I recently moved my parents to MC (3 months ago). My father has Alzheimer's and my mom has multiple physical problems in addition to cognitive decline. My mother was bedridden at home much of the last 12 years due to chronic pain, opioid addiction, anxiety, and depression. My dad did everything around the house and for her until it became too much for both of them. Now that they are in MC, my dad is getting a much-needed break. He is mobile and is often out of their room in the common areas. He has adjusted much better than my mother. I feel like he literally now has a way to escape her. My mom is wheelchair bound and is very upset that he's getting up and leaving her behind. She's also been making wild accusations that she's been raped multiple times and that one of the caregivers was having an affair with my 88 year old dad. She told one of the caregivers that the caregiver's brother had raped her (the caregiver doesn't even have a brother, much less one that had been in the facility). She claimed that a precious cross-stitch piece I made for her years ago had been broken and turned upside down by the staff who don't like her (it was hanging on the wall in the bedroom, undisturbed). Much of it is clearly delusional. Other claims are less wild - that the staff are calling her names and mishandling her during transfers. But the staff has made it well known to me how much they like my dad. He's sweet, he's agreeable, he never complains. That's who he's always been, except now he has little memory. I know they don't like my mother as much, because honestly I don't like my mother as much either anymore. But I don't want to discount EVERYTHING she says out of hand as age-induced paranoia. She asks for my dad to back up her stories, but he has Alzheimer's. Most of the time he cannot corroborate anything she says and just looks confused at what she's describing. It is getting harder to visit and see her cry saying she's being abused and she's afraid. She says the caregivers are nice when I'm there but some of them are mean when no one's around. I just don't know what to believe. But it was such an ordeal moving them on such short notice, and this place is clean, safe, beautiful, convenient for me to visit, the director is competent and caring, that the thought of relocating them again on what may be totally delusional accusations is daunting. I plan to talk to the director about the situation, but any advice is appreciated. Should I put a camera in their room? Would this cause backlash with the staff? I just don't know what to do.
I am not sure where you got your numbers? I reflected on my own experience and that of my classmates and friends and your numbers did not make sense.
I checked for reputable Canadian sources and found this link. https://www.canada.ca/en/public-health/services/publications/diseases-conditions/dementia-highlights-canadian-chronic-disease-surveillance.html
In Canada at over age 85 and over about 25% of seniors have some form of dementia, the rate is higher in women and closer to 20% in men.
I do agree that OP's Mum may be reliving an early trauma that has been suppressed all these years.
Another thing it could be is “hospital delirium” even though it’s not a hospital. They also refer to it as “new facility” delirium. They are so out of their normal place and routine they have a break with reality and their broken brains construct things to explain what’s going on. It sometimes resolves and sometimes stays. 🤦🏼♀️
On analyzing her delusions, I deduced that many of them stemmed from her subconscious, and sprang from a combination of bad experiences, preconceived notions, personal ideologies and many disappointments that had occurred throughout her lifetime - a mixed bag of highly emotional things, many of which were magnified in her poor tired brain, and manifested themselves in delusional stories.
Thinking about your mother's past life and personality may help with understanding what's going on. By all means, practice due diligence in determining if any of her delusions have any basis in fact, but proceed with caution and practicality.
It must be quite lonely for mum now dad’s getting out and about more. I’d talk to the staff about this too - see if they can get her out to socialise with other residents so she’s not so reliant on dad. It will give her other things to do and think about. It does feel to me like there’s some social isolation involved in the paranoia and delusions. My mum’s tendency towards this is getting worse the longer she is unable to get out due to COVID risk. I love the ideas about the biographies and memory books. I agree not to move them unless absolutely necessary - the more change that’s introduced to their lives, the more they will struggle with their conditions - consistency and routine are comforting for dementia.
I hope you find a good solution and I’m keeping my fingers crossed for you.
be sure you do discuss her behavior with her doctor as perhaps he or she might have something helpful she can take. Depakote or Tegretol helped my dad when he became delusional and at times even combative. But you are sadly dealing with dementia.
Her carers were great with her but my worry was that it was hard to like her and that that might result in her being treated badly when I wasn't there.
We considered a camera at one point - just in case! However we didn't do that because not only did the accusations become wilder - including people who weren't there but my mother's frail body was free of any signs of rough handling and the staff did not seem to be acting any differently whether people were visiting or not. There was a kind of open transparency about the place.
It didn't stop me worrying but my rational evaluation was always satisfied - after consideration. I used to pop in at unexpected times and nothing seemed amiss.
It is so much more difficult during covid. I hope you manage to settle your worries soon. Good luck. x
Here's a thought, though -- when I moved my mom into her nursing home, and any time she goes somewhere like the hospital, I send along a two-page biography I wrote about her life. I ask the staff to take the time to read it, and it helps them get to know my mom when she can't really help them herself. It was the starting point for conversations, such as "Tell me what it was like growing up in the desert?" or "Can you say the 'Och Tamale' [her college school cheer] for me?"
I've also put in little details of her reality these days, like the fact that my mom has an imaginary husband named Dan, and while yes, he was a real person -- her first boyfriend -- he was not in fact her husband. I've put in Dan's profession (telephone lineman and private pilot to the Kennedy family!), and I even brought in her high school yearbook with the real Dan's picture. I also brought in pictures of her and her real husband, my dad, to whom she was married for 66 years.
Everyone I've given this biography to has been so happy to be able to get to know my mom as she was as well as how she is. I even gave it to the hospice company, and her hospice nurse knows as much about her in the month she's known her as others who have cared for her for years.
Consider doing that for both your parents, and ask the staff to have some conversations with your mom using her fact sheet as a springboard. It might make her feel more like she's among friends and help her acclimate better. Right now she's afraid because her protector -- your dad -- isn't always around.
Good luck!
Addressing her delusions can be an exercise in futility unless you try to validate her concerns by learning how to fit into her world. We're no longer talking about honesty and truthfulness, we're now talking about properly responding to her worries so she feels understood. So don't ignore what she believes. You might tell her that you'll talk to the staff about them mistreating her. As for her perception that a caregiver is having an affair with your dad, you could validate her by saying something like “that caregiver has been fired.” Coming up with the responses to satisfy your mom's fears is not easy not is it intuitive. It takes practice.
It is wonderful that your dad has acclimated so well. It sounds like he is happy in his new home.