Dad has a hard time being around those with dementia. Can I do anything to change this?

Your father may think of himself as not being like "those people" because he is functioning better than his wife was towards the end and perhaps better than many or most of the people in the adult day care program. Having seen what happened to his wife, it must be terrifying for him to think that the same thing might be happening to him. If he really was very out of place at the adult day care program, a program that is designed for people with dementia, he wouldn't be willing to go there. As long as he is willing to attend the program, it doesn't matter if he is in denial about his own condition. My husband definitely has dementia (diagnosed through standardized testing in 2008 with yearly retesting, although it is believed that he doesn't have Alzheimer's) but since he is higher functioning than most of the people in his adult day care program, he tends to think that he doesn't have dementia as they do. However, he does like to attend the day care program which is what is important at this point. As others have said, the people who work at adult day care programs are used to dealing with difficult, inappropriate behaviors and are therefore not likely to judge your father (or you) if he has temper tantrums or behaves in other ways that would be embarrassing under other circumstances.

My mother, whom died two years ago at 85, had early dementia and my father never could understand it. I tried to explain dementia and alzheimer's to him numerous times and in varying ways and he just could not absorb it. Nor could he deal well with the changes that came to her or to his life. He is 87 and comes from an era where men and women had their cultural roles to carry-out. That is how he was raised and has lived his life...'men are strong, women are weak and fragile. Men make decisions, women provide support. Men work, women raise the children and keep-up the house. The roles are not to be mixed-up.'

My father, and perhaps your father, grew-up when it was considered a "woman's mental mallady" known as "the vapors" if the woman became nervous, unpredictable, full of worry, withdrawn, moody. Often at that time, women were institutionalized-abandoned-hidden simply because they "acted differently", or were depressed and were considered "crazy" or 'nuts'. Well, we know now...it wasn't/isn't just a woman thing and when one begins to lose memory and logic they are not crazy. It is a physical change that occurs in the brain that can't be helped by the man or woman who suffers from it. I think for a lot of people, especially men (who imo are in general more self-centered), their reaction can be one of denial. As long as they don't try to understand dementia or learn about it...they can deep it away from knocking at their door.

I think this long standing belief and history with people of this age group and what they experienced in their formative years ("the good old days"), is difficult, if not impossible to change. Teach an old dog a new trick?? Perhaps situations like this is where that saying came from. I understand you being upset with your father...I've been there. You've given him options and he is still making his choices. Let him deal with the consequences and don't you worry about it (easier said than done, I know) You don't have to approve of his behavior, to do the right thing with him...giving him your time, attention and love.

58:

I also have a problem being around people with dementia; particularly those that talk about 5 different subjects at the same time and expect you to connect the dots. I try to respectfully listen and help them gather their seemingly incoherent thoughts & expressions accompanied by erratic behaviors. Sometimes they get mad at me because I'm "crazy" and don't make any sense. ... In a nutshell, we're in very different wavelengths.

As to your Mom, it must have been excruciatingly painful for him to watch Alzheimer's rob her of herself before it robbed her of her life. Call it denial, but he probably just wanted to remember her as she was. Besides, if his behavior towards her had changed she'd have somehow noticed, said something about it like "You've changed," and become saddened further.

I'm no expert on dementia, but I'd keep him company the next time he goes to FC and help him identify individuals he can "click" or hobnob with. Once he builds a posse they can all talk about those looney tunes over there. Hopefully he'll realize that the more he talks about other people the more he says about himself.

You know, unless your father has always used God's name in vain and cursed like this, I'd say that HE does have some dementia going on here. I know you said he's NOT, but it seems to me just reading what you wrote, that he is exhibiting dementia type behavior. Why is he going to this adult daycare in the first place? Is it because you need him to go, or is he wanting to go?

You know, my two sisters also think he is showing a bit of dementia, just by virtue of phone conversations. My brothers and sisters haven't seen dad since November. The adult day/health care was suggested by the VA (and this one is heavily funded by the VA,) to provide socialization, receive physical therapy weekly to help build his strength, and just a safe place to visit with others his own age. They have a room specifically for vets, he receives two meals and transportation as well as nail care. They have a clinic as well, staffed by RN's, occupational and physical therapy. Family Circle in Oxnard CA is awesome! All of this is at no charge to him as he he 100% service related disabled. Also, it gives me a small break during the week. He leaves here about 9:15 and is home by 3:00, Monday, Wednesday and Fridays. No, he doesn't want to go, he thinks I am trying to make him go. But he also complains that I try to tell him what to do. I told him if he doesn't want to, then don't go. He is a good martyr. I think deep down he knows mom was sick, but tried to wish and pray it away. I also think he is afraid it might happen to him.

