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Re: LBD...the beginning of our journey

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peggy,

teh most important thing to do FIRST and foremost is to get ALL legal paperwork

done NOW, lbd changes are so quickand they may /maynot bounce back so your

lawyer has to see your mother in a good mental state to represent her will and

wishes.  do not put off even on week.  it took 6 weeks to get dads will done and

POA power of atty and medical power of atty done, but since the lawyer talked to

daddy for a long time eventhough he was no longer in sound mind he knew that

daddy had already expressed his wishes  .

also i am the only child, so i got the brunt of all his anger and frustattion,

but hospice nurse told me to take it as a compliment not an insult to look at it

from dads point of view, he is scared he doesnt understand what is going on and

the fluctuation of cognition really throws him off. but somewhere deep down he

knows he loves me and i love him and we are family and will be together no

matter what and that the usaul saying we always hurt the ones we lvoe the most,

hurt them the most. and that he was able to show his fears and insecurites with

me instead of anyone else so that meant he trusted me.  it was hard to remember

but it helped sometiemes.  hugs. sharon

Subject: LBD...the beginning of our journey

To: LBDcaregivers

Date: Monday, July 14, 2008, 2:52 PM

I am so grateful that this group has been formed. This past week my 77

year old mother has been diagnosed with " possible " LBD. There are so

many questions in my mind that my head is spinning.

At first I was in a stage of denial. I could not imagine that my

mother who always had such a good memory for figures and numbers could

lose the ability to do the simple cognitive tasks that were required

by her geriatric/psychiatr ist.

I also feel such guilt because I moved out of the house close to three

years ago when she started misplacing things and accusing my boyfriend

of taking them. However I was still working at the time as a full-time

teacher and I just couldn't take the relentless accusations about

" petty " articles going missing and the fact that she thought he was

such a " bad " person. In actual fact, he was very understanding and has

and had been very kind to her. However there was no reasoning with

her. She was beginning to become more suspicious as time passed and

even had the locks on the doors changed three or four times, was

threatening to call the police, and generally picking at me all the

time. My job was very demanding and this was beginning to take it's

toll on me both physically and mentally.At that time I suspected

Alzheimer's but my mother denied having any mental problems.In fact,

for many years my mother and I were not getting along very well. It

seems that no matter what I did for her which was considerable would

ever put me on the same plane as my two brothers.

My younger single brother moved back home two years ago.He left a very

good job because he said it was so stressful and now is a recovering

alcoholic and suffering from severe depression for which he refuses to

seek help.My only consolation here is that my mother is no longer

living alone. The accusations continued about things going missing but

over time , the blame shifted from my boyfriend to me. I spent many

nights crying... thinking that my own mother would think that I was

stealing from her.Although she was happy to have my brother home and

everything was going along well at first, I noticed that when I

visited, the house was becoming so cluttered and in general it became

a complete mess.So I tried to spend a couple of nights at home every

few weeks and try to clean up especially the kitchen and dining area .

This became more discouraging because every time I went back things

would be again in complete disarray and I would have to start over.

My brother started to become more reclusive and didn't want to do

anything more than watch TV and move from chair to sofa. He stopped

cooking and began to make trips to town to buy fast food like donairs

, hamburgers, and pizza.My mother began to complain that he didn't

want to anything around the house and her trips to town were too quick

and she never had time to look around to shop. He just wanted to pick

up groceries and return home as quickly as possible.

I tried to take her to town whenever possible and gave her all the

time she wanted to look around. She told me how nice it was not to

have to rush. She stopped accusing me of taking missing objects but

within the last year began to have hallucinations that there were

people in the house particularly an old woman who was taking and

hiding her things. She thought that people on TV were really there and

she was talking back to the TV.This is when I contacted her family

doctor with a detailed letter about my observations.

Her doctor saw her on Boxing Day 2007 and did a cognitive test on her.

