Can decline be this fast?

It can happen this quickly, but other issues can cause her increased confusion. Please have her checked out by her doctor for an infection.

People with dementia have locational dysplacia and that's what happens when they move to different places. I found that out after my mother went to stay with my sister for a few weeks.

Yes, it absolutely can. I took my father on a road trip to visit my sister, after one day he was ready to go home, we stayed for 2 weeks. On the way home he kept asking if I was taking him home. I reassured him many times that we were going home. On arrival he asked me if we were at home. He was relieved and happy to be home, but for about a month it seemed as if everyday he declined a bit more. This eventually leveled out and he had entered another level in the disease. When a person who has Alzheimer’s is moved frequently it can keep them confused. I think it’s great that your brother switches off time with you for the care of your mother but you may want to consider reducing her moves back and forth. Also don’t be surprised if she starts asking to go home when she is at home, the home she is remembering then is an earlier home in her lifetime. I had to put locks on all the gates of our fence to keep my father from trying to go “home”.

Is a trip to her doctor possible? Just to make sure nothing else is going on and adding to the confusion and decline (bad urinary tract infection, mini strokes, etc.)? Just a thought.

Moving a person with dementia can cause them to become more confused and decline more quickly. Or at least returning from a decline is not as fast. It may have been that she would be “off” a day or so after returning and now she may not return to her “baseline”.
I would either not move her and hire caregivers to help out or if possible you and your brother switch houses for the 2 week respite.

My Mother had Alzheimers and I learned, right off the bat, that moving her, caused the decline go worsen. By moving her, I mean any time I took her out of the normal routine of her environment.

Yes is can one day my mother was fine the next she didn’t know who I was called me her sister. There were little signs along the way I missed. This was 3 years ago now she is totally dependent on me totally can not walk stand, she will yell help I go to see she denies it. She denies everything basically. She doesn’t know who I am but calls me by my name.
i am a good friend she says. I will tell her it’s time for bed she says she has none but she is sitting right next to it. Her memories are when she was a child up to her early 20’s. I can walk out of her room and return 5 minutes later and I am a different person. She has lived with me 30 years. So yes it can be rapid.

Hi,

I am in the exact same situation that you are in. I live with my mother (81 years old) and am her caretaker. She was just a little forgetful for the past year but in the recent months since I have been working from home due to the pandemic she has had an extremely rapid decline. Like your situation, she thinks I am someone else. She has called me the double or thinks I am her mother. There are times where she is perfectly fine and knows who I am and I get encouraged and by the next day it starts all over again.

We have lived in the same house for 47 years and she does not remember where the bathroom is and will ask me to take her home when she is home. The other day she was insisting that we stayed at a house in another town when we were in fact in our own home that night. She talks to me as if I were a stranger and asked me if I remember her ex husband, who is my father. She also asked me if I know her daughter's friend (my friend).

It is extremely scary because the neurologist cannot do anything for her. What she is going through is vascular dementia which is more rapid than Alzheimer's.

I am extremely scared since I will need to go back to work soon. I know how you feel and I have been speaking with a psychologist because it is extremely hard for me to see her decline like this and she has also gotten verbally abusive. I realized I needed help in learning how to deal with someone in her condition.

I wish I could tell you it would get better but it doesn't. The most important thing is for you to take care of yourself so you will be there for your mom.

Yes. It can happen over night, but later some of the mind might come back as if nothing happen. Dementia is unpredictable, but it never it gets better. You can even see different personalities arise.

It will be the new normal, that might change for the both of you, every day .. There are no rules of decline. Every case is different. My husband who is only 77 got up the other day and wondered about the house we live in .. Questions like , how long have we lived here? Who’s house is it ? Is it a rental? Where did the furniture come from ? It took me a long time during the last 4 years to understand that he was not pulling my leg or making jokes ..His brain is breaking and there is no chart on the speed of decline . Teepa Snow has some great videos giving insight into what is happening to them and how to manage your relationship with them ..

