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Elderly parents

Sundowning can I ask gp to prescribe something?

31 replies

Mxflamingnoravera · 27/06/2021 14:44

My mother has dementia and is in a residential home. She's been happy there for nearly two years. In the past few weeks she's taken to calling me 20-30 times an evening demanding that she go home. She has no other home now, she is a widow and we sold the home she lived in prior to going into care.

I allow myself to only answer one or sometimes two of her calls each day to save my sanity, but last night she left a message to say she is being kept prisoner and was very agitated. Im terrified that the home may say they cannot handle her any longer and wondered if the gp could prescribe diaezepam or similar to calm her down. She is 84 and in mid stage dementia, I can't see that worrying about addiction at this stage is worth it, she may have to stay on them for ever but if it makes her less anxious each night and allows her to settle and not upset her friends and the staff I'd be less anxious.
It starts each night after supper, around 7pm and I think it's "sundowning".

Anyone know how else to help her?

Visiting is limited and I have to have a test each time and frankly we never got on so I'm struggling. I've no siblings to share the load with either.

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NorthernChinchilla · 06/08/2021 15:51

Ironically I would have had the same reaction with the toy cat- she was amazingly allergic and hated them!

Do whatever is necessary to protect your mental health Mxflamingnoravera. I know it's easier said than done, and that stepping away can in fact contribute to the stress via guilt... but do take care

CMOTDibbler · 06/08/2021 11:39

Would she recognise play money as wrong ? If not, could you send in some old fashioned pay envelopes (you know, the little brown ones with the holes) and some pretend money so they could pay her on a Friday afternoon. I even saw a home local to me had given a resident her own special tabard as she was convinced she worked there and was worried she didn't have a uniform.
Mum had a respite stay in a home which had a lot of well set up areas around the home (which was beautifully set up for wandering) including an area with a doll, pram, cot but also a chest of drawers with doll clothes and laundry basket (which I think the staff filled out of the drawers at intervals) and I saw ladies sitting there happily folding and putting away. I did try a doll for mum once, but she threw it at me....

Mxflamingnoravera · 06/08/2021 11:01

@CMOTDibbler, the home do get her involved in "jobs" but then she thinks she works there and complains that they have not paid her! But, yes, it is a good idea.

Those cats are amazing, I thought she would laugh at it when I gave it to her but she immediately cuddled it and it has proved to be a great success. I have even booked a monthly supply of batteries to be sent to the home to ensure he never runs out!

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CMOTDibbler · 06/08/2021 07:58

My mum loved her robot cat thing -she'd stroke it and smile at it, and it seemed to give her a lot of comfort even when she didn't interact with anything else.
Slightly odd idea, but would your mum enjoy having a 'job'? Like a big basket of clean laundry to fold everyday to 'help out'?

Mxflamingnoravera · 06/08/2021 07:39

@NorthernChinchilla Thank you for the flowers and thoughts, I am sorry to hear about the toll on your mental health, I'm hovering on the brink of a depression I suspect, but so far am keeping it at bay by not visiting and restricting answering calls to two a week. And the robot cat I got mum seems to have helped her settle a bit.

Thanks everyone kind enough to check in on my thread, just knowing there's folk out there who understand does bring some comfort.

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NorthernChinchilla · 06/08/2021 06:33

@Mxflamingnoravera

I could have written your post and wanted to send Flowers We had this with Mum, and the phone calls several times a day of either swearing/threatening suicide/hallucinations (the same ones! Being held captive in a cellar, being on a boat trip!) did, combined with other things, tip me into a breakdown. It was utterly horrific.

I had to step away from my phone for several months

In Mum's case she had a fall last May which brought on/exposed the vascular dementia overnight- she was literally fine on the Fri and completely mad (not meaning any offence to anyone) on the Sat.

She was only 69, and owing to C19 and distance I saw her twice through a window in a year. 'Luckily' she had a massive aneurysm in March and slipped away.

I think you said you were an only? So I know how that feels.

You have my utmost sympathy... unless you've been through it, no one knows just how fuck awful it is.

Mxflamingnoravera · 04/08/2021 11:29

I get a bit cross when cancer is talked about as the most dreaded illness. Many cancers can be treated, dementia cannot, it is just years of decline and terrifying loss of self for the sufferer. My mum knows something is not right but also thinks she is healthy and able to do anything she wants. She said she wants to go skiing and ride horses, she can barely walk and broke both her wrists last year, but she is unaware of how little she can manage now.

It is her birthday next week, I have bought her two large peice jigsaws with just 100 pieces, it is all I can think of to keep her occupied which seems to be the biggest problem for her, she was always so busy, now she sits most of the day, alone often, because she forgets her friend is just two doors down the corridor. The staff do what they can, but it is a battle that cannot be won.

When she dies there will be no "she lost the battle she so bravely fought against dementia" type epithets. It will be "at last she has peace".

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CloudPop · 04/08/2021 10:56

I just wish she could have her wish which is to slip away peacefully in her sleep, it would be a blessed releif for her and my aunt and me.

@Mxflamingnoravera I'm in a similar position and totally understand you on this point. It's brutal and cruel and nobody should have end their life this way. It's just not fair.

ShitShop · 04/08/2021 10:49

How awful for you to be dealing with all this. Dementia really is a bastard. Both my grandmas had it. Really hope the medication helps your poor mum to settle in the evenings. As hard as it is, please don’t do more than you’re comfortable with and don’t feel any guilt for protecting yourself from the devastating effects of her illness. As distressing as it sounds for her in the moment, you’re the only one who will remember her distress. Flowers

Mxflamingnoravera · 04/08/2021 10:41

Another update, the mental health team have now added lorezepam to mum's medication and the home are happy to administer this "when absoultely necessary" and have had to do this twice in the last fortnight.

