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I find pills on floor she has dropped. She refuses to wear a medic alert. I feel she is just an accident waiting to happen, but refuses to admit she needs help.

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Yep, not harsh at all. Some things you let go or compromise on, but pills ain't one of them. Mom fought me on this and I won. I was kind but firm and then let her rant and rave till she wore herself out. You just can't let them play with their pills like it's candy. As time goes on, I'm finding I have to hide more and more "products" if I don't want her making an ungodly mess or trying to put them on (face makeup, hair spray, you name it). Probably won't be long till she tries eating or drinking whatever bottle or container she has in her hands. Dear God, I do hate this disease, don't you??
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i suggest you get a safe and lock up the meds this is dangerous , i had a patient thatdid the same thing someone has to monitor this all the time sit her down and tell her hey we need to do this to protect you or we will have to take other methods of getting you taken care of i know this might sound alittle harsh but i have been caring for the elderly a long time. you need to be in control not an elderly parent whom refuses to be reasonable the safe worked i took the pills said no more taking a chance of an overdose especially with them holding the pills. i disagree with giving them all the pills for 24 hours not a good idea as they get older their body changes everyday
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we have to remember we come in like a baby and GOD willing we go out as one
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It sounds like your Mom is showing signs of dementia, but that is not mentioned in your profile. Self-medicating as they decline is a real challenge. The 7 day/4 dose pill tray worked very well for my Mom while she could still watch the clock and comprehend the calendar. The first thing I did was to make a long white cardboard strip with the day of the week in large red letters (SUN MON TUES etc), and taped it across the top of the tray, and bent it back just a bit so she could see it easily and it was not in the way of her fingers. The next adjustment was to label the lids with MORN, LUNCH, SUP, BED. That way, she didn't have to worry about the exact time. I also trained her (yes trained) her to leave the little door open after taking each dose, so she could easily see that the next closed lid was the next dose to take. When she could no longer keep track of the days, I switched to the tray with the pop-out strips. I put a strong rubber band (#64?) around each plastic strip. Beginning with Sunday, she would roll the rubber band into the groove between the strips. Seeing the rubber bands was her mental reminder that she could only use one strip each day. Every morning, she would move the next rubber band over.That way, only one strip at a time was accessible, and she still was leaving each lid open after taking each dose. This worked pretty well for about a year. All along, I still called her during the day to check up on her occasionally and ask if she took whatever dose she was supposed to have taken last. As her dementia progressed, all these measures just fell apart, and she was skipping doses, dropping pills, hiding pills, taking more than she should, mishandling food, not eating. not changing clothes, etc. By that time, she was ready for the NH, and after her last fall, she went into the hospital, Rehab, and Nursing home in straight succession (never came home). Prior to that, my phone call check ups increased, and trips to her apt to assist her became daily, and then at least 2x/day, and sometimes overnight. I basically lived with her on weekends. I was still working full time at that point, so it was rather grueling.

As for the medic alert bracelet, the first time she fell, she finally agreed to try it, but it still took some training and reinforcemnt to instill that she had to leave the bracelet on her wrist 24/7. It was a Godsend many times. Unfortunately the day of her final fall, she did not use it, but managed to get to the phone and call me.
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And to respond to not wearing the medic alert necklace/bracelet and otherwise the parent refusing to follow safety issues in their own home....I have been through this...while worried about having the POA and living out of town. When Dad was home, we had times that police had to be called to do a welfare check because I could not assess via phone, or they were not answering, or they were fighting and loud and neighbors were concerned. I talked with attorney about what my role was regarding keeping them safe and in their home. I was told that I could not be legally liable if I had arranged home care, the necklace, had a case manager and other ways to get them assessed quickly when I lived out of town. I was told these things were necessary to avoid having someone call APS and then APS taking over control if they were found unsafe. I finally had to explain to both of them, that they had to have the in home caregiver come because the police had been called too many times....(most of the time called by ME...but I didn't have to say that!) and that if APS were called in by the police, they would not be able to stay in their home. They both did NOT ever want to be taken out of the home, so they finally accepted that the caregiver coming was to help assure we had a plan that showed they were safe to be there in their home. Mom, alone now, won't wear the bracelet either, so I am in process of upgrading their home alarm system, so I can see via computer that she is in the house and what she is doing...and so she does not have to manually alarm the house, but it will automatically be activated or deactivated simply by her locking or unlocking the door. If she leaves and forgets to lock the door, I get notified via email/computer and I can lock the door from here....in a different town too. It's quite good! And at least I have done what I can do for now...to keep her safe, and me legally OK. Eventually, like with Dad, it will come to her having to be placed somewhere, or have the caregivers in with her. Sad that their lives have to end this way, but there's no other good answers!
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Could you fill pill bottles with tic tacs, smarties, other little candies and let you mom fill her own pill boxes any way she wants to. It won't matter whether she does it right or spills them, nothing to worry about. Then you make up the real portions and keep them where she can't get to them. Never let her see them at any time. You can ask the pharmacist to make sure, but if it's okay crush the tablets or open the capsules and sprinkle the meds on food or put in juice. It got to where my mom couldn't take pills and this is what we do. Also know that with dementia and aging this phase will pass. Sometimes I look back at the times my mom still had some fight in her and feel sad that she doesn't any more. Thanks for being so concerned about your mom. I think the fact that you are watching out for her will help keep her safe and healthy. Like vw9729 said you shouldn't feel guilty if something happens that you can't prevent. xxoo to you both!
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Mom refused until the VNA (visiting nurses assn.) gave her the 7 x 4 box. She wouldn't fill it so I did. She continued to fiddle with the Rx bottles, even putting pills back in. I brought this up in front of the nurse, and she agreed that I should hide or lock up the Rx bottles. Mom said the pills didn't look right. I reminded her that generics look different every time you get a refill. She complained to her son. He told her "leave the damn pill bottles alone!" Sometimes she does miss a dose, but I report it to the nurse. OH MY she does not want to be a bad girl for the nurse! So after a few months of push and pull, she uses the pill box, and she has an alarm clock that rings at 8AM and 8PM to remind her. So far it works, but expect a lengthy transition.
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You don't say that your Mom has dementia or Alzheimer's...... I have just had to purchase a small safe to keep my mother's medications in. My Mom was hospitalized for 8 days to have gall bladder surgery and then she developed arrhythmia so she had to remain in the hospital. While in the hospital her dementia grew much worse due to medications they were giving her to calm her down, however it was working in reverse and making her worse.

