How do you tell Mom (or ask Dr to tell Mom) that she has dementia?

You don't. And from here on, don't expect rational conversation- lower expectations to ZERO. I know this isn't funny because I deal with it daily but I saw a joke one day and it spoke volumes- Grandma saw the doctor who told her he had good news and bad news. He asked which one she wanted first. She said give me the bad news. The doctor told her she has dementia. She asked "so what is the good news?" and he responded "you don't remember the bad news!" And she said "what bad news?" And he said "my lunch wasn't that good" " and she said "what's your name again?" Point made. Best of luck and many blessings to your family and mom!

Why would she have to be told? But here's a caution: if you decide not to tell her, make sure the doctor knows that, so the discussion can be about "memory issues" or some other term.

Some people do best with a diagnosis. It helps them to have a label for what is happening to them, that other people understand it, and that they can rely on others to keep them safe. Other people are better off not having to face that harsh word. (My husband was better off knowing. It would be cruel to tell my mother. There really are both kinds of people out there!)

Try to make the decision to tell or not to tell in your mother's best interest. It is tempting to do what would be most comfortable for you. Sometimes that is the same thing as what is best for your loved one. But if there is a conflict, suck it up and go with what Mother needs.

KayBee58, I think there really is consistency about this issue. My mother's major coping mechanism is denial. That was true when she was 30 and when she was 70 and now that she is 90+. It would not have been good to tell her three years ago, or today, or next year.

My husband was a mechanical engineer. His life focus was on cause and effect. His world made more sense to him once he knew he had a disease with a name -- that all this weird stuff was not random. For his personality what would have best for him at age 30 was the same as it was in his 70s when he was diagnosed and all the 10 years he lived with dementia.

So what is right for Mother now may not change at all. If it does, or if you discover you made a mistake, you can change your approach. Do your best, and don't beat yourself up if your crystal ball isn't working perfectly.

Jeanne, I'm with you. My maternal grandmother had dementia, so it has always been my mom's worst fear. She started having memory issues shortly after her doctor put her on Zocor in the late 1990's. By the time my dad died in 2003, he told my brother he thought Mom might have Alzheimer's. By 2008 my siblings and I decided it was time to have her tested and get her on medication to slow down the progression. When I made the appointment for her cognition test, she was LIVID. She would forgot a lot of things, but it took a long time for her to let go of anything that sparked her ire. We explained that it was necessary to get on meds if she has it, which she finally understood when she calmed down. After the test, which resulted in a diagnosis of "Mild Cognitive Impairment which may or may not be Alzheimer's," they gave her a Rx for Aricept; and after that we never used the "A" or "D" words again around her. It was just a medication that helped with her memory. I made the mistake of leaving the Rx packaging with all the info stapled to it out where she found it a couple of times, and I got bombarded with "Alzheimer's? Who said I have Alzheimers?? I'm NOT crazy!" So I made sure to keep them out of sight. I figured she'll get the same treatment whether she knows she has it or not, so why upset her more than necessary?

Nana2Nanny: That story ("good news, bad news") is hilarious and made me laugh for the 1st time today! By the way, I'm known as "Nanny" to most of the kids in my family. I never had kids, so all my nieces & nephews and my sisters' grandkids are my "surrogates." I love them so much, and they are all the bright light(s) in my world.
As for telling Mom, it just never occurred to me to NOT tell her... that just goes to show you how shut down my brain is these days. I'm usually very rational, but living with her 24/7 is just SO crazy-making. My oldest sister moved Mom in w/her a few years ago 'til she couldn't take it anymore. But that was BEFORE the diagnosis, and even tho' Mom has always been narcissistic, inappropriate and just plain spiteful, no one in the family has a clue as to what she is like today. So, if I say anything about Mom, my sis says, "Tell me about it! I know what you mean." I just wanna say, "No, you DON'T know what I mean." I don't even have the energy to tell her the specifics.
As for meds, she's on Zoloft now and I think it's helping, But, as CallMeCat said, even tho she forgots a lot of things, it's amazing how well she remembers things that "spark her ire." Bless you all!

How do you tell a drunk he is drunk? She will deny it, she will get angry, she will fire the MD if he uses the D word. My MIL insists everyone else at the ALF has dementia. She is tired of them repeating themselves. She is tired of having to tell the aides how to take care of her. We have told her she has dementia. She does not remember the conversation, nor does she want to. It does not get better, either. The nice thing about Dementia is that you don't know you have it. So don't bother trying to make her deal with it; she can't.

I agree with Pam above...when I told my mother about her dementia she didn't believe it...and when I told her the dr said it she said I was in cohoots with him...I told her why would he lie, he's not a friend of mine, I'm not paying him to say it...your mom will no doubt not believe it either

That's the catch--what's best for her TODAY may not be what's best for her TOMORROW!! Crazy-making stuff. The reason I'm putting the POA in place is so that I CAN discuss the specifics in her absence. She panicked the other day b/c she couldn't remember where this dr's office was or how we got there. I don't handle it well very often, but I was having a "good" day. I normally would've said, "What difference does it make? You don't have an appt, you don't have to drive there, etc etc!" Instead, I reminded her where the office was and she just said "OK" and calmly went back to her room. THANKS, EVERYONE, FOR YOUR INPUT!

Most of our experiences sound alike. My mother wouldn't go to a geriatric specialist or neurologist the first 3 years I was here. I finally got her to one last year and she was diagnosed with significant cognitive impairment. The word dementia makes her mad, so if I say anything at all I find a less hated way of saying it. Strange she doesn't mind it when I call her cuckoo crazy. I guess she sees that as more endearing and not medical at all.

My husband would go ballistic when the A word was used, diagnosis went right over his head, he said to me they must be talking about you. As time went on it was best not to say Dementia nor Alzheimer's, no use causing a blow up, what is he going to do about it, really there is no need for him to know ( nor your Mother) you need to start working on unwinding yourself, it is what it is. When you say " her own place" are you saying putting her in a home?