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Adult day care. She needs something to keep her occupied when you're not around. ADC,she'll get fed, entertained,conversation with others, and outings.
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Take your business phone number off her list of contacts.

And stop thinking you are the only person who can make sure she receives the best care. You say things don't go well when there are hired caregivers. You call this going well, when you are the caregiver? There will be teething troubles, and there will always be good and bad days, but what you have to adjust to is the new concept of "it's okay not to be okay."

E.g.: your wife wants to know where you are and repeats the question every fifteen seconds because she doesn't have your number on her phone. She is anxious and agitated. It takes time to reassure and then redirect her, and it takes each new caregiver some time to get into her routine in order to do that, and when you return home you find that there has been a bit of an emotional and behavioural rollercoaster going on for the last few hours. So it isn't rosy - but it's okay. Your wife is fine. No harm has come to her.

Learn to be off-duty sometimes.
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My father has vascular dementia which was diagnosed in 2013. He has declined a lot now and he used to call me on my mobile over and over again until i answered. He would call during the working day for silly things like he needs fizzy drink or cigarettes. He would call to tell me he thinks he is going to die. I got to the stage where i just didn't answer my phone. He couldn't leave a message. He kept calling and calling. It got the the stage where i had to keep my phone on silent and in my pocket so i couldn't see his number coming up on the screen. It annoyed me everytime i saw it. I have never had a good relationship with him. I live with him still but i have my own space. He doesn't call anyone anymore in fact he has forgotten how to use his phone and for a few months now he hasn't called. I found his phone a couple of days ago whilst clearing out some of his terrible hoard. He has been in hospital for a few days following a fall. I took the opportunity to clear out. When i found his phone it was switched off and battery had died. I took it away so now he doesn't have it and probably doesn't eveb remember having it. I'm safe for now until he asks for it and if he does ever ask i will just say i don't know where it is. Where did you last put it. Off course he wont know but why should i know. He is a very difficult man and will be angry when he gets back to discover i have cleared out a lot but so be it. He has no capacity now to be in control or make decisions or demands. He won't go into care either even though he now needs 24 hours care. He is refusing big time. Says he will never go in care. He wants to die at home. He is 83 and i expect time is short now. He is advanced stage i would say but not quite sure how they can tell at what stage he is at. There are apparently 7 stages to dementia. His is vascular dementia. Good luck with your Mrs. Hope the calls will die down.
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AnnReid, I understand what you are saying but my wife would never go to assisted living. She loves our home. For the most part, she is fine with her life. I don’t think she realizes what is going on as far as the Alzheimer’s is concerned
. She has everything done for her from meals, taken to doctor appointments (which she loves), taken out to dinner, taken for walks by a lake, shopping etc. Our girls are adults and I am very accessible. They are not. I guess I have to wait for the time my wife must have professional care. She would not accept going now. In the meanwhile, I’m stuck and have to be responsible. I wish things were different. No one seems to realize what a heavy load I carry. The daughters don’t. One will jump in for a couple of weeks here and there if I have to go out of town on business. The other daughter avoids helping but that’s because she has some emotional issues not related to what’s going on with myself and my wife.
Getting help from our girls on a scheduled basis has been tried. I’ve asked but they don’t follow through. I love my kids and don’t want to stress them with demands. They have their own lives to live. Thank you for your encouragement. I really appreciate it.



Ydjc
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ArtistDaughter Dec 2019
I think you are talking yourself in circles. I did that too. I would tell myself Mom couldn't go to assisted living because she didn't want to. I was going crazy dealing with the care givers, my job, her house, my house, cooking for us, walking and taking care of a sick dog, getting groceries, doctor appointments, and trying to keep up with my art career. Oh, and my husband kind of wanted some attention. What would fix it? Assisted living. But she didn't want to go and they wouldn't let her dog go with her. But I was going crazy. Then the dog died. Really really sad, but one excuse was gone. And the dog had been her anchor. Mom went down hill fast. Two months later I moved my mom to assisted living. Not easy. Really emotional. And it took a lot of time and physical effort to get it done. It actually is an option for you. I suggest you at least look into it.
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I would get a consult with an Elder Law attorney well versed in Medicaid and other programs your state may offer for AL, MC, etc. Some states do offer AL or MC for those who require it by doctor's prescription and who qualify financially. Often the house is not a factor, if the qualifying party is married and nonapplying party lives there. Don't assume anything about qualifying, unless, you get it confirmed. I'd likely get two expert opinions on it.

When people with dementia repeatedly do and say things, it's likely because they forget they just did it. So, there is no way to convince her to stop. She may get tired and stop on her own or the phone could be removed from her access. It might help, if there is someone with her to tell her, the reason you are not answering her call is because you are driving and it's not safe to answer the phone when you drive. Of course, they will need to repeat this explanation over and over. She will likely do other things that are equally frustrating and exhausting. And, she will need to accept help from someone other than you. It's not feasible for one person 24/7. It's likely she will start repeating the same statements over and over too. My LO would say the same sentence or ask the same question 100 times in one hour. There is no real way to prevent this.

