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Medical Forum / Diseases and Disorders / Alzheimer's / August 2008

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Dad & halucinations

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Barbara H - 23 Aug 2008 16:24 GMT
Greetings all - It's been a little over a year since I first posted and got
some very much needed help.  We've had a really good year considering how it
started.  Anyway, Dad has done well and I never would have believed he would
still be in his home and somewhat self-sufficient.  We still get his meals
for him and spend 6 to 8 hours a day with him.  Had home health care in once
a week until they told us he really didn't need them so we are saving that
for a time when he will.

This morning when I arrived to get him some breakfast he told me he needed
to talk to me and to sit down with him a minute.  This is when I always get
a knot in my stomach and a cloud of dread hovers near by.  Anyway, he
proceeds to tell me that he sat up in his chair all night and watched
"people" float by him and drift out through his bedroom window.  Now, I've
always known that Dad has a penchant for this "supernatural" stuff .... not
a strong belief but for as long as he's lived in his house (25 years or so)
he's always thought there were "ghosts" or something of that nature.  He's
not mentioned this sort of thing for probably 5 or 6 years now.  I guess my
question is could this be a serious turn in his dimentia/AD and is it a
fairly common thing to have these kinds of halucinations?

He gets so upset if we try to tell him they are not real.  Today I simply
said there must be a physical reason for you to be seeing such things.  I
think we should tell your doctor.  He actually agreed.

Thanks
Barbara H
carolinasongbird@gmail.com - 24 Aug 2008 03:30 GMT
> .
>
> This morning when I arrived to get him some breakfast he told me he needed
> to talk to me and to sit down with him a minute.  This is when I always get
> a knot in my stomach and a cloud of dread hovers near by.

Ah! I know that cloud!
 Anyway, he
> proceeds to tell me that he sat up in his chair all night and watched
> "people" float by him and drift out through his bedroom window.  Now, I've
[quoted text clipped - 4 lines]
> question is could this be a serious turn in his dimentia/AD and is it a
> fairly common thing to have these kinds of halucinations?

Some people have hallucinations as part of their dementia. Others
interpret more down to earth things (like shadows cast by passing cars)
as supernatural phenomena because their reasoning and observation skills
are impaired.

His reality is ... his reality. You can't reason him out of it. My
question is this: What was his reaction to these "ghosts"? If he was not
frightened by them, I wouldn't worry about it too much. If he were
frightened, then I would see if this was what our European friends call
a "one-off" event that does not re-occur. If it does, and he is
frightened, then I would discuss the situation with the doctor. A sleep
aid or a mild anti-anxiety drug might help. If the hallucinations become
more prevalent, then a stronger medication might also be in order.

My 98-year-old great-grandmother would get herself out of bed in her
daughter's home on a regular basis and with her walker go sit in the
front room. When my great-aunt would go check on her (the front room was
not heated at night, so she wanted her to go back to bed before she was
chilled), Mimi would say she was talking to her husband, who had died
the year before. We never were sure if she meant "talking" as in a
prayer-like imaginary conversation or whether she thought he was
actually present. Of course, considering they had been married 79 years
-- who's to say he wasn't? <G>

I'm glad your dad is continuing to be so self-sufficient and is able to
still be in his own home.

Songbird
Barbara H - 25 Aug 2008 16:15 GMT
>> .
>>
[quoted text clipped - 42 lines]
>
> Songbird

Thanks Songbird & August for your replys.

He isn't frightened so I guess that's good.  He says he just can't figure
out why they are in his house.  However, we've had two good mornings with no
mention of "sightings".

One thing I've been putting off is getting his guns out of his house so I
decided I couldn't delay that given his latest delusions.  My brother took
him for a long ride in the country this morning while I cleaned out the
various guns and put them in storage.  He hasn't used any of them in
probably 20 years but at one time he was an avid sportsman and hunter.
Quail, pheasant and turkey mostly.   If he ever realizes they are gone there
will be holy heck to pay that's for sure.  I feel like the child who has
misbehaved and is certain punishment will follow.  :-)

Well I've got to find some one to do Dad's yard work now.  He's had the same
guy for 15 years and out of the blue three weeks ago he fired him.  Didn't
remember to tell me and I had to tell this nice man not to take it
personally, Dad couldn't help himself.   Wish I could wake up in a new world
every day!  Not really.  Be careful what you wish for right?

