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Witsend66 Asked August 2015

My husband and I care for my parents both 89 in our home. My Mother has stopped walking and has become lazy with hygiene. Advice?

She seems otherwise happy but sleeps more during the day and will not go outside. Getting her to the doctors or to a restaurant is an exercise in patience as she will do nothing to help herself. She has some dementia but says she is happy in "her little corner on the sofa". They have a nice space in our home occupying the master bedroom with an ensuite and have a nice living room. My dad is frustrated with her and they do not spend as much time together as he likes to sit out and enjoy the nice weather, he reads and uses a computer daily. She sits and watches TV and falls asleep. Her health is good, she has a pacemaker but her blood pressure is excellent. Her attitude drives me crazy, she will not participate in anything or even read anymore. I thought she was depressed but apparently that is not the case. She has always had a lazy way about her but now that we are all living in the same house, I remember! She never lifts a finger and her expectations are huge. She uses a walker but could get by with a cane but she does like to play the part of being feeble. She is strong and is becoming aggressive towards my dad. Sometimes I detect a very unclean odor and know she needs to shower. I have helped her with this on occasion, done her hair for her, her nails and helped with her dressing. I am running on empty these days and it is affecting my relationship. My husband has been wonderful but we all have our limits. I have asked them both about going to a seniors center to mix with others seniors like them but my mother will not leave the house unless she is forced and says "maybe one day but I don't know which day". To be away overnight I have to ask my sister to come to town, she lives 3 hours away. My brother lives closer but he works full time and we see little of him. It is stressful. Some days I feel so alone and depressed by the situation and blame myself because they are my parents. We both want to help them but my mother makes this so hard. She is manipulative and has always been a bit of a hypochondriac. She has been lucky all her life as she has been taken care of by my dad and never had to work outside the home. Not like my sister and I who were both single parents with all the associated difficulties. I know that is why I find her attitude so hard to deal with. I have offered all kinds of things that might interest her from knitting to teaching her to use the computer but she doesn't want to. Please give me some suggestions Thank you. By the way, my husband and I are both in our late 60's too!

BarbBrooklyn Aug 2015
I'll just mention that dementia is a very "real" ailment.

Witsend66 Aug 2015
Thank you for the input Sunnygirl1, I have managed to get some assistance for my mother and a therapist to help with some exersizes for her. I am also working towards getting someone in to give her a pedicure. Also I will persure getting in a cleaner to assist with bathroom cleaning, which is constant under the circumstances. As for personal therapy, I am not too interested in digging up the past and rehashing all the angst from an earlier time. Intellectually I am perfectly aware of what history has affected me and know nothing can change it. Everyone has some kind of baggage. I prefer to just rationalize what is and go forward. One never forgets but we have to learn to move on. I realize that having my parents here just puts the memories back on the table. Thanks again everyone for their information and suggestions.

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Sunnygirl1 Aug 2015
Witsend66, I'm not sure why you say there is a huge difference in dementia and Alzheimers. I would read a lot about these conditions.

I would strongly encourage you to have your mom evaluated for both physical and mental decline. Perhaps, getting a proper diagnosis can help you get more support or benefits to help with her care.

Dementia, that can be caused by Alzheimers and other things like Vascular dementia, etc., renders the brain incapable of functioning normally. Even if a person was lazy and selfish their entire life, when they get dementia, the brain is damaged and they are not capable of behaving normally. The past has to be put aside and their needs taken care of. Since, you say there is much baggage, I would try to get some counseling to help you with that. And it sounds like there is so much work taking care of her that you need help with that too. I wish the best with that. You are wise to seek out information and support.

