My brother and I take care of my mother (92) for the past seven years. I read your forum and always find helpful tips. Her question is "when do I go home," or "what day are we leaving?" We have tried changing the subject, I will take her outside, when it gets to much I will leave the room come back and she goes right back to it. You can tell her she is at home, and as soon as you finish the sentence she will say but when do I go back? If the answer is not what she wants she starts crying. This will go on sometime from the time she get up to the time she goes to bed. Non-stop. Talk to Dr. he has given her meds to maybe calm her down, doesn't work she won't stop talking long enough for it to calm her. Home is where she was born. Sisters, church members other relatives talk to her same questions. We are all at the ends of our rope. If she doesn't start as soon as she gets up at 2:00 pm the questions begin. Does anyone have any advice or solution. It will be appreciated.
Blessings to all.....
Repetitive questioning is the one single aspect of dementia care that I know I could not handle for more than an hour or two a day. You must want to burst into tears.
Teepa Snow is a good resource, you can find her seminars online.
I don't know if this will help, but do adjust your expectations. Your mother WILL ask these questions over and over and over. Your response can try to divert her or reassure her, but nothing will make a difference to her asking, only to how she feels in the present. You can only work on containing or appropriately releasing the unbelievable frustration it must cause to you.
A huge shoulder rub of sympathy to you.
Blessings to all
Thanks
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As you said, She is having sundowning, it happens at the same time every day and the patient is agitated and can not be comforted, exhibiting fear, paranoia and other undesirable phenomena.
Have you talked to her doctor about prescribing something that could calm her down? I have read on this forum that people have had good luck with CBD or edible marijuana products.
I think that anything that will calm her fear is worth trying. Do some research on sundowning and effective treatments.
Is it possible to change the day so something different happens at this time? You have received some good ideas. Knowing what this is, is the 1st step to living through it. Maybe the edibles for you. My aunt said that they just chilled her out completely. She tried it because my cousin has behavioral issues and my aunt wanted to know how it felt because my cousin is soooo much easier to live with when she has enjoyed her edibles.
I hope you find something soon that calms her unrest.
This disease will progress and it can effect how her body functions- to changing her personality, sundowing etc. Hang in there, your not alone.
To where is she asking to return? Give her a purposeful repetitive task from her generational habits that will occupy her hands. Folding laundry is stereotypical, yet very calming, especially if the basket is filled with never ending clothing.
(tip: bring onto her unfolded laundry from the entire household). If she hated folding laundry, then find something that she liked to do. Something that might stop the loop is rephrasing her repetition as a question to her and asks why she wants to go.
You sound as if you are enduring water torture, yet you know that every day when and what will happen. similar to a toddler asking why, why, why? Anticipating it as aa normal everyday occurrance will require some discipline, and patience; how do most mothers or daycare workers cope with crying all day? They adapt their thinking.
Caregiving is difficult, Hugs.
When Dementia minds are calm the world is a happier place.
You might try music with your mother. She might also have severe circadian rhythm problems. Get her a Fitbit and see what is happening to her sleep cycle. To feel good she needs both deep and rem sleep. Often I go to a noisy restaurant and read a book there with my dinner. I was married 38 years (divorced two). Joined a dating site, but the fellas out there are just looking for sex and I am quite the reserved lady.
I will be moving in with my daughter. I am worried about the traveling and the isolation. But I don't have much of a choice because I can't keep this house up, so I have it on the market and will move after it sells. Wish I could meet a nice fella who wants some company. I plan to join a book club and do some volunteer work when I get down there. but my circadian rhythm problems usually get in the way.
I can easily sleep 12 hours a day (never the same 12 hours each day). It is especially bad when I wake up at 11PM (nobody is awake, stores are closed, it is dark). I play "Words with friends" on the internet. Lots of fellas out there willing to chat, but I am afraid of giving out my phone number which is what they are keen on getting. I talk to them on "Google Hangouts" as all that is needed there is an email address. Maybe I will meet someone nice after I move. Actually all this typing has made me feel better. Maybe I will write a long email to myself every day. Perhaps this is why some people keep diaries. Well hope some of these ideas work. Keep trying, you will find something. Remember keep your face relaxed and no eye-rolling, as this just makes her more anxious and leads to more talking.
With my mother it was "turn me over", which was initially a plea for just that since she couldn't reposition herself, but eventually morphed into an almost constant, nonsensical refrain. It no longer meant she needed repositioning, but it did mean she needed something and I often had to play 20 questions in order to discover what it was.
Your mother sounds crippled by anxiety, instead of trying to rationally meet her need to go home I would be looking for a way to alleviate that. My mom was given mirtazapine to help her sleep at night, it also helped to cut down on "turn me over". That particular medication may not be suitable for your mother but something else may be. Ad please don't think of it as "drugging" her, the constant need to go home is certainly as troubling for her as it is for you.
I got this electronic through Lynn Greater Senior Services ( our local senior advocates). It was a pilot study and it works wonderful. I don't know if it will work for everyone, but I programmed her to play certain music at certain times of day, set up games, Alexa can read her a short story from her favorite books, and she can ask her anything she wants. If Alexa doesn't have the answer she will tell you she has to look into that.
The one thing I learned from GLSS is to divert a negative conversation or action. If you can't divert the conversation try to go alone as best you can. She doesn't and can not help what she is saying or doing. God bless and hang in there. There is a ton of support for dementia caregivers. I strongly recommend reaching out to them. It will help you stay sane through this journey.
excellent idea!!
