I diagnosed his dementia one day 3 years ago (he asked me what day it was 4 times in an hour. It was almost amusing the next week or two as I had no idea what was going on: 'Where are we?' he'd ask in the supermarket. I slowly realiused there was a problem.) With hindsight, the problem had manifested some years before, unnoticed, e.g. not paying a telephone bill, sleeping a lot, not paying bills (I had no idea), only going out to 'trusted' places. I told his family, sons and sisters, but they don't see what I saw. They assured me they would check things out, so to speak. What happened was he was able to appear 'normal' for their visits, apart from the filthy house which they severly castigated him for. Two strikes there. In my current role, I treat him as OK and 'getting there' after his 'hiccup' as he discribes it. I try and be positive but don't know whether I am making it worse. I am in two minds: 1.) Tell his family to buck up and DO something OR let 'nature' run its course (none of my business). He is 70 and looks and acts like someone well in his 80s; this is a man I had a relationship when he was 63 and already ageing badly but with a wonderful mind. He still has that mind, but it is fading fast. Does it matter? I feel it is not my responsibility BUT I also feel that if we were such good friends, I should be actively fighting to save his sanity.
1. No offense to you but typically diagnosis is done by medical professionals pursuant to specific criteria. You may have observed and suspected, but I don't believe a lay person's observation is considered a diagnosis. ...Just to clarify in the event you've shared this "diagnosis" with his family.
2. Beyond being good friends, do you hold any powers of attorney on his behalf?
3. It sounds like you're trying to involve his family but they're not responding. What is it you would like them to do? Does he need full time care? Does he need financial assistance? Is he living with you or you with him? If so, are you asking for care or financial assistance?
4. I don't know if someone who really does have dementia is in a position to have his or her sanity saved, unfortunately. There are treatment and coping methods that can help, but sometimes dementia is like a freight train - it just keeps coming regardless what's in its path.
5. Do you have specific plans for this friend? If so, I might consider having a family meeting, sharing your plan concepts and ask what role they will play. It's not clear to me though what you want from them.
6. I think a big question is what will you do if his family won't step up to the plate? Are you prepared personally and financially to step in and be a proxy family, especially when the length of time you'd assume this role is likely to be indefinite?
I think you're wise to keep your distance. In his confused state, he will reach out to someone who is available to help him, and you could be drawn further into responding to his needs. I'm not suggesting that you be cruel or ignore him, but just that you do have your own life and there are, and should be, limits to what you can do.
I get the impression you're in the UK. Do you have an adult protective service that could intervene to get him some help before something drastic happens?
CountryMouse, Jude, you probably have much more knowledge of what could help this man than I. I'm hoping you see this post and offer better suggestions than I could what this friend's options are.
1. I understand I can't diagnose him but it is pretty clear and has been observed by others. 'Where are we?' he asks in the supermarket. 'We did the shopping this morning.' (We didn't.) He hasn't paid his rates bills for 4 years, I discovered a few months ago. His revolving credit balance went from 0 to $35000 in two years and he doesn't know what he spent it on. He can't come out on his monthly pension anymore; doesn't know where the money goes. He now has to sell his house. He steams veg and falls asleep (took me four days to soak and clean the pot.) He defrosts a chicken in the freezer and forgets for 4 days to cook it. He repeats himself all the time. He baths less than once a week, sleeps in clothes. He doesn't know what his medication is and must be prompted to take it (didn't finish the last course of antibiotics.) Each event is pretty normal for most people (we all forget stuff sometimes) but in total is disturbing.
2.) No. I hold no power of attorney or any other right or responsibility.
3.) I am asking for nothing. What I would LIKE is that his family organise a maid and regular check-ups, and take care of his pension/ finances so he can live on his own and enjoy his life unaided but knowing the important things are taken care of. I'd like that his kids visit once a week and take an interest. I take him to the doctor, for instance. Nobody in his family knows that he has been diagnosed with emphysema, that only one lung is functional. He tells them he is 'fine'. When his kids need something, e.g. a lift to fetch their car at the mechanic, he calls me, interrupting me from my work, saying other family members are 'busy'. It is annoying.
