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Medical Forum / Diseases and Disorders / Alzheimer's / March 2004

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Thanks Evelyn and...

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Lesanne - 28 Mar 2004 14:07 GMT
Thank you for responding to my post.  I realized after posting it that what
I really need is the "oomph" to change some things rather than actual
directions (grin).  I have been dragging my feet about finding help because
I hate changes, but I am not sure how much more of this I can do without
getting myself ill.  I don't trust anyone to take proper care of Mom.  I
lurked here enough to know that I can find help from the local Alz support
groups, or at least find out who to ask for help.  I have phone numbers.  I
actually called some of them last time Mom was sick.  I even had one lady
who was going to come and help on a Friday one time, but I would have had to
change some appts. and did not want to do it.  It is like I am paralysed to
change anything.  But I am getting SO tired.  I am afraid that...
1) Mom is going to raise a fit about it if I am not around.
2) "Someone" is going to make her miserable because she only wants Me
around.
3) I am not going to be able to relax anyway, with worrying about what will
be waiting for me at home.
4) "Someone" will steal, or actually hurt her.

My DD is pretty much dead broke and cannot help share the cost of any of
this, she is barely able to afford her tuition and living expenses, and is
troubled by all kinds of things (her S.O. is disabled and addicted to pain
killers, the baby is a normal 2 year old.............)  She has her own
problems she is fighting, and barely manages to get her classes done each
semester.  She starts out with a's and ends up with one or two and barely
passes the hard classes.. well, not barely, she gets c's as opposed to d's
but......  I think her only hope of improving her situation is to get her
degree so I hesitate to try and lean on her.

I guess I just need a place to vent where someone knows.  I remember you and
Ida from lurking before, and I remembered you know whats up.  Thanks.
Evelyn Ruut - 28 Mar 2004 15:09 GMT
> Thank you for responding to my post.  I realized after posting it that what
> I really need is the "oomph" to change some things rather than actual
[quoted text clipped - 26 lines]
> I guess I just need a place to vent where someone knows.  I remember you and
> Ida from lurking before, and I remembered you know whats up.  Thanks.

Dear Lesanne,

That situation then is a little different.   OK so I understand that DD
cannot chip in, but you absolutely need a break and it makes sense to put
some alternative care arrangements in place now while it isn't an emergency.
Don't imagine that your mom cannot manage without you or it will become a
self fulfilling prophecy.    I am hoping you find some way to work it out
for yourself.

We got Ida accustomed early on to having a limited number of other people
looking after her.   Daycare for one thing, and our neighbor for another.

I absolutely do understand how you feel.   Last year we were going to go on
a little (much needed) vacation and had it all set up that Ida was going to
go to a respite nursing facility.   Everything was all arranged.   The only
thing was we couldn't bring ourselves to do it.   We forfeited one ticket
and I went to visit my daughter alone, while Peter stayed home with his mom.

I thought it was OK at the time.   Now I realize that just like children,
they need to get accustomed to having other people look after them from time
to time, or you will foster the very kind of dependency that will ultimately
be bad for her, especially if you are the only one doing it.

You might consider that if you got sick, or had any kind of an emergency and
you had NO other plans in place and your mom wasn't used to seeing another
face around once in a while, it might be truly a shock to her if someone
else suddenly appeared to care for her, or if she was suddenly taken to a
facility to be cared for by others.

Better to work out some alternative plans on a regular basis, like a twice a
week trip to the store or beauty parlor (or whatever) or to have someone who
came in a couple of times a week to give her a bath or some such.   The more
others you get involved in her care now, the better it will be for her later
on when she does ultimately need further care than you can give her.

Just my take on it.....

Signature

Evelyn

(To reply to me personally, remove sox)

Gwen Love - 28 Mar 2004 21:41 GMT
Lesanne, I agree with Evelyn that you do need to have her get accustomed to
other people around her.  I would suggest that if you can afford it, get
someone to come in for a few times while you are there.  Then if the same
person is there for her, you could leave for a short time to begin with and
then take longer and longer.  That might make it easier for her and for
you.
Gwen

Signature

==========================================================
Forgiveness does not change the past, but it does enlarge the future.
-  Paul Boese
==========================================================

| > Thank you for responding to my post.  I realized after posting it that
| what
[quoted text clipped - 70 lines]
|
| Just my take on it.....
Lesanne - 28 Mar 2004 22:18 GMT
I think we can afford to do this, and true, she forgets 5 minutes after
anything is done.  She was in the hospital for 2 days in February (this was
so absurd, she had a bad bad cold, Doc prescribed and antibiotic, she got
the runs from that, Doc gave her a different one which messed up her
potassium levels and she just went to sleep... irregular heartrate, et al.)
I trotted her off to the ER, and we sat in there all night long (she woke up
about 10 minutes into the IV fluid restoration) and proceeded to try to
remove the IV every time I took my eyes off her for a minute all night long.
In the car going home after she got out, she had forgotten she had been
there.  I was practically Killed.

