How do you have a parent evaluated for Dementia when they are unreceptive to the idea?

Dear khinson1, never heard the fish/dog comparison one, but asking someone if they know where they are is standard. So is: Do you know who the Vice President is, the President, the name of the First Lady? And pointing to a watch band or stem, the doctor will ask his patient to tell her the name of it, or to draw the face of a clock. All standard dementia tests. Been through it many many times. They give them four items, tell them to remember the names, and that he's ask for them later, such as: apple, ball, pencil, book (or similar, simple things). These are classic questions. Or they'll ask what county she lives in. There's probably others, depending upon the Physician, and his or her background.

I understand your angst about Mom not being far gone enough for someone to notice. Not every professional is on top of this, but some are very perceptive. With early Dementia, the symptoms can come and go. Some people are better in the morning after a good night's rest, and grow progressively more symptomatic in the late afternoon and evening, as they tire. That can affect moods, emotions, and lots of things. Don't expect miracles, or for instant diagnosis for your Mom. But don't wait to talk to someone either, if you have compelling reasons to do so. Seek out a receptive, seemingly friendly nurse to approach cautiously, if you fear repurcussions from your Mom. You can go to a Social Worker's office, and not necessarily have to stand outside your Mom's hospital room. Tell Mom, "Goodbye," then ask the front desk receptionist to direct you there. Plead your case, privately, asking the Social Worker not to let your Mom know you shared your concerns with her/him. They may not be able to answer direct questions regarding your Mom's personal health information, but they may listen to you. If you know Dementia symptoms, you know your Mom's paranoia, and secrecy is one of them. A Social Worker can also give you an idea of what a Dementia Assessment might include, but probably can't give you specifics whether about your Mom without her express written permission. You can ask that a Social Worker approach your Mom about the subject of sharing information with you, and convincing your Mom it may be in her best interests to do so. You can request that a Social Worker share your concerns with your Mom's Physician. No guarantees this will work in your favor, or the outcome, but why not try? You may be pleasantly surprised. Hopefully, it will work for you, and not against you, but no guarantees, there, either. What have you got to lose? Praying for you...