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RST888: Perhaps her physician needs to be made aware of her crying and may be able to prescribe a low dose anti anxiety medication.
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* Get her an 'automated' cat or dog, or baby.
* Schedule a massage or foot massage (very relaxing) later in the evening.
(be sure they are certified).
* I would caution you calling nightly as it will exhaust you / wear you out and [may not] help her that much - when needing other interventions.
* Call volunteer organizations (or churches) and ask for a volunteer to call her for a five minute chat in the evenings (several people can do this).
* Consider having her medication adjusted - if she's on any; if not, see if this might help.
* Find out what she is doing after 5pm, i.e.
- drinking coffee?
- any stimulates that would keep her aware / her brain going
+ Ask her to read around 8pm (history? something boring?)
+ Ask staff to support her somehow.
+ Get her some 'calming' tea(s) - ask at a health food store

* Offer / do a visualization with her at night to help her relax. You could likely find these looking up 'relaxing visualizations' on the internet.
- Get her a CD of relaxing music and/or a meditation.

* Ask her what she is fearing. Offer reflective listening (reflect her words back to her, with comfort). "I understand you feel xxx and that must be scary." Let her know she isn't alone. "Oh, I used to feel like that too." --- See if she asks you about it and how you resolved it. If she doesn't ask, tell her how you resolved it (it doesn't matter if you did or didn't... you can share with her some of these ideas).

* Hire a caregiver for two hours in the evening to be with her / get her ready for bed; this could be someone offering a massage or gentle touch / foot rub (wouldn't necessarily need to be a certified practitioner/massage therapist).

Gena / Touch Matters
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BurntCaregiver Jan 2023
@TouchMatters

'Ask staff to support her some how'.

How? The staff has to support her somehow. How?
I worked in a nice assisted living facility for a long time. This place was high end. No one was forced to go to sleep at a certain time. They could stay up in their rooms and do what they wanted.
We did not have enough staff to sit with someone for hours on end holding their hand or calming them down or entertaining them until they fall asleep. A facility not as posh and swank as the one I worked in will have even less staff. Especially at night. That's the reality. Your suggestions aren't reality. They are not going to apply in an actual AL facility.
Best case scenario (in reality) is the OP can get some hired companionship to stay with her mother for a few hours in the evenings. Or her doctor can give her something for anxiety so she doesn't have to cry to her daughter for hours every night.
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ChrissyMarie and whomever else: it doesn’t “bother” me—she’s not my mom!— but the OP is obviously bothered, as she wrote, “it’s really a problem.” Sometimes a poster is looking for validation, or permission to do what they may feel unneccesarily guilty for doing…in this case, calling less often, and doin’ the good ol’ “nighty-night!” sign-off!
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BurntCaregiver Jan 2023
@Emma

Your comment was spot on and you were right. You told what is an unpleasant truth and people sometimes have a hard time when one is mentioned.
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RST888, I just wanted to say, God Bless you for caring and having compassion for your Mom. Some of these posters on here don't know the meaning of those words. My elderly mother died from Dementia in 2019. I still grieve her, as she was the greatest blessing of my life. She was also frightened at night. I had the staff give her a very, very small amount of anti-anxiety meds or Melatonin. The staff would also spend some time comforting her. She was such a sweet, kind and gentle lady. Other than those suggestions, I don't know what else to suggest, except to say that, hopefully, in time, she will adjust to her new surroundings. God Bless you dear for caring.
To Emma 1817, your comments are callous hurtful to others. This is not Okay! This forum is supposed to be supportive to others. You are not doing that and so, why are you on here? Your comment, it doesn't bother you because she's not your mother: Whether she's your mother or not, it's sad that you do not have compassion for "anyone" who is in her position.
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BurntCaregiver Jan 2023
@DeborahLynn

