How do I handle my mother who has dementia and is constantly fighting being in an assisted living home?

Asked by bet4842  |  Feb 10, 2010

My mother has dementia and has been placed in an assisted living home. All she talks about is going home, She's always packing and becomes very agitated and sometimes physical. What can we do to make this less stressful for her and us?

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wuvsicecream

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Dec 23, 2010

I can only share my experience with my Mom and hopefully you can get something out of this. When she first needed 24/7 care she stayed at my home. Due to her obssessive shopping and hoarding her home needed and overhaul, to say the least. Fortunatally I was able to give her, her own space, I turned my living room in to a comfy place for her. The urge to get up and go was still there, so the matter of her getting out was a huge issue. Whenever she got out she said she was going home and never forgot her address, yet I lived about 45 min traveling time away and she would tell the police I am walking home. So during the first few months whenever we went back to her house, to try to accomplish things, she recognized the house her things and wanted to stay. As time went by and the appearance of the house changed and she wasn't comfortable being in her house she didn't recognize it with the changes, infact she was afraid I would leave her there [I translated that emoition as she knew she needed help]. Yet when we were at my house she knew where her room was and got comfy but still felt the need to go home. She was on a mission it seemed, with many dangerous attempts, might I add. As time went on no matter where she was she thought it was her house and she would tell me to get out of her house when she was at my house and do the same at my sisters when she stayed there. She told my 3 nephews to get out of her house when they were in their own house. Now she is a resident in a nursing home, I took some pictures from her own bed room and hung them in her current room. When she is not in her room at the nursing home she says I want to go home.I figured out home to her now is her room. As soon as she enters that room she kicks me out, she says this is my place you don't belong here. So with that long story I came to the conclusion, she is home when she feels she is in control of herself and her things. Even though in my reality she is not in control of herself she needs to believe she is. Her independance, even if it is mostly mentally is her bliss. I respect her wishes and I leave even if the rejection hurts. Try to listen with an open mind and heart, reality no longer exist. Do whatever it takes to make her feel like she is home, talk to her about happy times the memories that will make her smile get her to daydream about whatever comforted her in her past, such as holidays, music she likes, food she cooked, her siblings growing up etc. anything so the new reality is not the topic.

 
 

kellyb

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Aug 23, 2011

I'm also in the same situation. My mom has dementia and constantly wants to control my life. She got to live her life, and raise her kids, and now I feel so utterly stuck taking care of her. I know that sounds mean, but I honestly take good care of her, and make sure her every want and need is met. Should I feel selfish for wanting to place her in nursing home? She is only sixty, but she can no longer live on her own, and has honestly got so use to me doing everything that I honestly can see why she wouldn't want any changes. She has it literally made. Besides being sick. I love my mom, but this disease of hers has destroyed my life. I want to care for her, and still be able to have a life on my own.Please someone tell me what the best thing I can do so everyone will be happy for a change? Kellyb

 
 

jeannegibbs

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Aug 23, 2011

First Kelly, no, you are not selfish for wanting a life of your own.

Mom can no longer live on her own. Does that mean she is living with you? What kind of help do you have -- cleaning service? parttime caregiver services? Visiting nurse? Or are you trying to do this single-handed?

Would Mom be OK in Assited Living? Or does she need full Skilled Nursing Facility services? What does her doctor say about this?

Dementia is always heartbreating. I think early-onset is especially sad. Can you imagine being so dependent at only 60? Poor mother. And poor Daughter. Clearly some different arrangements must be made.

What kind of dementia does Mom have?

 
 

wuvsicecream

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Aug 23, 2011

kellyb You sound like a wonderful careing daughter a selfish child wouldn't be doing what you've been doing at all. She probably feels the need to control your life because even though she has dementia she is still your Mother and that's the natural role for her. She may not realize or even understand how you are feeling if you tell her or will most likely forget you had the conversation. It may help you both, for the time being, to try to enjoy her company as her daughter. What I mean by this is until you figure out a new plan, you are "it" so make the best of it. Ask her questions....what did your father do for work? How did your mother make her sauce? What is your favorite music, song, dance, book? These questions will strike up a youthful Mom and distract her from your butt LOL. Play music, movies she recalls. I learned all this by watching Mom and the others at her new Home the NH. She is only 74 very lively and smart beyond what I ever knew. She has cognative impairment dementia. She has no clue what she had for lunch, what day it is or who the current president is but I just found out theother day while observing. The entertainment person at the home asked about all the capitals of countries she new them all. I learned that I may remember lunch, but payed no attention in school. I think we as caregivers confuse memory loss with IQ!!! What we need to keep in mind is that, stress contributes to confusion. For example my Mom asked me where the soap was every day. I expected her to remember than, I got livid with her because I was losing my patients. She got an attitude because I had one. Than one day I realized that, liquid hand soap was not in her memory as soap, but bar soap is. Imagine her wanting to wash her hands and me getting angry because she was simply wanting to do something she had been doing for 73 years. I believe I tried so hard to be a good daughter, I forgot the simple solutions. Well I wanted to be "wonderdaughter" and the last thing I wanted to do was place my Mom in a NH. Honestly this is the best place for her. She is My Mother and I her daughter again. She is well cared for and happy. I heard a young woman that is in the NH ,for physical rehab only and mentally fine, say that she loves being there she's having fun and she going to be sad to go home. Hearing that made me feel much better about Mom's new home.

