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Caring for Parents with Alzheimers

Berkeley Parents Network > Advice > Elders > Caring for Parents with Alzheimers



Alzheimer's facilities and resources

June 2006

My good friend's 83-year-old mother, who has lived alone for many years in the Central Valley area, was recently diagnosed with Alzheimer's, and her condition seems to be deteriorating rapidly. My friend has thought about hiring someone to help care for her at home, but has concluded that her Mom may benefit from more social contact and some structure to the day. Does anyone have a recommendation for an Alzheimer's residential facility in the East Bay? (My friend lives in Montclair, works in the city.) Her mom still has some good moments and would prefer an apartment or private room and bath. We'd also appreciate any suggestions for other resources, agencies, books, support groups, etc. As you can imagine, my friend is feeling really overwhelmed and sad. Thanks very much for your help.


Hi there. I would highly recommend that your friend get in touch with the Alzheimer's organization. They have tons of resources and a 24/7 line for family members.

Every woman on my mother’s side has died of this disease and it's a horrible disease for family members to deal with. The Alzheimer's Organization helps family members with resources, suggestions and also raises money to help fight the disease as well as lobby to the government to allocate more research and funding to help find a cure. Words cannot describe what this disease does to not only the person with the disease but the family members who have to watch their loved one fade away.

The Bay Area main chapter is located in Mt. View. I have attached their website and phone #’s. You can help support your friend by participating in the Walk for a Cure in October on Treasure Island. It’s a wonderful event where many of us celebrate lives lost as well as the fight to preserve the lives still yet to be affected by the disease. I wish your friend and her family all the best.

http://www.alz.org/Services/overview.asp

Jennifer


How to find a nursing home for Alzheimer patient

March 2006

Does anyone know a loving care facility for an elder with Altzheimer's? Also appreciated would be clues on moving a person with Alzheimer's from her home to such a facility. Thanks.


The options for assisted living facilities vary from private home board/care to larger places. If you belong to an HMO like Kaiser, your loved one will have a social worker assigned to you can give you a referral agency to contact or a list of places in your area. You can also contact the closest Alzheimer Association chapter for guidance. My mother is in a wonderful place called Aegis in Pleasant Hill but it is extremely expensive and would be out of her financial reach were it not for long term care insurance. I am happy to go into more detail so send me an email me if you like. Martha

Mom's recent Alzheimer's diagnosis

June 2002

My mother was recently diagnosed with early stages of Alzheimer's. I'm wondering if anyone else is sharing this experience? If so, what books have you found useful? How does one explain this to a four-year-old? It's not bad yet, but I worry that as we talk about it, he'll need to know something about what we are worried about. Also, I'm just wondering if anyone is up-to-date about the research around the disease, or can share their experiences with any aspect of this. Thanks Julie


I am the primary caregiver for my father-in-law, who lives with us and who was diagnosed with Alzheimer's about 5 years ago. First of all, was your mother diagnosed by a family practicioner or by a neurologist or other specialist? (My father-in-law was diagnosed by the Alzheimers' Disease Center, which is affliated with UC Davis, but housed at the VA medical center in Martinez. Their number is 925-372-2485.) I ask, not only because diagnosis of various dementias (there are many causes other than Alzheimers' ) is getting more sophisticated all the time, but because too many primary care physicians still have the attitude that there isn't much that can be done about Alzheimers'. There is! There are now a number of medications which, when begun in the early stages, have proven effective in slowing the progress of the disease in many people. My father-in-law takes Aricept, one of the first, and in the two years that he has lived with us has experienced only a moderate, slow decline. There are also drugs that can help with some of the symptoms some Alzheimers' patients have, i.e. anti-Parkinson's drugs for Parkinsonian-type symptoms, pscychiatric drugs for agitation, etc. I recommend having your mother treated by a neurologist as family practicioners will sometimes prescribe medication for Alzheimers' without knowing a lot about the drug or optimum dosages. I discovered that my father-in-law's family practicioner had had him on what is considered a starting dose of Aricept for two years. When I took him to a neurologist, his Aricept dosage was increased and a medication for Parkinsons- like symptoms was added, with beneficial results. You should definitely join the Alzheimers' Association(925-284-7942), which has a very informative newletter that keeps families up-to-date on research. They can also help refer you to educational and care programs. Hooking into services is key. People with Alzheimers'do best when they and their families have support systems. Alzheimers Services of the East Bay is another great organization. My father-in-law attends an Alzheimers' Adult Day Health Care center it operates in Berkeley's south campus area. Their phone # is 510-644-8292. They have an early stage support group for couples (or any client and their caregiver) where people in the early stage meet together with a facilitator to talk about what they are going through, while their caregivers meet separately to talk about what they are dealing with. They also have educational workshops, which I recommend. There are lots of good books out too (The 36 Hour Day is a classic.) Education--about the disease and how best to care for people with it--definitely helps, as do support groups. Just keep in mind that there is a wide variation in symptoms and not everything horrible that you hear about is necessarily going to happen to your loved one. Alzheimers' is an incurable, progressive, but often slow-to-progress disease, the diagnosis isn't the end of the world but the beginning of a process and you and your mother just have to have the attitude you'll deal with it. Prepare yourself for what may come, but take one step at a time. I am very lucky, my father-in-law is very easy to care for, not only is he declining slowly, but he has retained the wonderful, calm, easy-going, positive personality that he has always had. At 89, unable to remember most of the time what day it is, what he's been doing or what he's going to do next,he can still manage basic daily living skills and, best of all, he still enjoys his life and loves people. He is a constant inspiration to me.

