My husband has some kind of dementia - no real diagnosis yet along with a movement disorder and has arthritis all of which keeps him up a lot at night. He sleeps and naps a lot during the day.
I am his primary caregiver and our financial situation is such that I have to work full time, so he is home alone during the day, I am very fortunate that I work just a few minutes away so I am able to go home at lunch to check on him and help him with dressing etc - he spends most of the morning sleeping and the remainder of the day in his lift chair watching tv.
Our home is small and I sleep with my bedroom door open so I can hear him when he calls me for help getting in or out of the bed, or if God forbid he falls. He gets up and down all night long and likes to go to the den sit in his chair and watch tv. I am a light sleeper and even though he is fairly quiet, it wakes me up.
A couple of weeks ago I came down with a stomach virus and was sick for 3 or 4 days and I am never sick, I felt like a big part of getting sick was that I have not been getting enough sleep.
So to help me get a little more sleep and to encourage him to sleep more during the night, I have said that the tv needs to be off between midnight and 7:00 am in the morning, which is when I sleep. He is not happy at all with this - and feels like I am being mean to him and we struggle with it almost every night, I am trying to stick to my guns, but he is wearing me down.
Before this illness - Earl had a bigger than life personality and while he always liked to get his own way - we were usually able to talk things through and come up with some kind of solution. He is now very resentful of any decision that I make - be it the TV or anything else.
Am I being unreasonable in saying no TV at night?
It sounds like your husband sleeps in a different room than you do and if that is so, then I wonder why you don't just put a small tv in his room with earphones. Then he is not walking around into another room and if he remembers enough to use the earphones, he shouldn't be a problem. Although the best laid plans are bound to go astray no matter what you do.
You need to hear him or I would say get one of those noise machines where you can hear "white noise, or rain, or ocean waves etc. then it might help to mask a bit of his moving around.
The best thing for him would be to be able to go to a Senior Day Care where he is up in the morning and doing activities during the day so he....like you, would be tired at night and actually sleep. Have you asked the doctor for a sleeping pill for him? If he got enough sleep at night, then maybe he would get up earlier and not sleep til noon. He is like a baby who has his days and nights mixed up. This does happen easily to us all when we no longer work. Would Medicaid help to pay for in home care? If so, you might be able to find someone to come in and work with him during the day while you work.
Best Wishes to You Both!!!!
Moxie wrote you a wonderful blueprint for taking care of YOURSELF in all of this. Your wants and needs are as important as your husband's are. You need to make sure you take care of yourself. Good luck and keep us posted.
This may help you figure out what stage of dementia your husband is actually in. The stages overlap, but whatever behaviors from the latest stage listed are apparent indicate the actual stage the patient is in:
http://www.alz.org/alzheimers_disease_stages_of_alzheimers.asp
In addition to the Dept. of Aged, I would suggest you contact your local Alzheimer's chapter.
I do wish you the very best and I'm so deeply sorry about what you are going through. This disease is absolutely awful like a nightmare that you can't wake up from and it is not helpful what his children are doing to him ...and you. They should be ashamed.
It is not so much the noise of the tv that keeps me awake - more the fact that he is up and wandering around and will possibly fall or need me - the TV seems to stimulate him and keep him up - if it is turned off - he has no choice but to eat a snack and go back to bed and will usually sleep for another 2 or 3 hours, which is like a long winters nap for me. So far he has not ever wandered outside but of course I never know what tomorrow may bring.
He refuses to wear the med i alert device that I got for him, so that is useless, I doubt that he would use headphones, but I am going to try putting a tv in his bedroom with headphones - perhaps that would help.
He does not take any sleep aids, I, the sleep therapist we saw and his neurologist all would like him to take some Melatonin, but his children refuse to let me give him Melatonin.
It is a complicated situation, they are my stepchildren and are in denial that he has any kind of dementia, refuse to listen to anything the doctors say, refuse to admit that he was an alcoholic - I am convinced his extreme abuse of alcohol is what has done much of this to him. They are looking for the magic pill or fix that can bring Dad back - and while we have an ok relationship because I cater to them because I think it is very important that they are in his life right now, they resent me for accepting the fact that he indeed has dementia and is most likely in the moderate to severe phase of it.
