thoughts on dealing with dementia victim

markbrewer

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hello: I posted a thread on the pentacostal section about dealing with my mother and dementia, which you can read here, if you want:


Grace, Power to love: the Lord sustained me

i have noticed that folks like to get into debates in this section, so i've got a question to
pose and i'm interested in seeing other's thoughts:

in order to get the dementia victim to do things that need to be done, often times a less than fully truthful answer to questions seems to be nesacary. for instance, one night when my mother asked me the 50th time that day where my father was, i told her that he had gone to an auction. i did this because she seemed to be getting upset and i needed her to calm down. you DO NOT want to make my mom angry unless you enjoy screaming, hours long tirades. this is the only time i can remember telling her an outright lie.

what do you think of the ethics of lying to someone with dementia?
 

com7fy8

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I think of how Jesus says not to premeditate what you will say when you go before the judges during persecution. Like this, maybe, do not try to figure out in advance what to do with her; but pray and submit to God and trust Him to make you creative with her.

I don't know what I would do, with her; but I think I would avoid lying. I pray so people can't take me over and control me with their anger.
 
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Strong in Him

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hello: I posted a thread on the pentacostal section about dealing with my mother and dementia, which you can read here, if you want:


Grace, Power to love: the Lord sustained me

Hi,
I'm sorry to hear your mum has dementia. Mine does too; it's an awful condition. :(

in order to get the dementia victim

No disrespect intended, but I hate the term "dementia victim".
The Alzheimer's Society teaches that some people live with dementia - and with a change in attitudes and the help of those around them, they can even live well with dementia.
Yes, of course it's a rotten condition, but the word "victim" tends to invoke pity for the person which may, in turn, lead to a difference in the way we treat them. Someone with dementia is still the same person they always were, it's just that you may have to look hard to find it; it may get hidden as the illness progresses. My mum, for example, can barely speak and I'm certain doesn't know who I am - yet she can still give me the same "look" as she did when I was a child. In her head, she is doubtless the same person as she was back then and may even think she is the same age - it's only us, on the outside, who know different.

to do things that need to be done, often times a less than fully truthful answer to questions seems to be nesacary. for instance, one night when my mother asked me the 50th time that day where my father was, i told her that he had gone to an auction. i did this because she seemed to be getting upset and i needed her to calm down. you DO NOT want to make my mom angry unless you enjoy screaming, hours long tirades. this is the only time i can remember telling her an outright lie.

what do you think of the ethics of lying to someone with dementia?

It's only WE who know it to be a lie.
In your mother's world, your father is still around/alive; this is reality for her.
Not knowing where he is may well make her anxious and she may be unable to understand why someone is contradicting her or fobbing her off.
My mum used to say things like, "I don't know if your father will be home for lunch", or "I don't know what your father does these days; he leaves home before I get up and comes back after I've gone to bed". In fact, my dad had died several years before - but in her mind, he was going out a lot/having an affair. I found it upsetting, and pointless, to keep saying "dad's dead, mum", so I used to say things like "I'm sure he's thinking of you/he knows where you are", and change the subject. 5 minutes later, she may have said the same thing again, or she may have said "you know your dad died, don't you?"

The way Dementia Friends explain it is:
Imagine that the person who has dementia is 80 years old and represented by a bookcase. Each shelf is packed with books, and each book represents a memory or event. The books at the top are very recent events; what they had for breakfast, getting dressed, opening the morning post, or whatever. The shelves lower down hold memories from retirement, early parenthood, pre-marriage and childhood.
Now imagine that this book case is hit by a storm - called dementia - and starts to sway and then rock violently. The books start to fall off; with the books on the top shelves falling first.
The storm continues to strike. You may soon find that the top shelves are empty, or almost empty, of books, and the first shelf with any books on represents a time in the person's life when they were in their 50's. So this is their reality. They have no memories after the age of 50 - or few, because we can't tell which books are going to fall and which remain. This will mean that modern gadgets and technology will be completely unfamiliar to them.