Home may be where she is well and healthy.
Tell her that she is safe, you will care for her and she is alright and that you love her.
Hold her hand, sit down and have a cup of tea, coffee, or whatever you mom likes.
If it is tea she likes you might want to try one of the herbal tea blends like Sleepytime (as long as it does not conflict with any medications she is on check with a pharmacist)
meanwhile change the subject if you can but I agree with others , it’s probably no longer a real “ question “. I’d kind of just ignore it and carry on with a conversation if it does not agitate her. If it does ( my mother is narcissistic so difficult without the dementia aspect) her neurologist recommended put her in a safe place and get out if her line of sight. My mother is in an ASF so it’s time for us to leave.
They may miss their LOVED ONES but they won’t miss the disease process unless they are sadistic. Can’t we lay off the sentimental scam and just try to give a helpful answer to help the person get thru the terrible situation they are in?
"When are we (or an I) leaving?" Can be symbolic for anxiety about dying. Maybe an answer like " We won't leave until everything is ready" would help.
It won't work to try to convince her that she already is home or that she is not going anywhere. You need to speak to her perceptions even if they don't match the reality of the situation.
It always starts out fine, oh so glad to see you! But after about 10 minutes, the "question" starts - when am I going home?? Sometimes I can divert & tell her that you need to get stronger before you can go home, but I ALWAYS try to put the blame back on her doctor. It hurts when she starts with "How could you do this to me"? But, I have to remind myself, I DID NOT give her a stroke, and I cared for her 16 years after that. There are some things that as a parent your kids should not have to see or do & I know she would agree with me. There is usually tears to try to lay on the guilt, but I know she is safer here than at home, she could not take care of herself any more & it became a 24 hour task. She tells me how much she hates it there, but I catch here time to time having a good time & the staff also fill me in. Some meds can cause hallucinations too, my mother cannot take Lunesta... "look at off the moths on the wall", and other crazy things...
Can you get her interested in something to take up some time, maybe a puzzle and have music on in the background? Frank Sinatra helps soothe my mom...
It is not easy, but this forum definitely helps - so many people going through struggles with their parents & loved ones... Take a deep breath & hang in.
Can u just put some old family photo albums out...of her childhood and the home she raised yall in...and let her look through them constantly. Any old family movies...hook up and just leave her in the room to watch as long as she needs to and chk on her. Sadly, at some point...they sometimes are better off in a memory care home...and u can visit.
Only u will know if it is needed and when.
My granny kept asking me when she could go home when i visited her at the memory care home...I just told her what she wanted to hear...visited and left...and went back faithfully...She was better off their at that point, but up until that point, we had some nice ladies come in daily to her home on the farm she raised us all on in her beloved home for as longgggg as we could...about 3 yrs.
Although I am not a big fan of medication, sometimes something can help (some can make the issue worse too.) This also may take some trial and error. If it works, it IS useful and I would be on board! Mom has only needed Lorazepam for a UTI she had once - she was OFF the rails every afternoon, well into the evening, the whole time! Nice thing about that med (may apply to other anti-anxiety meds) is that it does not take time to build up in the system and there was no "weaning" off required. First and every dose took about 10-15 minutes, calmed her down and then she would head off to bed at her normal time. Downside is it can be a fall risk, but it never caused her a problem and was the minimal dose.
Mom's repetition of statements or questions was the hint I got that something was amiss. Initially we tried to manage the dementia while she remained in her condo, but refusing to allow the aides in (only a 1 hr med/sanity check!) resulted in looking for a place. It is puzzling how they get stuck on something and can't move past it - I liken it to a scratch in a record, which will keep repeating until you can "bump" it forward. Sometimes a "bump" can work for dementia, sometimes it might take several or different "bumps."
Thankfully all mom's requests to go back to her condo were directed at my younger brother. She never asked me (somewhere in the depth of confusion, I think she knew better!) Nine months after moving into MC, she caught me unaware with "Can you drop me off at Nana's on your way home?" Thinking quick, I looked at my watch, said it was a little late in the day and not exactly on my way, so maybe tomorrow? She said ok (this response leaves the door open - any kind of deferral, such as 'after I do xxxx' or tonight or tomorrow. Most have issues with dates/times, so tomorrow or 'later' is a "positive" response, Mom followed up the 'ok' with 'Do you have a key to the place in {town}, you know, on {street name}, referring to their previous home, which was sold about 23 years before that! She has never mentioned the condo since.
Sometimes when we go to appointments, outside the facility, she will mention going home but when we get there she might say 'Am I staying here tonight?' She has a very vague concept sometimes that this isn't really home, but doesn't often pester me about "home." She does pester the staff about calling her mother and has tagged her mother to that previous address for some reason (it was my parents' home, not her mother's.)
She still gets into the broken record skipping quite often. As annoying as it can be, you have to try to let it slide, tune it out as best you can, try giving a generic response, repeat your response as often as she asks or even just Uh-Huh and attempt to steer her to another task or topic. The "scratch" will reappear, so you just have to be diligent and "bump" it along! Hopefully many of the suggestions will work and perhaps her doc can find the right medication to at least tone it down (bad enough when it is during 'normal' sundowning times, but if she starts this on waking and continues all day??? EEEk, prepare the rubber room.... For ME!)