Dad's Sense of Reality is Gone. What Do I Do?

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Q: My father, who has Alzheimer's, keeps asking about his mother, who died many years ago. When I tell him that, he bursts into fits of uncontrollable crying. How should I handle it?

A: Enter you father's reality wherever he may be. (Read: "Getting into a Dementia Patient's Head")

What your father is thinking and feeling is his reality. He is living in the past, where his mother is alive. Many Alzheimer's patients live in the past, and it's easier for the caregiver to go there. There are times when you can try to explain true reality, but chose your battles.

Other times, it may be more productive, and less stressful, to enter his reality. If he asks about his mother and he thinks she is still alive, then talk with him about his mother from a positive perspective. Ask him about the favorite dish she cooked for him and other stories that you remember he told you as you were growing up. If he asks where she is, tell him she is out of the house grocery shopping or something along these lines.


Deanna Lueckenotte is the author of "Alzheimer's Days Gone By: For Those Caring For Their Loved Ones." Read her full biography

 
This article is filed under: father with alzheimer's, mother with alzheimer's
 

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  •  Comments 1 to 10 of 18 
 
 

Mimis

Give a Hug

Dec 2, 2009

I have just come across the book: Creating Moments of Joy by Jolene Brackey. Check your local library or find it on one of the cheap book sites on line. It explains the above concept in much more detail. The title is the focus of the entire book. It's the way I want to be treated, if and when.

 
 

Bayamesa

Give a Hug

Dec 3, 2009

Whenever my 93 year old mom who has dementia asks me about her mother and father - usually at night, I tell her that they are already asleep because it is late. This answer satifies my mom and then she falls asleep .

 
 

Mimis

Give a Hug

Dec 3, 2009

Beautiful response and satifies truth telling at a few levels.

 
 

pjunkin

Give a Hug

Aug 10, 2011

My mother mentions her parents and deceased brother as though they were in her life now. Her living brother and I are the ones who visit her the most and he says he will not lie to her w/ things like you suggest so he tells her they are no longer living. Now it doesn't seem to upset her, but I'm torn between the truth and soft lies.

 
 

PCVS

Give a Hug

Aug 10, 2011

I will look for "Creating Moments of Joy" by Jolene Brackey at my local library. Maybe the VNA library has it...

 
 

darrobertson

Give a Hug

Aug 10, 2011

I agree the fiblets are the way to deal with questions about people that are deceased. My mother often will not let that satisfy her. She will insist I take her to her mother when I say I can't at the moment as we will go later she becomes angry and very agitated. This then escalates into an argument. This is upsetting to us both. She actually makes up outlandish stories. She then will want to call her mother on the phone; I just disconnect the phone and give her the phone book to look up the number as I certainly don't know. This does creates lots of stress for me and unplesantness in our home. When these things happen I think placing her in Assisted living is the answer. Am I a bad person for these thoughts; I haven't aced on them is these7 years. Just not sure I can keep going on with this.
Thanks for any advice, Carol.

 
 

PCVS

Give a Hug

Aug 10, 2011

Might this case not mean that perhaps telling her the truth is a better choice? Or, if she forgets quickly, how about saying that her mother is out visiting or on an errand?

 
 

RSLIndiana

Give a Hug

Aug 10, 2011

My husband does not - cannot lie. I've taught him to use diversion. "Lets go see what's in the fridge" "Do you need anything at the store while I'm there?" Just a couple of stock topics to get his Dad unstuck has helped him eliminate the drama his too honest answers provoked.

 
 

Jaye

Give a Hug

Aug 11, 2011

It is hard when they do not realize time and place... however their reality is their reality. I think you just have to as it were play along... It does no one any good to argue and it is very frustrating for everyone. It is common for folks to live in the past with Alzheimer's disease. It is very helpful to know some things about the family history when you are providing care for someone with AD. I hearl Jolene Brackey speak at an all day conference she is great her books are really good. I have a little daily calender on my desk with some of her wisdom it is GREAT!!!

 
 

DanielRomero

Give a Hug

Aug 18, 2011

When someone with dementia reality is in the past, I have found that it is best not to confuse them more with our reality. "Maybe we can try to get a hold of them tomorrow" is good response, changing the subject, putting on music, looking at pictures always seems to help my mom and it seems to ease my frustration too. Do your best to allow the family member and you to get through the moment. Good luck, there is no right answer, just find what makes you and your family member get to a better place.

 
  •  Comments 1 to 10 of 18 

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