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Medical Forum / Diseases and Disorders / Alzheimer's / August 2005

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Denial

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June - 10 Aug 2005 04:34 GMT
I posted a message a short time ago about my brother being in denial about
our mother's dementia even though she's had it for almost 12 years now.   He
has been taking her to Florida to live alone every winter for several years
now.   Finally Mom told him she didn't want to go to Florida alone.   So now
he thinks he can find someone to stay with her   'sigh'   That's one can of
worms I don't even want to think about.  Hopefully he won't find anybody.
I can almost talk my mother into assisted living but brother says he will
remain neutral.   I have to keep reminding him that since he has POA that he
is responsible and will have to start making decisions for her.   Even he
has mentioned that she can no longer decide on what groceries to buy when he
takes her to the market.  But he still thinks she can decide where to live.
The trailer she stays in here in Indiana during the summer is fine for
summer.   It's very small and old but has a sunroom that can used during the
summer months.   The best thing about it is that it's next door to my
brother.   Anyway I think I finally found out today what his problem is with
assisted living.   He thinks she won't like it and will blame him.   He
hopes that she will hate the trailer and then decide on assisted living
after the winter.   I told him that she will probably like assisted living
and won't remember how she got there anyway.   When her mind was better she
told me she never wanted to spend a winter in that trailer.
Most of the assisted living facilities around here have a waiting list.   I
found one close by that has been recommended to me by a friend and it's the
most reasonably priced as well.   Today I put her name on the waiting list.
There was no cost to do so.   I have probably a few months to pull this
thing together.   The saga continues and 12 years is long time.......
Evelyn Ruut - 10 Aug 2005 11:20 GMT
>I posted a message a short time ago about my brother being in denial about
>our mother's dementia even though she's had it for almost 12 years now.
[quoted text clipped - 22 lines]
> list. There was no cost to do so.   I have probably a few months to pull
> this thing together.   The saga continues and 12 years is long time.......

Hi June,

Maybe you could take her there for a visit, and let her see the place, and
then the idea might not seem too strange to her.   Of course, she probably
won't remember having gone there, but it might help your brother decide if
he knows that she has been there and felt OK about it.

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Best Regards,
Evelyn

(to reply to me personally, remove 'sox')

June - 10 Aug 2005 15:54 GMT
> Hi June,
>
> Maybe you could take her there for a visit, and let her see the place, and
> then the idea might not seem too strange to her.   Of course, she probably
> won't remember having gone there, but it might help your brother decide if
> he knows that she has been there and felt OK about it.

Yes I do plan on taking her and my brother to visit.   I tried this a few
years ago and she kept saying that she's not ready yet.  I had trouble
getting her to understand that it isn't a nursing home.
But she's 86 years old now and seems more open.    In fact if my brother
would help me I know we could easily talk her into it.   She's become like a
child in many ways.  I do know that telling her something over and over in
conversations eventually influences her.  My biggest obstacle is my brother
and he controls her money.   He is very close to my daughter and her family
and she has helped me a great deal in getting my brother to understand his
mother's condition.  He's never married so we're basically all the family he
has.
She has a doublewide mobile home in Florida that was damaged by the
hurricanes last year.   She got an insurance settlement  that was
considerably more money than the place was worth.  I've told my brother to
walk away from it and not put any more money in it.   He can't bring himself
to do it and of course it's her money he's using.   He knows he can't
justify using her money on the place if she goes into assisted living.
Making things more complicated.   Mom always said the more things you have,
the more troubles you have.   She had a lot of wise sayings and they're as
true now as when I was a kid.............
Baird Stafford - 10 Aug 2005 17:47 GMT
> I posted a message a short time ago about my brother being in denial about
> our mother's dementia even though she's had it for almost 12 years now.   He
[quoted text clipped - 21 lines]
> There was no cost to do so.   I have probably a few months to pull this
> thing together.   The saga continues and 12 years is long time.......

I know where your brother is coming from.  I, also resisted removing the
Dowager from a condo in which she had been happy for a decade or so.
However, one morning I walked in to find her lying flat on her back in
her den, with no memory of how she'd gotten there.  Hospital tests
offered no clue, except thta the has a couple of leaky valves in her
heart.  

The Dowager is now in an ALF.  Due to the fall and the heart valves, the
decision could no longer rely on sentiment:  now, it had become medical.
I didn't want to walk in some time in future to find her lying *dead* on
the floor...and have to wonder how long she'd been there, and what kind
of pain she must have endured while waiting to die.

I don't know the state of your mother's health, of course - but it may
be that your brother is waiting for something similar.  Medical
decisions are always easier to explain than, "Well, the family didn't
think you're capable of living on your own, any longer...."