I have no idea what "Go D" means, but even Catholics can swear. As far as him not believing his wife had dementia, he has a right to not believe. His behaviors though may get him kicked out of day care. If he does not have a dementia diagnosis, why is he in daycare? Complaining is another form of denying one's own death, and you can either listen to it, or choose not to be around him. This generation has a hard time expressing how they feel, but if you sit and ask him maybe he can tell you what he is thinking about...

My husband has early onset Lewy Body Dementia (LBD). With LBD, they are very aware that they are loosing it mentally. I understand that is not the case with Alzheimer's. It is very difficult for my husband to be around other people socially, because he knows he is not be able to carry on the conversation or even answer a question. It is also difficult for him to be around people with dementia, because he is very aware that he is like them them and they make him uncomfortable.

Because my husband is aware and is embarrassed, he will often pretend he is just joking, when he says something bizarre (appropriate word choice is a challenge now). LBD also fluctuates, so sometimes his brain is functioning and the next moment it isn't. So before we got a diagnosis, I thought I was going crazy or imagining it. Getting a diagnosis really helps, because at least you know what you're dealing with.

Your question is "Can I get him to be more charitable?" and I think the answer is "probably not."

Yes, his behavior toward "those people" is sad. Let the day center deal with it, if it has to be dealt with. His behavior does not reflect badly on you. You are not responsible for how charitable he is or isn't. Mom was one of "those people" and in all likelihood, so is Dad. That makes it harder for you to hear, but not more likely that you can change it.

You have given him the option not to attend the program. He continues to go. The program sounds great. Since others there have cognitive and emotional problems, he is probably not the only one who says inappropriate or uncharitable things. I suspect the staff is very used to dealing with this.

Love your dad and continue to care for him as you wish he would have cared for your mother. Be responsible for your own behavior, but realize that you are not responsible for his.

Scared...thanks for your comments. I don't know how helpful I was in helping 58yroldchild respond to his/her father's thoughts & words, but her/his story did ring a bell with me on what maybe causing those thoughts & comments from the father. If I'm right, 58yroldchild shouldn't even think he/she can change the father's opinion. It would be a waste of his/her efforts or thoughts. The father could even be stubborn in holding-on to his opinion because at this stage in his life he probably is fighting change.

58yroldhild...I did want to point out something that I neglected to mention in my previous post. That is, people of this age group can be easily embarrassed (proud) to admit or acknowledge that someone in their family has/had what they consider "mental issues" or any troubles that in the old days were considered private, dirty laundry that should be kept behind closed doors. That is probably why your father "still thinks nothing was wrong with her, though she was demented for at least 15 years, refusing help or to believe something was wrong with mom".

I know your father's comments are hard to hear and his lack of acknowledgement concerning your mother's dementia, hard to deal with. I don't think there's anything wrong with you vocally disagreeing with him, or shaking your head when he makes negative comments about "those people". You may feel as though you're condoning it if you don't respond in some way. You might feel better if you do respond. But, from my experience, I wouldn't expect to change his opinion or stop him from making those comments. This could actually be worse, where these long held opinions, stubborness, and denial effects the treatment and care (including life & death) decisions for himself and others, which I believe is what happened with my parents...and I'm still not over it. It has changed, perhaps forever, my relationship with my father. I don't want that to happen to you or anyone else. Provide guidance and assistance to your father, avoid lecturing him, and keep an eye on him concerning decisions that he makes. I wish you peace.

Many thanks to all of you for you helpful and candid answers. Family Circle is a great place, it is not specifically for those with dementia. The VA's object was getting out of the house a bit, socialization and physical therapy regularly. They actually have a section called the memory center just for people with dementia and memory related problems. If he's he's home he sits and pouts because I don't drive him around all day, nor will he even try to do the exercises that his doctors and PT's have asked him to do. So, it does give me a small break to get chores done and try to attend to my own needs without guilt. I agree with Scared's answer in that it may be a reminder of the home my mom lived at. I have approached counseling, but that's not in the cards. I also 100% agree with Balexander9's note that the nurses, doctors and anyone who works at a nursing facility or senior center have seen it all before. I have given him the option of not going, but he is also aware that some doors have closed to him because he refused to take meds, PT, etc. As I said, the VA is paying his way 100%, this is actually an adult HEALTH/day center, there are all kinds of attendees there and they sure seem to have a good time. I dropped in a few times just to see the day in progress, it's a great program!