Lost - rapid onset atypical alzheimers and she's always so upset

LostLiz

Registered User
Sep 3, 2020
19
0
My first post here, so hi!
Trying to keep the very long story of how I came to be where I am short... but am desperate to reach out
I'm 38, my mum is 69. She is divorced and I am the only one close to her, both in physical and emotional. For a year or so she was getting a bit more confused than usual, particularly in planning or stress, but she has an underactive thyroid so put it down to a tweak in meds etc.
At Christmas 2019 she was very confused, I persuaded her to come with me to the dr for a blood test, albeit she was doing t to appease me. Just before blood test, dentist calls, mums in there and panicking and in distress as she doesn't have, or remember having a denture plate. She had a week earlier in the dentist, but now has no idea she's had one. I meet her at her home, she has no idea what it looks like, goes rummaging thru old paperwork. I find them for her on coffee table...
Few similar instances, going to bank asking for help with medication, going to coffee shop 3 or 4 times a day like it's the first... blood tests come back - thyroid is under, but not enough to cause this, refer to mental health team. ACE tests done, yes, dementia, unspecified. They advise she lacks mental capacity, and I start working on taking pre-arranged power of attorney.
We get CT, no sign of anything unusual. Lockdown happens, she's on my doorstep 3, 4 or 5 times a day upset... she goes from under dosing to overdosing on thyroid meds, I try a e-dosing box, she ends up in pharmacy in distress as she can't open it. She loses 20+kg in 3 months from forgetting to eat. I took time off work and we try a carer, doesn't work, mum is too confused and upset having someone else in the house, and gets aggressive and terrified, I need to go back to work and not coping emotionally. Things go so rapidly, with guidance from mental health team, mum goes to carehome for respite with potential view to long term. She seems a bit unsure of it, but seems to be settling.
We get MRI... again, nothing, we go to hospital specialist, PET scan shows hypo-metabolism across brain, mostly parietaltemporal lobe, more left then right. Consultant says alzheimers. Makes sense given her difficulties, albeit unusual area of brain to be so affected. That was about 3 weeks ago.
I took a 4 day break away, but ever since the hospital she has been in an almost permanent state of upset at the home. At first that she only had days to live, I go to see her and she says, "I hope you're happy, because I am not" and similar hurtful things. Then a misinterpretation of an activity left her with nightmares, I had a call Saturday night begging and pleading me to come visit her and bring her a jumper, saying she doesn't have a bedroom or bed for the night. They allowed an exceptional brief visit as she refused to do anything without seeing me. Apparently she had been happy and fine that morning. Go there today and she refused to come down to see me (we do window visits on 20 min slots in reception there) because she's scared to leave her room, when nurses eventually persuaded her, she was shaking in terror, but said she didn't know why, not because of me but she was so scared. She was pacing around the foyer, crying and no matter what I did (offer to go outside, listen to music, coffee and cake, reassure her safety, talk about other topics), I couldn't calm her and started to get upset myself because I couldn't hug her. In the end the nurses got her in the lift to go upstairs and I didn't get to say goodbye.

I'm so lost in all of this, every time I think I've done the right thing, or can finally have some of my life back, I'm thrown in to more tears. My other half is so supportive, but he is getting upset out of worry for me and the efforts I am going to (particularly when he knows some family history stuff).

I've got so many questions, and no-where to turn. I've done counselling Jan-May , but it was difficult as my questions and worries were dementia specific. I've called my local advisor, and she pointed me here. After this mornings visit I cried for the 45 mins walk to work feeling so lost.
The plan was to set up her end of life decisions after diagnosis, but there's no way I can do that now?
The care home are trying their best, but everything scares her given the area of her brain interpreting the world isn't working right.
I've still got mountains of her paperwork to go thru, and am gradually sorting and storing possessions in her home to start renting to help with fees longer term.
I'm grieving, I know that, and I feel weird guilt and hurt remembering when my grandmother had dementia, and my mother said she'd rather have her life end early, than have the lack of quality of life and sadness granny had and then I look at mum and it hurts so much.
And for all anyone knows she could be with us for years, but in what state? And will it be years if it keeps being this rapid?

What a ramble, I'm sorry, I just don't know anymore, almost 9 months and I'm scared it will be like this for me for the rest of her life because it never seems to end
LostLiz
 

Izzy

Volunteer Moderator
Aug 31, 2003
74,336
0
72
Dundee
Welcome to the forum @LostLiz.

I'm so sorry to read about your situation. It really is heartbreaking. It's not a ramble at all.

I'm so glad you've found this forum as I know you will get lots of help and support here. There is always someone her to listen.

It might be an idea to give the Admiral Nurse service a phone and talk to someone there about your worries. The details are here -


Keep posting. Wishing you strength.
 

Jaded'n'faded

Registered User
Jan 23, 2019
5,291
0
High Peak
Please speak to your mum's GP or get the care home GP to come and see her. There are meds that can be given to reduce anxiety and it sounds as though your mum would benefit from them.
 

lemonbalm

Registered User
May 21, 2018
1,799
0
Hello @LostLiz . Firstly, let me say that you are not alone. I am glad to read that you have a supportive partner. There will be plenty of support and advice for you here too. Secondly, let me say that your mum is no doubt in the right place, as there is no way she would be safe at home. This is all very difficult stuff and a traumatic time for you, so try to be kind to yourself (not easy I know). My mum has been in care for three years and has often been in this sort of state. Many things can trigger it. It is important to rule out infections like UTI's, so worth checking that the staff have tested for that. It's also good to rule out other physical causes like pain, fatigue, constipation, all things which can trigger agitation. The staff should already be looking out for these.

