Follow
Share

Hello. My mom broke her hip 2 months ago bcs she didnt want to use her walker. Now she still doesnt want to and is less steady on her legs. Her dementia got worse at the hospital and now at home we thought she would get better but no. My father 85 and me 55 take turns watching her 24\7. She doesnt get up without one of us being there to make sure she uses her walker and doesnt fall. At night, her dementia is worse so we dont sleep. We have an alarm on her bed so when she moves it alerts us. We take her to the bathroom or give her water whatever she needs and then try to get back to sleep. This happens at least 4 times a night. My father is exhausted. So am I. I will breal down one day. My father wants her to go to a nursing home but we know she wont be watched 24/7 and we feel we would be bringing her to her death. She does not want outside help. I had a lady one night come over to watch her and she became hostile ans agressive. We both know we cant go on like this but we know she will fall in a care facility and it might be fatal. What can we do???

I think this different than simply not wanting to use the walker. The combination of sleepiness and dementia makes for her not thinking of it or considering safety. Please know the falls are inevitable no matter the setting or precautions. My dad had so many, some with me literally right next to him. Also know your mom will leave this earth exactly when she’s meant to, no matter your attempts to control all outcomes. We all fool ourselves into thinking we control things when we simply do not. What you do have some say in is not continuing to exhaust your dad, at 85, and yourself. You both need to be rested and well to advocate for mom. I wish you both clarity and peace
Helpful Answer (1)
Reply to Daughterof1930
Report

Give her plenty of water in a.m. and through out the day. Cut off the water at 6:00 pm.

Give her 200-400 mg of magnesium glycinate right after dinner. This will help her sleep through the night.
Helpful Answer (0)
Reply to brandee
Report
Daughterof1930 Jan 6, 2025
Always check with her doctor before adding g any med, including over the counter ones, to be sure it’s appropriate and doesn’t have adverse reactions with anything she’s prescribed
(1)
Report
When Mom gets to be this exhausting, it's time to get her placed with real 24/7 supervision.

What makes you "know" she won't be watched enough? There are 3 shifts of professional staff there. Her dementia is not going to get better. That's a given.
You are comprising your Dad's and your own health without adequate sleep.

Elders fall all the time. This is the result of dementia, getting old, losing muscle strength and balance. They could be standing next to you and fall. A breeze can blow them over.
Helpful Answer (3)
Reply to Dawn88
Report

How do you know she won't be watched 24/7 in a nursing home? That is what they do!

They have monitors, bed alarms, motion sensors, cameras, pads on the floor, railings and, depending on regulations, restraints. They have aides checking on a schedule. They have shifts of trained professionals, all there to take care of patients like your mom.

She's a fall risk. She could fall anywhere, including out of bed when you aren't in the room or even when you are. She can slide out of her dining chair like my husband did, breaking four ribs. She can fall in the doctor's office like my friend did, injuring his head. Falls happen to older people. That's a fact.

IMO she has a better chance of not falling in a SNF where teams are with her 24/7 instead of two exhausted people who can no longer cope (you and dad). Please visit some SNFs and see what they have to offer. If you keep on like this, the situation may bring ALL of you to your deaths.

Also, ask her doctor for medications to temper her hostility and aggression. This doesn't have to go on like this, and I wish you luck in making it better for all of you.
Helpful Answer (1)
Reply to Fawnby
Report

Yup. She needs 24 hour care. A SNF is what she needs. She will be a fall risk at your home and the SNF. Wouldn't it be better for you dad and you to get your sleep and we'll being? The both of you can be well rested and have good visits with her. Let the chips fall where they may. Fall are going to happen with this disease. Heck she could fall while in a walker and you being right by her side. She might soon be bed ridden. You can get her in a SNF with chair and bed alarms
Helpful Answer (1)
Reply to MACinCT
Report

“We both know we cant go on like this …”

Exactly, you can’t. Who do you think might crack first, you or your dad? Will it be stroke, heart attack, cancer — or will one of you yourselves fall in the night? Time to make very tough choices.
Helpful Answer (2)
Reply to SnoopyLove
Report

For now, you can put her mattress on the floor or purchase a concave mattress which will make it a lot harder for her to get out of bed.

You should also talk to her doctor about meds for her aggression, agitation and anxiety. You can also consider OTC or other sleep aids.

If you can afford an overnight aid, hire someone -- then at least you 2 could get some sleep. [ Care.com ]

My 100-yr old Aunt with advanced dementia fell in her own home multiple times. The final time was at night: she shimmied past the barriers and forgot she can't walk unassisted. She fell and broke her hip. Then she went to rehab and continued to attempt to get out of bed. She passed in her sleep before I could figure out her future care arrangement (since she was still trying to get up and walk). It honestly was a relief because I had no idea how to stop her from getting up and falling.

My 89-yr old MIL was in LTC for 7 years, completely bedridden. She was in an excellent facility on Medicaid, in a private room. She recently passed peacefully and quickly and all her family was present to send her off. The Chaplain was orbiting around us and praying, the staff were coming in to show their respects and love... facilities are not all awful and passing in a facility does not mean it will be awful.

You need to keep facility care as a possible solution so that you don't burn yourselves out for no reason. That won't help your Mom.
Helpful Answer (3)
Reply to Geaton777
Report
cover9339 Jan 5, 2025
Fortunate your MIL was in a decent one, when "Help Me" lady passed, they kept it as secret as possible. I think they moved her (maybe still alive?) after midnight.
(0)
Report
See 1 more reply
Your mom already has a fatal disease called dementia, so not sure why you're concerned about her being placed in a nursing facility that "might be fatal."
We are all going to die, and yes it's often a fall or falls that will take out someone with dementia, which in reality is a blessing as they no longer have to suffer with their broken brain.
There are much worse things than death, and you and your father matter too in this situation.
40% of caregivers caring for someone with dementia will die before the one they're caring for from stress related issues. That is a true statistic, and one that should be taken seriously.
So start your search now for the right facility for your mom to move to so you and your father can get back to just being your moms loving family and advocates and not her burned out and overwhelmed caregivers.
I wish you well in your search.
Helpful Answer (6)
Reply to funkygrandma59
Report

Someone with your mom’s health issues (fall risk, dementia) would, I believe, have a bed alarm at a nursing facility, just like you have for her now. That doesn’t mean she can’t fall. But it is too much for you and your dad to maintain constant vigilance 24/7. You could reconsider hiring a night nurse to stay with her at home so at least you can get some sleep. But if a nursing facility is an option, you may find that it is the better option for all of you. No situation is completely without risk, not even having one of you literally at her side at every moment. And your own health needs and deserves attention too. Please try to let go of any guilt. She is very lucky to have a spouse and child who care so much for her.
Helpful Answer (2)
Reply to knits4pixies
Report

Ask a Question
Subscribe to
Our Newsletter