Dementia is a beatch

Been a couple of weeks.

Dec was perfectly horrid, latter part of the month till last week was pleasant and no major issues. Dementia patients don't have cycles, but I call it that, because I can see the behavioral changes, some times it sticks around for a few days. This last cycle remained for nearly 4 weeks of hell. Current cycle isn't too bad....still little issues here and there but I am in much better mood my self...

On the plus side the new kittens have taken a liking to her, while she doesn't interact with them much the one boy will come lay down next to her on the couch, and she enjoys it very much.

I know pets can help dementia patients, and my mom was never a cat person, for her to take a liking to the kittens and growing attached has made some improvements to her mood, which is great.

And the boy is a real sweetheart with a very mellow attitude. perfect for her.

But yeah some good news for a change at least...
 
Have you looked into a stay on premises nurse?
Family all contribute to pay her salary.
 
Have you looked into a stay on premises nurse?
Family all contribute to pay her salary.
"family" pffffft. they wouldn't even club in getting her a hospital bed. My brother eventually assisted. The family other than my brothers are off no help....and they have been written off entirely, blocked on whatsapp and I don't respond to emails. So fk em......finish and klaar, I ask once and then youre dead to me...

But yeah what comes around goes around I guess, the one member needed urgent brain surgery blood clot, the other has a pace maker and long standing issues with his heart, ended up in hospital was throwing clots and had a stroke, another had issues with birth and the baby.

All of this happened within span of 2 months after they all told me to go fk my self....most of them nearly got rekt.

Karma ? Have no idea whether karma actually exists if it does, it is doing a pretty good job so far.

Yeah I know it is mean and all that, but honestly I was a breaking point a literal mental meltdown on the way.

Can you imagine having to endure her banging on her nightstand at 2 am night after night, falling out of bed having to clean p iss and shyte, because she wasn't able to make the portable toilet next to her on time.

Yeah fk em......


Also rural area, discovery would pay for one, but I am like 170Km away from a major city.

I think we are over the worst aspect of the dementia it sort of settled now, still little annoying quirks and occasional head butting, but it is 1000000 times better compared to what it was in june.

People just have no cooking clue what it is like, unless you can experience it, trying to even remotely explain doesn't cover the half of it. Imagine taking care of an adult sized cat....will of their own, doesn't respond, and want to do things her way.

I have spoken to some online friends and she had friends that couldn't handle it and unalived themself. As much as the dementia patient needs attention the people that take care of them, need to taken care of as well.
 
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Time for an update. Hospital phoned today, she is in rough shape enough to recommend hospice care. So pretty much nearing the end now. Don't worry entirely fine with it I said my good byes 18 months ago

Had some choice words for the family WhatsApp group. The family kept on treating me like shyte and had about enough, and no longer be used as a floor mat. So yeah, had a good go at them. I don't mind being the arse, or the black sheep someone needed to step up and be the voice and advocate for her. Sure as hell wasn't them.



Lets make it perfectly clear. I don't need you to tell what fcked up and how dysfunctional this family is. If you going to disrespect me I am going to reply in kindness, you haven't seen that side and you will regret it. I am not a stranger, I am neither your cum rag in the back of a closet, you treat me and my immediate family with a modicum of respect they deserve or you fk off back to your ivory tower.


I told everyone 18 months back she has FTD dementia, but that fell on deaf ears and no one couldn't care less. Fck you very much for that. It is perfectly clear you don't have a cooking clue what I had to endure the past 18 months, the physical and mental abuse I suffered and will never fully recover from, shyte and pee and vomit I needed to clean. Being called a "box", scratches and being slapped. Being woken up at 2 am because she wanted to know what time it is, nights I had to got sleep in the car in the garage just to get 3 hours sleep. Not being able to do much of any work, because I have a spineless family.


The fact that total strangers donated more to her cause than most family members. She needed a bed with railings, to keep her safe and secure, as she would fall out of bed at night and I would find her on the floor shivering in the mornings.


