My mom has been in an alzheimer assisted living facitlity for about 5 months. At first we took her out for car rides or eating out but she would get very confused and anxious when we returned to the facility. She has been asking to go for a car ride (which she used to love to do) but we are concerned that returning her to the facility afterwards causes her too much fear and anxiety. What should I do?
4 Answers
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No matter how much she used to love going out for a drive,
at some point, it is sensible to stop that,
using how upset, & when/where she gets upset, during or after the trip, & how long that stress lasts, as a guide.
Linderlou has it right.
If any part of a trip causes distress, it is time to stop those trips, and bring entertainment to her where she is--pictures from outside, music she liked, etc.
[one family we know, took Thanksgiving dinner to the AD home where Dad was living, instead of bringing him home--too much stress...visits went great as long as they stayed where he was familiar]
You could test how stressed moving around has gotten, by taking her for a walk just through the rest of the facility, or into the garden nearby, for instance...if that causes distress too, then roaming farther than the familiar hallway or whatever, near her room, is her limit.
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How is she while she is on the outing? Does she continue to enjoy the experience? Does she get anxious, nervous, or fretful? Does she start saying "I want to go home immediately?
When you return, how severe is her anxiety? Is her level of confusion a little worse than usual or extremely worse? How long does this last?
Dementia behaviors vary considerably from one person to the next, and also change over time. I think you need to consider the answers to all the questions above and then decide whether the benefits of the outing are stronger than the costs in confusion and anxiety. And re-evaluate the questions before each outing, as things might change.
There are benefits to a fixed routine. There are benefits to some stimulation. Which benefits are stronger depend on the individual, the stage of the dementia, and even the kind of dementia. I know that saying "it depends" is not much help, but in this as in many aspects of your relationship with Mom, you need to observe closely and then trust your own judgment.
Good luck!