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What happens to your sister is that she continues to decline mentally as her AD speeds up due to the abuse. Call APS and report a sick and vulnerable elder who's being subjected to abuse at home. If you bear witness to this, call the police.
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Rdbooks,
I'm not certain I understand your question. Do you mean what happens to them emotionally or cognitively or both?
The short answer to both of those issues is, it has a significant effect on their ability to maintain any semblance of serenity.
People with all types of dementia don't respond the way people expect them to but that doesn't mean they don't respond. The response may be physical or it may be behavioral and you have to pay very close attention, and know the whole story, to see the response.
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rdbooks: Report the abuse immediately.
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Everyone is not cut out to be a caregiver...especially someone who is dealing with their own age related health issues and possible cognitive decline. I don't mean this to sound sexist, but most men in my family have been taken care of their whole lives, they weren't the ones doing the care taking....they contributed to the household in other ways. Now it is being thrust on them late in life and they don't know how to handle it. I have a distant family member whose wife had dementia and he wanted to know why there was no cornbread in the kitchen. Well it might be because your wife no longer knows where the kitchen is or how to make cornbread! They just don't get it.

To answer your question...my personal opinion is that she should be placed in memory care. He is not going to be able to handle the bathing, the feeding, the wiping, the dressing, giving the meds, the redirecting, etc... Your sister needs support and kindness and help, not yelling and anger.

After you kindly suggest that she go to a place where she can get the 24/7care she needs and he can have some peace, he may need help figuring all of that out. Finding a place nearby for her and the figuring out the finances of it all are a real process.

That's great that you are looking out for your sister!
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What happens is hopefully she is placed and he is made to footbthe bill.
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Call APS at once and give details.
If they are not responsive call the police.
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Video the abuse. Call 911.

Or, contact APS.
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Your profile says that your brother in law is abusing your sister.

Report him. Call APS on him if you have credible evidence of abuse.
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This is very sad but I'm not sure what you mean by "what happens to her"?

Her husband is probably burnt out and you are right to be concerned. It is time for her to be admitted to the appropriate facility for the level of care she needs. Not sure how advanced her AZ is but she would fare better in AL or MC instead of with a burnt out or just mean caregiver.

It's not easy caring for someone with AZ. Maybe hubby is ignorant of how the disease works and how to best deal with it.
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