So excuse the shytty attitude, because you decided it would be a good idea to throw things in front of me of things that happened in the past, which I might add you got so wrong of this person did this or that ect. Fck your pity party. The fact that you use that, doesn't make me a shytty person, it makes you a shytty sister and just a general piece of shyt person to use that to guilt out of your responsibility as a human being and a sister. Have some god dam self-respect, having to stoop so low.


I have a shytty attitude because someone has to have a voice for her, because you all seem to have an identity crisis whether she is your sister. Someone has to fight for her, sure as god-damn well wasn't you.


So don't think I will stand down, I have the high ground here, you made the distinct choice of having a beat down with someone that doesn't have feelings to get hurt by a sorry excuse of a blackmailer.


The fact that you were told she has FTD dementia which is terminal and not look it up your self or ask further questions nor show and further interest as to what it entails, is not on me, that is entirely your own fault. I blocked you and shut you down on advice to keep the peace rather that call you out as two faced for trying to throw the past in my face as having done enough.


That pissed me off, and it is much easier just to ignore you and not having to deal with your shytty antics. My own dignity and self-respect is entirely intact, I have fk all to be ashamed about.
 
Time for an update. Hospital phoned today, she is in rough shape enough to recommend hospice care. So pretty much nearing the end now. Don't worry entirely fine with it I said my good byes 18 months ago

Had some choice words for the family WhatsApp group. The family kept on treating me like shyte and had about enough, and no longer be used as a floor mat. So yeah, had a good go at them. I don't mind being the arse, or the black sheep someone needed to step up and be the voice and advocate for her. Sure as hell wasn't them.
Sorry to hear. Just a warning, when the time comes some things are better, other things linger. You will need to give yourself time to process and mourne especially with the complexity and difficulty of the care you were involved in for long.

My close friend with Dementia passed away two + weeks ago now. Had a fall with multiple broken ribs and never came back from hospital. The shock caused fluid buildup in the chest cavity, and then she went into sepsis and multi organ failure. Had to make the call to not escalate treatment when her kidneys started failing. Was very very hard and I still miss her despite all the Dementia side of things. I figured I would be OK with it considering how her quality of life had declined and how much she hated being a burden on others but I have been surprised at how I still regularly think of her. Last night I struggled to sleep as I started dreaming about how I could have handled her move to a care home back in 2021 better. If all the times for that to come back.

So all the best, and I hope she can pass peacefully. More importantly I hope you are at peace once that time comes. I assume for you what I am experiencing will be magnified many fold as she was your mom. Time helps a lot though I hear.

Still sitting with a box of ash in my house trying to decide how best to handle that. Don't want to rush it, not so much for her as for myself. Don't want to look back with regrets on that front by rushing things.
 
Sorry to hear. Just a warning, when the time comes some things are better, other things linger. You will need to give yourself time to process and mourne especially with the complexity and difficulty of the care you were involved in for long.

My close friend with Dementia passed away two + weeks ago now. Had a fall with multiple broken ribs and never came back from hospital. The shock caused fluid buildup in the chest cavity, and then she went into sepsis and multi organ failure. Had to make the call to not escalate treatment when her kidneys started failing. Was very very hard and I still miss her despite all the Dementia side of things. I figured I would be OK with it considering how her quality of life had declined and how much she hated being a burden on others but I have been surprised at how I still regularly think of her. Last night I struggled to sleep as I started dreaming about how I could have handled her move to a care home back in 2021 better. If all the times for that to come back.

So all the best, and I hope she can pass peacefully. More importantly I hope you are at peace once that time comes. I assume for you what I am experiencing will be magnified many fold as she was your mom. Time helps a lot though I hear.

Still sitting with a box of ash in my house trying to decide how best to handle that. Don't want to rush it, not so much for her as for myself. Don't want to look back with regrets on that front by rushing things.
Yeah I have DNR and advance medical directive in place.

