Its been a fairly difficult 3 or 4 days
We've had the delusions, which have varied from the usual brief and manic few moments of searching for non-existent items, through to day care getting their first taster (from what i can gather) of really bad agitation and upset when Mil became convinced that she was in hiding from a 'man with gun' who had been sent to shoot her. The carer said that she had been upset for 3 or 4 hours and that nothing they said to her either distracted or calmed her down. We've also had 3 consecutive evenings of sundowning - with a vengeance!
The 'appearance' of the 'little girl' has once again become the early warning sign that Mil is heading towards sundowning/bad agitation. We are getting a couple of hours or so of the usual 'Where's the knitting I was doing' and 'I'll have to take those tins I bought to that womans house' and then its onto 'Where's that little girl gone?', which quickly see's her getting fixated and angry. Wednesday night was odd - rather than the usual 'home, home, home' she was adamant that our youngest daughter was someone elses child, that Mil had been looking after and that she must now 'take back to her Mother'. We could see she was getting worked up and agitated - figety, that awful mulish fixed look on her face - then out of the blue she suddenly told youngest off for calling me 'Mum' and that was it! Shouting at us that we would get her into trouble if she didn't take the child back to her 'real Mum', telling me that I would get arrested for taking someone elses little girl, ordering youngest to get dressed and ready to 'go home'. Youngest was brilliant, took it all in her stride simply telling me quietly 'Awwww - Bless Nana - she is away with the fairies tonight, isn't she?'. Mil went on and on and on, correcting daughter everytime she called me or OH 'Mum' or 'Dad', the story of how she had come to be 'looking after' daughter for this other woman becoming more and more complex, though at no point could she name the woman she claimed was daughters' 'real' Mum, or say where she lived. She got crosser and crosser, seething about daughter and I sitting next to each other and calling both OH and I some awful names - eventually, OH persuaded her to have her meds and she went up to bed - coming down 2 minutes later to order daughter to bed so that they could 'get off early', get daughter back to her 'real Mother' and demanding that daughter slept in Mils room with her, so Mil would know that the 'child was safe'! OH got very firm and told her to go back up to bed, which she eventually did, muttering all the way, and thankfully she settled.
The two nights since have been more or less identical to each other - an hour or two of delusions that become more and more worrisome to her, then the 'little girl' and where she has gone for a short time - then straight into a sudden and very confrontational demand to be taken 'home' NOW! Telling her we will take her 'tomorrow', that its too late, that we will have to wait for the garge to open to get petrol - nothing distracts, in fact she has even said 'You always say tomorrow - and I know you are lying to shut me up!'. Its that odd 'aware' state where she is telling us she knows that she has been 'staying' with us because of her bad memory, she knows the 'Doctor' has said she can't live alone - but she doesn't care and she wants to go NOW!. She tells us repeatedly she will give us 'no peace' till we do as she wants, poor OH gets called some dreadful names, the language is awful and she tells him what a disappointment he would be to his late Father for treating her so badly.
The one saving grace is that also for the last week or so, we have gradually (by 5 or 10 minutes a night) been bringing her bedtime forward - so far, so good, the night times have been no worse than usual, with me just seeing her back into bed maybe once or twice a night when she has got lost on her way back from the bathroom. So at least we have been able to offer the night time meds and persuade her to bed at around 9, rather than us struggling to keep her up till 10.
She was checked out for a UTI on Wednesday, at the continence clinic - she is fine - and no sign of any other illness to explain whats now been 5 out of 6 bad days/evenings. Don't know if stopping the donezepil could be impacting, or if its the memantine - or just if its yet another phase starting. She has been a lot more difficult about bathing and washing (in terms of refusing and having to be persuaded) and seems to be struggling even more than usual with dressing herself - don't know if that's connected or not, but there is a noticable difference. I've also noticed that when standing, she is tending to 'hunch' over, though she says that she has no back ache and seems not to realise she is doing it. There have also been more wet beds than usual - 4 out of the last 6 nights, though she has seemed to be completely unaware of it having happened.
We are hoping to get her into overnight respite at the beginning of April - just for a couple of nights - don't know how it will pan out, but we both think its time to give it a try.