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He's been mean lately as well to me,mom and his CNA. He's been very rude to his CNA he's been talking ill about her and calling her racists names. He's made me cry twice. He forgets a lot of things now. I need advice on how to deal with it and what type of care would he now need?

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Angel, click on the link I provided below... it will give you the different stages of Alzheimer's [similar to Dementia] to give you an idea of what Stage your grandfather is in, and to see what might come up next.

https://www.agingcare.com/articles/Stages-of-Alzheimers-disease-118964.htm

Both you and your Mom might decide that you need to decide that your grandfather needs to be placed in a continuing care facility. If money is an issue, see if your grandfather can qualify for Medicaid. Another idea, see if you can get a male CNA, maybe your grandfather wouldn't make racist remarks to a guy.
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You & mom need to have a talk.
This is going to get beyond what either one of you can handle.
There is no shame in making sure our loved ones are safe from themselves, the world, and are receiving care. Bless your heart honey. There are other very young people on this board, and we'll do the best we can to help you out.
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My mom is the primary caregiver I'm kinda like the assistant when mom works I take.over
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I glanced at your profile. You're 17 years old? Are you the primary caregiver for grandpa? Is he in a facility or living at home? Many people on this site have experience with your problem and can be ver helpful but you should post some more details about your situation. Stay in touch.
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Angel, your grandfather is living at home. Is that correct? I know from what you wrote in another thread that he is in a wheelchair. It sounds like he is getting pretty nasty to the people around him. Is your mother his primary caregiver? Is your grandmother still alive?

If it is just you and your mother, perhaps it is time to look around at nursing homes that work with people who have dementia. This doesn't mean he has to be placed right away, but it will give you a good backup plan for if he does have to be placed. Sometimes it can become nearly impossible for us to provide the care someone needs when they are severely incapacitated and fighting us. We need help. Looking at the qualifications of the facilities and seeing how it could be financed would give you an idea of what you can do if you need to.

My father also became racist in his last two years on earth. I was horrified when I heard words that he had never uttered when he was younger. He was undiagnosed at that time, but the hospital reported a cause of death as mixed dementia. My mother told me he had always felt that way about the races. When he lost the filters in his mind, the feelings were free to express themselves. I was so ashamed of the things he said and was glad no one else heard him.
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He needs to be seen by a dementia doctor. He may need to be in a dementia care facility where the actual building, the care, and the care workers are trained in what advancing dementia will bring.

This sounds pretty typical as the brain "dissolves" away from the disease. The part of his brain that kept his thoughts, words, & behaviors under control all these years is going away or gone. This will not go away or get better. Sometimes it can get worse.

An experienced geriatrician and neurologist can guide you on the road ahead. Please also educate yourself on the stages and behaviors of dementia. It will help keep your stress down to understand what's coming.

A lot of family doctors are not trained on how to treat the elderly or dementia, so they won't be able to provide you with specifics or steps that might help your grandfather be more peaceful. The medication available today is tremendous. There are no cures, but there are more choices than outright sedation.

My mom uses the N-word liberally with her caretakers. They are mostly from Africa and have not ever been treated this way.
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