> Lesanne, I agree with Evelyn that you do need to have her get accustomed to
> other people around her.  I would suggest that if you can afford it, get
[quoted text clipped - 106 lines]
> |
> | Just my take on it.....
Lesanne - 28 Mar 2004 22:12 GMT
> Dear Lesanne,
>
[quoted text clipped - 4 lines]
> self fulfilling prophecy.    I am hoping you find some way to work it out
> for yourself.

> We got Ida accustomed early on to having a limited number of other people
> looking after her.   Daycare for one thing, and our neighbor for another.

We live in Brownsville Texas, and so far, all of the daycare places I have
checked into, are staffed with, and populated with, persons who speak no
english.  Mom is aware enough that she would surely be bored at the least,
and miserable at best.  I need a somebody who will come here. Like I said, I
just need to bite the bullet and make calls until I find one.

> I absolutely do understand how you feel.   Last year we were going to go on
> a little (much needed) vacation and had it all set up that Ida was going to
> go to a respite nursing facility.   Everything was all arranged.   The only
> thing was we couldn't bring ourselves to do it.   We forfeited one ticket
> and I went to visit my daughter alone, while Peter stayed home with his mom.

At least you got to go :)!

> I thought it was OK at the time.   Now I realize that just like children,
> they need to get accustomed to having other people look after them from time
> to time, or you will foster the very kind of dependency that will ultimately
> be bad for her, especially if you are the only one doing it.

I think I have already fostered that.  Unwittingly.  Thinking I was saving
money or something.  Or pleasing my dead father.

> You might consider that if you got sick, or had any kind of an emergency and
> you had NO other plans in place and your mom wasn't used to seeing another
[quoted text clipped - 7 lines]
> others you get involved in her care now, the better it will be for her later
> on when she does ultimately need further care than you can give her.

She wants to go with me whenever I leave the house.  She walks, shaky, but
she wants to GO.  She used to like to read, but no more.  Hates the TV.  So
she wants to GO all the time.  I figure if I have someone here, she is still
going to want to leave with me.  I gotta do it though, I AM going to get
sick just from being stuck here all the time, and stress.  She still enjoys
church, and going out to eat also.

> Just my take on it.....
Dennis P. Harris - 29 Mar 2004 02:31 GMT
> We live in Brownsville Texas, and so far, all of the daycare places I have
> checked into, are staffed with, and populated with, persons who speak no
> english.  

I don't understand how you could live there and not speak
Spanish?
Lesanne - 29 Mar 2004 14:28 GMT
Well, yo hablo, pero Mama no ....

> > We live in Brownsville Texas, and so far, all of the daycare places I have
> > checked into, are staffed with, and populated with, persons who speak no
> > english.
>
> I don't understand how you could live there and not speak
> Spanish?
SNewb73756 - 31 Mar 2004 12:35 GMT
We're in the Tucson area, so Spanish speaking care workers are popular here
too. All kidding aside, we did have quite a problem with it when my grandmother
was in the hospital last fall. She was raised in a time / place where it was
very important to LEARN ENGLISH (they are immigrants). After saying things to
the one girl in the hospital like "you need to learn English", and who knows
what else she said when we were not there - you all know the manners went out
the door at the first stages of this disease - we found that girl would not
really go out of her way to answer the call button, or help with anything. She
just basically showed up, handed Grandmom pills, and left, there ceased to be
any talking on her part. We talked to the hospital about it, and although they
were going to "handle" it but they were terribly short staffed, etc, etc. It is
horrible to think it, but who knows what that girl would have done had there
been an emergency and she was the only one working that section at the time.
She did come home from the hospital though speaking perfectly fluent Slavish,
which she hasn't spoken in 30 years. :> Luckily we have since switched back to
English.

Sharon
Lesanne - 31 Mar 2004 14:41 GMT
Thanks for the smile Sharon.  When I was working 12's in the hospital, the
people were so very patient with my attempts to communicate in Spanish.  I
truly am barely bilingual and have burned up Amazing energy and effort
getting that way.  I know how bright I am otherwise, so I don't like to
throw rocks at people who can't/won't learn english.  Many of them
understand quite a bit, but are ashamed to try and speak with their limited
abilities.  People who say that others should "learn" something ought to
have to walk a mile in the other persons' shoes......
I found that when I was willing to TRY to speak, with my limited skills,
they did the same, with great good humor..... Mostly.  There are those, of
course, who are determined to have an attitude no matter what.
> We're in the Tucson area, so Spanish speaking care workers are popular here
> too. All kidding aside, we did have quite a problem with it when my grandmother
[quoted text clipped - 14 lines]
>
>  Sharon
Robert E. Lewis - 29 Mar 2004 18:13 GMT
> > We live in Brownsville Texas, and so far, all of the daycare places I have
> > checked into, are staffed with, and populated with, persons who speak no
> > english.
>
> I don't understand how you could live there and not speak
> Spanish?