I already spoke to her with what she wants done with her ashes, she wants to be in Mosselbay. Just seeing what I can do now with regards to hospice care.
 
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Lol the saga continues.....

I am pissed off again on my 3rd brandy now, all of a sudden the "family" want to do something now, after they have seen what happens when you rub me the wrong way.

I am not an aggressive person by nature, but don't fck with me we will get along just fine. Spoke to one of my friends, and she said she would pay good nothing to see that, only told her we won't be friends afterwards. lol

But anyway, the one sister wants to contact various hospices, but I must give medical aid and proof of income details. My reply was simply, her private information stays private, the hospices can contact me. I wasn't born yesterday, and I am not giving them any private information that is none of their business.

It is not that I don't appreciate the "attempt" being made, but rather there are ways to go about it, that doesn't involve giving people private information. Her income is her income, this can be directly discussed with which ever hospice makes contact.

However something I mentioned to my brother is sticking her in which ever hospice is not ideal either. Sticking her in a hospice is great and all and a victory for your self conscience, it doesn't mean the actual care she will be getting won't be any different to the current care I can provide at home. I have been doing it for the better part of 18 months anyway. The care could be a lot worse, the cheapest hospice isn't always the best hospice care either.

I have zero idea, whether she would be taken care of appropriately, either. The industry is rife with abuse and neglect stories.

What is pissing me off now is that I am suddenly incapable of taking care of her.

I have been taking care of her for so long, I know her habbits, moods and everything in between. I have had to strip her naked and clean shyte and piss and wash and clean her more than anyone should ever have to deal with. So why all of a sudden. ?

Lol fck me, they're going to end up making me an alcoholic with the retard antics.
 
Lol the saga continues.....

I am pissed off again on my 3rd brandy now, all of a sudden the "family" want to do something now, after they have seen what happens when you rub me the wrong way.

I am not an aggressive person by nature, but don't fck with me we will get along just fine. Spoke to one of my friends, and she said she would pay good nothing to see that, only told her we won't be friends afterwards. lol

But anyway, the one sister wants to contact various hospices, but I must give medical aid and proof of income details. My reply was simply, her private information stays private, the hospices can contact me. I wasn't born yesterday, and I am not giving them any private information that is none of their business.

It is not that I don't appreciate the "attempt" being made, but rather there are ways to go about it, that doesn't involve giving people private information. Her income is her income, this can be directly discussed with which ever hospice makes contact.

However something I mentioned to my brother is sticking her in which ever hospice is not ideal either. Sticking her in a hospice is great and all and a victory for your self conscience, it doesn't mean the actual care she will be getting won't be any different to the current care I can provide at home. I have been doing it for the better part of 18 months anyway. The care could be a lot worse, the cheapest hospice isn't always the best hospice care either.

I have zero idea, whether she would be taken care of appropriately, either. The industry is rife with abuse and neglect stories.

What is pissing me off now is that I am suddenly incapable of taking care of her.

I have been taking care of her for so long, I know her habbits, moods and everything in between. I have had to strip her naked and clean shyte and piss and wash and clean her more than anyone should ever have to deal with. So why all of a sudden. ?

Lol fck me, they're going to end up making me an alcoholic with the retard antics.

Hang in there man. Lost my mom to dementia during lockdown.

I can’t think of anything better to say than the Afrikaans “Sterkte”.
 
Hang in there man. Lost my mom to dementia during lockdown.

I can’t think of anything better to say than the Afrikaans “Sterkte”.
Yeah people don't quite understand as I am sure you do, you have quite a bit of time to make your peace and say your goodbyes. So I am not really concerned with emotions at this time, more of a relief of the suffering is coming to an end. I am however emotional with the fcked up family.

As you know it gets much, much easier towards the end to manage them. either way I am getting 18 months worth of day drinking.

Either way I asked the doc to keep her there as long as discovery will allow her stay, doc said as long as she is needing wound treatment they will allow her stay, it is as good an excuse as any. The longer the better. At some point she will weaken to a point where I will need to send her back to hospital again

I will likely have another booze train day once that happens.

