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Grand daughter lives 3 hrs away and works. Mom thinks she is coming every nite and spending the nite. Some nites she says she is there and in the bed asleep when we all know she is not. Some nites mom sits up waiting on her. No one can convince her that she is not coming. Granddaughter has tried telling her she has to work and cant drive 3 hrs to work every day. Mom still thinks shes coming and will wait up for her all nite. HELP!

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Whatever the cause, your mother is experiencing a recurring delusion. What she believes is her reality and you will not be able to reason her out of it (as you have discovered.) Have you (or ALF staff) tried something like, "Granddaughter is working late tonight, but she can take care of herself when she gets here. You don't need to wait up for her." ?
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JUst a thought. Maybe mom needs a companion to sleep with. How about a doll or stuffed animal dressed in real baby clothes from the thrift store. It could be named after your grandaughter. Or, how about a dog or cat? I have a large, very soft bear. When im very upset I sit and hug him. He gives great hugs!
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You'll never be able to convince her. Most of the time my mom says she's not in her apartment. Always thinking she's being moved every night. It goes on and on. We've been going through this off and on for over 3 years. I usually just don't respond or just tell her someone will take her home later on. If it's not that, then it's some other delusion. I'm assuming your mom has dementia?
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We had this happen as well, the only thing you can do is seek medication for sleep, this is what it finally came down to. You cannot reason with someone in this state they truly believe they are right!

Last night my mother came jetting into the kitchen after she had gone to bed and said she had lost her ring from her finger and wanted to find it. I asked what ring and she explained it......that ring was lost either in our yard or at the grocery store about 20 years ago. She KNEW BEYOND A SHADOW OF A DOUBT THAT SHE WAS WEARING THAT RING EARLIER IN THE EVENING! Today there is no mention of the ring.
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littlejo, I wasn't suggesting that you tell her that Granddaughter can't come because she is working third shift -- but that she is coming later, and Mom doesn't have to wait up for her.

If Mom has to stay in bed because Granddaughter is there (in her delusion) is that so bad? And if it is necessary for her to get up now, tell her that GD can stay in bed alone and get up when she wants to, and that Mom can get up without her.

You are not going to convince her that Granddaughter isn't coming, or wasn't there, or isn't still in bed. Go along with her belief, and encourage her to go to bed or get up or whatever is appropriate anyway.

This kind of delusion is common in dementia, but can occur for other reasons, too.
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My mother had a stroke a few years ago, as well. She was recently diagnosed with early on-set dementia. The problem with some stroke victims is that the original stroke can hide symptoms of dementia for a long time (we didn't even know she had the underlying dementia until just recently). Then it's almost like the flood gates open and a whole lot of crazy starts to seep out.

The first signs we had were the random stories. She would tell me sometimes that she was still in WA state, when she was in UT...and would fight to the death about it. After that, she had some hallucinations and a lot of "time travel" (she would think she was still married, or that I was 5 yrs old?). We have gone downhill since the hallucinations and random periods of her life.

I wouldn't waste my breath trying to tell her GD is not coming down or staying there over night. (I've tried to reason with my own mother and it just leads to me getting angry/frustrated...yet she never changes her mind) I wouldn't worry too much about her staying awake all night in a nursing home, if it becomes a serious "she's NEVER sleeping problem" - either her body will force her to sleep OR the nursing home can medicate her.

I would TRY to talk to her, but good luck since it seems you already tried to talk to her. (IMO, if it were my mother...I'd let her do her thing until she "got over it" and let it go)
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I have said this a million times and will say it again..... go to their world.... they do not live in ours anymore.....and apparently trying to 'convince' her isn't working.... hope you try some of the suggestions here.... and if she sets up all night, well, that's ok too..... if she is not able to take sleep medications, how about something for anxiety.....???? Hate to say that chemicals are the answer because they are not.... have you ever tried laying down with her and telling her you will stay until the GD gets there.... ???? I used to stay in the bed with Ruth until she went to sleep.... she just needed the assurance of someone close to her.... they get afraid, just like we do..... and are unable to articulate it, so it comes out in behaviors that drive us up the wall with exhaustion..... have you tried putting lotion on her hands or feet BEFORE she starts this??? Don't wait until she is already in the 'loop'..... the 'loop' being when they get a thought or need and it goes on and on....try to distract before it gets started.... we have to be very creative to help our elders have some quality of life....

Hope something suggested here by others helps.... I know how frustrating it can be...... but trying to 'convince' her is never going to work.... she doesn't see it that way.... let us know if anything helps...
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Once they get something in their head, there is nothing you can do to change their reality. All you can do is go along with it. My Mom gets something in her head that is so far from reality.. but to her it is real and I have to play along until she moves onto the next crazy delusion. Bless her heart though she can't help it.
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The dr says its not dementia but rather it is coming from a stroke she has several yrs ago.I hate she sits up half the night waiting for her granddaughter to get there, when she isnt coming.. Sleeping meds does not work for mom. Even a half of one made her sleep for 16 yrs. Not sure what to do about it..
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It sure sounds like some of the behavior my mom has, but she does have dementia. Sometimes strokes cause vascular dementia. I hope you can find an answer. I know all too well how frustrating it can be.
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