Blessed be,
Baird

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Modkin of soc.religion.paganism
Modstaff of alt.religion.wicca.moderated
Newstaff, Inc. at newstaff.com

Songbird - 10 Aug 2005 18:38 GMT
>> I posted a message a short time ago about my brother being in denial
>> about
>> our mother's dementia even though she's had it for almost 12 years now.

<snip>

Baird from here:
> I know where your brother is coming from.  I, also resisted removing the
> Dowager from a condo in which she had been happy for a decade or so.
[quoted text clipped - 13 lines]
> decisions are always easier to explain than, "Well, the family didn't
> think you're capable of living on your own, any longer...."

I'm hoping the same thing will work with my dad. I am talking to him
tomorrow with a friend to ask him to consider AL for he and mom. The chief
reason is that Mom needs the care, and he is not providing it at home, but
if we use that she will feel guilty and he will let her. Instead we are
going to point out his recent health scares (sudden cardiac death -- yes
that is the clinical term for it, but he didn't die, obviously, infected
pacemaker, etc.) and that Mom would not be able to help him. "So,
considering your health ..."

We have planned for it like an intervention, because it *is* one, and we
expect him to be angry. Think a few positive thoughts for me around noon
tomorrow!

Songbird
Gwen Love - 10 Aug 2005 20:16 GMT
Praying for tomorrow, Songbird.
Gwen

> >> I posted a message a short time ago about my brother being in denial
> >> about
[quoted text clipped - 35 lines]
>
> Songbird
Songbird - 11 Aug 2005 00:10 GMT
Thanks, Gwen and Evelyn. I went to get him today for surgeon's follow-up,
and I can tell he's not bathing either. That will be a separate issue, but
it's affirmation that they need help.

Songbird

> Praying for tomorrow, Songbird.
> Gwen
[quoted text clipped - 45 lines]
>>
>> Songbird
Evelyn Ruut - 11 Aug 2005 14:25 GMT
> Thanks, Gwen and Evelyn. I went to get him today for surgeon's follow-up,
> and I can tell he's not bathing either. That will be a separate issue, but
> it's affirmation that they need help.
>
> Songbird

Songbird, it occurs to me that this might be the perfect time to enlist the
gentle support of his superior, but only if he should resist your
suggestions after your meeting/intervention.    Timeliness is essential, and
you are moving on this at exactly the right time to get some results.

Signature

Best Regards,
Evelyn

(to reply to me personally, remove 'sox')

A R Pickett - 11 Aug 2005 16:02 GMT
Songbird wrote in part - I went to get him today for surgeon's follow-up,
> and I can tell he's not bathing either. That will be a separate issue, but
> it's affirmation that they need help.

My dad {diagnosed with vascular dementia} currently lives in "supported
independent" living and when a space is available in the AL section of his
complex the staff will be moving him up there.  He has also stopped bathing.
He goes up to the clinic daily to have a persistent leg ulcer medicated and
re-wrapped.  Every couple of days one of the staff just takes him by the
hand with a grin "come on, come here with me" and takes him down to the
bathroom and helps him get cleaned up.  As far as I know, he has not
resisted - seems to be relieved that it's not entirely on his own
initiative.

Which is a theme that seems to run through some of these posts.  When
finally established in the various facilities the patients (for want of a
better word) often do just fine, adapting to changes which a few short years
ago would have caused them to hit the roof.

Signature

A R Pickett aka Woodstock

"Sometimes the facts threaten the truth"

Amos Oz, prize winning Israeli author

Read my book reviews at:
http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html

Remove lower case "e" to respond

Dennis P. Harris - 12 Aug 2005 05:20 GMT
> I went to get him today for surgeon's follow-up,
> and I can tell he's not bathing either. That will be a separate issue, but
> it's affirmation that they need help.

If he's not bathing, he's probably either depressed or also has a
dementia now (not unusual for hidden symptoms to suddenly appear
after anesthesia!).

Perhaps he will be relieved that someone will take over all these
things that he has been trying to convince everyone he can handle
I watched two of my great aunts arrive at that point.  

If he isn't, I agree that this is the time for a frank talk with
his bishop.

I hope that all goes well tomorrow.
Evelyn Ruut - 10 Aug 2005 23:03 GMT
>>> I posted a message a short time ago about my brother being in denial
>>> about
[quoted text clipped - 35 lines]
>
> Songbird

You will be in my prayers Songbird.
I hope he goes for it with no hassles at all.

Signature

Best Regards,
Evelyn

(to reply to me personally, remove 'sox')

 
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