She still packs her bags every day to go home and the poor staff have to put it all away again. I bought her a Joy for All robotic cat and gave it to her on Sunday, she was thrilled with it and she cuddled it all the time I was there.

I have got some counselling and my counsellor has told me I should reduce the number of times I visit as it is causing me to slip into depression. I feel guilty but am able to rationalise it and keep it at bay. I just wish she could have her wish which is to slip away peacefully in her sleep, it would be a blessed releif for her and my aunt and me.

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Mxflamingnoravera · 15/07/2021 13:41

Finally, mum has been prescribed memantine. If it doesn't work I may be forced to find a more specialist dementia care home. I hope it works.

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Mxflamingnoravera · 01/07/2021 13:37

She can wander freely at the moment and threatens to leave and get a hotel if I wont have her here but she would be lost as soon as she walked out of the complex if she were to go out alone.

NB she entered the home of her own will when she had capacity, now as she is losing it she wants to go home because she is "exhausted from all the travelling they make me do" she told me last night that she is on a boat in Northern France on holiday.

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crimsonlake · 30/06/2021 19:04

This is the issue when the have a mobile or access to a phone in their rooms.
Is she wandering within the home or actually walking out freely?

IPeedInThePool · 30/06/2021 18:28

Why are they applying for a DOLS for wandering? Is she safe to do so? as in on her feet mobility wise?

OnthePiste · 29/06/2021 16:42

I was going to suggest removing the phone so that is a good decision. She will soon forget about it and you can enjoy peaceful evenings again! I do sympathise, when my DM was suffering from delirium and early Alzheimer's, I would sometimes get up to 40 calls per evening and overnight. I ended up blocking her number and switching off my answerphone each evening in the end as it was just so stressful.

Mxflamingnoravera · 29/06/2021 13:30

The home are going to remove her phone today it is "broken" and I will call her every other day and my aunt on the other days on the landline for the home. The phone seems to be a big factor in her axiety. We are also filing for a DOLs order so that they can stop her from "walking with purpose" (used to be called wandering).

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GlutenFreeGingerCake · 29/06/2021 12:28

My late Fil had a similar problem, he was fine in the morning but in the evening he would shout at people to get out of his house. Luckily this was solved by a change of medication and he never had to move from his residential home even when he became quite physically ill with leg problems, as a nurse would visit and they installed a hospital bed for him to prevent pressure sores when he had to stay in bed a lot. Hopefully this problem will now be sorted out soon once your mum sees the specialist.

Mxflamingnoravera · 29/06/2021 08:00

Dr said a dementia specialist will see her next week (I thought they'd seen her last week) dr won't prescribe until advised by dementia person. That's fair enough.

The home suggest we remove the mobile phone and my aunt and I take it in turns to call mum each day (alternative days each) as the phone seems to contribute to the problem. Aunt says yes, I agree too, so I'll get the home to "send the phone for repair". Mum can still call but on a landline in the corridor rather than from her own mobile.

The home agree that mum's behaviour has changed recently. They also said mum would need to be a "lot worse" to consider asking me to move her. That was a relief.

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Mxflamingnoravera · 27/06/2021 17:30

In fairness to the home, I don't think they know how often she is calling me or what she is saying. She presents to them as "well behaved" I think. She lies to me about where she is (eg she will say she's outside in the street when she is actually in her room). So they say "she's fine. She is her room etc, when she has called saying she is outside and they've told her she has to leave/can't leave etc. I tend to call when the night team are on duty because that's when mum calls, but they are less knowledgable about how she is because most of the time she is asleep.

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GlutenFreeGingerCake · 27/06/2021 16:23

It's good you have the recorded calls as this will help your GP understand how agitated she is. It's not very good that the home seem to be either unaware of her distress or not taking it very seriously and trying to help reduce it. It would certainly be better for her to have some medication than to be so upset every evening but the GP or dementia nurse will know what is the best medication for her needs.

DogsSausages · 27/06/2021 16:12

That's good that she wont have to move far if they feel she needs a higher level of care. The carers need to call her g.p or ask one of the nursing sisters to review her.

Mxflamingnoravera · 27/06/2021 15:47

It's residential, not a nursing home. The staff are generally not nursing staff. It is attached to a nursing home which will be the next destination as mum's dementia gets worse.

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DogsSausages · 27/06/2021 15:37

Is it a residential or nursing home with registered nurses on duty. Either way she needs to be reviewed by her g.p or the dementia nurse, I doubt they will prescribe diazepam as it makes people drowsy and prone to falls, Risperidone did wonders for someone I knew. If her needs have changed the staff can arrange a review of her careplan.

Mxflamingnoravera · 27/06/2021 15:03

Sorry, not just before lockdown, a year before- I'm losing track of time now!

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Mxflamingnoravera · 27/06/2021 15:02

Mum has a mobile yes and staff are asked to remove from her after supper but she won't hand it over. I'm going to try the doc tomorrow, I have her voicemails that say she's a prisoner and I'll ask the care home for a meeting.

She was moved here just before lockdown so she hasn't got a psychiatrist here. I asked the doc fir help last week and he said he'd ask the dementia team to visit but I've heard nothing yet and in the day she is sweetness and light and could pass for being ok on a good day. But she's no short term memory and cannot look after herself. The doc not knowing her doesn't help I think.

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