Well she doesn't use the stove, thankfully, but she has trashed several small appliances and messed up the washing machine (just getting a service person in the door costs $95 now) and despite me even taping the doors closed, she is still messing with things - she put in so much detergent that it came out the top of the machine. How do I get her to stop? She gets mad if I tell her not to do laundry, etc. On the other hand, she fusses about doing it. Says 'why don't you stop following me around?' One day she had left the sink faucet on while puttering around and it had overflowed also - and I was already worn out from picking the 'Depends' filling out of the dryer. The previous week she had flushed her Depends down the toilet ( I think that made enough impression that she is careful about that, now.) It seems like all I do is fuss about things and try to head off another small, but costly, disaster. It's like having a large ten year old running wild all over the house - except that she can't run anymore!
Is it time to think of a placement out of your home
Is there an “adult daycare” she can go to
My aunt luckily stopped cooking, but she likes to tidy up. One day she tried to lift the cast-iron skillet, and dropped it on the glass stove top. Yes, the glass cracked right through. A new on-sale stove was cheaper than replacing the top! Her night light wouldn't work or come out of the plug outlet. I caught her with a metal utensil, ready to stick it in the outlet to pry it loose. Everything electronic has somehow malfunctioned, from tv to coffee maker. Keurig was the only coffee maker she could manage on her own, but we just bought our third one in 7 years. Now she almost has made her coffee without remembering the cup under it. Yes, it made me crazy, and we added hours to companion time for her, so she's never alone. I've also read this site's info on choosing a nursing home, and we will soon be visiting some as my husbands health has been improving.
But along this idea, definitely all you can do is restrict access. Either locks on things or just unplug things so they don’t work. Sometimes what has worked for my grandma is we tell her we have maids to do those things now so we should just let them do their job.
She is the youngest and used to everyone else looking out for her, cleaning up messes. No responsibility. House was remodeled and already looks crappy - this is what makes me sick. Urine marks on hardwood floors.... Trying to work something out with a lady about staying more - having enough money, of course, is the problem. I'm hiding detergent, and anything else I can think of
( but my own mind is now so fuzzy, I keep forgetting where I put it!)
Think how you might have protected your own or other young children from any/all chemicals, injuries, disasters, etc.
1) Remove the stove/oven knobs
2) Use child locks for cabinets and store small appliances, chemicals, cleaning agents, detergents, dishwashing and laundry powders/liquids/pods there
3) Child lock bath cabinets for other items (include dish soaps, rubbing alcohol, peroxide, etc) and kitchen drawers with dangerous items like knives, maybe even forks (poked into electrical outlets can be bad!)
4) Unplugging the washer might be easier than shutting off the breaker (the breaker might control more than the washer too) she may still want/try to use the washer, but will have to find you to get the soap and have it turned on! See #6 as well. Unplugging the dryer is a different case.
5) MICROWAVE - something I learned a few years ago when mom did this by accident - hold the STOP button for about 3 seconds and it LOCKS the controls!!! Repeat to unlock - it is a nice feature, for these cases and for children too.
6) Newer washers and dryers also have a control lock feature. I lock mine because the cats can hit the buttons jumping up! This only turns on the controls, they have not yet been able to run the washer or dryer :-) =^..^=
7) Gas stove - best bet, although more expensive, is to replace it with an electric stove at least for now (see above about knobs), otherwise turn off gas (removing knobs may not be enough - they could extinguish the pilot light, filling the house with gas.)
8) Lock up scissors, pens, markers, paints, etc with child-proof locks (cabinets and drawers)
9) Providing a clearly marked trash can for "diapers" might help, but sometimes they don't understand or remember. Can't hurt!
10) If you have easy access water shut-offs, turn the water off (sinks and showers, the dishwasher should be on the kitchen sink line) when not in use. Shutting off water to the toilets would prevent her/anyone from flushing the diaper. My dad used to wad up too much TP and clog it, flooding the bathroom!
11) If possible, move the thermostat so it is not reachable OR replace with one that is programmable, esp those with Wi-Fi access (my brother installed a Nest) Mom had the regular programmable, but was able to turn off the A/C in summer - I'm not a fan of much A/C esp when set too low, but would get to her place and it was like a sauna!! With Wi-Fi access and programming, it can be set remotely and she had no clue how to use it.
12) Use a locked pill dispenser - easier to monitor whether meds taken or not. In our case, she was not able to open it so we did not even bother locking it.
13) Provide "tasks" for her to keep her "busy" - folding laundry (doesn't have to be just cleaned - fold and later provide the same items jumbled up, art/craft projects, jigsaw puzzles (I love them, mom was never one to do this, but because I work on them with another resident who loves them, she joins in, even when I am not there!), be creative coming up with more "busy tasks".
Clearly these suggestions will not work for someone who is still living alone. You can lock up dangerous items, but they will need water to wash up and flush, so that would not work. If they are in this kind of state, they will need supervision, or to move, but with supervision, these can help protect against disasters.
Some of these interventions will be a nuisance for the rest of the household, but the peace of mind and reduced cleanup/replacement costs well outweighs this! The child-proof locks are a very inexpensive fix that are only a minor nuisance. If I think of any others, I will add to the list. You also have to remain vigilant in re-locking, removing and shutting things off, but over time it gets easier. I had to plastic/string (including tape on shipped boxes and hard or soft plastic) proof my place for one cat. Even with some lapses, it should reduce incidents!
About # 9 - try saying parts of depends are recycled like the plastic so that there is a separate bin for them - I'd say that they are then partially used to pave roads or what ever you can think of that will hit the right button
"Why do people think that medicating someone with these issues and hiding things in your home are the issues. All this does is cause more disruption in your home. If they need additional support get it for them and yourself."