When we came home Mom's medications had changed and they had added Seraquel. I was watching her like a hawk and yet I turned around and she had her bottles of medication out and had Seraquel in her hand ready to pop in her mouth. I was alarmed and immediately removed the medication from her, which she fought me over like crazy! At this point I don't give a d--n my dear, I am not going to sit by and watch my mother overdose on pills, nor go through whatever might happen to me or my sister when someone tries to prosecute us for Elder Neglect!

As kids we do not want to make our parents mad, so we don't stand our ground and tell them that we understand they think they are okay to handle these matters but they are not, therefore for their own safety and our peace of mind, we must now help them, by performing this task for them.

I have put Mom's pills into her daily dispenser for years and never really feared that she would go into other medications and randomly take them.....until a few days ago. When you live with your parent you notice all the changes that are happening with them more readily than when you just stop by to visit. There is a decline in their cognition and you have to be ready and watchful.

Try to explain to your Mom that you love her and you need to due this for her to put your mind at rest.
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Hi there, does she live with you? My 80 year old mother moved in with us a year ago. She would forget that she even took her medications and take more. We bought one of the 7 day/4 dose containers..that worked for a few days...but even with a calendar, she forgot what day it was,and she was pulling the pills from any compartment she wanted...so, this is what currently works for us, and has for over 6 months. I let her have her pills on a 24 hr basis. I fill 1 little plastic container with her pills each morning. She seemed to spill them from the bottles, which is why we knew those had to be taken away from her. This is a little plastic container, with an attachable lid, that had actually belonged to one of my daughters (It may have Scooby Doo on it...but it works.) Each morning she gets 4 pain pills, 3 anxiety pills, 1 celebrex, and one blood pressure pill. She knows when those are gone, that there won't be anymore put into that container until the morning. Mine won't wear the medic alert button either. She claims that she has her cell phone...which she won't keep near her. She says that she is fine when we leave to shop. I tell her that if we are gone 2 hours, and she falls right after we leave, that is 2 hours on the floor, if she can't get to her phone. Good luck with the medications...is she able to tell you that she dropped them? My mother goes into a frenzy, knowing exactly what she dropped and will have me crawling around looking for it because, "If the cat gets it, she will die". Everyday is something new.
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My mom was not taking her medication well and refused help. I bought the container and suggested this was a good way to track her meds. Eventually she let me fill it in, it took me months of persisting, and she agreed only after a hospital stay that resulted in some changes. I visit and make filling it one of my chores while I am there. I just kept asking, expressing interest, she would admit to forgetfulness, so I used that as an opening. I wore her down, or she realized I was suggesting this for her own good. My mom is forgetful, and can be headstrong, she does not have dementia nor the lack if reasoning associated with it.

She looks forward to my visits, I bring pastries. We chat, I fill her pill box and review her mail, her bills, she actually looks forward to it now. The 7 day box committed me to visiting her a minimum of once a week.....hence she likes it.
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