Signs of dementia

   / Signs of dementia #21  
I'm not a doctor, but (I think) I can offer some advise regarding the father/son working together thing. I also had a family business whereby i worked with my parents (dad). If you're comfortable with running the company with day to day operations, I'd suggest you try to ease your dad into retirement. It seems like, at this point, he is only hurting the company (and your future) and causing himself too much stress for his age. And like my dad, maybe he is just burnt out (but can't recognize it) and would be better if he could relax more and seek other hobbies. Family business is everything to our dads, but at a certain age, you just can't handle it anymore. Dad needs to reconcile that for his own good. My father was hard-driving old school and would complain/yell all the time. He was not happy unless he was miserable. I understood him and put up with him because he was my father, but non of the employees were very happy. I'd spend most of my day doing damage control my father would cause. Moreover, management styles change with each generation...but my dad did not change. I'd recommend you ask your dad to work part time come in only a few days a week and enjoy what free time he has left. Tell him you'll take care of the day to day (he is only a phone call away)...with the goal of him fully retiring. to help your dad emotionally, set up a family board of directors and hold monthly meetings so you all can discuss the business, keep updated, review financial reports, and make major decisions. It got so bad with my dad that I said "you go or I go"...I knew he could not run the business without me, (because I was doing all the work anyway). Once we retired, we were all happier and the company flourished. Good luck...
 
   / Signs of dementia #22  
Sorry for your situation.....it is tough. My step dad had dementia and got progressively worse over time. He had a housekeeper who ended up ripping him off for some significant money and he hated me for getting rid of her. We took over his finances and moved him to a retirement home close to us. His dementia started slowly.......when he was in his late 60's.....he could tell you who played second base for the Dodgers in 1942 but couldn't tell you where his socks were kept or what he had for breakfast. Eventually......he forgot our names and didn't know where he was. Very sad at the end but he was loved and taken care of. He died at 86. Go see a doctor......make sure somebody is looking out for him and in control of his finances. You may need an attorney to get proper authority. Good luck.
 
   / Signs of dementia #23  
Lots of good advice so far and as usual by TBNers. :thumbsup:

First and foremost, as others have said, don't take it personally. But what does that really mean? A better phrase might be to not let your dads actions and words get to you emotionally. This is much easier said than done. At first. But eventually, it does get easier and you can deal with the outbursts.

I have to deal with people with mental illness professionally and in the family. With one situation, our hardest realization was that a family member was mentally ill and how we would behave/react to situations needed to change. What we were doing was just fine for a normal situation but what we were doing and saying was NOT going to work with someone who is mentally ill. This required a complete change of behavior and actions on our part. It took us a while to realize we had to change our approach. As part of the change, we had to NOT take things personally even when hurtful and untrue things were said directly to us. You just have to let that go by. Water off a duck's back type of thing.

Get as much information about dementia as you can. Our county has a large elderly population and as a result there are services and people to talk to about dementia and elderly issues. Check to see if you county has something similar. You county might also have a social services department that can be of help. Heck, it would not surprise me if the Extension Office had information. Talk to YOUR doctor and get their recommendations.

After you make your first pass at getting educated on dementia and what local resources are available, try to talk to the NP and see if she will help persuade your dad to go to a specialist. Suggest to the NP that the NP cannot see all of your dads behaviors because she is not around him often enough. Explain that your dads behaviors are dangerous and very likely to cause the loss of employees and maybe the business. Hopefully, the NP will then help persuade your dad to get to a specialist. Worst case, maybe the NP will just help out to pass the buck and cover their fanny.

I would also try to explain to the employees that something is wrong with your dad and you are working to solve the problem. Ask them to ignore the bad stuff your dad is saying. Again, this is easier said than done but communication is key. If the employees know you see the problem and are working to solve it, they will be appreciative. If the don't see you recognizing there is a problem and/or trying to do something, they might just quit and move on.

Unfortunately, taking care of elderly relatives is part of life and it is not easy at all. For some reason the wifey and I were discussing this last night. Her dad died sorta suddenly last year. His health had declined, then got really bad but we figured he was still doing ok when he suddenly died. Thankfully, he died rather painlessly and without suffering too much. He and the family were lucky in that regard.

Here is my most important piece of advice. TAKE CARE OF YOURSELF. Part of the services available locally is help for the SERVICE PROVIDER which is YOU. The person taking care of the person with dementia has a great deal of mental and physical stress. As part of your talking to doctors and other service providers, part of what you should be asking is how to take care of YOU. If YOU are not healthy, you cannot help your dad. This is like being on an airplane where the cabin pressure drops and the oxygen masks are deployed. You have to put on the mask first before helping the kids. Take care of YOU so you can take care of your dad.

Later,
Dan
 
   / Signs of dementia #24  
It's time to write down a few things for your dad and talk to him.

1) time to see different doctor for second opinion
2) let him know you have a few items of inappropriate behavior that warrant going to HR if he is unwilling to work this out inside the family but away from work.

The main reason to bring in a competent and compassionate HR department is to force the issue of a full medical evaluation and physical. If HR is the "enemy" typically that type would be motivated by liability. If that's the case, email them so you have a paper trail, and let them know about the dangers of this continuing. Lead them by suggesting the medical evaluation.