As for your four-year old, he'll observe and make his own sense of it. I'd treat it like any tough subject, in the beginning tell him something simple like, ''Grandma has a sickness that makes her forget things,'' and let his questions guide you from there. Just be honest and tell him what he wants to know. He'll probably only absorb as much of the discussion and emotion going on as he can handle, kids have a great self-protection mechanism that way. Feel free to contact me if you would like to talk. Marilyn


The local Alzheimers Association was a lifesaver when my father was found to have Alzheimer's. The people who donate their time to facilitate the discussion groups have family members with Alzheimers themselves, and guide the talk in supportive directions with specific helpful suggestions. (Call 800-660-1993 to locate a group near you.) Also check out Complaints of a Dutiful Daughter, a wonderful (and funny!) film by Deborah Hoffmann about her mother's descent into Alzheimers http://www.pbs.org/pov/films/com.html Merry
The Linus Pauling Award recipient of the year, Dr. David Perlmutter, has a book (2000) and web site called BRAINRECOVERY.COM. The information he offers for all kinds of brain insults, including Alzheimer's, is straightforward and nutritionally supportive. I heard him speak at a symposium on ''Disorders of the Brain'' and was very much impressed by the comprehensive program he outlines. He's located in Naples, Florida, alas. The book is thoroughly referenced with clinical evidence and double-blind studies of the efficacy of his approach. Nori
I work for a clinic specializing in the treatment of dementia. I have no specific advice about young children, and I'm sure there are many ways of handling this. In general, there is a lot of information about Alzheimer's disease. Two very useful websites are those of the Alzheimer's Association (http://www.alz.org/) and the Family Caregiver Alliance (http://www.caregiver.org/). There are recommendations for more reading, and these are a good starting point for more resources and information about treatment and research. Some people find caregiver support groups very useful, especially for personal advice about how to handle family issues. The organizations I mentioned can also be a resource for finding local support groups. Good luck HOWIE
I missed the original post, but if you have a parent with Alzheimer's and are looking for a support person from this list, you may email me. My mom has Alzheimer's, and I have had a really hard time getting to the support groups I know about. Sybil

Support for family members dealing with Altzheimer's?

Jan 2002

My neighbor is caring for her husband who is increasingly incapacitated by Altzheimer's disease. She is doing it all by herself and I worry about her. He is losing some gross motor function and she is unable to pick him up when he falls. She has to try to talk him through the process of standing up! Reading between the lines, I believe she is also anxious about the impatience she feels towards him; understandable impatience, but guilt-inducing, I'm sure. She seems to have no source of professional support or respite care. There must be an organization out there for caregivers and families of Altzheimer's patients. Can anyone help?


Family Caregiver Alliance is still a great resource for those dealing with adult onset dementia. My friend Caitlin does "weekend camps" for them...the patient is sent to an interesting weekend camp so that the caregiver can have a bit of time off. Caitlin is creative, experienced and caring so I'm sure her camps are a wonderful experience for those who attend! Dorothy - San Francisco Public Library
Approximately 50% of caregivers of persons with alzheimers will become clinically depressed and there are many resources to help both the caregiver and the person with the disease. One place to start is the alzheimer's association. Also, every county has services geared towards seniors, Alameda and Contra Costa counties being no exception, and has an information and referral line which can help find resources available in the community. You will likely find this number in the service number pages of your yellow pages or on the county's website on the Internet. Most bay area counties have someone, such as a social worker or nurse, that can come out and assess the family, any safety issues, and refer them to helpful resources. There are also some resources designed to help people with alzheimers continue to live at home and give their caregivers respite, such as adult day care. Thanks for your concern for your neighbors. It sounds like this family is especially needing help. The fact that he is falling is a huge safety issue for both of them. It also sounds like she is being stretched to her limit. Good luck.
To the person looking for help for an Alzheimer's caregiver - the Family Caregiver Alliance is an excellent place to start. Their website is very good, at http://www.caregiver.org. The phone number is 800-445-8106, or 415-434-3388. They run caregiver support groups, and can give lots of advice and information for caregivers. Good luck to your neighbor. Jeanine
Call Alzheimer's Services of the East Bay, 644-8292, 2320 Channing Way, Berkeley. I understand they have a day program for people with Alzheimer's. I know they have a bus to transport people to and from home. I don't know if there's a waiting list. I do wish your neighbor well. I watched my wonderful elderly neighbor nurse her husband through Parkinson's until he died. She refused all help, except occasionally to ask my husband to put him back in bed when he fell out. I think older people often have a hard time asking for or accepting help. Do keep in touch with her and give her what support you can. Louise

A kid, a baby, and a mom with Alzheimer's

July 2001

I am in the proverbial crunch: a kid, a baby and a mom with Alzheimer's. We're getting to the point where my mom may soon need an Assisted Living situation. I need:
-Advice about local support groups for ME
-Recommendations for care facilities/homes in Berkeley where staff are trained for Alzheimer's care. My mom is in the early stage still.
-A chat room url or email list address if such a thing exists for Alzheimer patients' family members, care givers etc., especially in this area (I wish there were a UC Children list too!) Sybil


I don't have any personal experience with this, but here's some information from someone on another mailing list I am on. I have included this information with their permission.