4.) I agree but I think the way things are, the train is travelling faster than it should. His house smells as he doesn't wash. His sister comes to fetch the linen every few weeks. The fridge is only emptied of rotting food when it starts to smell. This is not conducive to any kind of healing.
5.) I can't speak to his family. I have tried and won't again. They have their heads in the sand. In fact, the sisters are negative to him, calling him lazy, etc. They won't acknowledge dementia. The kids are 'too busy'; they are selfish and their wives, in both cases, don't drive.
6.) No. I can't be his family by proxy and I am not able to care for him financially. I want to be a standby as I live a 5 minute walk from him, and to be a non-judging friend with whom he can feel 'normal'. I think I do that. He can tell me openly that he can't remember stuff.
Thank you!
If he has been known to attend any church nearby, you can let the clergy know this man needs a visit and may be in over his head.
Lots of people have family who don't care, or who appear to not care. There could be some ugly family history where nobody is willing to come to the rescue anymore or respond to him due to events of the past. My mom ran off everyone in her family by being mean, loud, rude, abusive. No surprise she had zero help when she got old enough to need it.
I sense you have the feeling you were being used. That might be the case, and it's good that you recognized it. But it is also to your credit that you were the one who stood up to get help while the family did not.
Be assured that you've done all you can. If the man continues to go out drinking, he's making his own choice. Rereading your original post, I think this man is going to be needing a lot of help fairly soon, but it's the responsibility of his family to take the lead on that.
Your post reminded me of a friend I had several decades ago who was always complaining about her husband and his abusive treatment. One night she called me frantically, said she wanted to leave him and asked if I would come over to pick up her and her possessions. Like a fool, I thought I was helping her.
When her husband figured out where she was (and I never knew how he did that), he came over to my apartment, and she went back to him. Although I was polite to her from then on because we worked together, but that so-called friendship was over and I never got involved like that again. I was embarrassed that she had fooled me, and disgusted that she was too immature to solve her marital problems herself.
Again, congratulations for recognizing the situation as it is, for being true to yourself, and for having the courage to move on.
Best wishes to you, and thank you for sharing your insights.
First - Decide if you willing to become responsible for him. If the answer is "no", and the family is also sidestepping responsibility PLEASE contact the local authorities, anonymously if necessary. There are enough people around that he won't necessarily pin it on you unless you tell him.
He's certainly not the only intelligent person to whom this has happened, and while the authorities aren't necessarily the first choice they are certainly better than allowing things to continue until he harms himself or others (had the veggies caught fire...? Would he have an appropriate response with a stove fire or a problem with the gas furnace? Running into the street in front of moving cars? These are first-hand examples....).
Please get him help (probably against his will). It is possible that there are some underlying issues making the problems worse (vitamin deficiencies, UTI) that can be taken care of.
Is he using you? Um, yes and no. The dementia is real. It affects his judgement. He will have lost some of his social skills, so he may become verbally abusive (striking out at others in fear, etc.). Again, judgement is damaged. His brain is broken. It may be that he still cares for you as a friend, but his judgement (there's that word again!) about what is appropriate is badly flawed.
Please continue to do more research about dementia. IMHO a number of the "pushing people away" behaviors are practically diagnostic for dementia when combined with the other issues you have described. They fear that if people are too close they will spot the problem and step in (again, the bad judgement rearing it's ugly head). As a quick note in your friend's defense -- in the earlier stages of dementia the person IS able to pull themselves together to appear normal, but it requires a great deal of effort, so that when they get home they fall apart. He's probably not faking the confusion when he gets home, it's more likely that his brain has "runs out of gas" so to speak. BTW, the ability to go to the pub is not any gauge of how well he can function, but it MIGHT point to a vitamin deficiency, as alcohol can interfere with nutrition as the body gets older .
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