Barbara H
august - 25 Aug 2008 23:24 GMT
> One thing I've been putting off is getting his guns out of his house so I
> decided I couldn't delay that given his latest delusions.  My brother took
[quoted text clipped - 4 lines]
> there will be holy heck to pay that's for sure.  I feel like the child who
> has misbehaved and is certain punishment will follow.  :-)

Excellent that you got the guns out of the house. Are you positive that he
does not have any handguns hidden somewhere?

> Well I've got to find some one to do Dad's yard work now.  He's had the
> same guy for 15 years and out of the blue three weeks ago he fired him.
> Didn't remember to tell me and I had to tell this nice man not to take it
> personally, Dad couldn't help himself.

Are you certain that your dad remembers firing him?  I'd be tempted to tell
him to resume cutting the grass but you are in a better position to judge.
It will probably cost you triple to replace the previous person since is now
hard to get someone willing to do quality yard work.  Even if your dad does
remember he might change his mind about firing him after he sees how much
trouble it will be to replace the original person.  good luck with this
little drama.    AW
Barbara H - 26 Aug 2008 01:07 GMT
>> One thing I've been putting off is getting his guns out of his house so I
>> decided I couldn't delay that given his latest delusions.  My brother
[quoted text clipped - 7 lines]
> Excellent that you got the guns out of the house. Are you positive that he
> does not have any handguns hidden somewhere?

Shotguns and rifles mostly.  He did have one handgun.   It was in the only
shoe box on the top shelf of his closet.  I knew that's where he kept it so
I left the empty box hoping he wouldn't think about the gun being gone.
Boy! oh Boy!   It's never easy!  I'm still a bit on edge hoping the phone
won't ring with him ranting mad and thinking he's been robbed.

>> Well I've got to find some one to do Dad's yard work now.  He's had the
>> same guy for 15 years and out of the blue three weeks ago he fired him.
[quoted text clipped - 8 lines]
> sees how much trouble it will be to replace the original person.  good
> luck with this little drama.    AW

Oh yeah, he remembers that.  He's made up the wildest stories about why he
fired him!  He can't remember from one time to the next to tell the same
story but yes, he knows he fired him.  This man is so nice and he really
understands what is happening to dad.  He's seen the slow progression over
the recent years.  I was tempted to try and get him over to mow while we had
dad out running errands or such.  However, this guy is a school teacher and
since our schools just started he's limited on when he can mow.  I tried to
sway dad back to this guy but one thing about him now is that he's going to
be right no matter the consequences.  It's no trouble to him, me or my
brother will be the ones to take care of it for him.  He leaves everything
to us of course.  Yes it will cost him more I'm sure.   We're nearing the
end of the mowing season here so maybe by next year I can get the regular
guy back and dad won't remember.

I shouldn't be surprised, I had to find him a new dentist last year.  Now he
thinks he's still with the old one so I'm not sure how this will play out.
I'll probably take him back to the old one when the time comes.  I think he
just wants control over something in his life.  It's hard I know.  However,
I've put my foot down with him on the housekeeper.  He told me several times
he knows someone who wants to clean for him.  I've told him I'm in charge of
this and he's not to bring somebody new in just because he knows her or
knows somebody that knows her ......  He is still fairly organized and
compulsively neat at time and he keep his own laundry done, so far.
Occasionally I will wash a few things for him and I shop and buy everything
he needs.   It's not so bad now, I know.  I can't think about the future
though.  He's still self sufficient enough that we feel he is safe.  I make
sure he sees his doctors regularly and together my brother and I give him
his meds every day.  He doesn't take a lot so its not that hard for now.
Got to rambling here but it does help sometimes just to let it all out.

Thanks for your thoughts and help.