You can read online on sites like this one about how a spouse may care for a person with dementia in the home and all that it entails. I'd also read about the progression and what that will mean with regard to repeating, mobility, sleep disruption, incontinence, pacing, wandering, etc. It's a lot to consider. It's really about the reality of what level of care she needs and will need as she progresses. The strength and bravery of the caregiver is not really at issue. To me, it's more of practical thing.
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Sighman Dec 2019
Sunnygirl1 is a good name for you. You combine logic and your experience in a very helpful way. I find myself snapping at her when she repeats the same thing. I feel very bad about reacting but I am frustrated and don’t see life in a positive way. I plan to see an Elder Law attorney, I just need to be able to get away for enough time. I know she can’t help repeating the same thing but I can’t help being frustrated and snapping at her, then feeling terrible. I need to spend more time looking for tips online. It’s just hard. I feed her healthy meals, do everything she needs except to givein to her demand for constant attention. Thanks for your response to my cry for help. I appreciate it.
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Good answers here already. I understand about the constant phone calls. My mom did that. She had been a telephone operator, so the phone was basically attached to her head. When I moved her to assisted living I thought the calls would continue. They stopped entirely. She forgot how to use a phone! And she has other things to do at her assisted living, so she never really thinks to call me, except when she has a UTI and gets completely confused, refuses her medication, and bath. Then she has the care givers call me. You most certainly need to have some alone time to finish your thoughts, get work done, and oh, maybe relax once in a while. Maybe check on medicaid and the cost of assisted living, or at least adult day care. I know reasons for not doing those things are in your head, but continuing as you are will not make things better. Perhaps just beginning to change the situation will make a difference in how you feel. i hope you find something that works.
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Sighman Dec 2019
ArtistDaughter it sounds like you have a way to lose yourself. I’m just joking but if you are an artist that is a great escape. Almost three years ago I was given a really nice set of water colours, several pads of paper, brushes etc. Can you believe I haven’t had enough time to even start a project, let alone finish it. She will come in to my office, plant herself on the sofa and ask me “what day” it is over and over. I will be happy when she forgets how to use the phone. I never did the 5 year look back and so Medicaid may be an issue. I guess I had my head in the sand and for all it’s worth, the reality of it all is just starting to hit me. Thanks for your input and encouragement. I need all I can get.
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First, the home is not considered in the assets when it comes to Medicaid. You will be considered the Community spouse. Assets will be split with your wife's part being spent down.

Really, a Dementia patient should not be left alone. You never know what they will do. Think of her as a small child, would u leave them alone.
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Sighman Dec 2019
JoAnn29, thanks for the info regarding the house. As far as leaving her alone for a little while, she will either sleep or sit in front of the TV. Sometimes she seems almost normal but can’t or won’t do anything to help herself. My daughters help by staying with her when I have to go out of town. Other than that, it’s hard to get them to commit to any kind of schedule. One daughter works from home and can work from anywhere. The other daughter is not able to cope with the situation and has her own problems to overcome. The fact is, I am pretty much in this alone. I would not leave her unsupervised if I thought that it was unsafe. My options are very limited as selling my business is not one of them, at least, not now. Money seems to evaporate with all of her needs. If you worked the numbers it would appear that we are well to do. Sadly, the burdens of her care, meds. Insurances, optical, dental, disposable underwear, foods and everything else are eroding the reserves. It’s a balancing act and I commend all the people who are caregivers.
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Contact your Area Agency on Aging and see what services your wife qualifies to receive. Like you, I thought my mother would not qualify for anything because she owned property and then a shared the funds from the sell of that property with my father. It turns out in my area there are programs only income and need based and some (like adult day care) are only need based. While my father lived in MC and their shared funds were used to pay for his MC, my mother could quality for community Medicaid which offers in home care giving and housekeeping hours and a stipend for AL or MC. As Dad's guardian and Mom's POA I would need to agree to allow recovery of the Medicaid expenditures from the shared funds only after both parents died.

Adult day care could extend the time your wife can remain in the home and give you several hours each weekday to attend to your own concerns, but I also recommend you begin looking at MC's because sooner or later the day will come when she will need to be placed for 24/7 supervision and care.

I also recommend you set your cell phone to block your wife's number when you need to meet with others or attend to business details. Most cell phones allow you to setup a personal vm message for blocked calls by number. If you wife still has reading comprehension, you might want to try write her a note when you leave stating in general where you will be and when you will return, along with who is staying with her.
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Sighman Dec 2019
TNtechie You make some good suggestions. I hadn’t thought about contracting area agency on aging. As far as daycare goes, she would never go. She still goes out to dinner with me and a few couples we know well. She knows enough to keep quiet during conversations. I don’t think she is following what’s being said but she seems to know that, I think? Taking her phone or blocking her calls wouldn’t work. She does need a phone if I’m gone for a few hours. As far as blocking calls, there could be an emergency. I really don’t have a lot of help. My wife was never one to get close to people and have longtime girlfriends. Our daughters aren’t committed on any regular basis. I think they want to pretend it’s not happening. I wish I could pretend it wasn’t. Thanks for your advice. All is welcome and appreciated.
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You don't have to sell your home for her to get assistance, it might be worth your time to go to Medicaid and find out if or how she qualifies.