Her score was 24/30.She was referred to a geriatric psychiatrist after

a wait of four months in April of 2008. At this point she scored a bit

lower on a cognitive test and was to see this doctor again at the end

of May.She gave me an envelop with lots of information on Alzheimer's

disease from the Alzheimer Society of Canada.

I received a call from her two weeks later telling me that she had

spoken to another doctor at the mental health clinic and recommended

that she be referred to her. I agreed but was shocked to hear that she

couldn't get an appointment until August 21st. I called that doctor's

office and asked them to let me know of any cancellations and I would

be ready at short notice to take my mother in.Thankfully, after two

phone calls the appointment was moved up to July 10th.

The nurse did a cognitive test again and this time her score was 19/30

so clearly there was more of a decline.She made recommendations about

power of attorney,was to have an occupational therapist visit my

mother's home to assess her abilities, gave me a referral number for

home care, and recommended that I put my mother's name on a waiting

list for a nursing home. This is because there is a two year waiting

list and if she needed to be placed before then they could put her in

any available space in the province. This is a quandary for me because

if I do this now and in two years she is still able to live at home

with assistance her name goes to the bottom of the list again!

The last doctor did not mention Parkinson's in her diagnosis and I

don't know if the two diseases occur together or if it's possible to

have LBD alone.I have done a lot of reading on LBD and the best site I

have found is

http://www.mayoclin ic.com/print/ lewy-body- dementia/ DS00795/METHOD=

print & DSECTION= all

So my next task is to get my mother on a good day and talk this over

with her to find out her wishes.I just feel so overwhelmed to get all

this thrown at me at once.

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Dear I hear you loud and clear. Because there is always a waiting List. This

is one reason Don will be going to where his daughter works. A few string

pulled in the right places made it possible.

I feel for you very much so. You Mom is in deep decline, and can only go

into a nursing home if she goes to the hospital for three days, then to rehab.

If they consider her fit, then it's back to her home. They make a person wait

until they are at deaths door, and suffer a lot in the mean time, not to

mention what it does to the family. It stinks.

Sorry for your plight. I was overwhelmed at first, so much to learn and so

much coming at me so fast, but now with a little more knowledge I feel better,

but I don't have the strength.

Problems, problems. And yes, my step mother accused me of stealing, and it

really hurt, so I know how you feel.

Lift your heart dear, this too shall pass,

Love a lot, and always remember it is just the disease talking,

Imogene

In a message dated 7/14/2008 9:59:54 AM Central Daylight Time,

retiredpeggy@... writes:

I am so grateful that this group has been formed. This past week my 77

year old mother has been diagnosed with " possible " LBD. There are so

many questions in my mind that my head is spinning.

At first I was in a stage of denial. I could not imagine that my

mother who always had such a good memory for figures and numbers could

lose the ability to do the simple cognitive tasks that were required

by her geriatric/psychiatrist.

I also feel such guilt because I moved out of the house close to three

years ago when she started misplacing things and accusing my boyfriend

of taking them. However I was still working at the time as a full-time

teacher and I just couldn't take the relentless accusations about

" petty " articles going missing and the fact that she thought he was

such a " bad " person. In actual fact, he was very understanding and has

and had been very kind to her. However there was no reasoning with

her. She was beginning to become more suspicious as time passed and

even had the locks on the doors changed three or four times, was

threatening to call the police, and generally picking at me all the

time. My job was very demanding and this was beginning to take it's

toll on me both physically and mentally.At that time I suspected

Alzheimer's but my mother denied having any mental problems.In fact,

for many years my mother and I were not getting along very well. It

seems that no matter what I did for her which was considerable would

ever put me on the same plane as my two brothers.

My younger single brother moved back home two years ago.He left a very

good job because he said it was so stressful and now is a recovering

alcoholic and suffering from severe depression for which he refuses to

seek help.My only consolation here is that my mother is no longer

living alone. The accusations continued about things going missing but

over time , the blame shifted from my boyfriend to me. I spent many

nights crying... thinking that my own mother would think that I was

stealing from her.Although she was happy to have my brother home and

everything was going along well at first, I noticed that when I

visited, the house was becoming so cluttered and in general it became

a complete mess.So I tried to spend a couple of nights at home every

few weeks and try to clean up especially the kitchen and dining area .