Although I am not a fan of medications, sometimes there can be something that will alleviate the symptoms enough to make a person a bit more "manageable" or calm - not doped up, just enough to take the "edge" off. Our mother occasionally gets into one of these states and cannot be reasoned with or calmed down for HOURS. We have an "as needed" order up for Lorazepam. So far they have used about 7 pills in 3 plus months, most of those while being treated for UTI, which led to nightly episodes during treatment for that.
Hiding or disabling things may be an inconvenience to everyone else in the household, but the peace of mind and cost savings much outweigh that. Regardless of whether you or hired help can "watch" someone like this 24/7, think of a hyperactive toddler who can get into things like this? While you clean up one disaster, she or they can have moved on to the next! Even if placed in a facility, there are still ways for her to get "into trouble." You CANNOT watch someone 24/7. Would you prefer they destroy everything in your/their house, or god forbid drink/eat some chemical (read the post about the woman who had one of those detergent pods all over her!)
In a later post, you direct people to use a facility. THAT is great if one can choose that AND afford it. Many people cannot. It is NOT always the solution. In our case, her refusal to move in with one of us and rejection of in-home caregivers plus the ability to pay for a facility resulted in her moving to MC.
Later still you say "It is almost like you have to child proof your home." EXACTLY! Now, if you or someone else had to do this for your/their child, would you recommend they put the child into a facility?? Granted most children will outgrow this stage, but in some respects so will the older person with dementia... Although moving to a facility is an option, again not everyone would want or agree to this and many cannot afford this "luxury."
Perhaps it was noted somewhere in the various posts, but I did not catch it - is mom living alone? If so, it is time for a change! She either needs outside supervision in her home, to move into yours (or you with her), or a facility, if it is affordable.
If not, if she is in your home or you in hers, see my post about how to "protect" the person (and the home) from themselves.
Many caregivers, especially when it is thrown onto their backs, are in denial about dementia "not being that bad" with their loved one. Part of this denial is because it is a horrible reality that we have no control over AND all of it gets worse over time. It's really too much for people to bear, so it's easier to fool ourselves into thinking, "it's not too bad; I can manage this....", etc.
Until one day, something really bad happens, and 911 has to be called or some scenario like that. And / or the loved one wanders off, no idea where they are or how to get back home. Indeed, it is like having a bad 2-year old around.
Case in point, my DH had frontotemporal dementia, and aphasia. His behaviors started kicking in about 6 months after diagnosis. He started wandering so I had to quit my job and take care of him. There were tons of things that happened, too many to list here. But the home stretch was that he attempted suicide and then had to go into memory care. His disease spread so rapidly that the doctors couldn't really keep up with it. After only 4 months in memory care, he passed away. All this happened last summer, so while I miss him dearly with all my heart, I am relieved he doesn't have to continue the way he was, especially with the behaviors. Dementia of any kind is an awful, awful journey that affects us all.
Dear Living South,
My experience is like yours and others who have posted.
Consider safety first - for both your sakes. When she still lived alone with daytime caregivers, she burned a pot on the stove twice. After the second time, I shut off the breaker to her stove and microwaved all her meals.
When I moved Mom in with us, as hard as I tried to “dementia proof” our home, I still found Mom using the microwave in the middle of the night. She had put in a cup of water and it was set for 10 minutes. I can’t imagine the horrible burns she would have had if I hadn’t woken up and found her in the kitchen.
I’ve cleaned depends filling out of the washer and dryer, and had to vacuum the lint trap and snake the dryer vent hose to remove inches thick, built up lint - another fire hazard. We re-did bathrooms with ceramic tile just in time for her to repeatedly overflow the toilet (and stash her soiled rugs and Depends in places that I only found because roaches and ants would lead me to them.
The exhaustion and cost of these incidents can be dismissed because they happen randomly. The denial about the situation mentioned above was real for me, and I think it’s natural.
When 24-hour supervision in our home was no longer enough, we moved Mom to a care home. It was a painful, guilt-filled decision. But, It was the only way to protect the physicial safety and well-being for Mom and my family.
Now that we are no longer living in a constant state of “High Alert,” I can see how exhausting and ineffective it was to provide for her on our own. What she needs is professional care to help her through the continued decline of her cognitive and physical health.
She needs me most now, just like your mom will continue to need you to -
Ensure the best possible care for her (not necessarily to provide it)
Be her tireless advocate
Be a loving daughter - which it is clear to see you are.
Best of luck to you. And, remember to show yourself as much kindness and compassion as you would want for your mom.
The times I took mom shopping, I did have to circumvent some purchases (she would keep buying chicken and freeze it, but never use it!) We never got to the stage you are in - we moved her to a MC unit before it got to that point (would not agree to move in with any of us and could not stay alone!)
In your case, it might be better to have someone else along with you to keep a close eye on her, or have someone who can watch over her (babysitter!) while you run the errands...
I know when my Grandmother was left alone, she tried to wander off and find the outhouse that she thought should be outside...my Aunt would come home to find Grandma in her machine shed looking for a potty place...
My Aunt had to stay home with her from then on. This was 30 yrs ago mind you. I hope you find a good solution.
Keep her safe.
I wonder if you could call Adult Protective Services and talk with a social worker, perhaps they could evaluate her needs faster than a doctor could?
He did not have much money. What he did have covered the first few months in assisted living. I then sold his house which we put in the bank for him to live off of. He’s 94 with congestive heart failure. Assisted living is great for him. They do all the cooking and cleaning, care for him, plus they know how to talk with him. As you said, it’s like having a child, but he’s a parent. So, the dynamic is hard. Prayers for you.
I also agree with what others have told you, she cannot be left alone! Turn laundry room circuit off, and don’t let her watch you do it. Hide the detergent and do not use pods, they look like candy.
God bless you, she’s blessed to have you.