Barbara H
sweetpickleNO@SPAMknology.net - 26 Aug 2008 17:08 GMT
Barbara, this is a support group, and if you need just to tell what's
happening in your dad's life, and your's and your brother's, to make you
feel better, then that is the support we offer.  We don't have any rules
about what can be discussed and what can't.   So, whatever helps, we're here
to listen.
Gwen

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men to become sons of God. (C S Lewis)


>> One thing I've been putting off is getting his guns out of his house so I
>> decided I couldn't delay that given his latest delusions.  My brother
[quoted text clipped - 7 lines]
> Excellent that you got the guns out of the house. Are you positive that he
> does not have any handguns hidden somewhere?

Shotguns and rifles mostly.  He did have one handgun.   It was in the only
shoe box on the top shelf of his closet.  I knew that's where he kept it so
I left the empty box hoping he wouldn't think about the gun being gone.
Boy! oh Boy!   It's never easy!  I'm still a bit on edge hoping the phone
won't ring with him ranting mad and thinking he's been robbed.

>> Well I've got to find some one to do Dad's yard work now.  He's had the
>> same guy for 15 years and out of the blue three weeks ago he fired him.
[quoted text clipped - 8 lines]
> sees how much trouble it will be to replace the original person.  good
> luck with this little drama.    AW

Oh yeah, he remembers that.  He's made up the wildest stories about why he
fired him!  He can't remember from one time to the next to tell the same
story but yes, he knows he fired him.  This man is so nice and he really
understands what is happening to dad.  He's seen the slow progression over
the recent years.  I was tempted to try and get him over to mow while we had
dad out running errands or such.  However, this guy is a school teacher and
since our schools just started he's limited on when he can mow.  I tried to
sway dad back to this guy but one thing about him now is that he's going to
be right no matter the consequences.  It's no trouble to him, me or my
brother will be the ones to take care of it for him.  He leaves everything
to us of course.  Yes it will cost him more I'm sure.   We're nearing the
end of the mowing season here so maybe by next year I can get the regular
guy back and dad won't remember.

I shouldn't be surprised, I had to find him a new dentist last year.  Now he
thinks he's still with the old one so I'm not sure how this will play out.
I'll probably take him back to the old one when the time comes.  I think he
just wants control over something in his life.  It's hard I know.  However,
I've put my foot down with him on the housekeeper.  He told me several times
he knows someone who wants to clean for him.  I've told him I'm in charge of
this and he's not to bring somebody new in just because he knows her or
knows somebody that knows her ......  He is still fairly organized and
compulsively neat at time and he keep his own laundry done, so far.
Occasionally I will wash a few things for him and I shop and buy everything
he needs.   It's not so bad now, I know.  I can't think about the future
though.  He's still self sufficient enough that we feel he is safe.  I make
sure he sees his doctors regularly and together my brother and I give him
his meds every day.  He doesn't take a lot so its not that hard for now.
Got to rambling here but it does help sometimes just to let it all out.

Thanks for your thoughts and help.

Barbara H
Barbara H - 26 Aug 2008 18:56 GMT
> Barbara, this is a support group, and if you need just to tell what's
> happening in your dad's life, and your's and your brother's, to make you
[quoted text clipped - 3 lines]
> to listen.
> Gwen

Thank you - I appreciate that you are all here and that it's okay to
unload.  I'm just not use to doing that very much.

Barbara H
august - 24 Aug 2008 07:04 GMT
> Greetings all - It's been a little over a year since I first posted and
> got some very much needed help.  We've had a really good year considering
[quoted text clipped - 23 lines]
> Thanks
> Barbara H

There is nothing to be gained by telling him they are not real.  I think I'd
wait and see if this is going to be a regular happening and also if seeing
this stuff causes him anxiety or fear.  I guess since he stayed up all night
they must have caused some anxiety - except you never know if all night was
the past ten minutes or actually all night.  If you find that he is becoming
afraid or not getting enough sleep then his Dr could give him medicine that
might help with both problems. I am not a big fan of antipsychotics but from
what I have heard and read, low doses of the antipsychotic seroquel are safe
and effective for what is going on with your father. I think you made giant
progress by getting him to agree to a Dr appointment. Now, whatever
treatment is suggested came from his asking to see the Dr and not just you
pushing something off onto him.  You are fortunate he is still able to live
alone. I truly hope things can continue that way.  good luck to you both.
AW
 
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