My brother insists it is wrong to "go behind our Dad's back" to speak to his doctor. My brother is feeling guilty for having talked to Dad's doctor. He has been adament (sp?) that Dad will do this, Dad will know when it is time to turn over the car keys, etc.
NO, for the most part, they have NO IDEA when it is time to talk to the doctor. Many, many are in denial for numerous reasons, whether it be the disease robbing them of all intellectual reasoning powers or their not wanting to admit they must give up independence and life long freedoms. Either way, it is a VERY good idea for you to speak with his physician. Often, the physician can offer medication to help slow the process and grant both you and your family member more time to love one another and get affairs in order. I hope you obtain both a medical and financial POA. These will become increasingly important as the disease progresses and you must shoulder more and more of you father's affairs of daily living.
Dementia is an interesting and frustrating process to deal with and watch. You can’t understand it, only cope on a daily basis as each day and person is different. I call my mother my “box of chocolates” from the movie Forest Gump, because you just never know what you are going to get. My mother is 95 and I have been observing the subtle, yet continuous downhill progression for about 6 years. About 5 years ago, due to macular degeneration and glaucoma, she did give up driving, but not until the neighbor, who couldn’t drive so Mom was her chauffeur, finally told me that she had to tell my mother the color of the traffic lights!! Even today, as a hospice patient living with us, my mother “thinks” she has the body and mind of a 25 year old. She has no balance and has fallen numerous times because she doesn’t think she needs her walker. Our daughter has a 4 month old son and Mom keeps offering to hold him and take care of him while I do other things, even though she can barely hold a spoon. She asks the same question over and over and over in a 2 minute period and insists she can go back to her home to live alone, yet she can’t stand in the shower, dress herself or figure out how to fix a meal. She still wholeheartedly believes she is fully capable and can handle her life. So, don’t count on your father having the aptitude to make sound decisions as, even in the early stages, their abilities are beginning to show signs of illogical thought patterns. There are different forms of dementia and not all react the same to the digression of the disease process. Often times the progression is very subtle and the patient, family and care-givers aren’t aware of or don’t want to face the loss until it becomes grossly apparent.
I strongly suggest you set an appointment with your father’s physician and tell him exactly what you have observed in your father’s behavior. By doing so, it will make him aware of discreet changes he may have missed during a general physical; your father may even be unaware of the changes in his personality. The doctor can schedule a more complete evaluation or send him to a geriatric specialist. By having the physician involved, you and your brother will also have someone to present the medical facts to your father and open the door to discussions about medical and legal decisions you will all have to face. It is much better to know the facts so you can implement your father’s wishes before he is no longer capable of making them known. When, and if, the time comes, you will also need a physician’s declaration of dementia so you can obtain legal status to act in his behalf. Either way, it can only help your father have the most optimal care and medication available in an attempt to slow the progression of this ugly disease. Invite your brother to join you, but if he refuses to go, go alone. BUT DEFINITELY GO!
I know it is extremely stressful to make these decisions because when you initially have to take the steps, your loved one usually has not completely lost all ability to function or reason, so you feel terribly guilty and like you are overstepping your bounds. Just remember, everything you are doing is because you love your parent and want the best for them and the best quality of life in the years that remain. Whether that be financially so you can provide the best physical care possible, or medically to maintain optimal health.
I am sure your brother only has your father’s well-being and emotions at heart, but there comes a time when someone has to take the bull by the horns and make the tough decisions. It is difficult because you have looked to your parents for guidance and as your adult role models all your life. They have been the ones making all the decisions and giving you advice, so naturally, you are tentative to supersede them and it is hard when the roles reverse. Yet, you have to for their safety, comfort and security. Maybe talking to a third party such as an attorney or elder care specialist will help both you and your brother understand what is actually happening and give you the strength you will need to accept and handle the inevitable facts you can not change and your father does not realize.
Sorry to get so long winded, I didn’t mean to tell you how to build the watch when you only wanted to know the time, but there are so many branches to the dementia tree. Good luck with the road before you. I know there will be many bumps, but remember there will also be many beautiful memories left ahead too, especially if you have all your ducks in a row and father’s affairs in order. Love, education and understanding are the best bedfellows when it comes to surviving this hideous disease. My thoughts, prayers and understanding empathy go with you.
Good Luck!
Hap
As for taking the keys WOW! don't I know how touchy that can be. We didn't do it when we should have a few yrs ago. Dad is 95, had been out to the local grocery store, came back home and had a stroke. What if he had the stroke while driving, what if, what if! It can happen to anyone but we have to be honest and address the hard decisions in life or they will address us.
Best wishes to you, follow your mind as well as your heart.
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