When should a Mom (with dementia) be told of her 66 yr old son's death?

I wouldn't tell her at all. Why put a mother with dementia through all that? She never needs to know. If she asks for him, tell her, "He was here last week." Or , "He is coming Soon." No need for a patient with dementia to go through all the sorrow of losing a son!

If he was in the hospital for 10 months and she hasn't seen him and doesn't remember even being told he was in the hospital, I would not tell her. My mother has advanced dementia and she recently asked about her sister who has been gone for years. (Mom did not have dementia when she died and sat with her at the hospice and went to the funeral, etc.) I said "Mom, she died years ago" and she cried and kept saying "why didn't anyone tell me?" She was upset for several days and when she would see others one of the first things she would say was "Did you know she was dead?" When they would ask who - she couldn't remember but she knew someone had died and she was unhappy. Several weeks later, she asked my where her sister was again and I just said that she was home. Mom said "okay" and we went on to the next subject.

If this lady has dementia, what would be gained by going to the funeral if she can't even remember her son? Leave well enough alone and if she ever asked a family member, then they can tell her. Non family members cannot tell private information about a person.

A member of this lady's family should tell her that her son passed away. This member of the family should sit with her, see how she takes it. The NH should be notified as well.

As for going to the funeral I think that would depend upon how far her dementia has progressed. Is she able to be transferred to and from a car? To and from a church pew? Does she get agitated? A long Mass and maybe a reception following might be too much for her. But this would be her family's decision.

That's a tough one, but I agree with what others have said - it depends on her level of dementia and her level of recognition of her son's existence. My uncle, who passed away last year, 10 months after my dad passed, was so advanced in his dementia that he didn't recognize anyone but the one family member who lived close enough to visit him every day in the NH - and sometimes he forgot who he was, too. He was told of my dad's death, but immediately forgot, and kept writing us letters addressed to Dad, asking how he is, etc. Now and then, he would get a glimmer of recollection and would ask, "Joe died, didn't he?" - and it was like he was being told for the first time - and the pain and sadness would be fresh and new to him, and he would be incosolable for hours - until he forgot again.

My opinion is that they should be told of their loved one's passing - but only if you think they can handle it without the pain and sadness being experienced repeatedly because they forgot that the person had passed and had to be told again. There's no reason to subject them to that repeatedly if it can be prevented. Yes, they have a right to know their loved one has passed, but if it is only going to cause more pain and confusion for them, then the benefit of their knowing needs to be weighed against that.

My Mother speaks about her family member sometimes like they are living. and I tel her they are dead and I tell her about other people she knew that has pass recently and it does effect her she handle it. She just speak about what she knew when they were living.

My sister has the mind of a five year old and lives in a group home. When my father died, we did NOT take her to the wake or funeral; she said "that is too saddening" but she did want to attend the "party" (funeral breakfast) and she went from table to table telling everyone "my dad died" which was her own little way of coping with it. She did the grief work she was capable of doing.

I appreciate all the above answers. Indeed, I had no intention of telling the friend's mother myself. I am sorry I gave that impression. And I had no intention of pressuring them to do one thing or another. Lord knows this family has been under enough stress and emotional suffering. I just wanted to hear of your experiences in order to best help them in making their decision(s). ---Yesterday our friend's 2 dgts, his wife, and I visited our friend's mother in the NH. Our friend's wife requested a meeting with the NH's SW as well, and his wife asked me to go with them to help assess the situation in its entirety. I had not visited with the mother in some time and the wife wanted me to help assess the mother's current abilities and limitations. The short of it is that his mom was, calm, alert and in good spirits. She enjoyed visiting but was not processing very much at all, only a few short comments like about her hair, how good the food was (in the NH), and that she remembered that her son had commented (a few years ago) that he didn't like the blouse she was wearing yesterday. She's not rapidly declining but there is a significant change from half a year ago. The wife and dgts felt she might become overly stressed if she did understand any part of the news they'd considered imparting; or more likely, she'd be confused and continue to be confused and stressed if she had any recall of the funeral. They didn't want to risk that and saw no potential benefit since her overall processing was so poor. The younger dgt who is also an RN (as was her father, his mother, and this writer) then said, "Why put her through all this...to what benefit?...when Oma's soon going to be with Dad anyway?" So, they made the decision not to inform her of his passing at this time. I certainly concur and am so glad the family seems to be fully at peace with their decision.

That is good. It is, by far, the hardest words for a Mother to hear. Even if she were to forget 5 minutes later, why put her through that pain. Even 5 minutes is too much.

My mom's younger sister died from dementia 6 months ago; not only did we not tell her about it, we also did not tell our dad. It would only exacerbate their confusion, dementia and depression. I'm sure someone disagrees with this but in our situation it was the best way to go. Neither has any short term memory and dad has difficulty being told repetitively that his brothers have all passed, which happened over 10 years ago. We try to live in the present and keep them content.