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My mom has some memory impairment. She is 93 and moved in just 6 weeks ago. She consistently asks for things, shares a preference for something, thanks us for making the adjustment at the time and then days later asks why we gave her something she doesn’t need or moved something to a new spot because, “I never would have asked for that! You should ask me before you make changes!” It’s really hard not to respond defensively. Telling her that she did ask is also upsetting to her as she comes to term with memory loss. She thinks I must have misunderstood her. Not sure how much effort I should put into making her comfortable/happy because that seems to be a losing battle. Any suggestions on how to gracefully respond or let her “accusations” roll off my back without taking it personally?

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Sometimes meds need to be checked for side effects. Also I think kind words are the only response necessary. There but for the grace of God and luck go I.
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Oh the short term memory problems... you will need the patientence of a Saint!

They don't remember. They also can't remember they can't remember. Urgggh.

Why is THAT there now? I don't know - maybe the faeries moved it. Let's move it back.

You don't want the BROWN shoes - you want the BLACK ones. Gosh, my silly mixup. Here they are.

Where is your best purse? Oh, put away somewhere SAFE.. but here's this one, quite nice, why not use this one today?

Good luck.

Aim to avoid the arguements.
Just accept the blame (or blame the faeries). You cannot use reason or logic unless the other person can understand reason & logic. Sigh.
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Msblcb Jul 2023
So completely accurate! At first I would argue and try to make her understand but learned, after complete frustration, that they will not understand. Beatty is right. Hard for me but I started taking the blame or redirecting. Since her memory was short, the redirecting often (not always) worked. In many cases, she would forget and move on to the next question.

Also, I did find positive reinforcement and complimenting made a difference. I found that I was constantly correcting. That had to make her feel weak and destroy her confidence. I tried to encourage when I could. Remember, they are losing control of their life. They want to be independent. Perhaps these behaviors are a way to feel in control….or just the disease. Who knows?
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I didn't have this type of moving target when I took care of dementia clients. As long as they weren't doing anything to put themselves or anyone else in grave danger, I would just go along with my day and do cleaning or mainly watching them if they were a fall risk, preparing meals and etc.

However, I am working with a client who has a mental illness and has this moving target thing going on with them. It's nerve racking. If I don't do the lock a certain way, it is a reason for a screaming fit of yelling and berating. This kind of nonsense I don't have patience for. I'm taking a couple days more and I don't think that I'm going to be dealing with someone like this much longer. It's too much. I feel for anyone that lives with someone like this. I think the best advice I can give someone is just practice deliberately ignoring. You can only do so much for these folks. Put yourself and your sanity first.
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Once again, so many responses of “Oh, time to put her in a facility!” As if this is as easy as boarding a pet at a doggy-spa! These facilities are obscenely expensive, and what if this woman doesn’t have that kind of swag, yet isn’t quite broke enough for Medicaid? Are you all suggesting that the OP shell out these gabillions herself? I certainly hope not! And Medicaid won’t pony up anyhow, unless she needs a nursing home, alas. So maybe spend down, spend down, and wait (pray) for the day when she reaches the point of needing one.

So. As the wisest person on this site, AlvaDeer, often says, sometimes there just IS no solution. This woman is going to drive everyone nuts, before the end comes. I’d just say, when she comes out with a bonkers denial of her original request, just walk away and hope she forgets it. Or don’t do what she asks in the first place, as experience has already taught you that she will countermand it anyway. You can’t win, so quit doing back-flips trying!
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NeedHelpWithMom Jul 2023
You must not follow Alva very closely. Alva knew from the get go that she would not be doing any hands on caregiving for her parents or her brother. She was an RN and cared for many in her working years. She had no intention of continuing to care for others in her private life.

Read the profile of the OP. She is a retired social worker. She’s frustrated and tired! Her mom’s Alzheimer’s disease will get worse and her caregiving will become harder and harder as time goes by.

No one said the OP should pay for her mom’s care. Medicaid is something everyone should consider as an option, no matter if it takes awhile to implement or not. I suggest investigating all options for assistance, veterans benefits, etc.

The alternative of doing the care ourselves becomes entirely too much! How do I know? I cared for my mom with Parkinson’s disease and dementia. I don’t recommend it! Nor do most people who post on this forum, including Alva!
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Move her into a locked-down facility that limits her moving.