The same way people can live in Brownsville* and not speak English.

*(Or Houston, Dallas, Los Angeles, New York....)
Lesanne - 29 Mar 2004 20:14 GMT
Oh yeah, and There Is That.  I am not bothered by Uni-lingual people of any
sort, it was horribly hard for me to become even barely fluent in Spanish, I
am not a person who learns languages easily.  I do, however, have a 4.0
average in all my sciences and maths from college.  To go with my 2.0 in
Spanish....

> > > We live in Brownsville Texas, and so far, all of the daycare places I
> have
[quoted text clipped - 7 lines]
>
> *(Or Houston, Dallas, Los Angeles, New York....)
Tumbleweed - 28 Mar 2004 18:24 GMT
> Thank you for responding to my post.  I realized after posting it that what
> I really need is the "oomph" to change some things rather than actual
> directions (grin).  I have been dragging my feet about finding help because
> I hate changes, but I am not sure how much more of this I can do without
> getting myself ill.  I don't trust anyone to take proper care of Mom.

You'll have to eventually, there comes a point where one person *cannot*
properly look after an Az patient 24x7,and if you make yourself ill, then
someone else will take over anyway. As Evelyn says, start getting it in
place now whilst its not an emergency because you certainly wont be ina
position to choose her care arrangements when it is one.

> I lurked here enough to know that I can find help from the local Alz
support
> groups, or at least find out who to ask for help.  I have phone numbers.  I
> actually called some of them last time Mom was sick.  I even had one lady
> who was going to come and help on a Friday one time, but I would have had to
> change some appts. and did not want to do it.  It is like I am paralysed to
> change anything.  But I am getting SO tired.  I am afraid that...
> 1) Mom is going to raise a fit about it if I am not around.

She might, you'll have to tolerate that. You have needs as well as her. If
she was a 2 year old, would you let her dictate thinsg to thisextent? I
suggest you should be thinking in that frame of mind. FWIW, my father hated
going to day care, but when he came back from it, he immediately forgot he'd
been. Your mother will get over it, you *deserve* some respite, and if you
dont get it, both you and your mother will suffer..

> 2) "Someone" is going to make her miserable because she only wants Me
> around.

They might, you'll have to tolerate that. You have needs as well as her.

> 3) I am not going to be able to relax anyway, with worrying about what will
> be waiting for me at home.

You'll get used to it, it will improve your quality of life and enable you
to cope better when you are there. What do you think might be waiting if you
have found a good carer?

> 4) "Someone" will steal, or actually hurt her.

Unlikely if you take the time now, while its not an emergency, to pick her
care arrangements. Plus, with only one person to look after her, the odds
she will come to harm will increase, because *you* cant watch her 24x7.
There have been numerous stories here of Az patients doing very dangerous
things when carers turned their back for a moment.

Signature

Tumbleweed

Remove my socks for email address

Lesanne - 28 Mar 2004 22:15 GMT
You make a good point about the dangerous things.  She has fallen while I
was asleep already a couple of times.   Still.  My friends mother is in a
very good nursing home, and she has fallen at night also, and not been
discovered for about the same amount of time that Mom was .....  I also hate
to spend the money, but yeah, I need to move along here and just do it.

> > Thank you for responding to my post.  I realized after posting it that
> what
[quoted text clipped - 49 lines]
> There have been numerous stories here of Az patients doing very dangerous
> things when carers turned their back for a moment.
Paul R. Bennett - 28 Mar 2004 23:50 GMT
Lesanne
Been there, done that, felt the heart hurt.
And I have to say sometimes that I think what might be needed is to go up to
"The Discovery Channel", and draft R. Lee Ermey, Marine of "Mail Call" fame to
don shining armor, polish up his jeep, and charge to all the folks who are
suddenly faced with the terrible facts of this disease.
But there is no magic cure, there is no knight in shining armor.  I wish the
hell there was, pardon my language.
All there is, and all you have got is the experience you can find here, from
folks who have been there and done that.
And, we try to share it.  A lot of it you might not want to hear.  I know I did
not want to hear, I said a long time ago, "No Way", until I had to deal with
it.\
Amd that was an ugly learning experience.
We all share, what we can, even if the sharing is a bitter brew.
(Okay, so I am a writer, and I get poetic)
And eventually, you are tasked with so many bitter questions.
But, I say to you, face the questions and answer them honestly, out of love, for
the person inflicted of this disease.
Even though the answers may be hard, ask yourself, what is best for them, and
then for you, and the people you love.
Learn here, from those who have been there, and done that, what we can share.
Maybe, what you hear, will ease your pain and help you face the hard decisions.
You are not alone, you are never alone.
Paul

> Thank you for responding to my post.  I realized after posting it that what
> I really need is the "oomph" to change some things rather than actual
[quoted text clipped - 26 lines]
> I guess I just need a place to vent where someone knows.  I remember you and
> Ida from lurking before, and I remembered you know whats up.  Thanks.
Evelyn Ruut - 29 Mar 2004 00:18 GMT
Hi Lesette,

One thing that has helped me in many instances, was to ask myself what Ida
would have wanted when her mind was still functional.

