How and when do I call hospice in?

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Mom dosent know me anymore , I called her mom and she said she wasn't my mother . I showed her pictures of me , my brother and sister and she remembered my sister dying 3 years ago but not me . She is also hallucinating , dosent have a UTI , she gets nasty to me. My brother is no where us , since Gerilyn died it's mom and I . She's at least calling me Beth now ... She asked me if a picture on the fireplace mantel was me , I said yes ! She said " put that statue in front of your picture!" Lol I said okay and I did...her neuro put her on seroquel for the voices , but it sure isn't doing much 75mg QHS ...I am a RN but I don't know much about Dementia or Alzehemiers ..although I've been learning a lot since my sister died..i have a caregiver for her when I'm working .. Please tell me when do I call hospice ? I sometimes feel very alone . And not sure what to next or what to expect ...thank you for your help in advance..she is eating and drinking ,some swallowing difficulty I think she needs a swallowing test ... Is it normal for Alzehemiers pts to have pts swallowing liquids...I purée her food and she loves it ... Drinking fluids she have difficulty ..I'm a Rehab nurse ( physical ) so I know she needs a swallow eval I thicken her liquids for the most part ...anyway .. How and when do I call hospice in? Thank you

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Take care of your injuries Ohmeowzer. You must be in a lot of pain. I'd consider if you can care for your mom and recover. That's a lot.

I'd try to keep in mind that her comments are likely to be bizarre, insulting and even untrue, so as not to take them so personally. Providing at home around the clock care is quite stressful. I'd work on getting some extra help and consider if it's for you. It's not for everyone. There are other options.
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Oh God Beth I know what you mean about a break.. today mom got annoyed at me said she was going to visit her sister,, called her and set it up... And I am GLAD... I'll worry and still be stressed.. but my god hubs and I will get some alone time!!! Good luck with the broken bones sister!
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I love my mom , but I sometimes need a break from her ..I can't wait to go to the xray Tommrow just to get out of the house ..thank you all for your help my name is Beth and you are all in my prayers
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Thank you for your comments ... Well today she asked me why the statue in front of my picture? Oh gees I said mom you asked me to put it there yesterday ... Oh wrong thing to say ...she went off on me yelling at me asking why she would do that ... Oh Gees I can't win I can't win .... I'm not trained in Alzehemiers and dementia .. I had to go to my room and calm myself .... She said I'm the crazy one .....lol good heavens..... I'm home because I broke my ankle , tibia and fibula , they are not sure how ,but I have severe Psoratic arthrits ... And if I don't get better and go to work soon I may go crazy ...lol lol ..now she's talking to her delusions about me ... Lol good Lord ... Wahhhh
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That must be so painful for you. I agree about consulting with her doctor so you can know what she needs right now regarding her swallowing and if hospice is appropriate. It depends on the patient.

I would read a lot about the condition so as to understand that her not remembering you is a symptom of the disease. I bet it still stings though. I hope you are able to get some support. Do you have that with family and friends?

In reference to you question about swallowing. My cousin has Vascular dementia and is advanced (Wheelchair, double incontinent, limited verbal skills) yet, she still seems to eat fine with no swallowing issues, though I watch for it carefully. It is something that may be common and most dementia patients though. Most all of them that I know have gotten it. I would pursue the swallowing assessment.
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for us it was easy to know when to call in hospice,, dad was actively passing. He was in MC and in the hospital a bit. I would suggest you call her Dr for some advice. They can order a swallow eval, and give you some better advice. Good luck with this, and my thoughts are with you both I know this is hard
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