That said I want her to have a dignified death in her own home surrounded by love and affection and familiar surroundings. It could be another 3 months or a year. I don't I know. But progression and decline is rather fast.

I worked through all my feelings and emotions.It is hard to explain, but she is of already dead to me. I think it is relatively hard to explain to someone who hasn't been in the same situation. Mentally, I am prepared as best as one can.
 
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When things come to a point its always much tougher. Everyone suddently wants to be involved, they want to feel better about themselves and they don't care that they are taking more from you.
I know you have been preparing as best you can but please take care of yourself, know there will be better days and you did the best you could.
Drinking away the stress/emotions is always tough, it really only makes things worse even though it gives you some time to just feel nothing. If you can find another healthier outlet it will make the world of difference. A punching bag to beat up, a run with music to a park bench to sit and chill and just be for a while are some ideas you can try.
 
When things come to a point its always much tougher. Everyone suddently wants to be involved, they want to feel better about themselves and they don't care that they are taking more from you.
I know you have been preparing as best you can but please take care of yourself, know there will be better days and you did the best you could.
Drinking away the stress/emotions is always tough, it really only makes things worse even though it gives you some time to just feel nothing. If you can find another healthier outlet it will make the world of difference. A punching bag to beat up, a run with music to a park bench to sit and chill and just be for a while are some ideas you can try.
Oh don't worry it isn't a daily thing, or anything like that. Just made my self a nice dinner, something she can't eat in general, and down to my last two sips. Then I am pretty much done. :)

A nice coffee and then I settle into watching a movie. I am not one to drink till I forget my name. Just lekker enjoying my self and not be a responsible adult. Just to be clear, it isn't emotional drinking or anything like that.

More a not be my self, I had to force my self to be the last couple of months lol. I do have some self-control lol


 
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Just sitting here and thinking about the whole fcked up situation. The family isn't making any contact with me, instead decided to contact my one brother instead. Ironically, the one that doesn't give a damn and hasn't contributed much either. lol

I think they are now well aware of my position and my feelings towards them Lol. It is a life lesson you learn only once, and it leaves a considerable mark. The best advice I can give is to not be me, you might think you can handle it. But trust me however strong you think you might be, you ain't nearly as strong as you think you are. Not to be sexist or anything, but daughters should NOT ever do it, they are way too emotionally invested, and it won't end well, even as a son it will get to you at some point.

Just don't. I have gone through the worst of it now, and I came out shyte stained out the other side, to the point I have a hard time giving anyone empathy or emotion. You sort of have to emotional shutdown, and you do it for so long, it becomes second nature it gets hard sharing emotional connection with someone else.

it is going to take some time to mentally heal, even with the two weeks I have been "off" I have not been physically productive in any way or form.

Make time for your self, do it, from day one. Get up your family's ass and stay there till they eventually relent. You need downtime as much as you can get, your mental well-being is even more important than the well-being of your parents.

Find a place to sleep as far away as possible from their room, get ear plugs.

No candles, no open fires.

Declutter every thing in their room.

Get plastic cups, plates, water bottles anything that won't break if thrown, they will throw stuff

Get a hospital bed with railings, the higher the bed can raise, the better.

They become a dead weight, moving them becomes hard, will become impossible. I have a shower and a waterproof wheel chair, I can push her into the shower and clean her.

For females, you have to stay on top of them with nappy changes, as often as reasonably possible. They are especially prone to UTI's, you will need some extra care here, have stuff at the ready to deal, with UTI's or yeast infections.

Linen savers are your friend, they don't need to be sterile, puppy training pads are half the price and does exactly the same thing.

Waterproof everything, especially bedding, there will be accidents and numbers 2 that will have you gagging for air, I call them sloppy joes.

Avoid laxatives if you can, especially with nappies, you don't want deal with nuclear wast, so a good diet that promotes healthy bowel movements are essential.