 
 

wuvsicecream

Give a Hug

Aug 23, 2011

kellyb You sound like a wonderful careing daughter a selfish child wouldn't be doing what you've been doing at all. She probably feels the need to control your life because even though she has dementia she is still your Mother and that's the natural role for her. She may not realize or even understand how you are feeling if you tell her or will most likely forget you had the conversation. It may help you both, for the time being, to try to enjoy her company as her daughter. What I mean by this is until you figure out a new plan, you are "it" so make the best of it. Ask her questions....what did your father do for work? How did your mother make her sauce? What is your favorite music, song, dance, book? These questions will strike up a youthful Mom and distract her from your butt LOL. Play music, movies she recalls. I learned all this by watching Mom and the others at her new Home the NH. She is only 74 very lively and smart beyond what I ever knew. She has cognative impairment dementia. She has no clue what she had for lunch, what day it is or who the current president is but I just found out theother day while observing. The entertainment person at the home asked about all the capitals of countries she new them all. I learned that I may remember lunch, but payed no attention in school. I think we as caregivers confuse memory loss with IQ!!! What we need to keep in mind is that, stress contributes to confusion. For example my Mom asked me where the soap was every day. I expected her to remember than, I got livid with her because I was losing my patients. She got an attitude because I had one. Than one day I realized that, liquid hand soap was not in her memory as soap, but bar soap is. Imagine her wanting to wash her hands and me getting angry because she was simply wanting to do something she had been doing for 73 years. I believe I tried so hard to be a good daughter, I forgot the simple solutions. Well I wanted to be "wonderdaughter" and the last thing I wanted to do was place my Mom in a NH. Honestly this is the best place for her. She is My Mother and I her daughter again. She is well cared for and happy. I heard a young woman that is in the NH ,for physical rehab only and mentally fine, say that she loves being there she's having fun and she going to be sad to go home. Hearing that made me feel much better about Mom's new home.

 
 

cricketinafp

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Aug 23, 2011

Bet4842, I haven't had to go through what you're going through but from reading the comments here on this forum I have a few suggestions. One would be to make her room at the AL more like her home, perhaps put up some family pictures, decorate with some of her things that she's loved. Also, go visit her as often as you can and actually do some of the activities with her. I'm sure others are better qualified to answer you better than I am but those are good suggestions.

 
 

wuvsicecream

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Aug 24, 2011

I am sorry for the double post..... oops???!!!!
Bet4842 what cricketinafp has passed on great info , anything that is comforting and familiar will help. It might help you to understand that someone with dementia gets very confused with change. So when anything is different it is mind boggleing to them. It takes a while to get familiar to the surroundings. When Mom lived with me in my home for a bit we'd go back to her house and she forgot her house was her house, when she stayed at my sisters she would yell at my nephews get out of my house. Now she's in NH. My Mom was moved down the hall a while ago, after 1 year in her original room, the room was identical but everything else was opposite, the desk was to the left not the right etc. she was confused for weeks. Than anyone that came to visit she'd say Oh you came to bring me home? she remembered her clothes/things being moved. Now if she were to go to anywhere else but the NH she'd probably short circut. Ask her about the things she remembers about home, what she says may help you.
cricketinafp ......is that a real puppy?? So cute!!! I wanna hug n squeeze him or her and get puppy kisses!!!!

 
 

docjgirl

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Aug 24, 2011

bet4842...... what did your mom do as a profession? What was her hobbies? I ask this question because when my mom gets antzie to go home and if i try to make her sit down or tell her she is at home....she gets upset. So i usually say "Mom your at home, look here are your beads." She loves to make beads, sewed all her life, and loved crafts. So i get her beads (on a string like mardi gras beads), jewelry box for them, some cloth pieces, and a quilt. The quilt she usually sees it as half finished and will spend hours picking it up(good exercise), turning it to find out where she left off. The beads she does usually break them...but with the mardi gras beads the beads don't fall off, so no chance of eating them (atleast not one at a time...lol) Just put something in her room that she used to go growing up...and it will usually pacify her for awhile. Usually between 4 and 7 is hard here, it is sundowners that works on my mom. After 7 it gets better. But i have to be ready for about 2 hours of getting up and walking walking walking.....and i have to know the right time to give nite meds. I usually give icecream and cookies at that time. Keeps her occupied until the meds start to work. Hope all works out for you. keep in touch.

 
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