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

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Lee - 08 Oct 2005 06:57 GMT
my MIL continues to deteriorate at an extremely rapid rate.... worse right
now even because she has a bit of a cold

this evening she fell asleep in her chair for a bit and then started
jerking... same repetitive movements every few minutes ... lasted about 20
minutes from the time I noticed it

I've worked with people who have seizures and they looked an awful lot like
seizures to me ...couldn't be roused ... we tried to move her to her bed and
the first time ended up putting her back in her chair because she started
again and her legs just gave out under her ...  full body involvement

we considered calling telehealth (ontario phone service - nursing staff
available 24/7 - it was started as a way of cutting down on unecessary ER
visits, supposedly - but every time we've called for anything, they always
advise ER anyway)  ...talked about it...but decided not to do it - whole
ambulance/hospital/tests thing  seems so pointless anymore really. She IS
DNR and they sucked at taking ~care~ of her when she was in several weeks
ago ... sent her home in worse shape than she went in .... huge sore on her
ankle; feet swollen beyond belief, and experiencing far more chest pain than
normal (they took her off her meds for angina and bold face LIED to us about
it)  etc.

for tonight, just skipped her evening pills, as we were supposed to be
changing to a new med (going to try respiridol again) and I didn't feel
comfortable giving it to her ... plus I couldn't wake her up enough to get
anything into her anyway

sleeping now ... seizures, or whatever they were, have stopped

guess we'll see how things go tomorrow, and follow up with her doctor on
Monday if nothing major happens in the meantime
Evelyn Ruut - 08 Oct 2005 13:14 GMT
> my MIL continues to deteriorate at an extremely rapid rate.... worse right
> now even because she has a bit of a cold
[quoted text clipped - 29 lines]
> guess we'll see how things go tomorrow, and follow up with her doctor on
> Monday if nothing major happens in the meantime

Dear Lee,

Sometimes it is better to let things take their natural course.   Sometimes
not.   You are there and with her, only you guys will know whether she has
any chance at a quality of life if she is treated or not.    As for the
Risperdol, it may make her more groggy and less able to walk around easily,
but it might have a good effect on her feistiness, if that is still a
problem.

Signature

Best Regards,
Evelyn

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

LindaJean - 08 Oct 2005 14:56 GMT
I am so sorry you are going thru this. I cannot offer help to anyone in here
as I am new at this but I do feel for everyone dealing with all of this.

LindaJean
> my MIL continues to deteriorate at an extremely rapid rate.... worse right
> now even because she has a bit of a cold
[quoted text clipped - 29 lines]
> guess we'll see how things go tomorrow, and follow up with her doctor on
> Monday if nothing major happens in the meantime
Lee - 09 Oct 2005 16:52 GMT
no more signs of any possible seizure activity since the other night. We
started her with the Respiridol last night ....  guess it'll take a while to
see how she'll do with it, but she sure woke up a LOT more chatty and awake
than she normally does (was on a fairly high dosage of zyprexa until this
switch) ... unfortunately, t'was a ~tad~ early for my liking.... but she
actually laid in bed and chatted with her imaginary people for quite a while
before she demanded to be gotten up LOL

Sleep deprivation is definitely our biggest challenge at this point

Well, that and the fact that unfortunately she ~forgot~ at the wrong step of
toileting .....  I would have been MUCH happier if she'd forgotten the
pulling down the pants stage rather than the what to do after she does that
stage!  Depends aren't too helpful right now .... she pulls them down and
goes ~wherever~

Even when I actually seat her on the toilet, if I turn my back she's off and
going on the floor, over the edge of the tub, as she walks.... whatever....
*sigh*

It amazes me how much of her behaviour closely resembles that of an infant's
development in reverse... lately we've had the constant removal of clothing
and wanting to run around in just a diaper .... pouring large glasses of
juice etc into SMALL containers....  spitting pudding .... all things my
kids did when they were little....   I have to say it was MUCH cuter then
LOL

> my MIL continues to deteriorate at an extremely rapid rate.... worse right
> now even because she has a bit of a cold
[quoted text clipped - 29 lines]
> guess we'll see how things go tomorrow, and follow up with her doctor on
> Monday if nothing major happens in the meantime
LJ - 09 Oct 2005 17:01 GMT
I think it is easier to deal with toddler behavior because we see it as
progress toward growing up <s>
Glad to hear the seizure issue might be better

LJ
> no more signs of any possible seizure activity since the other night. We
> started her with the Respiridol last night ....  guess it'll take a while to
[quoted text clipped - 22 lines]
> kids did when they were little....   I have to say it was MUCH cuter then
> LOL
Evelyn Ruut - 09 Oct 2005 17:06 GMT
> no more signs of any possible seizure activity since the other night. We
> started her with the Respiridol last night ....  guess it'll take a while
[quoted text clipped - 22 lines]
> things my kids did when they were little....   I have to say it was MUCH
> cuter then LOL

That "unlearning" or going backwards in development, has been noticed by
many people.   It's awful isn't it?

There is something you can do about the 'going everywhere' and taking the
depends off;  They sell a sort of a jumpsuit that fastens in the back, so
they can't get it off.  I am not sure exactly where it can be ordered from,
but the subject came up here in the past and someone told us about it some
time ago.   There are places that make supplies for nursing homes and this
is one of those specialty products.