1golflady Aug 2015
my mother is 74 with no REAL physical impairments. She is getting lazier by the HOUR living in my house. She has her own area upstairs and she informed me a couple of weeks ago she has NEVER even cleaned the floor 1 time since she moved up there ( a year and a half worth of filth on my floor I guess ). GROSS. She takes baths when she feels like it sometimes weeks apart ( when she hurt her arm she went TEN WEEKS without taking a bath). She dosent get dressed half the time she hasn't cooked anything in months. She thinks walking down the steps once a day is exercise. She loves sympathy and has gotten down right pathetic. I am losing respect for her by the hour ( although I have very little respect to begin with. but that's a different thread ). Its disgusting to watch a perfectly healthy woman just sit around rotting in a chair while so any other seniors live life to the fullest even with REAL ailments.. I am watching her rotting away before my very eyes. And NO ONE knows this but me and my hubby. her other daughters ( there's 5 of us but some haven't see her in more than a year now and are just phone in daughters ) have NO CLUE what she's turned into because they don't ask me and if you listen to my mom you would think the whole world is rainbows.. Oh well, just another thing I have learned from her........don't turn into a useless glob and let your daughter and her husband take care of everything you should be taking care of yourself while you actually CAN......because it causes resentment.......BIG TIME. but theres nothing I can do . USE IT OR LOSE IT , and she really is starting to lose it. but that's what she chooses is to become pathetic so it is what it is. I just wish it wasn't happening under MY ROOF.

BarbBrooklyn Aug 2015
Witsend, I find that those of us with baggage are often the ones who (mistakenly in my opinion) try too hard second guess and browbeat ourselves into doing caregiving that most "kids" with more normal relationships would not attempt.

You sound very, very burnt out to me. I urge you to let go at least a bit. If mom wants to sit, so be it. Yes, she's going to end up in a nursing home and/or memory care. It's not your fault, neither is it hers.

Witsend66 Aug 2015
Yes Babalou, I get that. I am done trying to cope with guilt for my thoughts and trying to reconcile the why's of behaviour. There is too much history. I will continue to do my best until I can't anymore. The "lazy" comes with lots of baggage, so forgive me if I sound harsh. My mother is up and down with her cognitive behaviours, but basically she is aware of her choices and I try very hard to sit and engage her with her care. She has early dementia, not Alzeimers. There is a huge difference.

BarbBrooklyn Aug 2015
Witsend, I'm going to be really blunt, so forgive me in advance. If you are still using the words "lazy" and "obstinate" in the same sentence as "my mother's", you are not understanding one iota of how broken her brain is.

I was fortunate enough the last time my mom was hospitalized for a fall to see a cat scan of her brain. There is more space than matter at this point. She still seems quite sharp at times, but she can't put two thoughts together. Your mother has lost the motivation to "do" and wouldn't be able to explain it to you. Please, please, for your sake but especially for your mom's , please stop thinking in terms of lazy.

Witsend66 Aug 2015
Thanks again for all the useful information. It is good to know others who are experiencing similar things. It is my first time on this site and I have never been to another. I do realize that with dementia, life changes and I have researched the progress it takes. I fully support my mothers journey into nowhere land and understand what will happen, it is just her laziness that concerns me and her unwillingness to move. Her obstinency is like meeting the hoover dam! Also her unwillingness to care for herself. My. Mother was social and enjoyed her friends. Although many have passed on, there are still people in her life that she now has no interest in, including family, grandchildren, etc. she is also reluctant to see a dentist and look after her teeth, what is left of them. She has a partial denture and she says all is well. She eats between meal s and spoils her appetite for dinner many times. I am moving the cookie jar to another spot. Thank you to the person who mentioned the snacking spot, it gave me the idea, it should encourage movement if she wants a treat. Everyone has good ideas and suggestions and it all helps. I am very grateful for all the help I can get. Thankyou to everyone.

BarbBrooklyn Aug 2015
My mom has never been a social person. After my father passed away and she began to have some health issues, she became increasingly isolated in her suburban home. The great thing about the Independent Living facility that she went to was that all of the socialization and acidity was right outside her door, and she knew how to get to a bathroom quickly. Familiarity with the facility and proximity to toilets becomes of paramount importance when you are elderly. Mom can't explain to you why she doesn't want to go out, but I really doubt it's laziness if she has a dementia diagnosis.

Sunnygirl1 Aug 2015
When dementia is progressing, I don't think it's really a choice by the patient to be unsocial or to give up on things. Their brain is not working properly. Their body declines too. I hope that people realize this and that blaming the patient is rarely beneficial.