She's already lived with you for 6 weeks too long.
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Justwow123 Jul 2023
Violins. Hmm.
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Just gracefully respond. And let it roll off of your back. "Let go and let God", as they say. Employ the serenity prayer. Consider it good practice for dealing with people on a daily basis in the real world.

The fact that you're interested in knowing is key, here.

The fact is, it is not your LO. It IS the disease. And no matter what you do, or say, it will be forgotten shortly. Whether you were right, or whether you were wrong. Dealing with the person in front of you is like dealing with a child of a certain age. You let it go, and you move on. Don't let jaded people with jaded experiences turn your world dark.
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NeedHelpWithMom Jul 2023
May I suggest that you go and take care of her mother for awhile and see if you can easily “let it roll off your back” or “let go and let God.”

The OP is at her wit’s end. Ignoring the problem doesn’t exist isn’t going to help her.
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I am truly sorry that you took in your Mom without first researching age related dementias, and understanding how far her memory loss has progressed.

It does sound (and you don't say what diagnosis you have here other than "some memory impairment") that your mom has progressed into dementia and it is time, since her safety and well-being is in your care, that she is fully diagnosed. A good neuro-psyc MD can give you a lot of guidance on educating yourself on your Mom's condition and how it will manifest.

You face now the same thing that almost all of us on the Forum have already faced, so know that you are not alone. We have all been where you are. It is time to learn about dementia and the aging brain. This will take some time; the internet is your friend. Also start watching some Teepa Snow videos on youtube. I see thatLealonnie1 has already posted to you her favorite excellent site.

It is important to start out with a clear understanding that your mother has NO short term memory. That will help you understand that reminding her and arguing that you "already SAID that" will simply cause much anxiety and distress for you both.

I welcome you to Forum. It will be so much easier not to take things personally when you understand more. I sure wish you good luck.
I recommend the books by Oliver Sacks that deal with the impaired mind, as well. As he had said in his life, they have a whole entire world; it just isn't YOUR world.
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The last four words of your question ... "without taking it personally" is the most difficult thing that is required if we are to mentally/emotionally survive the chaos of caring for a family member with dementia. We have a history with them. We think we know them. We have feelings about them based on that past experience....a familial connection/relationship. We enter caregiving for our loved one BECAUSE it is personal...dementia (with all it's power to slowly diminish and erase the person I know and love) requires me to detach, to have no expectations, to be open and loving in the midst of chaos...and to take NOTHING my loved one does or says personally as they disappear before my eyes. The relationship is one-sided, much like caring for a young child or infant. You have no history or expectations of them, and they do not appear as someone you once knew so well, only to disappear again an hour later. Caring for a loved one with dementia is crazy-making stuff. How "not to take things personally" when you put yourself in the most personal of all positions is, indeed, the 64,000 dollar question. Having strangers care for your loved one may be (I'm starting to suspect more and more), the only answer.
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ForReal Jul 2023
Hang in there.
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MeDolly made an excellent point. You’re stressed out and your mom has only been with you for a short while.

As MeDolly stated, just think how you will feel later on. Her condition is only going to get worse.

Frustration and resentment will naturally occur and that is never a good situation for you or the person that you are caring for.

The best thing to do is to allow others to care for her, then you can go back to being her daughter.

You can help her by overseeing her care in a facility that has a professional staff who are trained to deal with her needs.

Best wishes to you and your mom.
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You never argue with a person who's brain is broken because you will NEVER win.
It's really as simple as that. You just go along with whatever she's saying as if it is fact and the truth, because in reality it is her truth. If she says the sky is orange, you just respond saying, and what a pretty shade of orange it is isn't it?
Your life and hers will be much more peaceful and happy if you just go along with whatever she says. And of course educate yourself about the disease of dementia as that will help you better understand what is going on with your mom, and will help you not take everything so personal.
You must remember that it's the disease not your mom. That should help you keep things in perspective.
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This is your life now. The ability to deal with it - well, right now, your ability is probably the best it's going to be. It gets much harder.

Truth: You'll watch TV news with her and refer to it later, and she'll tell you she didn't see it or it never happened. You'll know you're right, but she's calling you wrong, many times per day over many topics. Your self-confidence may wither away. You'll mention the lost submersible at the Titanic and she won't remember the past 10 conversations you had about it, so you have to decide whether to start all over or forget you even discussed it. You'll mourn that easy companionship the two of you once had. She'll want to vacuum, but she has no idea where to plug it in, or how to turn it on, or what to do when it's on. But you have to keep setting up the vacuum because she wants to do it and all the books and videos tell you to let her help you around the house, but letting her help wears you out and you end up doing the vacuuming.