Sad to know that others have gone down this same road before us, and sadder
to know that others will follow after us.  :-(

Hmmm... a name comes to mind: could it be Silverts?  Maybe do a search on
that name and see if that is where the jumpsuits can be found.   I believe
Mary Gordon knew the place that had these items.  There is also a place
called "The Alzheimers Store" and I used to have their catalog.  All sorts
of goodies, from bedroom alarms to "busy" aprons with all sorts of zippers
and buttons to play with, on them.

Signature

Best Regards,
Evelyn

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

LJ - 09 Oct 2005 17:12 GMT
You have so many good ideas <s>

LJ

> Hmmm... a name comes to mind: could it be Silverts?  Maybe do a search on
> that name and see if that is where the jumpsuits can be found.   I believe
> Mary Gordon knew the place that had these items.  There is also a place
> called "The Alzheimers Store" and I used to have their catalog.  All sorts
> of goodies, from bedroom alarms to "busy" aprons with all sorts of zippers
> and buttons to play with, on them.
Lee - 09 Oct 2005 18:02 GMT
considered looking for something like that... but at the point we're at
right now, her behaviour changes so drastically from one day to the next
that I figure by the time it got here, I probably wouldn't need it any more

>> no more signs of any possible seizure activity since the other night. We
>> started her with the Respiridol last night ....  guess it'll take a while
[quoted text clipped - 42 lines]
> of goodies, from bedroom alarms to "busy" aprons with all sorts of zippers
> and buttons to play with, on them.
Evelyn Ruut - 09 Oct 2005 18:16 GMT
Just in case anyone is interested:

http://www.silverts.com/

and

http://www.alzstore.com/

Signature

Best Regards,
Evelyn

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

> considered looking for something like that... but at the point we're at
> right now, her behaviour changes so drastically from one day to the next
[quoted text clipped - 47 lines]
>> All sorts of goodies, from bedroom alarms to "busy" aprons with all sorts
>> of zippers and buttons to play with, on them.
Lee - 09 Oct 2005 19:05 GMT
some very cool stuff in there.....   I love the Discovery Apron idea....
looks like a potential Christmas present to me

> Just in case anyone is interested:
>
[quoted text clipped - 56 lines]
>>> All sorts of goodies, from bedroom alarms to "busy" aprons with all
>>> sorts of zippers and buttons to play with, on them.
Dennis P. Harris - 10 Oct 2005 04:16 GMT
> Sleep deprivation is definitely our biggest challenge at this point

i thought that you were placing her in a facility?
Lee - 10 Oct 2005 06:52 GMT
that's the plan ... unfortunately, one must be patient and wait for a space
to become available... all the paperwork is done, and having heard nothing
more for several weeks, we've instituted a regular schedule of phoning to
~inquire~ about her status on the wait list .... (as advised by her doctor)

the area we live in does not have an over abundance of beds *sigh*

nearest major centre (which also doesn't have beds at the moment) is about
an hour away .... that would work for me... IF they had beds, as I work down
there several days a week ... but not for anyone else really

for now, we just keep on keeping on ....

it's easier now that I'm back to work ....well, easier for ME ...  I only
have one or two ~shifts~ a week that are longer than a few hours at a
time...and even those I don't HAVE to do ...

considering how much stress we've been under (aside from the caregiving,
have had a couple of friends die within a day of each other, plus one of my
kids is being a TWIT...) we're coping fairly well

but  I, for one, will be very glad when a bed becomes available.

I think hubby is back to hoping that it won't come to placement....  between
her heart and the number of TIAs she seems to be having, not entirely
unrealistic. Her heart rate quite often drops to barely functional ...and
she's losing skills one from day ... hour? ... to the next   *sigh*

She's also pretty much quit eating.... has dropped more than 30 lbs in spite
of starting her back on supplements .... no enjoyment from eating any
more... not even her  once much loved ice cream. All we can do is try ...
I'm not overly inclined to make it a power struggle....  I offer it... but
if she won't eat, she won't eat.

>> Sleep deprivation is definitely our biggest challenge at this point
>
> i thought that you were placing her in a facility?
Lee - 12 Oct 2005 04:28 GMT
seeing some improvement re: sleeping ... probably related to the Respiridol,
I would think .... sleeping better, and less agitated and demanding when she
wakes up. Was even smiling today .... long time since she's been inclined to
smile AT ALL.

Still has imaginary people - but now seems more inclined to ~enjoy their
company~ rather than getting frustrated and annoyed at them LOL

> that's the plan ... unfortunately, one must be patient and wait for a
> space to become available... all the paperwork is done, and having heard
[quoted text clipped - 35 lines]
>>
>> i thought that you were placing her in a facility?
Evelyn Ruut - 12 Oct 2005 12:13 GMT
> seeing some improvement re: sleeping ... probably related to the
> Respiridol, I would think .... sleeping better, and less agitated and
[quoted text clipped - 3 lines]
> Still has imaginary people - but now seems more inclined to ~enjoy their
> company~ rather than getting frustrated and annoyed at them LOL

Lee, that drug was a miracle for my mother in law too.   Less aggression,
more relaxed, more "normal" than she'd been in a long time.    I'm so glad
it has helped your MIL too!

Signature

Best Regards,
Evelyn

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

Dennis P. Harris - 13 Oct 2005 03:54 GMT
> Lee, that drug was a miracle for my mother in law too.   Less aggression,
> more relaxed, more "normal" than she'd been in a long time.

Also brought my Mother down out of a high manic state that she'd
been in for over week (with no sleep, right after a knee
replacement!).
 
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