I have found that regular reviews of medication have really helped along the way, so worth talking to the care home manager or a senior staff member about that. Something to calm your mum down as a temporary measure should be possible.

It is incredibly difficult to do the right thing with dementia because the person with it can vary so much from day to day. Hopefully, with the right medication and a bit of time, your mum will be calmer for longer, perhaps even all the time.

Keep posting for support and advice. This is tricky stuff and you need all the help you can get.
 
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imthedaughter

Registered User
Apr 3, 2019
944
0
Gosh this is terrifying isn't it - for both of you. It does sound like mum is safe, being fed and cared for in some quite challenging circumstances so I am sure you have done the right thing and mum is in the right place.

It sounds like mum hasn't been in the home for long - it will take a while to settle properly I'm afraid. Is she on any medication? There are things which can take the edge off and give some calm, not sure how much they will work but surely worth a try - but some take a while to kick in e.g. weeks rather than days. I know my dad's mood seemed improved by an anti-depressant, for example, but it took almost a month.

Keep us updated: this is a club you didn't want to join but you're not alone!
 

Hayley.B

New member
Sep 7, 2020
3
0
I’m trying to reply to a message “lost liz” and it won’t let me it’s saying I have to many characters 1000 but I haven’t typed that much what am I doing wrong ?
 

Louise7

Volunteer Host
Mar 25, 2016
4,785
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Welcome from me too @LostLiz and as others have said, you'll find lots of advice and support here. Mum had similar symptoms a few years ago - a really sudden change in behaviour and she seemed traumatised. She was seen by the mental health team and after a few months and some medication changes she seemed less frightened/scared so your mum may benefit from a medical review/medication. You mention in your post that 'a misinterpretation of an activity' left your mum having nightmares. Did the care home staff say what happened?
 

LostLiz

Registered User
Sep 3, 2020
19
0
Thank you all for your replies and kind words. I don't know how you all do it, I don't think I can do this for much longer, it never stops, she deteriorates so fast, checking on her, and finances and papers and staying in contact with family about her, and finding ways and gifts to cheer her up, and sorting her home out, making sure she has clothes and toiletries, dashing across town every other day to visit her... and all while grieving for what might be months, but might be years

I contacted the mental health team care coordinator this morning asking for her to contact me as the upset was continuing. She was due to speak to the doctor with the mental health unit regarding medication as she is already on trazadone, but a low dose. She's a very busy lady thou so difficult to get hold of sometimes. I don't know anymore whether to go to them or GP, they prescribed trazadone, although when she went in to the home the home GP took her off everything briefly (thyroid, heart and anxiety), it all got v confusing and no-one could give me answers. Next thing I know she's back on 3 out of the 4, care coordinator agrees to change dose of one, but last medication dose chart I saw it hadn't changed.
It was tough as I knew if I just hugged her for a bit, or went with her to her room for coffee, she would have calmed right down.

The nightmares were triggered by an event on the next floor up that she went to. It took a couple of days for me to work out, mental health care coordinator thought it was a hallucination, but got hold of like style coordinator and worked it out with her. Given the area of her brain affected, they'd been a misinterpretation in her making sense of things and, yes, it would have been scary. They've agreed she won't go up there again.

The home is always so busy and I'm never sure who to speak to, I generally feel dismissed or overlooked as a fussy relative and obviously covid is a massive headache for them. They are lovely, particularly the lifestyle coordinators, just not easy to approach
 

Pete1

Registered User
Jul 16, 2019
899
0
Hi @LostLiz, welcome to the forum. You have been through a lot in a short period of time and grieving for you Mum that was - I'm not surprised you are feeling the strain. What I would say is the Covid situation has made things much worse and created that isolation from Mum - I hope that restrictions will lift and although it will still be challenging for you it will ease the pressure. You will also get to know the care staff (again not easy in the current situation) and feel more at ease in asking - I certainly did and those relationships do develop.

I think most of us can empathise with you on the guilt that you are feeling - it is perfectly natural to feel that way, and it doesn't just go over night. You are doing the best for Mum and I'm sure 'Old Mum' would understand and appreciate that.

I don't think I can do this for much longer,

It does feel enormous and it sounds as though a lot has fallen at your feet. Are there any other family that could help? Sometimes family don't think they can intervene as they are treading on your toes, but it sounds like you can do with some support. Just remember you can't do everything, and some things can wait (sorting the home), and gradually over time there will be less pressure as things are completed - I know it seems impossible now but trust me it will improve. You do need to think about yourself in all of this too, you can become lost in the situation. I do hope you have some support that you can lean on - as well as the forum of course! Stay strong.
 

lemonbalm

Registered User
May 21, 2018
1,799
0
It's awfully hard to step back a bit at this point. Do you feel you need to visit every other day? I used to visit mum every day (both I and the staff felt this routine was important) but regret that now, as I think she may have settled in better if I hadn't gone so often. As @Pete1 suggests, try to let some things which aren't urgent wait a bit. It's easy to get into frantic mode and think everything has to be done immediately. Try to stop, take a breath, have a glass of wine or tea and cake, something you enjoy, even if it's just for a few moments. It does sound as though your mum is in good and caring hands. They want the same as you, for your mum to be as calm and cheerful as possible.

By the way, I have just called my mum's care-home and was frantically asked to call tomorrow. We often feel we're a nuisance - but we aren't! It's just that the staff are busy at that moment.

Keep posting for support. We will help you as much as we can.