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I read each response at least twice. I find myself overwhelmed by the absolute feeling of being understood and not judged here. I'm not great at responding to each message so please be patient with me, work in progress here.

Another fight tonight came out of nowhere. And I didn't back down. I gave it right back to her and I think she really just didn't know what to do with that. When she's in fight mode, she is pure evil. I keep trying to tell myself it's the disease but the horrid things she says kind of take my breath away sometimes.

In these moments, I can't find any reason why she just keeps on going. It's such a cruel hand nature deals us, isn't it? I'm picturing the inevitable swiss cheese her brain is going to be and can't figure out for the life of me how it has the power to keep her heart beating. But it does. And I hate that fact. This could go on for years.
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I put my mother to bed for a nap when she starts acting up. When my mother gets fussy and angry she is usually tired. She wakes up refreshed and happy after a few hours of rest. This is new behavior so I am trying different things. Putting her to bed seems the best option at the moment. I am going through my mom hating her bath and putting her clothes on. It takes about 45 minutes these days to dress her. Putting her fists up and screaming and biting. My niece and I just laugh it off. Her neurologist prescribed Ativan and I only give it to her during the night if she does not settle down. Most nights are good now and she sleeps well. She was always so pleasant and sweet and still is, but has her days as stated above. Good luck.
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PSc12345 Oct 2020
you were lucky you are/ were able to get your mom to take a nap.
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I have had to tell a client that ‘we do NOT talk that way!’ She was shocked and taken aback.  
I have also had to walk away and reappear in the room- ‘oh hello! How’s it going?’ See if your mom believes this is a new interaction. 
ive knocked on a door before and caught the clients attention to stop raving and to switch gears to focus on something else.  
i have broke out in a spontaneous song. The client looked at me crazy but it worked.  
I have had to walk away and regroup too.
also- does your mom have Ativan - either the tablet or the cream. I had a combative client that it helped occasionally.
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polarbear Oct 2020
PSc- You're an angel for having such patience.
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The only strategies in my tool kit are:
Plan: My mom is not as severe as yours, but the more I can help her remember things (we use calendars, Alexa reminders, and pill minders, and, and, and...) the calmer she is. Even with all the tools, I make a morning call to go over her day first thing when I wake up. I keep her connected to as many tasks as I can - instead of taking over for her - which I think increases her trust in me and reduces her paranoia. I preview everything several times, often days in advance, so I'm not "springing" things on her. She needs a lot more processing time and memory cues than the typical adult.

Prevent: talk with her geriatric specialist about medication for the dementia and rule out other possible underlying conditions. For example, a urinary tract infection is very serious, often silent in older adults, and can cause the symptoms you describe. I'd even try lavender diffusers - I'd try anything in your situation.

Distract: favorite music, photos, a pet, tv... a fiddle blanket and even a baby doll have been found to be calm to people with dementia.

Remove Yourself: Do not put yourself in the way of verbal abuse. If she responds differently to someone else, do not let your ego get in the way, let them engage her and you help in other ways. If she is aware enough, tell her, "Mommie, you are angry right now, so I'll come back to be with you when you are feeling better."

I wish you peace in your journey.
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A short follow up...I was able to get away to visit friends for a week. Yes, it was riddled by calls and questions (our time, caregivers, seems to belong to everyone BUT us) but was relaxing all the same. That wore off about 30 minutes into my arrival back home. The need of elderly people seems never-ending. Questions, pills, bills, meals, doctor appointments, "what's this thing on my arm?" questions and general helplessness is just fact now. Daily life is riddled with these things and I wonder anymore if any of my time will ever be my own again.

I've always said I would easily and happily end it all if some of these ailments they have were ever visited upon me and I still believe it. Maybe even more as time goes on. I will concede that being burned out from caring for them isn't one of those scenarios but some days it feels that way. It feels like I just don't want to go on anymore. This life of being their lifeline for everything is overwhelming most of the time.

I have siblings who go on about their lives and visit once a week (at most) and complain that they're SOOO worried about my folks. That, somehow, is meant to mean all of our pain is the same? I've always said that standing on the sideline and offering opinions is nowhere near being in the trenches in a constant firefight but when I point this out, they're even more insistent that their worries are just as bad/exhausting/all consuming as my every day experiences.

This makes this forum even more important. I feel everyone here really understands where I'm at and the true hopelessness that can be totally pervasive sometimes.

As always, I truly appreciate all your comments and insights. I know they are hard won and thank you for sharing them all.

Take care of yourselves, fellow warriors!!
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NeedHelpWithMom Nov 2020
Very short break, huh? Sounds like it is back to the grind again.
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ExhaustedOne, so glad you could get away for a week. But now back in the trenches. Yeah, I know what you mean.
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ExhaustedOne Nov 2020
Yeah, it doesn't last long! Today I'm spending time trying to convince her she needs to eat food. I keep wondering why I'm working so hard to keep her going when she's beyond those considerations herself now. It's almost nagging her to eat, drink, etc. And all she wants to do is lay in bed, not even sit up to eat.

