My grandma is 82 has dementia and bipolar 1. She has episodes of being very depressed for months having to be in hospital. She also has episodes of being very very manic having to go back into hospital. She is taking a lot of different kinds of medications. She wants to get implants for her bottom teeth. These last few days I have noticed she is starting to be manic again. I dont think she should get them. I think it will send her back on that rollercoaster. She does live with me and my family I am her caregiver and granddaughter. Should I be ok with her getting implants??? I don't know
Hi Shannon, do allow your grandma have implants, it will really lift her from any depression and will help her eat better too. I'm 92 years old, female, and I'm dying to have them except my gums are much too thin and implants won't last a day. Through my own experience (and you'll understand this when you get as old as your grandma and I) I want you to know one never loses her/his vanity. Yes, even those who, sadly, have mental problems. Allow her to do any other reasonable beauty improvements because it will make her feel wonderful! I'm still looking for ways to try to get, at least a little, my wrinkles out of my face, lol! Adela
Thanks for your response to my questions. I feel for you. You have a lot to deal with. You should have a contact.
Your first responsibility is to your immediate family, husband and child. I hope that you are able to manage it all. Being a caregiver is stressful. I’m sorry that your dad is struggling with his issues too.
Please don’t over extend yourself. Check with a social worker to see what needs to be taken care of to set up future care for her. Caregiving only gets harder, not easier.
I don’t know if your grandma could handle the implants after hearing everyone’s details. Personally, I feel that you need to concentrate on her mental health before her teeth.
Vent here when you need to.
Good Luck
And so you will have to suffer the effects of that penalty -- care for her without any money for the number of months until she is Medicaid-eligible?
This is SO WRONG. It is not YOUR FAULT. I get so annoyed when families foist off all the work and responsibility on whoever is the most naive.
When she "runs out of money and tries to get Medicaid," does that mean you will put her in a facility?
Thank you for your response. It helps alot. I just get the run around from everyone
Others have addressed the issue of why it fell to you to be your grandmother’s caregiver. I’m going to narrow it down to the bipolar and teeth issues.
Bipolar disorder is a manageable condition IF the right medicine is prescribed AND it’s taken properly. If your grandmother is having constant hospitalizations she needs to be admitted to a geriatric psychiatric ward or see her psychiatrist to get her medicine levels stabilized. My mother had frequent hospitalizations also until we made ourselves responsible for her medication. Bipolar is like many other disorders that convinces the sufferer that they don’t have it, so they go off the medicine and back to the hospital they go! My mother’s hospitalizations for bipolar disorder have become very rare as there is careful monitoring of her medications.
Now to the teeth: I understand that different dentists and oral surgeons handle the procedures differently, but getting an implant is not for sissies! It has many steps, extraction (if necessary) of tooth, then bone graft, followed by healing, implanting of post into the bone followed by healing, placement of abutment on post and then the crown (tooth). So far, I have had anesthesia twice during the process - one for the extraction and bone graft, and another for the implanting of the post. Now.....I have a friend who just had local anesthesia for his implant.
As you can see, it is a long process, and enormously expensive! My mother recently flew the idea about getting some implants but changed her mind after I described what I have been through. Besides, we would never permit her to go through the pain, and with her level of dementia and immobility, she would not be able to properly care for the implant sites. I suspect that the implant idea is part of your grandmother’s manic phase. Getting her medicines stabilized is the first order of business. If her psychiatrist can’t do that, get another one who will. Don’t be afraid to consult a psychiatric nurse practitioner. We have found them to be highly effective.
If your Grandma's bones in her gums are now thin, then she needs to have cadaver bones put into place and that in itself can take months to make sure the cadaver bones will graft. As MountainMoose had posted, there is lot to do in the meantime with meds, mouthwashing, not eating on that side, etc. etc. etc.
And as Geaton777 had posted, the cost. Medicare will not cover the whole cost. Nor secondary insurance. My Sig other says he now has to pay $5k out of his own pocket as Medicare had turned down what the doctor had turned into Medicare.
Once the gum bones have graft, then comes to the screws that need to be put in. Again more time to wait. Then making of the new tooth that will fit in that space, which your Mom's regular dentist probably would be assigned to do... oh how I hate that play dough stuff the dentist uses to imprint a tooth.
So, my vote would be "no" for your Grandmother to go though that complex project.
If you believe she will be unable to responsibly care for herself during that entire process, I would not support her having it done until she was stabilized and proving she can care for herself fully.
Also, ditto to the comments about you providing care for her. Who is her durable PoA? Has she ever had a cognitive exam by a doctor? If she lives with you and you help her, one unbreakable condition should be that she assigns you as her durable PoA. And you definitely need to get the payment thing on the up-and-up legally or it WILL come back to bite both of you on your tushies. I wish you the best, let us know how it goes.
With your grandmother's dementia, I'm concerned she would forget to protect that area and chew on those stitches, possibly tearing the gum, use her tongue to explore those stitches that she forgets are there, or stick her finger in her mouth to try to pick them out.
My mom had dementia and she had trouble hearing. I got her hearing aids and she would constantly fiddle with them since something was in her ears.
and
" Last June I had 2 days to be ready for her to move in with me my husband and 16 year old daughter. I gave up a job that I really liked to take care of her."
and
"She has been lost in system for years no one has really done anything but give me the run around about everything."
Okay. Straight talk here. You are being taken advantage of. It is NOT your responsibility to be taking care of your grandmother. You have now given up your job with all of its benefits to be the 24/7/365 caregiving slave to a mentally ill woman. She's only 82; is it the plan that you kill yourself taking care of her until she dies?
She is lost in the system without anyone really doing anything for her because the professionals figure as long as family keeps her, they don't need to be concerned.
You will need to really really push the issue. Don't let your father, your aunt, or anyone else tell YOU that YOU need to take care of her. What does your husband say about all of it?
I have seen several posts by grandchildren. How long have you been a caregiver? What about your future? Are you being paid to be her caregiver? Are you in school? Do you want this responsibility? How old are you?
I can’t answer your question but perhaps others have experience in this area.
Best wishes to you and your grandmother.