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Medical Forum / Diseases and Disorders / Alzheimer's / October 2007

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New here, mom diagnosed with Alzheimer's

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beowulf@nowhere.net - 06 Oct 2007 18:50 GMT
Hi
Just introducing myself, new here, likely will be peeking in here now
and then. My mother, 80 years old, just was diagnosed with Alzheimer's
(psychological tests, MRI, neurologist, family doc, etc).  Increasing
confusing this past year, etc. etc. She has been living in a senior
citizens retirement complex but yesterday my sister signed her up and
got the keys to a unit at an assisted living complex that also cares
for Alz patients (has nurses, locked entry to prevent wandering, no
stoves except microwaves,e tc). Mom lost driving privelages this past
April when she had a TIA and ditched the car and totalled it, nobody
hurt thank goodness.

I hope my sister and I are doing the right thing. Mom wanted to keep
living where she is, but a couple of weeks ago she started taking
Aricept for the Alz, in addition to her warfarin/coumarin, zolcor for
cholesterol, metformin for type II diabetes; so she has had vomiting
and diarrhea spells, likely a result of the Aricept and taking too
much-- memory issues with pills in spite of a pillbox. I am sure this
story is all too familiar with you regulars here.

It is difficult for me in a way, because I live in northern Minnesota,
5 hour drive from home town where my mother and my sister live, so my
sister is dealing with the physical and psychological strain of all
this, but I also miss out on helping that I wish I could help with,
but my job and life is here 5 hours away.  I offered a few weeks ago
to have mom come live with me, but that was before this recent
downturn, and realistically I am coming to grips with thinking the
assisted living place is much better for all concerned; while I might
WANT to care for my mother, I do not think I could give her the care
she needs and it would likely drain me.

I guess my mother as I knew her is fading as her mind goes, that is
sad but a reality. I will have to learn to love her even as she loses
remembering me someday and loses her social interaction abilities. Am
I right in thinking that I should make the most of this next calendar
year, visit her as often as I can while some of her mind is still
intact?
 ~Randall
sweetpickleNO@SPAMknology.net - 06 Oct 2007 19:43 GMT
Randall, so sorry you need to be here, but hopefully our support and
information that we can share with you will help.  You are right in that you
should enjoy everything you can with your mother now, because she will not
get any better--only worse.  The assisted living/alzheimers care will be
much better for her.  And please be sure that they will give her the pills
she needs when she is supposed to have them.  Since you live so far away,
the best thing you can do for your sister is to let her makes decisions
because being with your mother will give her knowledge that you cannot have.
Also encourage her and help whenever you can.  The aricept made my husband
nauseaus for about two weeks; after that he had no problem with it.  You are
also correct in assuming that she will get better care in the assisted
living than either of you could give her in your home.  After all, the
nurses go home after their shift and forget about all the problems until the
next time they are on duty.  You cannot do that if the patient is in your
home.  And you would definitely get worn out in a hurry.  Many times, the
caregiver dies before the patient does because of the worry, the physical
strain, and all the problems that come up with in-home care.  Let us know
how things go, please.  We'll help any way we can.
Gwen

> Hi
> Just introducing myself, new here, likely will be peeking in here now
[quoted text clipped - 34 lines]
> intact?
>  ~Randall
A R Pickett - 06 Oct 2007 20:35 GMT
Randall wrote in part -

my
> sister is dealing with the physical and psychological strain of all
> this,

Your biggest contribution will be to act as a sounding board for your
sister, participate in thinking out loud with her, and a support for
decisions she makes when she is on the scene and you are not.

This will be immeasureably valuable to her.

I can't add anything more to your analysis.  You have obviously done a lot
of thinking already, and you are on the right track.

Best wishes to you, your sister, and your mother.

Check in often with updates on how things are.

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

Now blogging!
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Remove lower case "e" to respond

Strobe - 06 Oct 2007 22:55 GMT
>Hi
>Just introducing myself, new here, likely will be peeking in here now
[quoted text clipped - 5 lines]
>for Alz patients (has nurses, locked entry to prevent wandering, no
>stoves except microwaves,e tc).
...
>It is difficult for me in a way, because I live in northern Minnesota,
>5 hour drive from home town where my mother and my sister live, so my
[quoted text clipped - 6 lines]
>WANT to care for my mother, I do not think I could give her the care
>she needs and it would likely drain me.

That is just realistic - AD care can quite easily wear you totally out,
to the extent that you are no longer capable of making sensible decisions.
One of your new jobs will be to give your sister emotional support...

>I guess my mother as I knew her is fading as her mind goes, that is
>sad but a reality. I will have to learn to love her even as she loses
>remembering me someday and loses her social interaction abilities. Am
>I right in thinking that I should make the most of this next calendar
>year, visit her as often as I can while some of her mind is still
>intact?

AD really is The Long Goodbye.

BTW, even when she can no longer speak, your Mom may still remember you at some
level.   I remember well that in my wife's very last days, when she couldn't
even talk or eat, she would still - very gently - kiss me back when I said
goodbye.
beowulf@nowhere.net - 07 Oct 2007 22:25 GMT
...
> AD really is The Long Goodbye.

Sadly I am starting to see that as true.

> BTW, even when she can no longer speak, your Mom may still remember you at some
> level.   I remember well that in my wife's very last days, when she couldn't
> even talk or eat, she would still - very gently - kiss me back when I said
> goodbye.

Nice to say, to know, thank you for letting me know that.