I hate to think it but it's a life that should have been over awhile ago.
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Exhausted,

You are not in this alone, for sure! Many of us here have experienced a sense of isolation, of feeling like no one "gets it." Moments when we feel like we're literally losing it altogether.

Mom was always used to getting her way; a tyrant. A family dynamic developed where we all (Dad included) caved into her demands because it was just easier. We knew if we didn't, our lives would become a living hell.

Before we placed Mom in memory care, she would often get up in the middle of the night, rummage through her stuff, rearrange cupboards and cabinets, sort through the trash; stuff like that. Some times during these night-time activities, Mom would burst into the room of a sleeping family member, wake them up, start arguing about inconsequential nonsense, berate them, verbally abuse them, sometimes even physically attacking them, often confused about what time of day or night it was, etc. Not pleasant.

Mom would get royally ticked if anyone disagreed with her about the most mundane things or challenged anything she said. We knew something was wrong, but this was before her dementia diagnosis. We finally learned to avoid conflict by "agreeing" with her, by not challenging her delusions or trying to "correct" her.

But there have been times when "shining her on" wasn't enough. When I was "it" and she was coming after me, no matter what. Some times she would become so obnoxious she would chase us out of the house. After her diagnosis, as long as Mom was at home or in a safe, controlled environment, I learned to just walk away. Sometimes out the door. Wow, she didn't like that. Denied of an audience to act out on, her anger quickly diffused. Another coping mechanism I use is to not offer a reaction when provoked, assuming a dead-pan expression. That tends to put out the fire. She might continue harassing, but unable to provoke a negative reaction (shock, alarm, fear, dismay, grief, etc), after awhile, she quits.

In time your mom's anger and hostility may abate. My mom's did as she advanced further into her dementia, though she still has her good days and bad days. She currently resides in a memory care facility where she is cared for by kind, attentive staff who think the world of her. She seldom "acts out" with them. When we go to visit, if her anger flares and gets out of hand, we tell her we'll come back when she's feeling better. This arrangement has worked pretty well for us.

I hope this helps. Wishing you the best on your care-giving journey.
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I Feel your pain, honest to God I do.
While my Dad isn't screaming abuse at us, he has however become very nasty at times, and shows some shocking behaviour.
He was once a very compassionate and kind man now it's all about him.
I am too soft and take nasty things that he says to heart. I try to be compassionate but it gets bloody hard doesn't it? I cry a lot.
Anyway I'm the last person who should give you any ideas on.how to cope as I can't cope myself.

Beat wishes to you. Be braver than I.am and pray.
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Ninja, you can't make loved ones care for them. They either want to or not plain and simple.
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First of all if you have siblings who visit they can stay with her while you go out. For a few hrs to decompress. Or take her to their house fot a few days. Bet they aren't so concerned then. If not then they pony up for at home help. You shouldn't have to have no life of your own. Dont take no for an answer. They will say its not that bad, you'll live, whats the big deal etc. Put your foot down.

You should run not walk to her doctor. She might have depression that isn't turned inward, but out onto family. You should not have to put up with this. I repeat, you should not have to put up with this.
Her doc can prescribe an anti anxiety med/s. Give her meds, adjust her meds etc. They do it all the time. This should be addressed immediately. This is not your mom but her illness.
As far as eating or not, you can ask thats it. Doc might be able to give something to help the appetite or guide you on foods she may eat. Like a shake or pureed foods. She might have trouble swallowing. She might have diminished taste buds and since of taste/smell. Also when folks are getting near their time they eat less and less. It is natural for organs to start shutting down. They can live on hardly anything like up to a year. My mom did. It usually isn't painful and they aren't hungry. Doc can rule things in/out.

If your doc is of no help you need another doc. They should be able to help make her calm and not agitated. That is not a way to live. For her or you. Her twilight years shouldn't be all anger and fights. Can you imagine how she feels angry all the time? She probably can't help it. If she won't eat then maybe liquids for the meds. A patch, anything. You can talk to doc aboutthow to get it in her. This is no way for either of you to live. You can ask doc what stage of dementia she is in.
Can you imagine the nursing home with no meds? All residents would be combative and everyone would be injured. So they do put them on them to make the resident and the carer more comfortable. You need an appt yesterday. Good luck

You shouldn't have to put up with this. A doc visit should be immediate. They have seen this before. She needs a geriatric doc. They can help her relax and be calm.
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Food sometimes works for my mother. Maybe a cup of coffee and a cookie. Definitely something sweet.
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