Your condescending criticism isn't okay either. Emma is right. People often criticize a person for telling an unpleasant truth. That does not make it untrue though. You state that your own mother was placed and that the staff of her facility were available to comfort her every night. You weren't dealing with her hysterics and crying every night and spending hours on the phone calming her down the way the OP has to. So there's no halo appearing above your head, and you shouldn't be judgemental about anybody else. Your mother was lucky she was placed in a facility that could offer this kind of one-on-one attention. Most of them do not. In fact, most facilities are so short staffed that a resident is lucky if someone washes them up and toilets them before bedtime. Living in a care facility can be lonely. There isn't going to be 24 hour activitity and someone staying by a resident 24/7 so they have to adapt.
This sounds unkind and maybe even harsh, but a person has to adapt. It's like with a baby. If mom and dad go running in every time the baby squawks a little bit, he will never learn how to be alone. So what will happen is he'll have no sense of autonomy and mom and dad will end up with him living in their basement at 40 and they'll have to support him until they die.
The same thing with the elderly even with dementia. I see so many people on here at their wits' end because a LO with dementia develops a 'shadowing' habit and cannot be left alone for a moment. This happens because it's allowed to. When it's not allowed, the habit doesn't form. People have to be left alone for periods of time. The OP's mother may very well have to cry herself to sleep for a few nights. After those few nights she will adapt to being alone before bedtime for a while and will be fine. Some hired companionship for a few hours a few nights a week will help too.
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The demons are in her head and not yours. You just enable her to continue
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Has your mother been seen by a geriatric psychiatrist to address this?
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Barb is correct a geriatric consult could be of value. Crying on the phone every night should be addressed along with her inability to occupy herself in the evening.
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Bridget66 Jan 2023
Bandy, I read all of it and I know of your distrust of meds. However, a mild anxiolytic might be be helpful with the crying and a geriatric psychiatrist might have ideas on refocusing mom from being unable to occupy herself.
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I would agree with others that her doctor should prescribe an anti anxiety medication at night for her. Another thought, see if the facility can give her a night owl roommate like herself. The one my friend/patient was in were really good about placing the right personalities together. It worked well. They would watch movies together and have snacks. I agree that so many facilities are under staffed. I got a grand pad for my friend so that I could see her when I spoke with her. She did well with it until the last few weeks of her life.
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Thank you for your suggestion! I’ve thought about that, too. Once I get my dogs acclimated to my mom’s dog(taking a LONG time), I’ll stay there with my dogs. Hoping that helps. She’s my mom!!! I want to always be there for her!
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I’m sorry that you are struggling with this issue. According to your profile, you and your mom prefer opposite sleeping patterns.

You sound like a busy woman and certainly need your rest.

How long do you think would be a reasonable time to speak to your mother on the phone? Try to work towards that goal, otherwise you are going to wear yourself out.

Has your mom always stayed up late or is this a new behavior? Has she told you what she is afraid of during the evening hours?

Unless you have a money tree in your yard, it would be expensive to hire someone to be a companion for every evening of the week, month after month.

Has she tried a mild medication so she can relax?

My friend who lives next door to her mom has the same issue with her mom.

My friend can’t stay up late with her mom. She serves dinner to her mom, then returns to her home to spend time with her husband. She goes to bed early because she has to leave early for work.

Her mom’s doctor prescribed Trazodone. Maybe your mom’s doctor could prescribe something mild for her so she could unwind in the evening and hopefully rest well.
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RST888 - Is your mother computer literate? Can she use Facebook or similar social media? if so, she can chat with people and have her social fix anytime of the day.

Maybe she can sign up for an online class in the evening, something that interests her?

Edit - Just read that your mom has Alz., so probably she can no longer use computer.
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Why is your mother crying? Try to find out what's bothering her. Is she frightened of something, or lonely? Speak with your mother's case manager at her facility about this. Is there a common area near the nurse's office where your mother can sit, say from 6 -8pm? Or can staff check in more often between 6 and 9? You could also find out if a therapist would help, someone who could come to her room to counsel her about her feelings. Her case manager could assist with this, and Medicare pays for it, if it is needed. My mother liked to listen to calming music. Can you get a simple radio that staff can turn on softly in the evening and keep it tuned to a channel with music that she likes. Or would she want to watch (non-violent) movies on TV? If so, get her a comfortable reclining chair. Medicare may pay for it. Also, does she have a night light so that it's never pitch dark in her room? Some people don't like total darkness. Also talk to your mother's physician. There may be some natural calming medications like melatonin that will help her relax.
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I read some answers about anti-anxiety medication. When you have a headache you can take aspirin. If you can't sleep sometimes a sleeping pill helps. If your heart raced you take medication to slow it down. When your brain becomes anxious at a certain time (in this case in the "sundowning" time probably) a very mild sedative like Trazodone could give her peace of mind. Isn't that what you want for her? Peace of mind so she can relax and go to sleep eventually. I saw first hand what a mild sedative did for my own Father when he became anxious in the evening to the point of paranoia. It settled his brain so he could relax. It didn't make him a zombie or drug addict. A knowledgeable nurse would give it to him. Give her what she NEEDS and if there is help like that available, it's cruel to not give it to her.
MJ. Caregiver
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