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Sorry, should have given more information and detail… Dad is turning 92 this weekend; when he turned 90 we solicited cards and sentiments from family and friends, it was great. We read the cards to him and he was both moved and gratified. Our AL facility has had MANY changes, to ownership, to personnel, etc. The long term event coordinator for Dad’s place is no longer there and with new ownership they ‘protect personal data / hippa info’ and no longer publish on monthly calendar the resident’s birthdays for the current month. State of flux, not certain what is now acceptable. Dad is wheelchair bound, suffers from aphasia via vascular dementia so very difficult to communicate. It is only me and my husband locally - suggestions accepted. We could bring in Mexican food which he used to love, but nothing is same as before, and I don’t really think he would want a ‘public acknowledgment of his birthday’, he is ever present, but quiet, in his community. So, just a happy birthday Dad, or ‘business as usual’? We see him three times a week and bring a chocolate milkshake. He makes minimal conversation - mostly ‘how is the dog?’ (No name) If I ask if he wants to chat with my sister, he says he has nothing to say. Really at a loss. Thoughts? Please? Thank you in advance.

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If it does not matter to him anymore, don’t do anything. Just being there with him is enough. Go out after your visit and have a drink in his honor. That’s what I’d do.
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Reply to Hothouseflower
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I always brought my DH aunt the big balloons with the year of her BD. Her aides would see them and tell her happy birthday. A small cake, candles, flowers and a gift. When she was able to enjoy we called others on face time and sang Happy Birthday to her. DH on his phone would call a couple and I would call a couple. She enjoyed it. We always included her room mate but didn’t do anything larger.
You mentioned he adked about the dog. Her dog had passed but if he had still been living I would have brought the dog for a short visit. That would have been a special treat. I took her dog to her once when she was in the hospital and she loved it.
Her last birthday was pretty flat for her but we still had it. She passed at 98.
I wouldn’t be able not to have it. It would make me so sad but I had given her a birthday party since she was 80.
She always received a few cards and enjoyed them.

Take his picture and give him a hug. Tell him to give you a smile. You will treasure it.
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Reply to 97yroldmom
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Agree residents not recognizibg one day from another, so just celebrate the day... if you can bring in foid that he can manage, perhaos yiur facility can puree for you as ours does. Fresh cookies from bakery. Musical card to enjoy. Staff placed card at table where my husband sat. Staff would periodically play the music, other residents enjoyed it. My spouse enjoyed a new baseball cao, always wore ine in retirement and lided mug from his brother. Just small stuff. I am sure those little treats you bring at very special abd enjoyed. At this stage, I believe these simple little joys are enough and not overwhelming. Have noticed in our memory care that, that resudents enjoy the snack size candy. Our staff remind them... your wife brought you candy, she left cookies for you to enjoy. Little things mean a lot. And daily life is tiring for them. Keep it simple. You mentiined asking about the dog, any chance you can get a stuffed ine for him ? Just mentioing what I see resident families bring in that are enjoyed. Helps all of us families with ideas to brighten lives of our loved ones.
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Reply to Memories42
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My mom's MC only does celebrations if the family provides things (cake, etc.) and sets it up with the director prior to the birthday. We have never used their activity director to do anything for a birthday, but have visited and taken presents. For her 86th birthday in memory care last week we decided to keep it simple. On Wednesday I took her a card and a small gift and some candy. I wished her a happy birthday and visited for an hour. She said she really didn't care about her birthday this year, but she was happy with the gift and treats. On Friday her niece visited and brought her a gift, candy and probably a card. Mom was pleased with both visits. We did not make her a cupcake this year and she never mentioned it. There comes a time it seems when doing too much overwhelms them. We seem to have found a happy medium for mom.
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Reply to JustAnon
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Kathyintex 9 hours ago
I agree - doing too much, sometimes doing ANYTHING seems to overwhelm. Thank you.
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I think one of the difficult adjustments that "we" (caregivers and particularly those that care for someone with any form of dementia) is that you have to realize there are no "special days" ..holidays, birthdays, anniversaries etc..
A day is a day, is a day. a birthday is no different than last Monday, Christmas is no different then next Monday, the 4th of July is just that the 4th of a month. (Only exception would be any military person that has PTSD and needs extra support on days like that)
This concept is difficult for many to wrap their head around.

So keep it simple.
Quiet celebration. Few people. No only are lots of people and noise difficult for many please be considerate of other residents.

He may have loved Mexican food in the past but can he handle it now? What may not have given him problems before might cause upset now. If he is eating more bland food now (most facilities keep food pretty basic) anything different might be problematic.
And be aware if he is on a soft diet or pureed foods he needs that texture to safely eat. Same with any thickened liquids.
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Reply to Grandma1954
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Kathyintex 9 hours ago
Yes, love that you said that - no more special days. They all blend into the same day eventually.
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For Goodness Sake, Kathy, at 92, it's time to give up the big birthday party. No need for guests, Mexican food, presents and celebration. He's not 12.
Your dad doesn't even know it's his birthday. If you really feel the need to do something, bring him a nice card which will make him smile. You don't really need to even acknowledge or tell him it is his birthday. He won't know the difference. And he won't remember.