Honestly, I would block her calls when you leave the house and need a break. You matter in this situation as well and you need a break, period.
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Sighman Dec 2019
Isthisteallyreal is exactly how I feel. I know she does not qualify for Medicaid now. That could change but I’m not expecting it to at this time. Blocking her calls could be a problem when she is alone. I will however try doing it when someone is with her. Thanks for the encouragement and telling me that I matter!
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Shut off your phone when you go out & your problem will be solved. I suggest you contact an Elder Care attorney who can advise you about Medicaid and long term care available for your wife; just because she has a home does not mean she can't or won't qualify for funds. If not, you can always consider selling the home, downsizing, getting enough cash in hand to place her AND get a nice place for yourself.

A person with dementia or Alzheimer's doesn't have to be in the end stage of the disease to be considered 'ready' for Memory Care. My mother has moderate dementia & has been in Memory Care since May; and in Assisted Living for 5 years prior to that.

Caring for a person with the issues your wife is experiencing becomes TOO MUCH after a while. You are only human and entitled to a life of your own. Your wife is also entitled to get 24/7 care by people who are trained in dementia care and know how to deal with her. MCs have activities specifically designed towards people who suffer from the various brain diseases. 3 hot meals a day and 3 snacks. Outings to various places like ball games and museums.

Don't immediately brush off the thought of a Memory Care or Skilled Nursing community for your wife before you get proper counsel on the matter. Dementia will normally reach a point where it becomes literally impossible for them to be cared for at home ANYWAY, so the sooner you look into your options the better.

This does not make you a 'bad' husband. It makes you a husband who's reached the end of his care-giving rope, my friend. I work as a front desk receptionist in a Memory Care community and I see men every day who come in to visit their wives who they had to place here. One gentleman comes twice a day. It's a win-win situation because they BOTH have lives now, versus neither of them.

Many of us come off as 'pillars of strength' but are crumbling inside. Trouble is, we've spent too long thinking and worrying about others and forgetting about ourselves! Just b/c your wife has a disease does not mean you get to neglect yourself. Get busy looking into what changes can be made to make YOUR life easier!

Best of luck!
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Sighman Dec 2019
lealonnie1 I will be contacting an Elder care attorney. I should have done this a while back but I had some major business issues I had to, had to deal with.
Also, I need my phone on for business. I have a very demanding workload and moved my office to my home so I could care for her. Downsizing is on the agenda. I’m getting the house ready to put on the market as soon as possible. I don’t think she is at the point where she would go to a MC facility. She doesn’t realize there’s anything wrong with her except for being forgetful. She still bathes, toilets and dresses herself. She likes to eat and loves sweets. She watches TV or sleeps all day. I take her to appointments with doctors, I take her shopping when I go for groceries. She is a problem but she likes going out anywhere so I take her along. I can still take her out to dinner and to the dog park with our loving mutt! I will take her for a walk along the lake nearby and try to be as nice as I can. As I said, I should have left years ago but I didn’t. Now, I can’t because it would be just plain wrong. She has always been on the selfish side and expects to be cared for. I’m doing all I can but the future scares me. She wants to be with me every second of every day. I know she can’t help repeating the same things and I can’t help getting frustrated and annoyed. Our adult daughters help some but it’s not something they’re compelled to do. They have their lives and I understand. If this was that movie where the man reads from a diary and stays alongside his wife through her Alzheimer’s journey, that would be
the perfect solution in a perfect world. I have stayed through obligation and the need to be a decent human being. However, there is nothing romantic about Alzheimers, my life or my life with the woman I married a long time ago. Like I said in my cry here for help, I’m in it for the long haul. At the same time, I’m lost and feel very much alone. I appreciate this community very much and thank you for your suggestions, all very welcome.
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You have all my sympathy. Changing phone numbers is a trial, but could you set up a new ‘business’ number, so that she calls the old number and just leaves a message? Can you open up to the ‘everyone’ who sees you as a pillar of strength, and tell them what’s really going on? Best wishes, Margaret
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Have you considered the fact that whether you think your wife needs to be in residential care or not, YOU may need her to be?

Functioning as well as she does, she might be eligible for Assisted Living, and that in turn may be less expensive than the costs you were considering.

Take some time to address what your feelings are about where YOUR life is. You are fortunate enough to have children who love you, and deserve a more accessible dad. You’ve paid your dues.

You may even be surprised that your wife does even better in residential care than at home.

Consider all your options. It may be time.
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