Here are some websites:

  • http://www.alfa.org/ (assisted living federation)
  • http://www.healthandage.com/ (novartis gerontology site)
  • http://research.aarp.org/il/adultch.html link to AARP summary of articles on adult children dealing with issues of finding housing for parents
  • http://www.springstreet.com/seniors/index.jhtml?source=a1rnftjt597 senior housing net search page

    some other possibly useful links

  • http://www.elderweb.com
  • http://www.livingstrategies.com
  • http://www.caregiversadvisorypanel.com/entercarethere.asp
  • http://www.carethere.com/
  • http://www.senior.com/

    there's a lot of content and searchable archives on these. It's a tough tough issue.

    Apparently Caregivers.com has an e-mail list which some folks have found very helpful.

    Evaluation -- UC Davis Alzheimer's Disease Center at Martinez VA (they can give you the phone number). Free screening with Medicare coverage by team led by neurologist -- results presented by team to family with patience and care -- lots of good advice and pointers for cases that aren't necessarily Alzheimer's (as our wasn't).

    Placement assistance (no charge to family) -- I've used two and believe they'd be very happy with this one -- David Wylie (800) 348-1979. (He talks with the family and recommends a short list of appropriate places, based on needs and budget, that have openings . . .).

    Assisted living provider -- We'd used Flo Reyes, a nurse who has a small number of residences in Concord -- one that's beautiful, new, with a view, and good for couples -- and is licensed to take patients who may develop some confusion or senility, (925) 827-9608.


    See: http://www.uhs.berkeley.edu/FacStaff/CARE/eldercare.htm for campus resources if you are a UCB affiliate.
    I wanted to respond to the request for support in caring for a parent in early stage Alzheimer's. First I want to say that it is so great that you have acknowledged that Alzheimer's is the problem. I remember when I finally acknowledged that my mom was affected by Alzheimer's, and it was a hard thing to do. I have a number of friends who are unwilling to acknowledge that their parents have Alzheimer's, and see it as depression or tiredness at the end of the day, etc. Unfortunately many family doctors seem unwilling to acknowledge that their patients are affected, and people who are in the early stages, or even later stages are not a good source of information on their own functioning. It's only people who know them well who can really see the problems, and even then it's sometimes hard to see if you don't live with them. To my mind the real tragedy is that many people with Alzheimer's can benefit from drugs like Aricept - my mom amazed her neurologist by remaining at the same mental level for 3 years while on Aricept. Also people with Alzheimer's need a lot of support because they really cannot make decisions about such things as financial matters or their ability to drive a car, although they still think they can. Consequently they can run into trouble very easily - and there are people out there who will take financial advantage. I know I'm preaching to the converted, but I think it's important to let other people know.

    I was on a chat e-mail list that the Family Caregivers Alliance signed me onto. It was helpful, especially for information on the course of the disease. I had no idea that the average number of years living with Alzheimer's was 13 years. It got me to thinking a lot more long term. There were a lot of people who were spouses taking care of their wife or husband, and those messages were hard to read, but nevertheless a window into an amazing group of courageous and caring people.

    I just now searched Yahoo under "caregiving" and the first match had the Family Caregivers Alliance: http://www.caregiver.org/ plus other websites that looked good.

    Just to tell you how we supported my mom - we had people provide 24 hour care in her house. Luckily early on we found someone to actually live there, and consider the rent and food as part of her pay. That was very inexpensive, it turned out - $750 per month. Even with us taking over on weekends and one evening a week, it was hard on her, and after 4 years she left. Then we had people come in at what was (a year and 1/2 ago) a going rate of $100 dollars a day. We spent days there too, so it was a little better than it seems. As you can tell, my husband helped a lot by being with our baby daughter during all the time I had to spend, and I have a sister nearby who managed things in a way I would have had trouble doing. Luckily mom had the financial resources for paying the caregivers. It took a lot to find people, but we did find some very good people. We did have one person who stole some very old family things, though, and disappeared. We didn't even think of that problem. Mom lived near UC, so we also advertised at UC for a student to live in a front room of the house for free and help out being our eyes and ears and spelling our caregivers. We found an unbelievably nice and helpful student from Japan who has become a family friend. We didn't get to the stage where mom couldn't live at home, although we were beginning to consider it - she died of metastisized colon cancer at home a year and 1/2 ago - so I'm not helpful with that inevitable stage.

    We did have a financial planner, Tim Millar (510) 792-9395 (in Fremont, unfortunately) who had a parent with Alzheimer's and was incredibly helpful in untangling mom's finances, handling investments appropriately, and is very familiar with MediCal, although we didn't end up having to use it. Susan


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