If they are mobile, lock them in their rooms at night, for their safety. It is essentially to declutter their room, you want essentially just the basics, once they are no longer to move on their own you can relax a bit. But for their safety, they might still have the body strength to sit upright in bed. So place a soft mattress below the bed, with pillows and a blanket, so if they do manage to fall out of bed they are safe and secure and able to sleep where they fall.

Invest in earplugs, enough said.

Do NOT give in to their every demand and calls. Set up a routine and schedule and stick to it.

Overeating is a thing with dementia, so small regular meals.

Invest in a liquidiser, soup, soft foods ECT. Set meal times, and stick with it, do NOT give heavy meals late at night period.

Avoid spicy foods, rich foods, or anything that is acidic, like onions, tomato's ect, unless you want to avoid cleaning up vomit. lol

Avoid coffee, tea or anything with caffeine, unless you want to clean nappies every hour, basically avoid any diuretics. If they do drink coffee or tea it should be decaf period.

Limit fluid intake, especially water, that can lead to electrolyte depletion. Limit to recommended daily intake for age.

Some people get annoyed and agitated with noise, so avoid.

They eventually stop reading, or stop hobbies and social interactions, ECT. You will need to figure out a way or stuff to do to keep them active, they have the attention span of a 2-year-old. So nothing complex, stuff that can be done in a few minutes.

Just some stuff I learned over the last few months
 
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I've seen this more than I care to, it's so bad. I wish this upon nobody, and I wish there was a cure or preventative measures.
 
Appreciate the advice based on experience. 🙏
I forgot to mention. In regard to her death. Spoke to my brother, made it clear I am not holding a service for the family and if they want to have a service and gathering, they can do it on their own dime. I'm not giving them fck all, nor do I want to see a single of their two faced mugs.

It will be a direct cremation after which, my brother and I will drive down to mosselbay have a personal ceremony away from family politics, scatter her ashes and lay her to rest.

fck them. They don't get a say, nor will I allow them to have the last word, nor will I allow them to trample on her memory.
 
yeah damn therapist phoned me again today. Came to light that the family is contacting the hospital behind my back, giving them instruction, getting information and such instead of directly through me or my brother that shyte stops today. Altered it to remove the name and stuff


Send this to the hospital and therapist.

Authorized Contact and Decision-Making for my mom

To whom it may concern

I am writing to formally confirm that all communication, medical updates, and decisions regarding my mother are to go through either myself, or my brother,

No other family members, including siblings or relatives, are authorized to make medical decisions, request information, or provide instructions to the hospital or care staff on her behalf.

Please discontinue all communication and deny access to medical information to anyone other than myself or my brother. Any further inquiries or discussions should be directed to us directly.

We appreciate your understanding and cooperation in ensuring that my mother’s care remains consistent, private, and properly managed.

Kind regards,

Son of Patient

And send this to the family.
Hey uncle

I need to make this very clear — please stop interfering with my Mom’s care at the hospital, effective immediately.

All medical decisions and communication go through me and my brother. You don’t have any legal right to make medical choices or give advice on her behalf.

Also, neither my Mom nor any of us will be paying for hospice care. Even if you or anyone else offer to pay, I’m not allowing that — I’ve seen how that kind of thing ends, and I’m not taking the risk of being left with the bill later.

If you’re really concerned about her, you can contact me or my brother directly. Please don’t go through the hospital staff or caregivers anymore.

This is the final warning — I’ll inform the hospital and make it official that you’re not authorized to be involved in any decisions or discussions.

I’ve got everything under control. Please respect that and back off.


And yes my legal right trumps theirs.....
 
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yeah damn therapist phoned me again today. Came to light that the family is contacting the hospital behind my back, giving them instruction, getting information and such instead of directly through me or my brother that shyte stops today. Altered it to remove the name and stuff


Send this to the hospital and therapist.



And send this to the family.


And yes my legal right trumps theirs.....
Are you and your brother your mom's legal guardian?
How does that actually work because when people get ill and near the end of their lives that's often when the vultures start showing up.
 