He has had many many tests all which indicate dementia, but no definitive diagnois
his movement disorder neurologist has requested that he take a neuropsychology test that will further determine what dementia we are dealing with - they are leaning towards frontotemporal or lewy body along with alcoholic dementia. The kids of course don't want the test done, cause they don't want to know, they would rather think that he has depression, or lyme disease or that one of the best neurologists in Houston doesn't know what she is doing. That said, I have little help or support,
they do take him to some doctors appts and take him out to lunch on Saturdays but that is normally a 2 hour session of being critical of me and I get him back with a "I don't have to do anything you say", (like take his meds - help to dress himself - etc) attitude that lasts for a couple of days, they of course are upset at me for the no tv rule and tell him that he can watch tv all night if he wants.
He does not read - and has lost the ability to really use any electronic devices, I even had to have an old fashioned phone with handset installed next to his chair because he could not/would not use a remote phone. If I or the kids would call him during the day to check on him, he would get himself up and go the to handset phone in the office to call us back as he could never get there quick enough to answer it.
I am going to contact the Harris County Dept of Aged and see what help that I can get - and keep on plugging - hopefully I will get enough sleep to keep on going.
Thank you all for such wonderful input.
Some thoughts:
As a compromise, your husband could use a listening system for the TV. I've tried several for Mom and the best we found is the Sennheiser DirectEar. It's wireless and easy to install. And if he were to resist using such a device, then THAT would be selfish.
Are you familiar with the "sundowning" that often comes with dementia? If he becomes restless at night, a sleep aid might help. Before resorting to a prescription from the doctor, you may want to try an herbal tea. My favorite is Yogi brand "Bedtime" tea.
Another approach would be to keep him busy, and awake, during the day and then he might be tired and sleepy at night. Perhaps you could get him in a day program. If he is old enough to qualify for their services, you might start with the Harris County Area Agency on Aging. Go and visit if possible and get an overview of what they offer. Such organizations often have grant money for a variety of purposes. Also they probably offer caregiver groups which could provide emotional support for you.
For a while, before we had to resort to medications to settle her down, my elderly mother roamed the house at night. As you said you do, I left my bedroom door ajar so I could hear her if there was a problem. Then she started to make a habit of opening my door, turning on the lights, muttering about wanting to check and see if *she* was there. Enough already. Certainly my mother’s wellbeing is important to me, but I wouldn’t have been much use to her if sleep deprived. So I started closing and locking the door, with a sign posted on the outside saying I was sleeping, please do not disturb. There are limits to what one person can do.
By the way, if you do decide to seek help, it might be useful to get an official diagnosis for your husband’s mental condition. The word “Alzheimer’s” opens a lot of doors in terms of getting services. And whatever solutions you find for your current challenges, be prepared for something else to pop up; it doesn’t get easier from here.
I send blessings to you for peace of mind as you resolve whatever difficulties come up. And remember, it’s not selfish when caregivers care for themselves.
Can he read? Also, if so I had given my mom a kindle. She would read quietly and when she fell asleep the kindle would also sleep. She could also make it brighter or softer light and the type face could be made bigger for her to read. She really loved it, particularly for company in bed at night.
I'm so sorry for the changes that have happened in your life. Wishing you strength, health and happiness in your future.
Working full-time and caring for your husband you do need a lot of rest. I would imagine that you're working your fingers to the bone trying to take care of everything. Have you considered lightening your load a smidge by hiring someone to come in each morning to get him up and dressed? If you go through an agency they usually have a 2-hour minimum. In 2 hours a caregiver could get Earl up, help him dress and fix him breakfast. It's not much but it's something.
My dad lived with me. He was very hard of hearing. The first few days after he moved in were a nightmare because his tv in his bedroom would blast out throughout the house. I bought him some headphones with a long cord and he was able to sit in his chair with the headphones on. I'm talking actual headphones, not ear buds. And the cords came in different lengths. I bought them at Radio Shack.