This became more discouraging because every time I went back things

would be again in complete disarray and I would have to start over.

My brother started to become more reclusive and didn't want to do

anything more than watch TV and move from chair to sofa. He stopped

cooking and began to make trips to town to buy fast food like donairs

, hamburgers, and pizza.My mother began to complain that he didn't

want to anything around the house and her trips to town were too quick

and she never had time to look around to shop. He just wanted to pick

up groceries and return home as quickly as possible.

I tried to take her to town whenever possible and gave her all the

time she wanted to look around. She told me how nice it was not to

have to rush. She stopped accusing me of taking missing objects but

within the last year began to have hallucinations that there were

people in the house particularly an old woman who was taking and

hiding her things. She thought that people on TV were really there and

she was talking back to the TV.This is when I contacted her family

doctor with a detailed letter about my observations.

Her doctor saw her on Boxing Day 2007 and did a cognitive test on her.

Her score was 24/30.She was referred to a geriatric psychiatrist after

a wait of four months in April of 2008. At this point she scored a bit

lower on a cognitive test and was to see this doctor again at the end

of May.She gave me an envelop with lots of information on Alzheimer's

disease from the Alzheimer Society of Canada.

I received a call from her two weeks later telling me that she had

spoken to another doctor at the mental health clinic and recommended

that she be referred to her. I agreed but was shocked to hear that she

couldn't get an appointment until August 21st. I called that doctor's

office and asked them to let me know of any cancellations and I would

be ready at short notice to take my mother in.Thankfully, after two

phone calls the appointment was moved up to July 10th.

The nurse did a cognitive test again and this time her score was 19/30

so clearly there was more of a decline.She made recommendations about

power of attorney,was to have an occupational therapist visit my

mother's home to assess her abilities, gave me a referral number for

home care, and recommended that I put my mother's name on a waiting

list for a nursing home. This is because there is a two year waiting

list and if she needed to be placed before then they could put her in

any available space in the province. This is a quandary for me because

if I do this now and in two years she is still able to live at home

with assistance her name goes to the bottom of the list again!

The last doctor did not mention Parkinson's in her diagnosis and I

don't know if the two diseases occur together or if it's possible to

have LBD alone.I have done a lot of reading on LBD and the best site I

have found is

http://www.mayoclinic.com/print/lewy-body-dementia/DS00795/METHOD=print & DSECTI

ON=all

So my next task is to get my mother on a good day and talk this over

with her to find out her wishes.I just feel so overwhelmed to get all

this thrown at me at once.

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scene in your area - Check out TourTracker.com!

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Welcome to the board Peggy! Glad you found us. Here's my 'welcome

links' :)

First & foremost:

NO TRADITIONAL ANTIPSYCHOTICS (e.g. Haldol, Chlorpromazine),

NO BENZODIAZEPINES (e.g. Ativan)

NO ANTICHOLINERGIC DRUGS (e.g. Benadryl, Tylenol PM, Detrol, Enablex)

CAUTION with some ATYPICAL ANTIPSYCHOTICS (e.g. Risperidone,

Zyprexa) - but some are used w/ success (e.g. Seroquel,

Clozaril) " Start Low, Go Slow "

Take a moment to post a possible med. before trying - this board has

an archives section w/ tons & tons of warnings about meds that don't

work for those w/ LBD - they are extremely sensitive to meds!

Read here:

Risperdal & Haldol

Message w/ collection of articles re: above

http://health.groups.yahoo.com/group/LBDcaregivers/message/70932

Dementia With Lewy Bodies: A Review Of Clinical

Benzodiazepines (e.g. Ativan) may negatively affect cognition and

produce sedation, paradoxic agitation and increased risk of falls in

the elderly

http://tinyurl.com/2n54qj

Why such strong feelings about benzos?