This is what is difficult for us. We have all our "books", and are trying to live now and remind our loved one about now, or a recent time, when in fact they don't have any memory of it and quite simply won't know what we are talking about. We need to discover their reality, and live it with them.
I have read accounts of people in care homes, for example, who walked around bending down at each resident's door for a few minutes, or tried to help people across the room, or tried to organise people into doing something. Their behaviour made no sense at all, and care staff used to try to correct it. THEN someone discovered that the person used to be a postman/policeman/teacher or whatever, and in their minds, they were still delivering the mail, teaching a class or whatever. Because the staff knew what was happening, it was easier to deal with.

Sorry, I've rambled on a bit.
 
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Andy Gilbert

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Hi,
I'm sorry to hear your mum has dementia. Mine does too; it's an awful condition. :(



No disrespect intended, but I hate the term "dementia victim".
The Alzheimer's Society teaches that some people live with dementia - and with a change in attitudes and the help of those around them, they can even live well with dementia.
Yes, of course it's a rotten condition, but the word "victim" tends to invoke pity for the person which may, in turn, lead to a difference in the way we treat them. Someone with dementia is still the same person they always were, it's just that you may have to look hard to find it; it may get hidden as the illness progresses. My mum, for example, can barely speak and I'm certain doesn't know who I am - yet she can still give me the same "look" as she did when I was a child. In her head, she is doubtless the same person as she was back then and may even think she is the same age - it's only us, on the outside, who know different.



It's only WE who know it to be a lie.
In your mother's world, your father is still around/alive; this is reality for her.
Not knowing where he is may well make her anxious and she may be unable to understand why someone is contradicting her or fobbing her off.
My mum used to say things like, "I don't know if your father will be home for lunch", or "I don't know what your father does these days; he leaves home before I get up and comes back after I've gone to bed". In fact, my dad had died several years before - but in her mind, he was going out a lot/having an affair. I found it upsetting, and pointless, to keep saying "dad's dead, mum", so I used to say things like "I'm sure he's thinking of you/he knows where you are", and change the subject. 5 minutes later, she may have said the same thing again, or she may have said "you know your dad died, don't you?"

The way Dementia Friends explain it is:
Imagine that the person who has dementia is 80 years old and represented by a bookcase. Each shelf is packed with books, and each book represents a memory or event. The books at the top are very recent events; what they had for breakfast, getting dressed, opening the morning post, or whatever. The shelves lower down hold memories from retirement, early parenthood, pre-marriage and childhood.
Now imagine that this book case is hit by a storm - called dementia - and starts to sway and then rock violently. The books start to fall off; with the books on the top shelves falling first.
The storm continues to strike. You may soon find that the top shelves are empty, or almost empty, of books, and the first shelf with any books on represents a time in the person's life when they were in their 50's. So this is their reality. They have no memories after the age of 50 - or few, because we can't tell which books are going to fall and which remain. This will mean that modern gadgets and technology will be completely unfamiliar to them.

This is what is difficult for us. We have all our "books", and are trying to live now and remind our loved one about now, or a recent time, when in fact they don't have any memory of it and quite simply won't know what we are talking about. We need to discover their reality, and live it with them.
I have read accounts of people in care homes, for example, who walked around bending down at each resident's door for a few minutes, or tried to help people across the room, or tried to organise people into doing something. Their behaviour made no sense at all, and care staff used to try to correct it. THEN someone discovered that the person used to be a postman/policeman/teacher or whatever, and in their minds, they were still delivering the mail, teaching a class or whatever. Because the staff knew what was happening, it was easier to deal with.

Sorry, I've rambled on a bit.


This is a great response.

I am running a project in the UK to help churches and church leaders understand dementia and how they can support families and those who are living with dementia.

It is so challenging for those who have faith when someone they love is diagnosed. We have a blog on our web site www.dementiafriendlychurch.org.uk which tackles a number of areas and as this develops I will definitely look at this area where what is the right thing to do and faith seemingly clash.

In this case at that moment the reality the person with dementia is quoting is their reality. So to enforce the truth over this becomes very distressing to the person living with dementia. It is far more important for them to remain emotionally happy as this stays with them longer than any memories. I think my advice from a Christian perspective would be to move the conversation on and try and change the subject. 'I know he always was late' 'or that's how we love them' Shall we ............ ?

Only you know in that moment what is best as dementia can be so tough on the family of a loved one.

Praying for you and your mother
 
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