My father has dementia. He has good days where he can function and he has bad days. My father's Doctor retired, so I found a new Doctor, made the appt. for January (trying to make sure he has enough meds until then). Today he tells me “I’ve changed insurance plans. They told me about a different better plan so I went with it.” I said dad your Doctor appt. is coming up and they may not accept the new plan. How will you get your meds? You may not be able to get in with another Doctor in time. He said oh, I didn’t think about that (I’m thinking I know that’s why I’m organizing things for you). Or when he constantly tells me his computer broke he can’t get in because he forgets his passwords. I made a list of all of his passwords but he goes and changes them and now I do not know what they are and we have a hard time trying to figure out what some of them are. It’s so frustrating because it constantly happens and it places so much extra stress on me. He can’t remember that I have everything organized for him and he still wants to do things himself but it doesn’t work out so well. Yet I’m not sure if he would be labeled incompetent if he still has good clear days. What do I do? Anyone else with this problem?
Your profile states he has vascular dementia, so did a doc diagnose him at some point? A letter stating that might be sufficient to take over if you have POAs. If you don't have POAs, the window of opportunity may or may not still be open. Our EC atty was able to query mom and determined her capable to sign the new documents we needed (we already had most done, just needed new documents.) It would be best to tackle this now, in case he can qualify, before it's too late - then you would have to go guardianship. Expensive and time consuming!
Do you know who "they" are regarding the insurance change? Are you sure he actually did it or does he think he did it? I would confirm that and, if he did, also confirm whether this new doc takes the plan before you go. Pharmacies can sometimes provide a small advance on medication if there will be a lapse, if you explain the situation to them.
I don't recall what the tool(s) are, but they have ways to make computers safe for children - you might need to do that, OR change all the passwords and do not give them to him. If he lives alone, that might be a problem, because he could call some places to get it "reset." It might be better to restrict his access with the child proofing tools and not allow him into his accts. It is so easy for hackers to get access. IF he says the computer is "broke", there's your opportunity to "confirm" it is broken and take it, telling him you'll get it fixed. If he asks about it, they are still repairing it! Get it all straightened out so YOU can access the important accounts, and IF you choose to return it, make sure it is Dad-proofed. If he asks why he can't get to the sites, they are down for maintenance, they've been hacked and are offline, they don't do it online anymore - ANY excuse you can think of to brush it off.
"He can’t remember that I have everything organized for him and he still wants to do things himself but it doesn’t work out so well."
Unfortunately this is also the way of dementia. Anything you don't want him messing with, make sure it's no longer accessible to him. He isn't going to change for the better, only worse, so take these things now and over time they will be forgotten. He'll just find new things to mess with!!
Cognitively impaired or some other benign PC label is used. I never mentioned the word dementia around my mother. To her it meant you were off your rocker and she would NEVER agree she had a problem!
Restricting his access to important things, like insurance, banking, esp the computer, anything he could change for the worse would be a start. It won't be easy, in the sense that he might balk, but it can become dangerous to allow him access to all of these. The child proofing tools for computers might be an option, so that he can still get online if he wants to, but he shouldn't have access to those important things that require passwords. Moving general stuff around is a pain, but it doesn't really impact anything. You'll have to keep tabs on the necessities and if anything's missing, replace it while searching for where he might have put it. Better to have too much than not enough! If you already have POAs set up, now is the time to use them. Some docs or places might require that doctor letter, but in our case it wasn't needed except for federal issues (mom's pension was as is SS, IRS, etc.) I had all billing addresses changed to my PO Box and set up banking so I would deal with it, not her. No one really had an issue.
Part of your dad's issues are that insurance companies have VERY enticing ads on TV for Medicare. However, some aren't what they advertise. Also, on password forgetfulness, some sites have a second step for authorization, e.g. name of your high school, name of your first pet. That may be able to help you. I also thought of something else - if you're able to access your dad's computer, see if you can bring the computer up to an earlier time. I have done this when I needed to (not just for password recoup). Perhaps you also want to consider purchasing a portable hard drive.
"Incompetent" is a weird thing because the doctors don't really say someone is incompetent... they will just say he can't make informed decisions... and it sounds like your dad can't make informed decisions (like with the insurance). However, even if they did decide this and you took over his "stuff" completely... the person on the other end of the phone wouldn't have a clue that he was not supposed to be making these choices and he would still do it.
Eventually dad decided he liked having his "manager" deal with all this stuff but it took about a year of doing for him.
As long as she keeps everything in her bedroom i don't care what order it is in.
