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Plays passive agressive games (even hides) until she has missed the appts.

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Alzheimer's patients are not playing games. They have dementia and this is the cause of their actions. That is to say they are no longer responsible for what they say and do.
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If she doesn't want the meds or to see the doctor, she has her own internal reasons for that. Maybe she doesn't like how the meds make her feel, or how the doctor treats her. If she doesn't want to do certain things, it's not your responsibility to force her or trick her into doing those things against her will.

If you want to help, maybe ask her about it? Honestly, with an open mind and heart. Support her with what she wants for her life, even if that means an unconventional path.
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Please fill out your profile. Really helps us with answering questions. How old is Mom? Is she in her own home, living with you or in a facility? Our answers will be so much better if we knew more about Mom.

I never told my Mom when we were going to the doctor's, I just took her. She knew when we got there. Its OK to tell a little white lie to get them to do what is needed. Her hiding is showing she is more like a child then an adult. The narcissistic tendencies do not seem to go away. There will be others that respond that are in ur situation.

You say she has Alzheimers. Do you have POA? If so, you now make decisions for her. Medication can be put in pudding, applesauce. You need to make sure if they can be crushed. Some can't. It has been recommended on this site to ask for meds in liquid form if possible.
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