For you-

1) time for you to talk to a professional about the family dynamics and dad's medical problems
2) come to the realization that your dad is not far from being a danger to himself and others if he is still driving and using heavy equipment

Now for reality- talking to or trying to rationalize with someone is is not capable of doing so is near worthless. Some with memory issues become angry- it isn't you! 99% of the time I tell men to listen to their wife. However in this case she is dead wrong. Ignoring this could literally be killing your father. If the cause of this is something that is treatable and or fixable how could you, her or anyone else live with themselves if they didn't force the issue. Don't hide anything from her though. This is going to be rough enough- you will need her support!
Life is a cruel ride sometimes. The father son relationship has been flipped for you. It's time to be fatherly with your dad, force the issue and get a full medical evaluation where the doctor understands your concerns.

Sorry you are going through this. You may have a long road ahead of you. The progression of dementia etc is typically a slow process taking several years. Hopefully he agrees to a second opinion, you get that done and find it's a simple UTI. Problem is fixed and everyone is back to normal.
 
   / Signs of dementia #25  
I've been lucky in that they often say a person true personality comes out un-filtered and Mom is more sweet and caring... and I've seen others where the opposite happened.

It is very hard and find myself getting short... dates, times, places, appointments, people are all getting to be problems...

It doesn't help to have a calendar with appointments/birthdays if you forget what month it is... also, Mom has taken to the sun going down as time to go to bed... we will be a family gathering and she will say time to go home and get to bed... it must be midnight and it is 6 PM...

I come straight from work to check on her but my hours vary... I will call and say I'm working late and any deviation from routine has her worried and calls are quickly forgotten... guess this is what makes them so easy prey for phone solicitations...

When she started taking Aricept and Domicil she also started getting debilitating headaches... something she never had... after several years and always having headaches and checking with Doctors... she stopped and her headaches went away in a short order... we discussed it and being free from Headaches is no small thing.

Thankfully, her 80 and 90 year old neighbors are still pretty sharp... even if not physically fit like Mom... so this helps.

She still is amazing... in the last year someone at church collapsed with a heart attack... Mom jumped into action and it was a big deal... the paramedics and the person all said what a great job she did... probably saved the persons life... 40+ years as a charge nurse is something that stays with you....the sad thing is two weeks later she was being congratulated at church and by the person's family and Mom did not remember what she had done...

Also, last year, the neighbor man came barging into Mom's home... he lives next door and was chocking to death... already blue and a fairly large man... Mom did the Heimlich and the chicken lodge in his throat came flying out.... she only vaguely remembers...

In some social situations I still not sure what to do... Mom has accomplished a great many things and she was nationally ranked as a super senior for long distance running.... 50 miles and even a 100... but when she tells people she was at the Boston Marathon Bombing and describes everything to a T it simply isn't true...

News events are very hard on her... each time they play a segment on an upcoming trial or the Oakland warehouse fire she thinks it is a new story that just happened...

Not to get too far off topic... but medical professionals are trying to understand why this problem is growing... there are even indications to increased vaccines/flu shots... so who knows?
 
   / Signs of dementia #26  
Ours had some problems with the Aricept in that she had severe hallucinations while on it. She stopped taking the Aricept, and is now taking Nemenda. The hallucinations have stopped, but I am not sure how much the drug really helps. How can you quantify the level of effectiveness?
 
   / Signs of dementia #27  
My mother died of dementia, and my 89 yr old father is showing more and more signs of it this past year. We first noticed my mom couldn't remember the names of people she knew for years Then she eventually couldn't remember the names of objects, like cup, or tv. It got very difficult to communicate with her, because everyone was a " guy" and objects were always "things"
One of the surprising side effects that showed up very early was a stubbornness that we had never seen before. She rejected help from anyone and everyone, including her family and doctors.
 
   / Signs of dementia #28  
When I checked on Mom after work she said the TV is broken and was not able to watch the news... the TV has to be on channel 3 to work... thinking of blocking all the other remote buttons so only ON/OFF functions on the TV remote... it happens a lot now... so does things being on the stove/oven too long... she was always a good cook.

Last Thanksgiving she was in tears as she had forgotten how to cook a dish she always makes... told her not to worry as I would pick up what was needed and do the cooking... she was really all worked up about not knowing how to make it.

One thing that makes me anxious is she has started going through closets and papers... often asking me why "I" had pulled out everything... thing is if she moves things around I'm clueless to help her find things... some of the "Old" papers she asked me to get rid of were the paid deed to the house and such... but she did ask...

When I am around things go smooth... it's just I never know what happens when I'm not around.

The place I had tried to buy a few years back would have been perfect for her to live with me... plus there would have been a lot less things to get into if that makes sense... just was not meant to be.
 
   / Signs of dementia #29  
Yeah, know all about that "stove thing". The smoke alarm (and the smoke sensor on the main alarm system) went off so many times, that the MIL is forbidden to cook anything anymore. We just can't risk the house being burnt down.
 
   / Signs of dementia #30  
Apparently one of the most reliable and low cost Alzheimers tests is to give the suspect person a peice of paper and a pencil. Then ask them to draw an old fashoned anaolge dial faced clock with the time of your choice indicated, eg 3:30.
 
 
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