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Old 09-24-2007, 11:10 AM #1
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Confused my MIL...

My MIL has progressed into dementia at a rapid pace. Last year she was lucid but would not sleep and could not tell night from day. She would forget she went to the bathroom and would request to go again right after she just came back, which would keep my FIL up all night. My MIL is blind due to macular degeneration. It was entirely preventable but we are not sure if it was due to the doctor's ignorance, my FIL not hearing what the doctor's said due to his stubborn resistance to wear proper hearing aids, or her fear of treatment and his going along with that. She fell and I forced her to the doctor over his objections that she was faking and she had broken her arm. For a while she was screaming so bad the police were called to investigate and she had to be hospitalized in order to get her medications to a point where she is calm. But she is so calm that she has no personality and my FIL is mad that "she does not talk to me anymore." He is in total denial about her dementia. Part of the criteria of releasing her from the hospital was for her to have 24 hour help, 7 days a week. He would only agree to 5 hours, 6 days a week.

She now is incontinent. She does not recognize me well anymore. She has a bedsore that was not recognized by my FIL or the aide. He asked me if he should put more aspercreme on it as that is what my MIL was asking him to do. I recogized the crater as something severe and insisted that they get her to a doctor first thing on Monday. She is now getting wound care and we cannot get the clear story as to why no one saw this before it got so bad. FIL would not let wound care speak to my hubby and will not tell them about me (he likes to leave me off the hippa as I am outspoken) even though I am home.

My FIL is trying to be the primary caregiver of my MIL. He has essential tremors and without taking his meds on time (which he never does - he says it does not matter...) or sleeping well, he shakes a lot and it prevents him from being able to do things well or quickly. He is a very proud man which is... nice except that in this case, it really puts my MIL in a very very sad way. She does not get fed on time. She does not get fed properly. She needs protein to heal. He is a pasta man. He keeps "listening" to what she says like going to bed with her clothes on (and then proceeding to go to the bathroom all over the bed) and to put aspercreme on a deep wound... so deep is his denial of her dementia that he makes extra work as well as puts her at risk of huge infection. She is remarkedly worse after the "day off" when he wants to sleep in and there is no routine. My hubby wants to keep her at their home but with so little care, and his dad so stubborn... he has POA but will not push to get more help...

I am disabled myself. My arms do not work so I cannot help as much as I used to. I urge my husband to intervene as it pains me to see his mother suffering like this. If I call senior services, he will know it is me and it will be more fighting but man, how can I stand by and let this happen? It eats at me daily... my hubby says his mom is not complaining but that is the dementia... can she be happy sitting on the sofa all hours of the day?
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Old 09-25-2007, 11:28 AM #2
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I called the case manager... she had stopped by (FIL had not told my hubby) and she was upset at the bedsore. She is pushing for a second shift of help to get her dinner on time. So a bed is being ordered and she asked me to get a gel seat for her for the wheelchair. That will upset my FIL as he does not like her to sit in it but she needs to sit on something softer. The case manager is going to talk to my hubby today about getting him more help as the situation is dire and FIL is not able to do it as much as he protests... She wants the MIL in a home where she can get 24 hour care but knows they will not agree... sad.
But at least the case manager is on my stubborn FIL but he is so nasty and rude... I just hope she can keep my MIL safe.
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Old 09-25-2007, 01:44 PM #3
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rumpled

I am so relieved that you called the case manager

This is a very hard position for you to be in...but you did the right thing

Honestly, it isnt fair to her or to FIL to live this way is it.....not good for either of them and I do hope your hubby will realize what is best for both of his parents, and help to facilitate it

praying for the best outcome possible for all of you

Cheri
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Old 10-25-2007, 09:47 PM #4
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rumpled

how are things going there?
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Old 10-26-2007, 11:52 AM #5
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She has gotten much worse. In keeping with his normal MO, my FIL waited until he was at the end of his rope and capabilities and then expected that he could get help immediately which just does not happen. It resulted in a fiasco... and she is deteriorating rapidly. It is just so sad.
The GP has offered hospice - of course - both my hubby and my FIL said no and do not understand why she offered it. I do not think she is doing well and is fading fast but has occasional times where she gets up out of bed so that makes FIL think she is going to get better as his denial is full and complete.
Thank you for thinking of me.
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Old 10-26-2007, 03:45 PM #6
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So sorry to hear that.
this cant be easy on your health either, rumpled.
I really do feel for your situation

we are here for you when you need to release your own tension over it all.

Cheri
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