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Alzheimers/dementia tends to make some elders very nasty & hard to deal with. What are you looking for help with? Have you looked into placing her in Memory Care Assisted Living? Dementia often reaches a point where such placement becomes necessary, especially if the quality of life for your children is compromised in their own home. Having an elder living in your home has to work for all who live there; if it isn't, then you have to consider other arrangements.

If mom is combative/aggressive, you can contact her PCP for calming meds which may help.

I suggest you read this 33 page booklet (which is a free download) which has THE best information ever about managing dementia and what to expect with an elder who's been diagnosed with it.

Understanding the Dementia Experience, by Jennifer Ghent-Fuller 
https://www.smashwords.com/books/view/210580

Jennifer is a nurse who worked for many years as an educator and counsellor for people with dementia and their families, as well as others in caring roles. She addresses the emotional and grief issues in the contexts in which they arise for families living with dementia.

The full copy of her book is available here:
https://www.amazon.com/Thoughtful-Dementia-Care-Understanding-Experience/dp/B09WN439CC/ref=sr_1_2?crid=2E7WWE9X5UFXR&keywords=jennifer+ghent+fuller+books&qid=1657468364&sprefix=jennifer+ghent%2Caps%2C631&sr=8-2

Here is a list of useful tips from her e-book I found to be excellent:

The “Dont's”
· Do not reason and argue
· Do not demand that they reason or problem-solve
· Do not demand that they remember
· Do not demand that they get their facts straight
· Do not correct their ideas or scold them
· Do not reorient them
· Do not think that they are being uncooperative on purpose
· Do not think that they really do remember, but are pretending not to
· Do not use a “bossy” dictatorial attitude in care
· Do not act with impatience

The Do's
· Enter into their frame of reality, or their 'world'
· Be aware of their mood or state of mind
· Use few words and simple phrases
· OR use no words, just friendly gestures and simple motions
· Do everything slowly
· Approach from the front
· Wait for a slow response
· Constantly reassure them that everything is 'OK'
· Keep people with dementia comfortable 'in the moment' - every moment
· Maximize use of remaining abilities
· Limit TV or radio programs which they may feel are frighteningly real
· Maintain privacy
· Provide a safe physical environment
Language Needs
· Use short words
· Use clear and simple sentences
· Speak slowly and calmly
· Questions should ask for a “yes” or “no” answer
· Talk about one thing at a time
· Talk about concrete things; not abstract ideas
· Use common phrases
· Always say what you are doing
· If they repeat their question, repeat your answer as you did the first time · Give them a longer time to process information
· Wait patiently for a response
· Be accepting of inappropriate answers and nonsense words
· Speak softly, soothingly and gently

Care Needs
· Recognize that receiving personal care feels intrusive
· Reassure with your tone and manner
· Do one thing at a time
· Talk through the care “play-by- play”
· Be aware of your body language and use it to communicate relaxation and reassurance
· Be sincere
· Use a soft, soothing touch
· Be aware of the individual’s unique triggers
· Be aware that a person with dementia may not accurately judge whether a situation is threatening to them
· They may respond to fear, pain or anxiety by defending themselves with what we call “aggression”
· If they become distressed, stop immediately and allow them time to calm down – don’t try to restart the activity right away
You need to change your behaviour to adapt to the dementia because the person with the disease
 
Best of luck
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It is difficult to live in this type of environment, especially for kids. It is hard for them to thrive when they are hearing negativity and being treated without respect. My mother was mean to my kids, especially my daughter and kept calling her fat. She was only 13.

My only option was to put her in a facility. I don’t know what options you have but I would try and find something as you are all being impacted.
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A memory care al is a top tier private pay option, plus nastiness in itself doesn’t indicate that this level of care is necessarily needed.

If there are minors there, I believe your mother has the right to hear her options, dementia or not. And these options are that she cleans up her abusive behavior or she will go.

If she cant, then you will take over getting her into a Medicaid place. If she won’t cooperate, then she is legally evicted and the authorities are notified.

Harsh, yes. But minor children safety must come first.

If she’s with you and there’s no money, there will not be a memory care per se, but presumably some place like ltc. She will be changed, fed and prevented from hurting herself. There usually are some group activities.
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I really hope your kids aren't minors and witnessing this, if so it borders on neglectful child abuse.

If this is the case, put her in a facility ASAP.

Mean, demented elders don't belong in the same household as younger children.
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