I know for a fact that she never wanted to burden anyone and it would have
mortified her no end to think that she would inconvenience anyone.   Many
times that gave me the strength to do what had to be done.

She was a proud person and she has always felt wanted here because we DID
have some respite with the daycare and our neighbor who sat occasionally,
and our patience had a chance to regenerate itself.  Had we not, I doubt we
could have maintained our patience!

You can't listen to a person too much, whose mind isn't functioning enough
to be able to grasp the full implications of the situation.   It would be
like letting a small child decide what was good for them or not.   They
wouldn't go to school or eat healthy food or anything.   So you cope the
best way you can and act in a manner that you know they would have wanted
you to, if they were fully cognizant.   Sometimes you just have to put your
foot down and say it is because it has to be that way!

We always did our best to placate Ida and to make her feel comfortable if it
was at all possible.   But when it came to going to daycare and having
someone stay with her, we realized that WE were going to go crazy if we
didn't do it, and she was going to decline at a faster rate from not using
her mind.

She groused and complained about going to daycare like you can't believe,
but it was very good for her and we MADE her go.   Fortunately where I live
there is a very good daycare center where the caregivers speak English and
they all really like the clients very much.

I know she enjoyed herself there, because I saw it many times when I went to
pick her up.  They all (the caregivers there) hugged and kissed her like she
was a little kid.   Ida just ate it up!

They went on boat rides on the Hudson river, had picnics, had lunch in a
diner from time to time, had entertainers come and perform, had school
children come in, and pets come to visit the old folks, did crafts, colored
pictures, strung beads...... too many activities to list here.

I would ask her what she did that day and she never even remembered
going!!!!!

But all of that was to keep her mentally active as long as possible.  If I
were to listen to her wishes, all she would have done is sat on the couch
all day in front of the TV getting more depressed than she already was.  She
would have been in a nursing home a long time ago.

Even if she didn't remember being active and entertained and kept busy all
day, I am sure it helped enormously to keep her functioning as long as she
has been.   She ate better, slept better and kept her English skills up, as
well as getting exercise and mentally stimulated each day.

It is a very painful switch to suddenly become the BOSS who calls all the
shots with your PARENT!!!

Peter and I had a deal;   He did the tough guy stuff, because she loved him
and would listen to him as a man, and as her son.   Fortunately it worked
out OK.
Signature

Evelyn

(To reply to me personally, remove sox)

Lesanne - 29 Mar 2004 00:50 GMT
Ha.  If my Mom knew she was going where she is, she would have taken up
skydiving without a parachute.  She was the most independent person I have
ever known.  She Still hates to take a helping hand in and out of the car,
and up stairs and things.  Tells me "go to hell" and swats at me.  Frankly,
that is easier to deal with than her being nice, I have rarely seen that
side of her.  People joke that she treats me so much better than she did.  I
have always been a tomboy sort, to her Emily Post personality.  I have a lot
of patience.  And I take her places all the time, because I am Used to
working as a nurse.  Still.  Since we are not sleeping all that well now,
and I am getting tired of being with her so much, I do need a break, yes,
for her sake too.

Lesanne

> Hi Lesette,
>
[quoted text clipped - 57 lines]
> and would listen to him as a man, and as her son.   Fortunately it worked
> out OK.
Lesanne - 29 Mar 2004 00:45 GMT
Thanks Paul, and you are poetic.

> Lesanne
> Been there, done that, felt the heart hurt.
[quoted text clipped - 52 lines]
> > I guess I just need a place to vent where someone knows.  I remember you and
> > Ida from lurking before, and I remembered you know whats up.  Thanks.
Dennis P. Harris - 29 Mar 2004 03:28 GMT
> I am afraid that...
> 1) Mom is going to raise a fit about it if I am not around.
[quoted text clipped - 3 lines]
> be waiting for me at home.
> 4) "Someone" will steal, or actually hurt her.

yep, you need to learn to let go, and let someone else do some of
the work.  it will do her no good at all if you burn out, get
sick, and are unable to help her.  you don't want to start using
outside help in a crisis, you want to do it *before* one.
 
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