My mother is early stage. She is forgetful during the day, not unlike Rose on Golden Girls, but come evening she transforms into Mr. Hyde! Her sundowning can be quite severe.
My parents were raised "British", meaning: don't talk about uncomfortable topics, and losing one's mind is definitely an uncomfortable topic! LOL! However I am feeling strongly that her memory issues are a HUGE elephant in the room and need to be talked about. I swear I'm going to lose MY mind if I can't start talking to them about their life now.
For 3 years now our family even just calls it "Mom's Memory Issue", to make it palatable for them both. I want to be able to talk more constructively about her Alzheimers and I don't know if it is appropriate to talk about it literally IN FRONT of her, or if this is done behind her back? She is open and participates during daylight hours, but evening comes and we have a banshee on our hands, or rather Dad does.
Unfortunately their family doctor has very little knowledge/experience with Alzheimer patients and family life.