It sounds like her husband is still able to function and socialize. I bet that watching her decline must be very difficult for him. Eventually, she may not even know who you or the other family members are. I would anticipate that becoming totally dependent on her caregivers is certain with dementia. I don't know of any cases where that does not happen.

Windyridge Aug 2015
Your folks sound very much like mine. Dad is still active, mows grass cuts brush, putters with his plants. Mom hasn't gotten off her butt since 1970. Granted she has many legitimate health issues but I gave up years ago trying to get her to get any exercise or take an interest in ANYTHING. So she eats, does all her meds, naps, more meds, repeat. To her credit she does do pretty well keeping dad out of trouble with his dementia.

Witsend66 Aug 2015
Thank you all for your helpful answers, I appreciate the insight very much. I have looked into several options as to socialization, but my mother is not interested. I think her dementia is a cause. At 89, as far as I am concerned she can sit all she likes, however it is because of all the sitting that she is losing the strength in her legs. Her doctor has made many suggestions also but she does nothing to help herself. I take her to see her doctor about every 8 to 12 weeks. My father is happy and very interested in life and although has a mobility problem works very hard to stay reasonably active. It is like they have become opposites and after being together so long, married 72 years, they have less in common. They have very little money, otherwise they could afford assisted living. They are not ready for a nursing home, however, if my mother becomes much more dependent, that will be the next step because I cannot manage. I have been patient this long so they could stay together.

BarbBrooklyn Aug 2015
I'll warrant if you got a neuropsych evaluation on your mom, you'd discover that she can no longer read and can only follow very simple tv plots. Who evaluated her for depression? The biggest drawback to her remaining in your home is the lack of socialization.

Have you thought about the idea of a facility where they would both be relatively content? Have you talked to her doctor about the aggression you've witnessed?

MaggieMarshall Aug 2015
She's 89 years old. Most things you mention are because of that. You need relief. When you say she could get by with a cane, that tells me that you're in burnout. When you characterize her behavior as manipulative and hypochondrial, I think that's more evidence of same. She's 89 years old. Her sense of balance is probably dicey. Manipulative? Honestly, aren't most moms? ;) Even when they don't mean to be?

Get her a transport chair. Your exercise in patience when you take her out will require more exercise. And less patience. If she's walking very slowly, she may have Parkinsonian symptoms.

They are living with you and have been for a long time. Both getting Social Security. Spend some of that money on respite care. You and hubby take your lives back. Get some rest. Some entertainment. Some diversions.

There's nothing wrong with spending most of one's time on the couch when one is 89 years old.

sophe509 Aug 2015
You are in a bad spot and likely it's going to get worse. As Mom vegetates in her corner, her physical capacities will shrink dramatically. Pretty soon you will be using a Hoyer lift to get her from bed to wheelchair to sofa. To curl up in the corner and quit life is a sign of a psychiatric disorder. She needs an evaluation by a geriatric psychiatrist. I would be looking for other living arrangements for them; it seems unreasonable that they take over your home and expect full time service from you.

Sunnygirl1 Aug 2015
I would take note of certain things about your mom, such as refusing to bathe, getting aggressive, sleeping a lot, etc. It's difficult to say if the decline is from normal age related decline or something else. These are also signs of dementia. There are ways to examine it, but you'll need to have her evaluated. That is an option. But, either way, it's not likely that you will inspire her to change. I would try to figure out a way to accommodate her behavior.

Is there some reason you say it's not depression? What about an infection or medication reaction? I might rule them out and then explore the dementia issue. I would certainly consider your options if her behavior progresses, since it likely will progress. I don't think most people would be able to care for someone 24/7 who does not walk inside their home. That's a huge responsibility.

Windyridge Aug 2015
At 89 years of age I don't think you are going to change her outlook or attitude. Don't expect so much. Going out to eat? My folks are mid 80s and still in their home. I'd rather take a severe beating as to try and get them to go anywhere. She wants to sleep? So what......You said she always been a little lazy and hypo. Why would she change now?

You're to be commended for taking such good care of your folks. I stay with my folks a few weeks a year and after each visit I'm a maniac for several days. My wife just stays away when I get home.

This is going to get much harder. Can you consider assited living? At the very least line up some respite care so you can get out, take a trip, get away from caregiving.

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