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My mom is 67 years old and has been having some memory loss for awhile now (i.e. forgetting children's birthdays, recipes). Over the last year she has been progressively more paranoid. She thinks my dad has been rearranging her stuff and hiding stuff from her. I didn't think much of it since I thought normal aging would cause lack of remembering birth dates and she has always been a bit paranoid about people touching her stuff. Since I was a child, she has always kept her pocketbook right next to her even going as far as sitting on it. In the past month, everything has gotten way worse. She started thinking that her next door neighbors are fighting at night and that the husband is abusing the wife. She tells these elaborate tales of him making his wife dig medication out of the ground and the girl running down the street screaming. I know none of this is true because I live across the street from my mom. That has progressed within a month to her believing the man is saying her name and is going to burn down her house. In the past 2 weeks, she has started having more hallucinations. She calls me every night around 10pm saying that people are outside. The other night she thought someone was trying to steal their truck. Last night, she thought my brothers ex-wife was outside saying that my nephew had died. She even asked me if he was dead today. My brother called saying she was talking to a woman through the vent today as well. When I asked her about it, she said it was the woman next door. I asked her what she said. She told me that she said she was from my mom's childhood neighborhood and that she has a child by my dad. I have tried to convince her to go to the doctor, but she says she doesn't have the money. I have offered to pay for the visit, but she makes other excuses. I have begged her to let me go to the doctor with her when she has her regular checkups, but she won't. My father will not listen to reasoning and help me out. He just says she's a liar or says he will tell the doctor, but never does. My brothers have issues with drug abuse and are in and out of jail, so there is no real help there. The only reason my brother told me about the vent talking today was because he was afraid my dad was going to throw him out and he needed a place to stay. So, here I am, asking for help. I don't know what to do. Today she barely even seemed to know she was talking to me and only wanted to talk about the woman in the vent. She has had issues with pain pill addictions in the past, but has never had issues like these arise with them. She recently had an issue with really low potassium and had to take pills for it. Maybe she is having that issue again? Maybe it is dementia? Lord, I hope not. I love her so much and don't want her to go through anymore pain in her life than she already has. How do I help her if she won't let me go to the doctor with her? Could this be something besides dementia? Thank you for taking the time to read this. Any help would be appreciated.

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Pert, (a new, happy nickname just for you!),
From what you have described about your mother's personality, she may do better if released into a more private care psych hospital, instead of what she feels is a prison environment. There are different levels of care, if she is in a locked unit at a county facility, or actually arrested, in jail, that would make a difference.
Start looking for rehab (even drug rehab) places that she can be admitted to until she is better. Her condition will require follow-up treatment for quite some time-returning her to the same environment would be harmful to her health. Start talking to her, about when she gets better, giving her hope. Coaching her a bit on who actually is the president of the U.S., what day is this, do you know where you are? etc. are the questions of a mental status exam. No one should be in a locked ward longer than necessary due to their education status.
I had the keys to the locked ward/ icu of a teaching hospital, and was amazed at how fast the doctors discharge a very ill patient, a.s.a.p.
So be encouraged in every way. Do not worry about helping others, be able to receive, because so many on this forum do care.
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Agree with getting the Hippa form signed, bring a Notary? Due to her possible incompetent to be signing (for now), that is why seeing the Patient's Rights Advocate (the hospital must provide the contact info by law) would be helpful.

Be sure to explain she is at a disadvantage because of her education and communication issues. If she speaks english as a second language, the hospital is required to provide an interpreter in her native tongue-or try the Dept. of Social Services.
Don't panic, because under the right treatment, and the passage of time (48 hrs., 7 days, 14 days, 21 days) Mom will be getting much improved and better able to pass the tests and interviews necessary for helpful placement.

