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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Ativan helped mom with Sundowning which started in the afternoon. You can't 'avoid this time of day' but maybe you can help DH deal with the issues he's having a bit better. What's happening? Is he aggressive or upset, wanting to 'go home' or see dead relatives? For mom, that was agitation and the Ativan at .25 mgs calmed her down quite a bit. Then hospice increased it (when they came on board) to .50 as needed.
Have you given any thought to Memory Care for your DH? Dementia/AD can reach a point where the behaviors and issues he's having are killing YOU. You may want to look into placement for him at some point, which becomes necessary for a huge number of spouses/people in your position. Mom lived in Memory Care AL for nearly 3 years and had loving caregivers who went above and beyond in caring for her. Hospice was wonderful, too, when they were needed in the last 2 months of her life.
We have a poster here who swore up down & around that a Richway Biomat Mini heating pad type of gadget with amethyst crystals helped his mother TREMENDOUSLY with her Sundowning. Turned her from a lion into a kitten as soon as she would lie down on it. They are quite expensive but you can rent one to try it out, or rent it long term, even. Go Google Richway Biomat Mini Rentals in ___________your area and see what comes up. I have no firsthand experience with this pad, but always like to pass on the info in case it helps someone with their loved one.
I suggest you read this 33 page booklet (a free download) if you haven't already, 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
The article addresses sleep issues with dementia/AD and has lots of good suggestions for dealing with it.
Wishing you the best of luck with a difficult situation.
Medication can help. There are other things that might help as well. Increase the lighting in the rooms where he is. Use LED lighting as it can be a brighter light and fewer shadows. Close blinds, drapes so you do not get a reflection in the windows that will make it look like a mirror. (My Husband would wave at his reflection thinking it was someone on the outside looking in.) Keep on a schedule. Keep him busy so he is tired in the evening. Try to limit or eliminate naps later in the day.
If he is getting agitated at this time try to reassure him that he is safe, if possible try to redirect by giving him a task to do.
I read your profile and you mention that the doctor has prescribed "sleeping pills" but they do not work consistently. Have you informed the doctor about this and what is going on? There are other medications that might work better than a "sleeping pill". Many sleep aids have adverse side effects that are problematic. From unsteady gait to what I call a "foggy brain" and the last thing someone with dementia needs is an unsteady gait and a foggy brain. And there are other side effects as well. (google or ask the pharmacist what the common side effects are for the medication your husband is taking)
My mom was also about 4pm. Her doc prescribed Seroquel which helped her tremendously. It does not work for everyone. Mom started with only 12.5 mg a day at 4. The dosage was very low so did not have a zombie effect on her. It helped her to relax and sleep better.
Check with his doctor and ask for a script for something to help. Remember it is always trial and error, unfortunately, to find a med that will work.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Have you given any thought to Memory Care for your DH? Dementia/AD can reach a point where the behaviors and issues he's having are killing YOU. You may want to look into placement for him at some point, which becomes necessary for a huge number of spouses/people in your position. Mom lived in Memory Care AL for nearly 3 years and had loving caregivers who went above and beyond in caring for her. Hospice was wonderful, too, when they were needed in the last 2 months of her life.
We have a poster here who swore up down & around that a Richway Biomat Mini heating pad type of gadget with amethyst crystals helped his mother TREMENDOUSLY with her Sundowning. Turned her from a lion into a kitten as soon as she would lie down on it. They are quite expensive but you can rent one to try it out, or rent it long term, even. Go Google Richway Biomat Mini Rentals in ___________your area and see what comes up. I have no firsthand experience with this pad, but always like to pass on the info in case it helps someone with their loved one.
I suggest you read this 33 page booklet (a free download) if you haven't already, 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
The article addresses sleep issues with dementia/AD and has lots of good suggestions for dealing with it.
Wishing you the best of luck with a difficult situation.
There are other things that might help as well.
Increase the lighting in the rooms where he is.
Use LED lighting as it can be a brighter light and fewer shadows.
Close blinds, drapes so you do not get a reflection in the windows that will make it look like a mirror. (My Husband would wave at his reflection thinking it was someone on the outside looking in.)
Keep on a schedule.
Keep him busy so he is tired in the evening.
Try to limit or eliminate naps later in the day.
If he is getting agitated at this time try to reassure him that he is safe, if possible try to redirect by giving him a task to do.
I read your profile and you mention that the doctor has prescribed "sleeping pills" but they do not work consistently. Have you informed the doctor about this and what is going on? There are other medications that might work better than a "sleeping pill". Many sleep aids have adverse side effects that are problematic. From unsteady gait to what I call a "foggy brain" and the last thing someone with dementia needs is an unsteady gait and a foggy brain. And there are other side effects as well. (google or ask the pharmacist what the common side effects are for the medication your husband is taking)
Check with his doctor and ask for a script for something to help. Remember it is always trial and error, unfortunately, to find a med that will work.