I've not really seen this question but somebody might have already asked so if they did and I didn't see it, I'm sorry.
How do y'all deal in situations where your elderly relatives just say really mean things to people? Like for example if they tell the cancer center staff that they're fat or people in the store that they're ugly or other just mean/rude things?
I feel like I have to explain the whole situation every time, but I don't know that it does anything and it's really embarrassing. The medical staff has probably heard worse but the average people are really offended, like anyone would be when someone says something offensive to them out of the blue.
Sometimes the anxiety from the embarrassment is that, "just crawl in a hole and die," level and it's just... I don't know, it's a really bad feeling, but I feel like this has to be a pretty common thing, so if anyone has advice for how to handle it I would really appreciate it.
Often strangers can't tell that there's anything wrong with her mind so they just take it at face value.
piece of paper In your pocket that says “ please forgive her, she has Alzheimer’s/ dementia” and quietly show it to them when she’s not looking. It works.
Between caring for my dad and now my mom, I have almost 20 years experience with ALZ/Lewy Body Dementia. I agree there comes a time when you simply can’t take your loved one out. Mom is compliant and “normal” 98% of them time, but there are occasions where she speaks her mind or has annoying behaviors. We do try to hit “off times” so businesses aren’t as packed with people. “Normal” is relevant. We went to our fav Mexican Restaurant and the table next to us was a family of 6. The dad was doing magic tricks to entertain his children. They were LOUD, Screaming with delight, banging on the table, and carried on the whole meal. Mom was DELIGHTED! She smiled the whole meal. I admit I was annoyed and frazzled by the time we left but mom had the best lunch ever. It’s all in perspective. You should do what’s best for your situation while also having compassion for others and take your loved one wherever and whenever you can. And apologize as you feel necessary depending on the “infraction”. ❤️
These are the tough times and it sounds like you have your hands full. I looked at your profile and with all that your grandma has going on, I have to wonder why they are still living at home. You would be right to have them placed in care, a skilled nursing facility (SNF). You have to read the writing on the wall and understand that things will only get worse with time and you deserve to live a life of your own, not spend your days caring for elders who can no longer properly function. Time to wave the white flag.
This is not the first post on this or similar topics because aging tends to remove what filters were there and can either amplify or alter a person's behaviors. You're not responsible for the behaviors, but at this point, it sounds like they need to be in a SNF.
I stopped bringing my mom to sit-down restaurants when she took her dentures out in one and calmly wiped them off with a napkin. Thankfully, this was only witnessed by the owner and 2 patrons and I was able to signal my dismay to the patrons and apologize to the owner. The time prior to this, she had failed to put on a pullup and was incontinent in a booth seat. Omg, I was mortified, but I didn't apologize to the 2 rude young college boys seated nearby because they meanly sneered at us. I left a huge tip and got her out of there. That was it for outings; I should have stopped after the first incident, but no, it required two for me to realize that she was enjoying exercising some self-perceived freedom to flaunt social mores.
Barring having them placed, it's time to simply limit social interactions. There is little point to trying to correct these behaviors because either they don't realize, don't care, or they do realize and consider it their right to do as they choose.
Next time they ask to be taken somewhere, explain that you can no longer do this because they have said mean things to people and it makes you feel bad. See how they respond to being told 'no', it will likely be that they'll be miffed over this correction and it's unlikely to alter their tendencies, but it will serve to inform you of their cognitive capacity in social situations.
Find out from any caregivers coming into the home how they are being treated. If your Gparents are increasingly mean, you may have to start limiting your own exposure to this verbal abuse or loss of filters. Whatever you term it, when behaviors are so mortifying that they make you want to dive into that proverbial 'hole and die,' it's time to limit your personal exposure too. Time for SNF placement.
The aging, broken brain is a mystery and aging effects everyone differently. What we do know is that dementia advances and we need to make the personal adjustment to understanding that the loved ones we knew are no longer there in full and we have to let go of expectations.
This forum does help. The mortifying behaviors of the elderly are sprinkled throughout posts and responses, as are the means of coping with these advancing changes in our loved ones. Please begin to shield your heart to keep it from be broken and limit the occasions wherein your elder family members cause you such keen embarrassment. It's no one's fault.
Just a heads-up from a retired RN: Once they are in care, the medical POA should keep an eye on any new medications being given (legally, the MPOA has to be informed and give prior consent) or suggested for your elders. Some care settings will medicate residents when they are mean or combative and this has to be avoided and can be in most situations. I have personally seen an ALZ patient go from dancing in the halls (ah, but she was 'frisky' with male residents and staffing was too low to deal with her) to drooling in a Geri chair with a feeding tube placed within a 10 day period. I reported this place to the state agencies and was scheduled out of a job, but the place was taken from the owner's hands and run by a Lutheran corp. for the safety of the residents.
I wish you the best.
There's always the chance that dementia pts will actually open car doors while car is moving or become agitated with escalation in car or in store etc and the situation can quickly become unsafe ( for everyone) including the pt.
It may sound uncaring not to take them places, but it is actually helping them to not be put in situations where their words and actions would actually apall them if they could understand what they are doing. Help them maintain their dignity .
Practice self care ( take care of you!)
She was in passenger seat of my car & rolled down the window to say "Hi little boy," to a boy standing on the side of his Mom's car. He was shook & didn't respond. My Mom said "mean little boy." He heard. I told her not nice & that obvi he was raised/is being raised to not respond to strangers. She said in my car "I don't care. I can be mean if I want." I said, "OK...hmmmm...interesting."
