Her bra is broken, the tv, the remote, the lights, her phone, etc. Everything is broken or just doesn't work and I don't know how to help her. I can't teach her how to use it and I can't "fix" it so it continues to work after I leave. Any suggestions on how to manage my mom with dementia frustrations?
I am sorry you have this to deal with. It is so frustrating and confounding dealing with people who have symptoms of dementia. I am not sure there is a "fix" for this situation. Do you tell her you fixed it and then she cannot use it after you leave?
My only suggestion is to try to simplify everything as much as possible.
If the TV has more than one remote, consolidate them into one. I put different colored tape on the buttons to help my mom. Green for the "on" button, red for the off. There are also remotes you can buy (Flipper Big Button Universal Remote for 2 Devices) that are designed for people with memory issues.
Is the telephone a landline? There are phones for this, too. So you can pre-program who she calls most and put the name next to the button. That way she just picks it up and pushes one button.
Hopefully, if you are able to simplify as much as possible (a no hook bra?) she will have fewer frustrations. Sounds like she is at the stage where multiple step processes are too much for her.
Best of luck,
Margaret
And, when she would ask about things that were not real, like the remote was broken, I would say that I would fix it, later. Put it away and later, I'd just hand it to her and say I had fixed it. She would forget and believe that it was fixed, since, it was fixed when I used it. (She thought it was broken, because she no longer knew how to use it.) Keep in mind that she may misuse electrical appliances, medication, cleaning products, if not supervised and that can be dangerous.
What she really wants fixed, of course, is her life. And who can blame her? She's been using them for decades and now she can't even get her bras to work! How frustrating would that be?!
She is aware enough to know that everything is wrong, but not articulate enough to express her real fears. Poor lady. Poor you!
My husband had that awareness also. And he understood that he was never going to be cured -- though we often hoped that "tomorrow may be a good day." I was gradually able to convince him that his limitations weren't so important, because I would always see that he was taken care of, he had one of the best doctors in the US, the day care staff liked him and looked out for him, our kids wanted the best for him and understood he couldn't do certain things anymore. It was terrible that he had this disease but he wasn't facing it alone and we would keep him safe.
That wasn't the message he wanted to hear in the very beginning, but eventually he did start to relax and accept that others were looking after him. (He had Lewy Body Dementia 10 years.) When we'd go to a new medical appointment he'd say, "Jeanne comes in with me. She is my memory now."
For your mother, everything is broken. That is her reality. I don't think you can talk her out of that, but perhaps you could help reassure her that she can still get on with her life as best she can, and there are many people to keep her safe. Her light won't go on? Well, isn't it a good thing she lives in a place with so many helpers? When she goes to the dining room she just has to mention this to a staff member. They will put it on the maintenance list, and someone will come by and fix it. Just like in a hotel! And isn't it good that there are other lights in the room, so she won't be in the dark alone?
One way to "fix" things is to simplify them, as others have advised. My mother got to the point where she only watched a game show station and baseball on TV. We listed those channels on her white board and very brief instructions for the remote. Mom couldn't do it, but when an aide came in Mom could say, "I think the Twins are playing tonight. Can you get my tv set?" And the aide could easily follow the instructions, without having to keep track of who watched what and how to use dozens of different remotes." Keep it simple -- for whomever has to do it!
An absolutely wonderful simplification was when Mom gave up wearing bras. Hallelujah! Not all women can comfortably do that, of course, but those of us who can should certainly take advantage of it!
Keep in mind that your mother's world is broken.
"Fix" what you can by simplifying things.
Discuss the issue with the ALF staff. What is their experience with her?
Reassure your mother repeatedly that even though things are broken she is living in a safe and attractive place and has you and many other people to help her.
I don't think you can remove all the frustrations of dementia! I hope you can minimize this particular set. And if you try some things that work, report back to us. This is a very common problem and we learn from each other.
It sounds like she needs 24/7 care.
As far as the bra goes...would she be able to wear one of the slip over your head ones? No hooks to mess with. But I guess they can be a bit problematic getting into. (never tried one myself but due to increasing arthritis in my hands I may have to resort to one) And worst case..forget the bra.
It depends on the service you (or she) has but some remotes can be voice activated. So at least finding a show would not be a problem. Turning it on, I would try taping over all the buttons that are not used and put a dab of bright nail polish on the power button. Or plug the TV into an outlet that is controlled by a light switch. Flip the switch and it is on, turn it off and it is off.
As far as the phone goes. Who is she trying to call? There are phones that have large buttons and you can program a few numbers in and put a name or photo next to the button. If it is a cell phone, even I get confused by them. They are small and sometimes impossible to hit a single button. There are some phones that have larger numbers and buttons. Reality is she may not be able to use a cell phone much longer.
As for the lights. How about a timer so the lights go on at a certain time in the morning and off at night. Does not matter if she is in the room or not, a well lit room when you enter can prevent trips and falls. Change all the light bulbs to LED so the cost is less. It may end up being less expensive with LED's and a timer than with regular incandescent bulbs. (if anyone still has them)