Her "memory impairment" - let's call it full-blown dementia because that's more accurate - will affect every aspect of your home and having her in it. You can try to let it roll off your back, but that does something to your mind; it's a kind of cognitive dissonance. For the sake of keeping peace or being kind, you're agreeing that something is happening the way she insists it's happening, but you know for sure that it's not and it's pointless to insist on what you know happened because her brain is broken.

"Gracefully responding" or "letting accusations roll off your back" does something bad to YOU. And so the actual question is, do you want to do that? Or find her a good memory care facility so that you can save yourself the mental damage?
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Actually dealing w memory impairment and dementia is a whole lot worse than it sounds like it will be before the person moves in. 95% of us are not prepared or equipped or capable OF dealing with it, either, which is why Memory Care Assisted Living facilities are popping up like flowers on every street corner in the USA. Unless you have the patience of Job or are stone deaf, I suggest you look into a few of these MC places for mom before she drives you crazy. Even if you figure out a way to not take things personally, just the act of repeating herself and forgetting things continuously is very very hard to deal with.

I suggest you read this 33 page booklet online about managing dementia and what to expect with an elder who's been diagnosed with it. Lots of Do's and Don't tips for dealing with dementia sufferers are suggested in the booklet.

Understanding the Dementia Experience, by Jennifer Ghent-Fuller 

https://www.smashwords.com/books/view/210580

Jennifer is a nurse who worked for many years as an educator and counsellor for people with dementia and their families, as well as others in caring roles. She addresses the emotional and grief issues in the contexts in which they arise for families living with dementia.

The reviews for her books are phenomenal b/c they are written in plain English & very easy to read/understand. Her writings have been VERY helpful for me.

The full copy of her book is available here:

https://www.amazon.com/Thoughtful-Dementia-Care-Understanding-Experience/dp/B09WN439CC/ref=sr_1_2?crid=2E7WWE9X5UFXR&keywords=jennifer+ghent+fuller+books&qid=1657468364&sprefix=jennifer+ghent%2Caps%2C631&sr=8-2

Alz.org is a great website with an 800 number to speak with a live person. Teepa Snow has wonderful videos on YouTube about techniques to use to deal with demented elders. The 36 Hour Day is is a very good reference type book you should pick up as well.

Educate yourself about what lies ahead as dementia progresses before you decide what steps to take. Knowledge is power.

Best of luck to you.
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Whitmsw Jun 2023
Thank you for this link!
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There are red flags waving in your face, pay attention!

It has only been 6 weeks and she is already getting on your nerves, can you imagine how you will feel a year from now? The stress alone can kill you, it has happened many times, the caregiver goes before the demented LO.

You may think that she will not live much longer...Ha! My mother is 98 and still going strong.

Why not look into AL for her with a step up program to MC, she will be with people more her own age, with similar issues so they just roll along, same stories, same issues over and over again and no one remembers that they have heard them a 1000 times, it is all new to them...everytime!
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NeedHelpWithMom Jun 2023
Exactly what I was thinking. It’s only going to get worse. It’s pointless for caregivers to believe they can learn to cope in extremely stressful situations like the OP has.
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Maybe say whoopsie doodle, let’s move it back.
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She has a broken brain. Neurologist says that these brains literally look like swiss cheese.
I honestly cannot imagine someone expecting her to function normally with memory loss, nor imagine challenging and reminding someone over and over who is entirely incapable to computing and understanding what you are saying.

There are many fine films out there from Teepa Snow to access on how to deal with someone dealing with dementia. I recommend them to you and hope they will increase you level of understanding. It will bring relief to both you, yourself, and to your mom.

I wish you the best.
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BarbBrooklyn Jun 2023
Alva, I saw imaging of my mom's brain with dementia. Yes, swiss cheese. My brother and I, for different reasons, knew what a normal brain image looked like. Looking at mom's, he turned to me and said "how is she able to do ANYTHING?". There was more space than brain.
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Welcome, Whitmsw!

Personally, I think you should start making a plan to move your mother to an appropriate facility.

For right now, I might try putting off fulfilling requests. You can say, "Oh, yes, I need to see about that" and write it down conspicuously on a white board that is within her view often. Perhaps check in a day or so later if she still wants the item.

Find yourself a therapist to support you during this challenging time.
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