She lacks social graces. I am on alert & will adjust if she keeps this up. I try to steer the grocery cart around other people/not go down an aisle if people are in it. She loves to comment to everyone, like she is at a social event from yesteryear (when she was even more inappropriate). She started to ask a younger man if he was married and I interrupted her..
Take deep breaths & keep your armor on when you are around her.
*Life is amazing. Upon us to make friends, to keep active, to make adjustments....to be easy on our grown Kids & G-Kids...to work on ourselves. Should be an honor to grow old gracefully & with class.
Obvi if mental or physical illness is present, a diff ball of wax. Ho hum.
Good luck.
I'm guessing your mom is very uncomfortable with new places and strangers; those comments might be ways to make strangers disappear.
I talk to my self, inside my head (mind talk) 24 hrs a day. I don't even like riding around with you and "the gang". Too loud, too much mental congestion. I feel like a captive audience, to endure your complaints about your life. Sorry, can't help it, been there done that, got the tee shirt, using it to scrub windows. Our filters have disintegrated. The truths we were raised with have been destroyed. Our foundation is crumbling beneath our feet. We see it, you dont. We're tired of pretending..All is well in the world...its not and we DON'T WANT to be out there in Your World. If you don't like what we've got to say, leave us home. We're happier there anyway
I've been in many situations with clients when they would see someone and remark on how fat they were or some other insult. I would tell them plainly and clearly that no one cares about their opinion and no one wants it. If someone actually does they will ask for it. I would also go on to tell them that if they cannot behave in public that I would not take them out anymore.
I worked for one old lady who always had something to say. One time we went into a restaurant and there was a bi-racial couple having lunch. The guy was black and the woman was white. Well, my client proceeded to start carrying on about it. Then the couple came over to our table and asked what her problem was. My client got all flustered and was acting shocked like she couldn't believe what was happening. Then she insisted we leave immediately. Nope. I told her I wasn't finished eating yet and that we'd leave when I was done so I ordered dessert and coffee.
ALWAYS call out a person's behavior when they're being offensive in public.
Sometimes seniors need to be embarrassed a bit to remind them about basic human respect and appropriateness. If they are so far gone with dementia that they can't understand anymore, they don't belong out in public places other than the doctor's office or an adult day care center. People who work in hospitals and clinics understand about elderly people, their "views", and the no-filter.
My husband's granny was completely there mentally and had the opinion that she had lived long enough to say whatever she wanted. She was a mean, nasty battle ax.
* Engaging in this behavior is not okay 'for the public' - you cannot expect them to understand a person has dementia - or that they even understand it. And, most of us in the field do not know how the brain actually works. We manage the behavior as best we can.
If you do not want to feel embarrassed, do not put your loved one in situations where this may occur.
Consider if medication is needed - to deal with the lack of impulse control.
Gena
Touch Matters
It might work, it might not but, at least the person will see you are dealing with someone having mental difficulty and are addressing their inappropriate words.
I have found most people are understanding.
Gena / Touch Matters
When a person gets to the point in their dementia where they have no filter or self-control they should not be taken anywhere other than to a doctor's office (the staff understands) or to an adult day care center for socialization.
If the writer here wants to curb (cease) her embarrassment, she needs to withdraw from setting up these situations to potentially occur.
I agree with some other person. A gentle answer can turn away wrath. Just keep it short and sweet say I’m very sorry they have dementia and let it go.
guess you could try to avoid people when you’re out that look like the kind of person that they would want to make a comment about.
Occasionally in private I would let the Mrs. know in a polite way I didn’t appreciate it but mostly I just let it go.
Talk to us & keep strength of heart knowing it’s not you who is doing it
I am not clear on your comment about "... in private I would let the Mrs. know in a polite way that I didn't appreciate it but ..."
The Mrs. (the inflicted person) won't remember, understand, know what the speaker is talking about. You are inferring that the person with dementia has the mental capacity to understand logic. They do not as their brain doesn't work as it did. Brain chemistry has / changes causing these issues.
I encourage everyone here dealing with any / every situation with a person / loved one with dementia to look at TEEPA SNOW's website, on-line webinars, free seminars. She is one of the country's leading experts on dementia and how to mange / cope / deal / interact with it. After many years myself (and two yr training w Teepa's on-line webinars), I still learn a lot every time I watch one of her videos. She is amazing.
Gena / Touch Matters
- Some clerks may not read English well if foreign born and/or.
- Some/many won't know the word DEMENTIA regardless if English is a second or first language.
The bottom line is that everyone needs to do what they feel is appropriate for them, their loved one, and the public (person/people) on the receiving end.
Gena / Touch Matters
But immediately Aunt chastised me and said “She IS large, but not that fat”. 😳
The nurse just laughed and said thank you. SMH
I know that she doesn't understand but I also know that her comments are based on what she truly thinks. I came to the point where I couldn't explain away her comments and stopped taking her out. I took the decision to stop taking her out. It was too hard for me to try and explain why she said the things she said. Many people won't understand why someone is saying the things they say, even with dementia. She only was saying what she thought to be true, and it was all based on very outdated opinions.
Personally, I have learned to never take her out. There is no amount of explanation I could ever make that would make her comments acceptable. She may be from a different time but that doesn't mean her comments are in any way acceptable.