My 91 yo mother has dementia & has bouts of combativeness...
(She’s on Seroquel, Namenda & Aricept)
Mom had 2 teeth extracted the other day with local anesthetic...(she had other teeth extracted but didn’t have this reaction) ....& since teeth broke off I wanted to avoid them getting infected...
So ever since extractions, acting even more strange..keeps pointing her finger or fingers up, then down, then sideways, making head movements up & down, then sideways...like yes & no movements. Also refusing meds, drink & food more...I have to hide the meds until she asks for ice cream & then I can crush them & mix it in...Also she keeps talking about this “vacation” she is going on..& has to be downstairs to go to airport...& that she will eat on the plane...Also, she always used to know when she had to go to the bathroom to do number 2 ...lately, she said she has to go & once on commode, she said she don’t have to go. It takes work to put her on commode since she gets transferred with stand assist lift machine & I have to put vest on her & it’s a whole production just to get her on commode. So once she’s on commode, she wants to go back in wheelchair...Then once back in wheelchair, she says she has to go to bathroom!!
Uugghhh!! She thinks it’s a game? Also, she was letting go today of the lift machine to do the finger pointing ☝️ 👈 thing...I feel like I’m living in an insane asylum.
I’m my mother’s primary caregiver & I share hours with paid private Aide. I live with my mother & took her out of SNF 1 1/2 years ago against advice of SNF staff ...they told me this does GET WORSE but I didn’t listen...I have makeshift nursing home in the house.
Anyone experience these weird new behaviors after tooth extraction with their LO?
Thank you in advance & I appreciate all answers & advice.
She was very anxious about it. I retrieved the tooth and put it in a container for the dentist.
She talked about it constantly until we saw the dentist. He worked on her mouth getting the sharpness down and making sure the roots nerves were dead. He checked for infection. We waited several weeks to go back.
In the meantime she talked about her childhood at the dentist and the painfulness of that because in her era there was no anesthetic over and over. Living the pain over and over--like we were there never to return. And her blood pressure all over the board. No amount of words could calm that fear. I understand the asylum as there was no reasoning.
We were blessed to have a dentist that was able to reattach that tooth that had been out a month. She settled down the minute the tooth was in. The tooth was a bridge.
I can't explain why reattaching the original tooth settled her. I do know the more she feels out of control the fear goes off the rails and the strange behaviors and desperation starts.
Teeth removal is traumatic for anyone. However, anymore broken teeth Id suggest you just have them smoothed over by the dentist . Not removed. They will not cause infection just because they are broken. And as long as the edges are smooth they won't cause any problems.
Re bathroom
It sounds as if she is constipated. Again probably a side effect of the meds.
If you soak a bowl of prunes for the day in hot water, then give them to her before bed every couple of nights, this will move the bowels the next day...and prunes are rich in iron (iron deficiency 'anemia' is common in the elderly.) so this will be beneficial for her.
Ongoing constipation is going to increasing her decline
Regularity is going to improve her health & well being substantially
You might consider slowly but surely weaning her off the medications...1/4 pill reduction every 7 days. And monitor her progress. If she has problems developing that the meds are treating, then more slowly. Reduce them none the less
If you "ask you Doctor" he will advise against. However, your Mother and yourself are living with the problems these drugs create
You might watch "Death By Medicine" by Gary Null on Youtube.
This will give you an understanding of the medical system in America & how its structured. Its a very well made professional documentary
Mother may not be as 'crazy' as she seems when she refuses her meds
Also, if you look up 'potassium broth recipe' on the internet and make it for her this would be helpful. A simple fresh vegetable broth that is very rich in minerals & will nourish her and make her feel better as well as improving her physical health
I also suggest Organic Moringa Powder..can be bought on amazon.com and
a teaspoon twice a day if 1/3 cup of distilled water before her meals will be very helpful for her well being. Its one of the plants (vegetables) highest in nutrients available with no side or toxic effects . And many side benefits. I have noticed it does improve mental clarity in the those suffering dementia. As does Distilled water
The Prognosis of "it will get worse at home"
I entirely disagree (after many years in medicine) Hippocrates himself says "Cure sometimes, treat often, comfort always". There is very little care in those centers as you are aware. And you clearly care deeply for your Mother...which is very important for her well being.
There will be days when you doubt yourself & the burden seems too much. How
However, these days pass....and you are doing what you would want for yourself
Providing a loving supportive healthy environment for your Mother
Not an easy task. However, later you will be glad you could do this for your Mother...after all she did for you throughout your life.
How fortunate she is to have such a wonderful human being for a daughter
That said, yes, I think having any type of procedure can be a setback for a dementia patient. Was your mom given anesthesia when her teeth were extracted? Anesthesia, I was told, can really be bad for a dementia patient and cause some type of decline.
Also, did the dentist, by any chance, give her another drug? When my dad (who had dementia) was hospitalized with a small hip fracture (he had fallen), he was very panicky while in the ER. They gave him Haldol (sp?) which a lot of hospitals give to calm down patients. It made him much worse (he started trying to communicate with me through hand signs and was slumped over). I flipped out and demanded they not give him the med. they stopped but it did cause some type of decline. Maybe the dentist gave your mom some type of seditive that had a bad effect?
Either way, i’d call her pcp who might know the answers. Good luck with everything.
The head waggling - I suppose it could be that her mouth just feels funny and she's trying to locate the problem?
Was the journey to and from the dentist's office difficult for her? Has she had time to settle down again?
Or, of course, it could be completely unconnected with the extraction - a change that would have happened anyway, and it's mere coincidence that it's now.
Time for a review of her overall condition and the care plan, perhaps?
could be all of those psychotropics..either that a UTI or some kind of infection but chances are your dentist prescribed an antibiotic. Psychotropics has been known to cause drug-induced encephalapathy. SOMETIMES antibiotics have been known to interact with psychotropics and make them go loopy.
UTI is always a sneaky culprit when there's a sudden personality change. You might consider getting that checked out. Maybe the urge she's feeling when you help her onto the commode is the urge to pee. And if she has a UTI she isn't able to pee when she has the urge.
The commode thing could possibly be the beginning of a new behavior. I used to work in hospice and that happened all the time with my patients.
Maybe her change in behavior is just a coincidence or maybe going to the dentist was out of the norm for your mom, disrupting her routine, and it affected her dementia.
It’s OK to admit to yourself that her circumstances have become too difficult to be managed at home, and feeling as you do, it may also be time to acknowledge to yourself that you need extended respite care for HER welfare but also for YOUR welfare.
Even just thinking about having alternatives helped me to make better decisions for my mother, whether I was making changes or not.
My mother at age 89, was profoundly different following replacement of her broken hip, and most of the unanticipated (permanent) change was attributed to the inevitability of needing the general anesthesia, and the subsequent effects of it on a nervous system already damaged by dementia.
A fine nearby SNF was a very positive resource for her after the surgery. I was able to visit almost every day of the 5 1/2 years she lived there.
The obvious - have you had her checked for a UTI, which can cause bizarre behaviours all by itself.