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MIL will get up in the middle of the night and will wander around the house. She has even come into our bedroom without knocking. I know that if I lock the door, she would pound on it until we open the door. She gets up dresses for the day and then usually lay down on the sofa in the living room. This means that when I get up to get my day started, I have to be as quiet as a mouse or the grunting will begin (and I mean grunting). We've bought an alzheimer's clock and told her to look at it to see the time, we've told her to go back to bed ("I am in bed!") and nothing. I know this is disease process but last night was the worst! Hub (oh, it's his mother) had to take 1/2 day as she woke us up 3 times. She was afraid he would oversleep for his job? I told her that I took care of him and that we had an alarm clock for that.


We are at our wit's ends. Any advice? Or is it back to when we had babies and have to deal with the lack of sleep? Thanks in advance.

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This is dangerous for her. My aunt, having wandering issues due to her Alzheimer’s, left her completely secured home during the night, wandered throughout her neighborhood with her jewelry box, and distributed the contents in many places, one of which was a ditch. This was after the family had secure locks put on every door and window, my aunt couldn’t tell your name but managed this escape. Don’t think you wouldn’t sleep through such an episode. No one especially wants memory care for their loved one, but a safe environment with eyes on a person around the clock is invaluable. Not to mention your own health and rest
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Wandering is a serious safety concern and one of the major reasons a caregiver will place their LO in care facility. Daughterof1930's story of her aunt's wandering is a familiar one. My wife's first experience was leaving the house at 2 AM on a cold, snowy winter morning. I found her by following her footprints. After that I secured the doors, but that didn't deter her, the next time she went out the window. Even after securing the windows also, I still “slept” with one eye open. Reason number two for placement; caregiver is exhausted and sleep deprived.

So I, too, was not only frightened by my wife's wandering episodes, I finally decided that I couldn't safely care for her anymore and started looking for an MC facility.

Your MIL's wandering throughout the house is, in itself, a safety issue, especially when the family is asleep. Her next step could be leaving the house during the late hours. As Daughterof1930 has mentioned, and to which I can attest, those with dementia can be very resourceful, and securing both the doors and the windows can present a significant fire hazard. If needed, this should only be a temporary solution while you look for a care facility.

Wandering can occur for many reasons including just wanting to get out, or being confused where they are. It may occur as the result of a delusion that the person is experiencing. On one occasion, I found my wife a few blocks from home with a pad of paper and pencil. She was making sure all the kids were safely on the bus (she was a teacher).

So your MIL's change in behavior is significant and dangerous. Time to consider an MC facility.
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SeaMar Aug 2021
She did try to open the front door one time but that set off the alarm system. When asked why she was trying to open the door, she said that she thought she heard someone. We told her that we were in bed and no one would be coming at that time of night. Believe me, we make sure that alarm is set at night!
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Unfortunately giving your MIL information such as we have an alarm clock doesn't help her; her brain just can't process the information. While the doors are alarmed you should be concerned about wandering into the kitchen and turning on the stove top starting a fire.

AD disease may be messing with her internal clock - especially since she dresses for the day. It will be like having an infant in the home. You should consider having an in-home aide during the night or look into MC for your mother. While it something you and hubby may not want to consider - MC is staffed 24/7/365 and are trained to handle nocturnal wanderings.

Good luck to all of you and be safe.
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Sadly, time for placement.
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Sounds like memory care is the next step.

Meds can maybe help with the anxiety that keeps her up, but there’s no way to truly stop it or talk her into staying in her room.
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I know there are alarms you can put on her door (check Amazon) that will alert you when she’s up and about. Maybe you can put her back to bed in time?

The other thing is that it doesn’t seem she’s going into a deep REM sleep. Like her internal clock is messed up. Perhaps speaking to her doctor about her taking a GRAVOL before bedtime. They’re very safe, as even pregnant women can take them. She more than likely just needs a bit of help going into a deep sleep.
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Evaluate her evening behavior, including what she eats and when.   While it may not be the cause of her nocturnal activity, it could be keeping her awake, especially if she's consuming sugary foods or coffee.  

Turkey contains tryptophan which can contribute to sleepiness (think of all the people who nap after a Thanksgiving dinner!).   A bit of turkey at night might help allay the overnight activity.
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There are 2 options and only 1 is fool-proof.
1 - Talk to her doctor about a sleep medication since has problems staying asleep at night. Make sure she doesn't get more than 30 minute naps during the day. This one might work.

2 - Professional help. Hire a sitter to stay in your mother's room with her throughout the "sleep hours" and to redirect her to bed as often as needed. The only fool-proof version of "professional help" is admit that your MIL has reached the point where she needs 24/7 care in a memory care unit. Find her placement so the rest of the family can get a good night's sleep.
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There's really not a lot you can do.

Lock her bedroom door at night and ignore her pounding on it and hope she quiets down.

Give her sleeping medication at night that will keep her from getting up.

Placement in an AL, memory care, or nursing home.
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Have you tried a black mat? Some people say that it works for their loved ones as they think the black mat is a hole in the floor.
I’m sorry you are having this problem,
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FarFarAway Aug 2021
That is really interesting. I have never heard of that one,
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