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As her POA, you have the right to change her doctor. I can't imagine the frustration of trying to advocate for someone when their doc refuses to listen or speak to you.
You may want to consider keeping your aunt in the NH while changes in her meds are underway. See how she responds before moving her to AL. You will want her to have the best chance of success in AL.
No facility will take her without written documentation from her doctor. Start looking for a new doc that you can work with.
All of which is to reassure you that what Aunt is experiencing with her doctor is not unusual and it is not a sign the doctor isn't competent. Accompanying her to appointments and establishing a relationship with the doctor will make future phone calls more productive.
I hope that Aunt can remain in her home. She may be eligible for more help than she is getting ... and without you paying for it. Call Social Services in her country to learn what might be available and how to apply for it.
It is very common that dementia patients cannot safely stay in their own homes in the advanced stages of the disease. Social Services can help you identify what care center options are available if that becomes necessary.
Bless you for your concern and your hard work on behalf of your dear aunt. She is lucky to have you.
Bless her soul, your aunt is very elderly. I'm so sorry for her mental issues, but please remember that she has had a wonderful life and your care and concern has made that possible.
Sending you love and best wishes. Cattails
Another possible drug combo is aricept/namenda. It really all depends on the doctor. You are better off setting up an appointment because I learned you cant really get you point across on the phone.
As for her "being in home;" there will come a point were that will most likely no longer possible. Her safety is always the number one concern. Have you ever thought of an special needs assisted living (In NY they are called SNALRS) that deal with dementia. It would give her the 24 hr supervision she needs and also the freedom for you to live in your own home.....just something to start exploring.
Hugs, Cattails