It has only been 4 days....he's still adjusting. He is stage 5 of Alzheimer. We are lucky to have him in an Assisted Living place that will deal with some of his memory needs (like turning his tv on for him at night). He's not memory care ready (though I suspect at Stage 6 is when that starts). He wanted more guy friends and like most AL and MC places there only a handful of men. My dad is very ambulatory, no problems walking yet. He's not leaving his apartment to go to any meals (he does eat in his apartment) where I hoped he might meet a guy or two (though I don't see the men down there much at all). He also won't participate in any activities. I was hoping he would get involved even a little so that my sister and I could take a break. Any suggestions? We want to be able to step away but I don't want him sitting in his apartment all day because I fear that could lead to not great behavior and I'd like to keep him in AL as long as we are able. It be great for him to have someone that he gets coffee with and does one activity a day or even goes down for a meal. Any suggestions? He can be very social and loves to make people smile but he is also an introvert. Maybe I'm expecting too much too soon. Would it be worth finding a male care companion that I pay to stop there a few times a week?
is there someone labeled as “activities director “? If so, ask that person if they can find a way to coax him to join some activity he may like .
otherwise , if those ideas fail, could pay extra for an outside companion / sitter to go in and spend some time with him.
Are you and your sister visiting daily? some advocate to purposely spend time away the first week or two, which forces them to adjust and start interacting with people. Ask the staff what they think about that .
If dad doesn't adjust within the next couple of months it's your indicator he needs more help and prompting than he's getting in AL. A companion might help, but memory care would likely be his best bet.
Good luck to you.
Is he on meds for depression? If not, why not? AL for stage 5 dementia? Doesn't seem appropriate level but I'm assuming the facility admins agree with AL for him.
Also, day 4 of AL is too early to expect him to have adjusted. People with dementia do not adjust to new things quickly or easily. It can sometimes (and often) make their symptoms worse for a while.
Stay away for 2 weeks. Discuss meds for him. Dementa robs people of their ability to use reason, logic, memory, judgment... so they literally can no longer bring their minds to a place of acceptance and peace, they need help doing it.
After we transitioned my MIL to AL for short-term memory impairment she refused to participate in anything, not even leaving her room for meals. Then she was transitioned to LTC. It went on there for a while there too, but eventually the staff was able to coax her out. Now she looks forward to all their offerings. She is on meds. It took her several years to get to this point.
"It be great for him to have someone that he gets coffee with and does one activity a day or even goes down for a meal."
You are projecting your idea of how his AL experience should go onto him. You will disappoint yourself if you keep doing this. Have 0 expectations and take each day one at a time. That's as much as you can do. And meds.
He's lost the choice to live on his own, at least let him have the choice to live the way he wants, legally, in his new home.
My dad does zero activities. He does go down for lunch and dinner , sometimes sits with others, sometimes not. But thats all. So be it.
even after they adjust , some are joiners and some are not when it comes to activities .
And I'm guessing that you haven't listened to the advice of the facility and stayed away for a week or more to allow your dad to adjust right?
There's a good reason they typically tell families that. It's so your dad can now get adjusted to his new home and the people around him, without family interfering.
I don't know if it's now too late for you to try and stay away of if the damage has already been done.
I can only guess that had you listened, that when the 2 weeks were up that you would have come back to see a very different dad. One more engaged in the activities and more like himself.
Perhaps it's best since you didn't initially stay away that you at least now limit your visits to once or twice a week, to let him adjust.
Your dad needs time to do that, so please honor that .
Don't impose your worries on him, let it flow, you cannot live vicariously through him.
His brain is broken, his wants and needs will in no way line up with yours.
Don't become a helicopter daughter, it will keep you both stuck.
Back off, facilities recommend that you stay away for a week or two, sounds like you are not following their advice.
Remember, your Dad is your DAD; he isn't YOU.
Let him find his own way. He will do it. As my brother said to me "This is kind of like when I was young and in the Army. I didn't much like it, but I made the best of it."
Give Dad time to find his way. Let him do that for himself and without any pressure or suggestion. This is something that is his to handle. We lose our ability to handle most things, and this can be his to handle. You can't fix everything for you, and the trying reduces him to being somewhat more a "child" than your Dad. His being in care should help you to move on to being his child again, not his caregiver.
Just my humble opinion and know I am wishing you both the best.