I found out that by doing that she redoes her room a least once a week and she
thinks she has control over her stuff. Let it be and give them something to do.
Out of sight, out of mind - maybe not right away, but eventually.
I do not know if either of these options will work to help with some of the password issues, but it may be something worth looking into. https://www.howtogeek.com/111239/the-best-ways-to-lock-down-your-multi-user-computer/
https://www.top-password.com/blog/prevent-windows-10-users-from-changing-password/#:~:text=Click%20on%20the%20Users%20folder,labeled%20User%20cannot%20change%20password.
I wish you the best and hope that the links I provided can help solve part of your problem with password stuff.
For example, many years ago a therapist recommended I distract my mom with a ‘useful’ project so I pretended I was really having problems finding the right kind and color of sheets and could she help me? ( Silly but it worked ) Now mom has dementia and a recent brain bleed and does go in and out of cognition. She’s always been big on post-it notes and is fighting the memory loss big time so she is using TONS of post-its. Of course these notes are getting lost but I want to make sure she has all the post its she wants as this gives her a sense of control and a fighting chance. I’ve also had to downsize and move a bunch of her stuff and in her new space I crammed more things in than necessary. Primarily because A) it would be crazy making to have too little stuff and have to deal with back and forth with what she thinks she wants!! B) This is a project that gives her more control and will occupy her for a while.
Of course there are no perfect answers and this is very imperfect....but in the back of my mind I try to think of projects that can give mom control but also keep her OUT of the big ticket trouble spots.
Blessings...
I have come to realize, as a caregiver, that a cognitive assessment performed by someone with training in geriatrics can be a powerful and comforting tool when dealing with decision making for our Loved Ones.
I will be asking my children to have such an assessment done if/when they have any question about my husband and me, and act accordingly.
Perhaps your father was no longer capable of making the decision he made; perhaps he decided with more clarity than you were aware he still had, it either way, if you and your sister are pulling more than your fair share of what should be your parents’ responsibility, there IS something out of balance.
You may have to back out completely before you can figure out whether this will work for a while FOR ALL OF YOU, and that may be unmanageably difficult for you all, in one way or another.
No easy answers, no “good” choices. Be SURE that you and your sister are fighting for YOUR right to time and space, with “love and respect” for your parents and enough distance for yourselves.
There’s not much we can do, except care for ourselves to relieve the stress our minds are under. Praying for all caregivers.
If formally assessed by a geriatrics trained examiner, he could in fact be identified as incompetent, or perhaps not, but his ability to appear socially appropriate in verbal interactions isn’t necessarily directly related to being able to organize, recall, utilize previously familiar facts.
My grandmother and aunt both suffered from vascular dementia, and fought desperately, we ultimately learned, to maintain the appearance of “normalcy” while battling their increasing struggles with the loss of the language/higher order skills needed to deal with daily life.
For your peace of mind, see if his doctor will recommend an evaluation of his current cognitive status. Once you know, it will help you to be able to provide him with more support while being less frustrating for yourself.
Your father is going to do things his way, period. Some people with dementia will rummage through their bedroom drawers, pulling everything out and tossing the items all around the room. You'd go in there, put it all away, fold it nicely, he'd come in and do it AGAIN. It's all part of the mind that no longer works properly.
You'll have to either take over FOR him with his paperwork ie: Medicare/ finances/bills, etc., or he will continue to wreak havoc by making changes he's not even aware he's making. What sort of 'better' insurance plan was he talked into, I wonder? Do you know? And how much extra are the monthly premiums? THIS is where dementia decisions can get a person into deep trouble. What about when the con artists call to get a 'donation' from him? Then what? This is why managed care becomes necessary for so many elders with dementia; because they can no longer make ANY rational decisions b/c they don't understand consequences anymore.
As far as the computer goes; I have a Lenovo Idea Center desktop; it stores all my passwords for me so I don't have to remember them. That may be a helpful thing for your dad, IDK. But the computer itself can become an issue if he can make purchases on it with his credit card/debit card from sites that are not secure, etc.
There's just so much trouble the demented elders can *and do* get themselves into without 24/7 monitoring, it's unbelievable. As time goes on, you'll have to think about taking over more and more of your dad's life FOR him, as he won't be able to manage too much on his own. You'll be there to clean up the messes he makes in the meantime.
Such a difficult situation, I know. I'm sorry you're in this position and my heart goes out to you. Wishing you the best of luck trying to manage dad and all that goes with his diminishing abilities. You may have to consider a Memory Care Assisted Living eventually, if/when the need arises. My mother lives in one and is very well cared for there.