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Elderly parents

When does forgetfulness become dementia?

87 replies

NetZeroZealot · 07/11/2023 19:05

I've just spent a couple of weeks staying with my dear 88 year old Dad.

I'm really concerned about his memory, which has really deteriorated over the past year or so, and spending a lot of time together with just the 2 of us (Mum was away) has highlighted this.

For example - reads the Times every day but doesn't know the name of the PM. ("that little Indian man")
Gets very confused about time of day and even the month and year.
Sometimes forgets if he's had a meal.
Can't remember some grandchildren's names.
Repeatedly asks same question, e.g. what time is something happening.
Can't remember basic words/names like names of supermarkets, some types of food ...

BUT - very capable of lucid and interesting conversation and appears fully mentally engaged most of the time.

I'm not sure what I should do.

OP posts:
MereDintofPandiculation · 10/11/2023 09:49

Cognitive decline can come in many forms. My father lacks capacity, he lives in a parallel universe dated about 1950, and has an idiosyncratic understanding of time. But the other week I told him I was going to check my car was locked, and when I returned 10mins later, he greeted me with “and was it locked?”.

olderbutwiser · 10/11/2023 09:45

Attendance Allowance is not means tested.

FWIW FIL has a diagnosis of Alzheimer’s - he can’t remember his home address, can’t remember where we are going for more than 5 minutes, couldn’t be trusted for 5 mins on the computer. But he can still beat all of us hands down at cards.

MereDintofPandiculation · 10/11/2023 09:39

TheShellBeach · 09/11/2023 19:34

Getting AA can also mean he'll be entitled to pension credit, housing benefit and council tax reduction.

The first two are means tested, aren’t they?

MereDintofPandiculation · 10/11/2023 09:37

EducatingArti · 09/11/2023 19:01

Diagnosis is helpful financially. If he needs support you might be able to get attendance allowance for him ( even if your mum is doing the support) once you have attendance allowance, if he is diagnosed with dementia, a clinician can decide it counts as severe mental impairment and you can apply for a reduction in council tax.

You apply for AA by describing all the needs. This is done just as easily without a dementia diagnosis. So if life is being impacted, people shouldn’t be deterred from applying for AA because they don’t have a diagnosis.

MereDintofPandiculation · 10/11/2023 09:33

@NetZeroZealot remember all the little amendments to his life that he may have made to cope, and describe the need that gave rise to those. Does he make notes for things most people would remember easily? Would he take medicines if nobody reminded him? “A need that is met is still a need”

BookWorm45 · 10/11/2023 09:33

For a relative, I noticed what could at first be a blip or memory loss - but there were too many of them happening, and I realised that something more fundamental was wrong. Examples such as -

Getting lost in a journey and then unable to follow directions given over the phone.

Handing over an envelope as a gift (whcih should have contained a celebration card / cheque) without realising the envelope was in fact empty. The card etc had been left on the kitchen counter.

Ordering pudding in a restaurant, when the waiter turned up with it 5 - 10 mins later, saying- "what's this, who ordered this ?"

MereDintofPandiculation · 10/11/2023 09:25

SmugglersHaunt · 09/11/2023 13:09

I’ve never heard of anyone being diagnosed with MCI - it seems to be dementia or nothing

That was my dad’s diagnosis. On the basis of the short test only

GETTINGLIKEMYMOTHER · 10/11/2023 09:10

Tallisker · 08/11/2023 11:12

Alzheimer's UK recommend that you never push the "do you remember?" questions as it can be really distressing to the person who can't remember.

Also, memory loss is not the same as cognitive decline, although it's obviously part of it. For example, the last time my dad visited us before he went into a home, as we have a fitted kitchen and all the doors look the same, he couldn't find the fridge. So we stuck a post it note on the door saying "fridge". He could read the note but couldn't work out that it meant that it was the fridge in there.

I think a diagnosis is useful, it opens up access to support like occupational therapy.

I’d agree with not pushing it. If the person really can’t remember, it’s just bashing your head against a brick wall and will achieve nothing except frustration/upset.

One thing I forgot to say re FiL in the early stages. Because we were then utterly clueless about dementia, we didn’t pick up on it.

