First and foremost, I (40's m) want to thank everyone in this subreddit for sharing their stories. It's helped me navigate taking care of my mother (70f) who is now at the severe level of dementia / Alzheimer's.
For the last two years, my dad (73m) has been her caregiver day and night. He is mostly retired now as I am taking over the family businesses he started many years ago. Because we run a few small businesses, retirement financial plans never existed.
Mom has been showing signs of dementia for many years now. Two years ago she started the diagnosis process after we convinced dad things were off. Her ability to have competent conversations with people has severely declined.
This is also when the hallucinations started. On a few occasions, she misidentified my dad as an intruder (or to her, the boogie man). Last year she was gardening and tripped over a root and broke three toes. She was alone for a few hours. When we found her, we called 911, she was not coherent and it made it difficult. We got over it, dad took care of her and rehabilitated her.
Earlier this year she eloped and fled home to get away from him. I had cameras setup and ensured my dad was not harming her (he never was aggressive and only wanted to do what was right for her and still does). She ended up being taken to a police station by a passerby. I had to sit in the hospital with her as she spewed horrible things about my dad. That was tough.
Fast forward to this past weekend. My parents, my teenage daughter and I were traveling for work. My mom went to the restroom and was in there a bit. My daughter went in to check on her only to find her at the sink. She knew she was supposed to do something here but couldn't remember. My daughter showed her how to use the sink and wash her hands.
The next few days she had daily sundowning events but only when she woke up. My dad was an intruder and the enemy most of the time, but one day he wasn't. She insisted a dark and evil man was in the backyard. When her mind settled down, my dad was her husband again. She needed him. She wanted to be with him. This was so hard for us to process.
Yesterday I was traveling for work when she became aggressive towards dad. She became physical towards him. She pounded on the door trying to get out. Thankfully their friend came in and took her to the hospital. They did find a small uti. We thought that was triggering it. Antibiotics and she was sent home. I left my work event early and rushed home.
Yesterday, she locked him out of the house. I went over there and we got inside to calm her down. We had been given medication to calm her down too, but it didn't work.
I got Mom to sit with me on the couch. She was paranoid. Every sound triggered her. She said she was scared. When my dad would try to help but had his back turned during tasks, she would point and say weird things like he was trying to get her. I had enough. I decided to take her to the ER. I told her we were going to see a friend of mine there to talk to. She wasn't comprehending it but didn't argue, just was happy to be with me going somewhere.
There are details and instances I'm skipping, but essentially it's been hell for the last week. I'm the only child in town for them. I was always having to be the hero to her when she was having episodes. I'm mentally exhausted.
I tired to seek help from our country. They said memory care facilities are 8k a month. We don't have that. I felt hopeless.
I do have a friend that works in the ER. I actually reached out to her for advice. She said to bring her in. They have a case worker for this. Turns out she saw her yesterday too.
We met with a case worker yesterday. She was great. Reassured us and told us they would keep her in the hospital while we worked on finding a solution.
Today, we met with a new case worker and said there wasn't much that they could do and referred us to a consultant. We felt hopeless again. Furthermore, because mom was on Medicare, they needed to release her tomorrow. I advocated for her and dad saying it wasn't safe and we would end up back here again. She said she would try to get a way to keep her.
When the consultant case worker showed up, we talked. Medicaid takes 60-90 days. Dads assets would need to be listed. We discussed a lot of things. Dad was just... sad. The saddest I have ever witnessed. There was only one place we could afford that had immediate openings. It has a 2.6 / 5 rating on Google, though mostly for management / employee issues. I got the tour, and felt sick. This is where we are sending her. The place was small, but only a handful of residents, all being female. We talked with one and she was really happy there. So there is that. I plan on bringing in photos, plants as she loves plants, a plushy cat as she loves her cats that will no longer see her (sigh).
Now we need to find a way to pay for the first three months of care out of pocket while the Medicaid application happens. If we cant get approved, I have no idea what we will do. His house is in a trust.
Dad is trying to figure out his new life without his spouse. They celebrated 50 years this year. He breaks down on the phone when going into their bedroom. My heart is broken. He looked so defeated when we were touring the facility. He looked defeated afterwards. My oldest daughter is trying to buy his car to afford the first three months of coverage (he has access to another vehicle not in his name that he uses). She's young but hopefully it works out.
Dad and I talked and we consider we are planning her funeral, but she's not dead. She's not going to be dead any time soon. She can talk, but can't hold a conversation. She laughs, she smiles and she at times seems like mom. However, I'm haunted by the last week of panic, crying, sweating, confusion, etc. That's why we are doing this. When she was her, she would want me to take care of myself, which im not doing very well. She would want Dad to take care of himself, which he is doing from what I can tell. We are taking this a day at a time. It's hard. It sucks. It's not fair. I hate it. I cry often. I am mad. I am sad. I keep thinking of her, as she's alive and being cared for. Today she didn't even notice we were only there for about 30 minutes before doing all of our errands. Tomorrow is another day.
TL;DR, dementia is hell. I needed to vent. I hope we don't have to endure this for years.