Maybe after a couple of weeks after Dad gets used to this person , the male visitor could go with him to meet other residents at an activity or meal .
By the way, at this facility, there was encouragement to eat meals in the dining area for the 1st floor residents with mixed results; many still ate in their room.
With dementia, there is almost no initiative. I'm not sure why the AL would think that he would make his way up and out of his room and down to where the activities are going on.
In my mother's MC, the bedrooms are built around a central activities/dining/community room.
If I were to move into such a place, I’d sit back and look things over before jumping into things! Let him have his space and see what develops.
Good luck to dad in his new home.
* Give him as much time as he needs.
* 'Try' not to worry or be too concerned (at this point). He needs to ease into a new situation / environment.
* I would reframe from (trying) pushing him to do things / social activities, engage with others. There may be a very fine line between encouragement and pushing although he will know / feel what you are doing and perhaps resist (more).
* If I were you, I would more so focus on encouraging him to express to you (the family) how he is feeling. I am not sure what Stage 5 Alz means in terms of his cognitive functioning / ability to communicate with you, however, focusing attention on him 'one-on-one,' in ways that he feels cared about / for - and to get his feelings out may help him. It may also help you relax a bit more / (less anxious) and trust things will fall into place over the next few weeks.
* My client (with advanced dementia) did adjust after several weeks. She got to love the care aides. I actually didn't believe them although they were right.
- As well, the relationships at the facility are so very important. As your dad starts to get to know the staff, and they show they care, he likely will start to feel more connected / and not so alone.
Volunteer Organizations:
* See if LITA operates in your area.
* Call local County City Hall Senior Services Dept and ask about volunteer organizations.
* Ask social worker at facility.
* Call college dept heads (nursing, counseling, geriatrics) for students / volunteers. They can get credit or experience visiting an elder.
* Post notice at your (or a) local church for a volunteer visitor.
I did this for my friend-companion who was in a nursing home and bed ridden.
Socialization visits / visitors was critically important to me, for him.
- It helped me as I was exhausted going as often as I was. Having others visit was essential for his quality of life. He had two lovely 'friends' for two years. They were a Godsend. And, I was able to rest a bit more or do other responsibilities, while also working.
- Have you tried inviting your dad to the dining room there with you and your sister - to ease him into it ? Perhaps you try this already? I certainly wouldn't expect him to go alone yet.
To recap - try to relax a bit more and trust the process - his process.
If he likes to paint or draw, perhaps take him out into the garden area and bring a sketch pad.
When you do visit, always take him out into the common areas.
Do NOT stay in his room. The key is to ease him into the environment with you.
Is there a social worker you can talk to on the premises?
They should be supporting you / guiding you through this process.
They know how it it / how it goes.
You might want to employ a massage therapist too, if you think that would help him. And it doesn't need to be a certified therapist (as I am). Anyone can give a gentle 'touch' massage. If he'd enjoy that, give him a scalp massage or a foot massage. It will relax him. I presume that he may feel depressed, alone, lost. Being with him - where he is - will help him. Let us know how it goes.
Gena / Touch Matters
It's also funny for their help wanted as for an activities person, the part where the potential hire should be prepared for low motivation for the resident to be involved.
What about if you ate a few meals with him in the dining room and introduced him to 2 people. He doesn't have to befriend the entire unit but just a few. I know some people who eat with someone new every night when they are new.
The men usually like sports on tv but we are made for one another and you need human contact. Can you hire an assistant 2 days per week to bring your father to an event?
Also get the Assisted Living schedule and show up to some of the events, bingo, music, crafts what ever they have.
It maybe he's unsure of were to go and is a little intimidated to ask someone. Try that for awhile and then have the care home alert him and bring him to the different events that he likes. As he gets better continue to go periodically and encourage him in all activities he enjoys.
It will take time to assimilate especially if he not accustomed to communal living, or being around so many people again.
Give it some time with encouragement. If that doesn't work then go ahead and hire a companion to get him over the hump.
Good-luck hang in there.
When my father decided to go to AL I thought he would thrive because he was a social butterfly. The exact opposite happened. He didn't get involved in anything except maybe a rare scenic bus ride. he was annoyed they did not provide a shuttle to the local casino. They had a history lecture every Monday night. He was a total history buff but never bothered to attend. That was not my problem to solve. I could not be his sole source of entertainment.