FiL was staying with us since we were all going to a BiL’s very smart wedding. Just as we were about to leave in taxis, all dressed up - FiL was in a dinner jacket - he said, ‘Where are we going again?’

We did think it very odd, but didn’t really give it another thought until other signs appeared later.

TammyJones · 10/11/2023 03:34

tokesqueen · 07/11/2023 19:55

Make sure you have Power of Attorney for both parents.
Good advice regardless.

We are in the process of doing this.

It's so stressful
To us all Flowers

TheShellBeach · 09/11/2023 19:34

Getting AA can also mean he'll be entitled to pension credit, housing benefit and council tax reduction.

EducatingArti · 09/11/2023 19:01

Diagnosis is helpful financially. If he needs support you might be able to get attendance allowance for him ( even if your mum is doing the support) once you have attendance allowance, if he is diagnosed with dementia, a clinician can decide it counts as severe mental impairment and you can apply for a reduction in council tax.

TheShellBeach · 09/11/2023 18:51

Even people who need help but do not get any (because they live alone) will qualify.

TheShellBeach · 09/11/2023 18:50

Yes, it doesn't matter who assists him.
He will qualify.

NetZeroZealot · 09/11/2023 18:49

Thank you @TheShellBeach this is really interesting.

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TheShellBeach · 09/11/2023 18:48

Read through the application form.
For example, if he takes longer to get dressed than he used to, he might well qualify.
That's just an example.
If he had trouble turning over in bed, he might qualify.
It would be worth your looking through the form.

People who are becoming forgetful, for whatever reason, generally qualify.

NetZeroZealot · 09/11/2023 18:47

I've just looked at the link.

These all apply to my Dad (he already has a disabled parking badge) but the person helping care for him is his wife (my Mum), so does that count?

  • you have a physical disability (including sensory disability, for example blindness), a mental disability (including learning difficulties), or both
  • your disability is severe enough for you to need help caring for yourself or someone to supervise you, for your own or someone else’s safety
  • you have needed that help for at least 6 months
OP posts:
NetZeroZealot · 09/11/2023 18:43

Thanks. He can manage all those things at the moment.

OP posts:
TheShellBeach · 09/11/2023 18:42

Such as cooking, getting dressed, washing, going to the lavatory, struggling with incontinence.
Etc.

TheShellBeach · 09/11/2023 18:40

It's for people over pension age who struggle with daily living activities.

NetZeroZealot · 09/11/2023 18:33

TheShellBeach · 09/11/2023 13:12

Have you claimed Attendance Allowance for him?

I don't know anything about this. Please tell me more.

OP posts:
tobyj · 09/11/2023 17:30

DM has recently been diagnosed with MCI, in spite of having a very poor score on the MMSE. I was surprised tbh - the definition for MCI seems to be cognitive decline that's worse than expected for the person's age, but not enough to cause a significant impact on daily life and work. Whereas I think mum's cognition absolutely does affect her daily life, and there's no way on earth she'd be capable of working now. It worries me that she might have dementia but undiagnosed, as the time that medication apparently works best is when it's in its earliest stages.

countrygirl99 · 09/11/2023 13:39

@GETTINGLIKEMYMOTHER that's just like my mum. She doesn't remember seeing the doctors so it didn't happen. Ditto being prescribed hearing aids - she threw them away when dad died because she thought they were his as she couldn't remember. I pity her neighbours she has the tv so loud but when she doesn't hear the phone it must be the phone that is faulty.

Thetulesarepretty · 09/11/2023 13:28

My DF has mild cognitive function, we're going through the memory clinic thing atm, they said the same, that it's good to be in the system in case you need help further down the line and they can deteriorate rapidly sadly.

GETTINGLIKEMYMOTHER · 09/11/2023 13:24

@olderbutwiser , from experience, even when a diagnosis is made relatively early, the person is liable to a) forget, and/or b) refuse to accept that there’s anything wrong with them.
My DM was told by her GP that she had Alzheimer’s, and apparently accepted it, but had completely forgotten by the time she got home maybe 15 minutes later, and just became angry if we tried to remind her.

FiL was much the same - unable to accept that there was anything wrong with him.
In both cases (IMO) the ‘denial’ was not denial as such, but simply down to the fact that at any given moment, they couldn’t remember that they could never remember anything. (If that makes sense.)