I would definitely have your Mom checked medically. It's possible that your Mom has a medical problem that can be improved by medications. Check for UTI and have her doctor do complete blood work. UTI's take a terrible toll on the elderly. Low potassium and other imbalanced can also have a negative effect. My Mom's potassium was low and when she began potassium supplements, I noticed a positive change in her memory and alertness.
Best wishes to you and your Mom.

She should be checked for a stroke.

It sure can. My wife is 62....2 years ago we were in Paris on vacation (she had signs of Dementia then, but was pretty much ok). Now I dress her, wash her (including cleaning of personal parts- she started wearing Depends because she keeps soiling herself) and she is incapable of carrying on a coherent conversation. I have in-home care 7 days a week. The delcine has been very fast- she is now "advanced", 18 months after the initial diagnosis. (which was "moderate" stage at the time) This disease has its own timeline and nothing is ever out of the ordinary. She was bad last summer too, but could still dress herself- even though her clothing choices were odd. Now, she often doesn't know who I am, where she is (keeps asking to "go home")

So yes. I feel for you. It would be a fascinating study of the human brain if i weren't living it. Take care of yourself.

Yes, the decline can happen very quickly. At her stage, it may be be less disorienting if she stays in one place. Moves can be disorienting. She'll have good days and bad days. She may do illogical things. My mother tried to wash everything, including her leather shoes, and other things that shouldn't be washed. Be patient with her and don't take it personally if she can't remember your name or how to do things. Prepare for a time when she may need someone to watch over her constantly if she wanders or becomes incapable of doing things for herself. You may have to "elder proof" the house. My mother now needs total care, she cannot walk, feed herself, dress herself, shower by herself, or talk. Be sure all of her paperwork is in order (if it's not too late). You or your brother should have POA, there should be a living will (with her medical directives), a will, etc. Banks often have their own POA forms. I found that it was easier to handle everything if the accounts were joint accounts with my name on them. There may be a time when you'll need caregivers to come in and help, or she may need an assisted living facility. Be prepared for the worst, but hopefully it will not happen! You are good daughter and a hero! All the best to you.

This happened with my 96 yr ikd Dad but he had gotten dehydrated and wasn't urinating and had to go to the ER and be Catherized. After that his decline was within a week

Sorry that you’re going through this. It’s really hard. This resource may help you respond to some of the things that are happening. It helped me.
https://www.agingcare.com/articles/caregiving-tips-teepa-snow-180395.htm

Yes, it is normal. Same with MIL.The changes happened from one day to another. There is a possibility of her coming back and forth from her previous stage.

I'm glad you checked for a UTI. If her PCP is not currently seeing patients due to the pandemic, then he/she should be prescribing antibiotics. My MIL with advanced dementia had a rapid decline just as the pandemic hit. Because her AL/MC community would not allow her personal caregivers, we moved her out because no one would be able to monitor her and provide the supervision she needs. Well, we almost had her on hospice until her urine culture came back. Turned out she had a UTI and once the antibiotic took affect, both her awareness and physical condition improved dramatically. It didn't improve her dementia, but it was a lesson learned on just how bad a UTI can affect our elderly, and it's especially dangerous for those with dementia who can't communicate. Wishing you all the best with your mother - it's a hard place to be.

Absolutely. My mother went from moderately confused but physically active enough to "escape" when we thought she was in the bathroom (she walked a mile and almost got to the BART station before she was found) to being unable to read, talk, or feed herself less than a month later. She left the house she'd owned for 54 years to go "home" too, to the flat where she grew up, which was a BART ride away. It's interesting what they manage to remember. Her urge to go home was powerful in the last four or five months before she became very ill.

Dementia sufferers take steps downward.........some can be large while others are smaller. Your mother is overly confused because, as others have said, she's in too many places to keep track of. Her brain is addled to begin with, then add in several different houses to remember and it's all too much. Wanting to 'go home' is very common with this affliction and it doesn't mean they want to go somewhere like their childhood home. It generally means they are in need of comfort of some kind and it's up to you to figure out what kind. Wandering is common, so is sleep disruptions and packing their clothing to 'go home'. I worked as a receptionist in a Memory Care ALF before the plague hit, and we had one resident who packed her bag daily, put on her coat, and waited in the hallway for her son to pick her up. No amount of telling her that wasn't happening would change her mind. So she'd sit there all day and only leave to go have lunch, then come right back to her post by the lobby doors.