Thank to all that have replied to my original message introducing
myself here.
Things are moving fast-- my sister is having volunteers (church?) move
my mother to the new assisted living place tomorrow. Mom seems to be
OK with it, not too resistent. The new home she will have even looks
nicer-- windows looking to a courtyard with an italian fountain,
birdfeeder and birds, low windows so she can look out, perhaps even go
out to that courtyard.  3 meals a day provided to residents. No stove,
no dishwasher, but o/w she will have what she was used to -- bedroom
with big walk in closet, bathroom  but a shower now instead of a
bathtub (why is that?), living room, and what is really nice is free
wifi internet throughout the building so I can stay and visit and do
my work from my laptop on her table (I teach all by internet).
 Randall
Mary_Gordon@tvo.org - 08 Oct 2007 00:09 GMT
You asked why shower and no tub - probably because tubs are more
dangerous - slips, drowning, scalding, never mind the problem
occasioned by forgetting to turn off the taps (i.e. Niagara Falls over
the edge).

I bet the shower has a temperature govenor on it. Don't be surprised
though if she very rapidly needs help even with a shower (i.e. she
needs a nurse to come help get her through it. She will find doing
things in sequence a challenge, so any kind of bathing that requires
you to do a series of actions in an order becomes daunting (i.e. get
the towel, soap, shampoo, take your clothing off, turn on the water,
adjust the temperature, get in, get washed, rinse off, get out, towel
off - so many tiny steps to the whole activity).

Also, for some reason, many people with AD  seem to be hypersensitive
to the feel of water on their skin. I have a nine year old daughter,
and its only recently that she managed to get over a sort of similar
"thing" with the shower. Not only the feel of it on her skin, but
getting upset and confused about water on her face, in her mouth etc.

Mary G
(mother in law passed away from AD)
Dennis P. Harris - 08 Oct 2007 09:23 GMT
> 3 meals a day provided to residents. No stove,
> no dishwasher, but o/w she will have what she was used to -- bedroom
> with big walk in closet, bathroom  but a shower now instead of a
> bathtub (why is that?)

the shower is safer, and easier to use as her mobility problems
increase, and as she forgets the steps of bathing and needs
assistance.  much easier for the aides to bathe her in a shower.
also showers don't usually flood if someone forgets to turn it
off.

when the recoating on my old tub wears off, i'm going to put in a
nice tiled shower with a bench instead.  i'm just 60 now, but had
trouble trying to help bathe my mother the last couple of years
she lived in this house, and it was difficult to get her in and
out of the tub.  i want to make it easier for my caregivers when
i get old enough to need assistance.
Evelyn Ruut - 08 Oct 2007 11:26 GMT
>> 3 meals a day provided to residents. No stove,
>> no dishwasher, but o/w she will have what she was used to -- bedroom
[quoted text clipped - 13 lines]
> out of the tub.  i want to make it easier for my caregivers when
> i get old enough to need assistance.

Good idea, Dennis.   My mother in law needed lots of help bathing, and if it
wasn't for the stall shower we have in one bathroom, it would've been a lot
harder.    She lost her balance and was not steady on her feet as the
illness continued.   At least with the stall shower the rim was a lot
smaller to have to step over to get in and out.   We picked up an aluminum
and plastic shower chair very cheaply, and it is so convenient we still use
it to this day.

Signature

Best Regards,

Evelyn

beowulf@nowhere.net - 08 Oct 2007 14:16 GMT
On Oct 8, 3:23 am, NO_SPAM_TO_dphar...@gci.net (Dennis P. Harris)
wrote:
...
> when the recoating on my old tub wears off, i'm going to put in a
> nice tiled shower with a bench instead.  i'm just 60 now, but had
> trouble trying to help bathe my mother the last couple of years
> she lived in this house, and it was difficult to get her in and
> out of the tub.  i want to make it easier for my caregivers when
> i get old enough to need assistance.

Smart. I will do that do on my next house, since I am single and no
kids, someday (hopefully not for decades) I will hire a home health
care nurse and having a non-slip shower with a bench makes great sense.
J J - 08 Oct 2007 03:56 GMT
so sorry to hear about your mother I think you did the right thing I had
mom in assist living for alzheimers also,only I think I waited too long.
It took a real toll on me, mom passed away one week ago this sunday and
I am so happy she wasn't alone ---she too wanted to stay in her
home---the aircept helped my mother from getting much worse. she was
would have been  93 when she passed away and her diagnose on her death
certificate said senile dementia she still knew me until the very end.
So I think I was very lucky that she didn't get much worse. It slowed
the process down with the medication.
God Bless you on your journey
JJ
deerwoodflower@hotmail.com - 08 Oct 2007 04:52 GMT
On Oct 6, 12:50 pm, "beow...@nowhere.net" <r.oeler...@gmail.com>
wrote:
> Hi
> Just introducing myself, new here, likely will be peeking in here now
[quoted text clipped - 34 lines]
> intact?
>   ~Randall

Hi randall,
    I too live in north central Minnesota.I have my mom in my home.I
live near Brainerd.Where are you???
beowulf@nowhere.net - 08 Oct 2007 14:17 GMT
On Oct 7, 10:52 pm, "deerwoodflo...@hotmail.com"
> I too live in north central Minnesota.I have my mom in my home.I
> live near Brainerd.Where are you???

Duluth. Quite a ways from Mankato where mom and my sister live. It
would be tough on mom to live here, away from her church she is
involved in (since 1969). It just means a very long drive for me to
visit her at the diagonally opposite end of a vertical state.
 
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