I think it is so wonderful you and your husband stop by to see him three times a week and bring him a milkshake! Continue doing that.

The birthday celebration is for you. If you want to celebrate in style, then you and your husband go out for dinner and raise a glass to your dad.

Your dad's world is growing smaller. And it's ok. It is comfortable and manageable for him. It is normal as dementia progresses. Too much stimulation is only confusing and exhausting for the person with dementia. Their brain is struggling to make sense of everything around them. It is best to keep it calm, simple, and familiar.

As adults, I feel that every birthday does not need to be an event. I try and tell my dad and stepmom that every year. They look for any excuse to party, and every single birthday has to be a party. When my mom was alive, she had a way of making my birthdays feel special. It wasn't a big to-do, and her thoughtful, creative gifts were not expensive. Since she has been gone, no matter what anyone does, my birthdays just don't feel special anymore. It's just another day.
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Reply to CaringWifeAZ
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Kathyintex 9 hours ago
You are so wise, and so kind with your words. Yes, his world is growing smaller *as is mine :( *
Thank you so very much for your thoughtful, kind, logical response. I guess I just need to ‘let go’ and let God.
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There's no reason you shouldn't acknowledge his birthday. Since he's not very responsive, something simple and low key might be best. Maybe bake him his favorite cake, put on a few candles for him to blow out, and don't forget his milkshake🎂🥛♥️
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Kathyintex 9 hours ago
He is well known for the regular delivery of his milkshakes!
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I bought a sheet cake for Moms 89th. It was a small AL so everyone got a piece. I can see management not posting birthdays but that should not have anything to do with you having something for him. Moms AL had a party for the birthday month for everyone born that month.
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Kathyintex 9 hours ago
I always liked that celebration of monthly birthdays - miss them at the place…
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Of course you should celebrate your dads birthday even if it's just a small family gathering. Birthdays are gifts from God and anytime He allows us another year we should celebrate and be grateful.
Bring him simple things that you know he enjoys and will put a smile on his face, and make sure you sing Happy Birthday to him as well.
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Reply to funkygrandma59
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Kathyintex 9 hours ago
Thank you, we will celebrate and sing - I think just the 3 of us. Yes, my husband always says the alternative to having birthdays is dying… um, yeah.
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When my mom was in assisted living, our family brought in grocery store decorated cupcakes for her 95th and 96th birthdays. We planned this in advanced with with the AL. The staff handed them out at lunch in the dining room on her birthday, She was so happy and felt special when residents and staff thanked her and wished her Happy Birthday.
We did this through the dining department (who were familiar with restrictions) and there seemed to be no problem with diabetics or other special diets. Also, since it was AL the residents were aware of any dietary restrictions of their own. The AL printed that they were brought in by my mom on the daily menu. I think we were the only family to do this, but it was really fun.
You could also just do cupcakes or a fruit basket for staff to make them aware of his birthday and he will be thanked and greeted by everyone.
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Reply to Sandra2424
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Kathyintex 9 hours ago
Great idea Sandra - the AL has tons of sweet treats all day long *yes, I know…* but bringing the treats for the staff might be a good idea. They all love on him and would appreciate it!
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A small celebration with family sounds nice, even when it’s easy to see the changes in dad and his lack of interest. He’s still there and will appreciate it in his own way
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Reply to Daughterof1930
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Kathyintex 9 hours ago
Thank you! I think I will just be there and hold his hand like always ~
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I agree on making his birthday a little more special than other days. Yes, bring in his favorite food & dessert and plan something that doesn't require him to talk: like a simple board or card game, watching funny animal videos on YouTube, listening to his favorite music., etc. Maybe have other relatives and friends video brief birthday greetings that you can play for him (and this way he doesn't have to converse).
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Kathyintex 9 hours ago
Geaton, thanks again for your attention to a post regarding my Dad, much appreciated. Sadly, he has no interest in games of any kind, or TV of any kind. I think/suspect that he his MD *macular degeneration* has expanded so that he can no longer ‘see’ what is before him…
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I think a little festive visit by you is more than enough. Play some tunes from his era, bring some photos from his youth? Maybe that will put a smile on his face? You can also make a photo collage with a great young photo of him (high school graduation? Military portrait?) saying “Happy Birthday Bob” or something similar and hang it on his door if you think he’d like to hear happy birthday from the staff and other residents.
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Kathyintex 9 hours ago
Thank you for the suggestions ~ no interest in music, no interest in photos, no interest in old stories or events. Perhaps he IS interested, but his aphasia makes it hard to tell…
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Your profile says your Dad is 91, with a host of health problems that would depress anybody. He's lost his wife as well. I wouldn't blame him for not wanting to celebrate. He's kicking ass already if he gets up and dressed.

I started hating birthdays at 70, and try to hide it, or not let people find out. It's starting the downhill slide of life, and it depresses me to think about another year flying by and I haven't done half of what I wanted to in my life!

A CAKE is always good. Who doesn't like cake? He knows you thought about him and remembered. Don't forget ice cream!
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