vehicle was my brother white lied "Mom remember ***** (nephew) borrowed your car because his is in the shop and they had to order parts and he had no way to work". My mom would always say "Oh yeah, I forgot" "I wonder how much longer he will need my vehicle, I really need to go shopping". It is like out of sight out of mind. Your mom say this over and over, but evidentially she will quit asking about the car. This car question and answer game went on for about 4 years, and up until she was unable to speak she would asked every once in
My YB did all the talking to mom (she looked like a 5yo who got caught in the cookie jar) and took her key. I stood in the background and said nothing. On the way out I said I know she has another key, can you disable the car? He took the battery cable off.
So, next day who gets the nasty phone call? ME. You took my car key, it's mine and I want it back! I was able to say I never touched your key. She asked who did and I just said you're so smart, you figure it out and hung up. Day two. Second nasty phone call, only this time it is to demand I get down there RIGHT NOW and fix whatever I did to her car! I was also to say, again legit, that I never touched her car.
I managed to get it to my mechanic and eventually sold it. It took some extra paperwork, because mom never reregistered it in just her name after dad passed. Thankfully that took the issue away. She didn't have enough going for her to call someone to check/fix it or perhaps go buy something else. She did, for many months, complain and whine about not having it, I don't go far, etc. Eventually that morphed into giving up her wheels was the worst decision SHE made! Great, blame yourself!!!
It does require taking not just the license or the keys, but the CAR itself, and ensure it goes to a place where a) she won't ever see it and b) whoever has it isn't going to return it when she whines and complains (that happened in another thread!)
whatever is actually going on medically wether it be dementia in some form or something else I might try approaching it all from a different angle. One thing at a time but start with suggesting she get things in place so you are all prepared should something happen in the future. Put you on HIPPA at each of her doctors so they can communicate with you in the event she isn’t able to communicate her wishes or with you in the future. “My friends mother had a stroke and they weren’t prepared so not only couldn’t they get any info about what was happening but they had no input about treatment or what rehab she got”... that sort of thing relate it to being prepared for any possible need in the future rather than something being wrong with her now. Going to appointments with her now allows you and her doctors to get to know each other and you to learn more about how your mom likes to do things medically, interact with each provider. It also lets them know that she has family who are involved and she lets be involved which could come in handy in the future.
i would be very careful not to “take over” or make her feel like you are, ease her into trusting that this is to her benefit not the detriment she is afraid of. Then work on business stuff, offer to set up online banking and bill pay etc, let her experience the advantage of you doing it and decide for herself it’s easier to just have you do it. When it comes to driving maybe suggest again that she try the various transportation options before she really needs them and then just encourage her to take advantage of not “having” to drive. Then when a medical opportunity presents itself maybe the transition of not being able to drive anymore will be easier. With my mom she was sent home from the hospital with “no driving” orders and no doctors were willing to sign her off again until she had a special eval which she never really wanted to do. Then we told her that if she were to drive and have an accident we, her children, could be sued and held liable because we knew she had drs orders and that she was driving. She didn’t like it but it had been so long since she had driven and part of her knew she shouldn’t be. We had the perfect set up for this though because she had had a stroke and we could blame her slow response time and thought process on that.
The reason your Mom becomes very angry is because She is haunted by the fear of loosing Her memory, (mind) knowing this would be the beginning of the end for Her Life as She knows It. I must admit I can understand your Moms fear because this would trouble me too. I would suggest you meet Moms Doctor privately and express your worries and concern about your Mom, also that She's still driving Her motor car and this is a worry to you. The Doctor can insist that you accompany Mom to the Doctors Surgery in future, and if the Doctor notices that your Mom looses concentration, or is some times forgetful the Doctor can suggest that your Mom stops driving, after all
it is the Doctor Who certifies all of Us fit or unfit to drive.
Good Luck to you RemoteDaughter, and your Mom is so Blessed to have you.
Not in all states. MA requires one to "Self-report" if one is Dxed with dementia. As if....
I would also say mom's resistance wasn't fear of anything, it was dementia LYING to her, convincing her that she was fine, independent and could cook. She said that so many times before dementia that it became ingrained in her. Forgetful? I'm old, entitled to forget sometimes. She wasn't fearing anything! We NEVER mentioned the D word anywhere near her, because to her it meant you were "off your rocker", aka crazy, and that wouldn't be the case. Before dementia she had planned to move to AL when she felt it was needed. After dementia kicked in, she would probably prefer a rattlesnake nest to AL. She wouldn't EVER want to live in one of THOSE places.
As for doc suggesting anything... We had all the POA, will, etc set up long before it was needed. However, I needed a specific letter from the doctor for the pension as it is federal and NO federal entity honors POAs, not SS, VA, IRS, etc. While there, doc says to mom "It isn't safe for you to live alone..." OMG, mom imploded and exploded! That was merely a suggestion, not an order or anything!!! I felt bad for the doc....