Are you and your brother your mom's legal guardian?
How does that actually work because when people get ill and near the end of their lives that's often when the vultures start showing up.
I am her guardian, along with that I am added to all accounts, services, medical aid, bank as an authorised user. Basically in full control.

Even if I weren't, Adult children of a parent has priority medical decision-making power in the event the parent is unable to make an informed choice. Hospital follows hierarchy of spouse, adult children, ect. Considering even without POA, I am her agreed healthcare proxy, it isn't bulletproof thought.

However, if family disagrees, it can be referred to a hospital committee, or family is very much welcome to have their say, with getting a court order.

However, this back channel communication stops today.

They aren't vultures, even if they were they have a fat surprise waiting for them. She signed a will with two strangers signing as witness some time ago, long before being diagnosed. So even if they want to contest the will it is pretty much water tight, she also won't be able to sign a new will, even if she does, in her current condition it wouldn't be valid.

Another nice fck you is the pension fund clause 37C of the pension fund act, The pension fund trustees have the final say regarding who gets what, and considering I am her dependant, it is likely to overrule any nominations or share she put forward. It is a "nomination" doesn't actually guarantee, your place at the table.

Pension fund is not part of the estate either.

My mom was at least smart enough to not have any pitfalls, she also has no outstanding debts, bar a month-to-month cellphone contract and DSTV.

The only thing that she didn't exactly take care of is her funeral policy, which is only 10k, so some years back I took out one and added her on it, funeral costs as much as 15k, and then some additional fees and transport ect. My brother also has one for her, even my self. Her policy, however, pays out 1k for 6 months to help with things, it isn't much but at least it is better than nothing.

So yeah her estate will be mostly uncomplicated.
 
So yeah time for an update.

Struggling here a bit. They moved her from the hospital to a rehab center. Discovery signed her up to the Care Co-ordinator program, which gives her an additional 2 weeks of rehab care.

But the reality is hitting home, and not dealing with it well at the moment. She can't come home due to having progressed needing 24/7 care now. If she comes home she is going to, is going to need my full attention for whatever time she has left. She has lost a ton of weight, we know we are getting towards the end stage now.

I am fine with her dying, it is the part of her being with me 24/7 since 2000 that is getting to me. I have been alone for more than a month now, that aspect is catching up with me.

You would think being alone, would be a holiday, but turns out you end up having more stress expecting a call she has passed or something. Still suffering from PSTD from last year, still wake up in the middle of the night at the slightest noise, getting less sleep, and roll in bed endlessly.

I am scared for when the depression eventually hits me, I have a impressionable personality, it wouldn't be take much to turn to drinking or some other thing to cope.

Just trying to work it out, she isn't dead yet but honestly she might as well be.

So yeah I am fcked either way.
 
So yeah time for an update.

Struggling here a bit. They moved her from the hospital to a rehab center. Discovery signed her up to the Care Co-ordinator program, which gives her an additional 2 weeks of rehab care.

But the reality is hitting home, and not dealing with it well at the moment. She can't come home due to having progressed needing 24/7 care now. If she comes home she is going to, is going to need my full attention for whatever time she has left. She has lost a ton of weight, we know we are getting towards the end stage now.

I am fine with her dying, it is the part of her being with me 24/7 since 2000 that is getting to me. I have been alone for more than a month now, that aspect is catching up with me.

You would think being alone, would be a holiday, but turns out you end up having more stress expecting a call she has passed or something. Still suffering from PSTD from last year, still wake up in the middle of the night at the slightest noise, getting less sleep, and roll in bed endlessly.

I am scared for when the depression eventually hits me, I have a impressionable personality, it wouldn't be take much to turn to drinking or some other thing to cope.

Just trying to work it out, she isn't dead yet but honestly she might as well be.

So yeah I am fcked either way.

The human condition bru. The best people I’ve ever met have been in mental institutions.

Why? They recognise their limitations.
 
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