How are you holding up? Don't feel bad if you cannot visit daily-patients can actually improve better in the absence of family. Ask the staff about this.
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There are many possibilities and others on this site have related experiences. Urinary Track infections (UTI) can cause behavior like this. So can dehydration. Help her increase her intake (especially cranberry juice) and that could help IF this is the problem. Hypo thyroidism causes behavioral changes when it is not addressed. 67 is YOUNG for routine memory issues. Add what you have described and it appears there is something truly wrong. Depending upon how gullible she is, you may tell her she has to have her annual exam or her medical insurance won't cover her. (Is she on Medicare, annual exams are no charge to the patient. ) Can you make an appointment and then take her out to lunch and then just stop at the medical office? I'd hate to see her go down this road if it is something that is easily treated. Keep us posted.
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Perturbed, if your mother doesn't have the Medicare and You 2016 booklet, call Medicare and order it. It will provide basic explanation on how Medicare works, services that are covered and those that are not.

A visit to an internist or PCP would likely be covered, so neither you nor your mother should have to worry about a large out of pocket expense. I think your mother is (a) just using cost as an excuse not to go and/or (b) may suspect something's wrong with her and is afraid to find out.

I agree with others; she needs to see a doctor to confirm she doesn't have a UTI, to do blood work to determine residue levels of the pain pills, and determine if she has any other issues that would be reflected through blood work.
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What you have described is addiction behaviors. Hers are serious.
1) Stop going over there at all.
2) When you see her passed out on the lawn, call 911. Do not pick her up or rescue her. They cannot help her unless they see her in that condition. She may be admitted to a rehab.
3) In the meantime, inform her doctor and pharmacist in writing that she is abusing her meds, taking too many, sharing them with her addict son (prescription drug diversion); and they will be held responsible.
4) Or, just let her live her life the way she has chosen, because
5) NO GOOD DEED GOES UNPUNISHED.
6) PLAN TO MOVE IF YOU ARE SUCCESSFUL WITH HELPING HER.

PEACE.
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I know this is serious, but I have to admit I chuckled a little at Captain's post. Thanks for the chuckle Captain. Rainmom, I think it could be Norco or at least that is what it sounded like she called it. Sendme2help/Blannie, logically your suggestions make perfect sense, but the rest of me wonders how/if I can do that? I have thought that this could possibly be addiction related. But, at the same time, her mother had dementia. So, then I ask myself if I would be abandoning her in her time of need. I do know that there is not much I can do if she doesn't want my help though. It is just hard (I'm sure you guys understand what I mean). Thank you again for listening/suggesting/offering a shoulder to cry on. It really means so much to me. Hugs to all of you and please know that I am here for you too if you ever need anything.
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Please call your doctor, or go to the walk-in clinic ASAP.

If you get ill, you're not going to be able to care for anyone. Your blood pressure needs serious attention.

Someone suggested a mild anti-anxiety med (short term), to help you cope.

Your doctor can help you, and this way you're able to help mom and dad.

Sometimes, when someone is admitted, they'll want to limit family visiting. This is because they are trying their best to stabilize the patient, and visiting relatives can be very upset, therefore upsetting the patient.

CALL the facility, and ask what is their policy, specifically dealing with mom.

ASK if it's a good idea to go see her at this point or just talking to her on the phone would be preferable. ..... at this point.

Meanwhile YOU take care of YOU.

Tell us what happened at your appointment, and what did the facility advises as well.

We are here for you, and no, you don't owe anything to anyone.

Pray for a calm heart and a clear mind.

Hugs x o x o

M88
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Could not help noticing your statement: "I think, with the pressure, I may be up there with her soon." Get psychiatric help for yourself too. Contact the local NAMI for support classes: A) for you, and B) that will assist you in knowing how to navigate the situation your Mom is in.
You can do this. What was your field of study in college?
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I might also, ask them about why your mom has sustained this damage to her brain. Has she had untreated hypertension or diabetes? Have they done an MRI? I'd be curious as to what they think happened, so you can know what to expect. That kind of damage is challenging for family members. I hope you reach out and get the support you will need.
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Yeah, your mom's behavior with her meds isn't normal and would indicate major addiction issues. Sendme2help has some good suggestions. You can't help mom unless she wants help. So maybe back off for a while? If she calls you for help, insist she go to the doctor.
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