There's no arguing with dementia; there's no rhyme or reason to it, and there's no coming back to a normal place from it. Sometimes I think it's harder on the family members than it is on the person suffering from the dementia! They are usually unaware of having an issue; it is WE who have to learn how to cope with them forgetting who we are, our names, and every other memory that was held dear to them during their lives. I hate dementia with every ounce of my being, and I have zero regrets that I placed my own folks in Assisted Living back in 2014. My dad passed in 2015 and my 93.5 y/o mother still lives in the ALF, but in the Memory Care wing nowadays. She's well cared for over there, and if she's up all night asking for various things, the night staff has no problem with it. She can't leave the grounds and get lost, she gets 3 hot meals a day and 3 snacks, and as much entertainment and activity as they're able to provide these days with the virus being an issue. It's truly a win-win situation for EVERYONE. The elder is NOT the only one to take into consideration here. Everybody matters, and everyone deserves a good quality of life; try to remember that moving forward.

Wishing you the best of luck.

Don't feel guilt about considering MC for her. You're caring for her now, and placement is also you caring for her. In fact, she'll be getting better physical care than you can give, and with that you'll find some peace and can concentrate on just providing the love.

My dad would never have put Mom in a MC, because he felt it was his duty to care for her. He died first, though, and my mother's health improved significantly since I moved her to MC. One person cannot do the work of a round-the-clock staff, no matter how much you hope you can.

Also, my mom has vascular dementia, too, and stopped talking about my dad within a month after his death in 2018. They were married 66 years, and her heart was broken. Don't blame your mom -- it might be the dementia, and it might just be easier on her heart not to talk about him.

Moves and any change are very disorienting for those with dementia. And every two weeks a major change like that must be very hard on all of you. Would having mom in the same home and you and bro trading off each two weeks be possible? I would think that would be disorienting and hard for you and bro as well.

Some facilities are allowing new residents. Have you called the facility you are interested in? Have you checked their ratings on the Medicare site or the department of human services site or talked with the ombudsmen at the Area Agency on Aging?

A UTI is possible and will cause major decline, rapidly. Maybe she has had more strokes? Is her doctor a geriatrician? Start with calling the doc, many appointments can be held virtually, no need to leave home.

Concentrate on getting mom into a stable and unchanging residential placement. Or think about having mom stay put and you and bro swapping home for two weeks at a time. Though even the change of person caring for her could cause confusion, and it sounds like that does as well.

This sounds painfully familiar, and I think you are right in your supposition that the culprit is vascular dementia. It is always worth ruling out a u.t.i. but to me this does indeed sound like the classic "step-plateau-step" of vascular dementia, with this time's being quite a big, marked step.

As it is a marked change, do report it to her doctor and discuss possible investigations. But don't gallop ahead with those: it's important to pause and think what useful information they might provide before you put your mother through them.

If it has been what I came to think of as a "big bit of sponge crumbling this time" you might also find it gradually settles down again, somewhat; but to repeat I do urge you to report it, because there could be something nastier on the way.

The to-ing and fro-ing must be quite difficult for all three (four inc SIL!) of you. Would there be any way of sticking to one venue and still sharing the care?

Sorry, I posted this reply in the wrong "box"!

If you haven't already, I would take her in to get tested for a UTI. UTIs are extremely common in the elderly (especially women) and often have no other symptoms except confusion and changes in behavior/personality. Antibiotics will clear it up. Untreated it would eventually cause sepsis.

It is possible that as your mom's decline progresses, the movement between the 2 homes is more and more disorienting to her. If she also has increasing short-term memory loss, this too would add to the soup. Has your mom's dementia ever been identified as a specific type? This may give clarity to its trajectory. I'm so sorry that you must be on this difficult journey. Your mom is very lucky to have such hands-on TLC from her family. May you have peace in your heart as you care for her.

Changing her living arrangements every two weeks likely confuses her greatly, dementia sufferers do not do well with change. This can hasten the decline. Consider some form of facility. Roaming around at night like that can be extremely dangerous for a senior w dementia.