Message by , also includes info re: an exception to the no benzo

warning, Klonopin, that has been used with success for RBD (REM

Behavior Disorder) by Dr. Boeve.

http://health.groups.yahoo.com/group/LBDcaregivers/message/61849

Evaluating Meds

Advice from a PharmaD via Lin

http://health.groups.yahoo.com/group/LBDcaregivers/message/75551

Top links to important LBD resources (IMHO)

A Must Read by Dr. Bradley Boeve

A Comprehensive Approach to Treatment can Significantly Improve the

Quality of Life of Patients with the Lewy body dementias.

http://www.lewybodydementia.org/AR0504BFB.php

Diagnostic Review & Medicine Management

by Bradley F. Boeve, MD (October 2004) Physicians guide to diagnosing

and treating DLB/LBD. Includes recommended dosages.

http://www.lewybodydementia.org/Boevelink.php

*** 2006, September 08 -- Lewy body dementia

From MayoClinic.com, Special to CNN.com. Norma says, " ...this is the

most detailed, accurate information I've ever read about LBD. I think

it should be sent to all new caregivers AND doctors who aren't clear.

Thoughts everyone? " Keli says, " Definately yes!!! This is very

informative yet not overwhelming. It can easily be shared with

others. I intend to have my husband and children read it, and

hopefully my moms dr's as well. Very good information. "

http://www.cnn.com/HEALTH/library/DS/00795.html

LBD Brochure

(to print use legal size paper)

http://www.lewybodydementia.org/docs/LBDAbroch_webLGL.pdf

" Difficulties in Diagnosing Lewy Body Dementia "

by T. MD

http://www.youtube.com/LBDAtv

Live Chat Event with Gomperts, MD

Dr. Gomperts answered your questions in this Q & A session from March

2007 http://www.lewybodydementia.org/docs/gomperts_transcript.pdf

If your LO hasn't been diagnosed yet, make sure they get a FDG-PET

assessment.

http://interactive.snm.org/index.cfm?PageID=7405 & RPID=627

And a summary of what's on this board:

Main board:

http://groups.yahoo.com/group/LBDcaregivers/

(Read your emails via the board vs. your `in box'. And get into all

the different sections that are available on the website. Search

archived messages here.)

Links Section:

http://health.groups.yahoo.com/group/LBDcaregivers/links

(Tons of links that is continuously a `work in progress' – all these

links are useful to the caregiver. A variety of categories neatly

organized into folders – what topic are you interested in? Find the

folder and within it find numerous links to other websites for

additional information.)

Files Section:

http://health.groups.yahoo.com/group/LBDcaregivers/files/

(Read other caregiver's stories, read about the good & bad drugs

here, print a " companion card " from here (cards to hand out in public

areas about your LO's behavior), find the locations of other

caregivers who are possibility living in your immediate area, FAQ

document, LBD Phases by LBD Caring Spouses, etc.)

Database Section:

http://health.groups.yahoo.com/group/LBDcaregivers/database

(Suggested reading, learn the common denominators about our loved

ones, medical referrals, nursing home referrals, bibliography of LBD

in literature and film, etc.)

Photos Section:

http://health.ph.groups.yahoo.com/group/LBDcaregivers/photos

(Put a face to a name.)

Polls Section:

http://health.groups.yahoo.com/group/LBDcaregivers/polls

(Several polls running re: LBD)

; loving daughter of Maureen of Boston, MA; dx'd with LBD in

2/2006 (confirmed via brain biopsy;) fell victim to rapid decline

from Risperidone; Mom fell into the 50% category of those who could

not handle antipsychotics; Was successful on Celexa, Exelon, ALA &

B1; Mom became my Guardian Angel on Sept. 30th, 2006.

>

> I am so grateful that this group has been formed. This past week my

77

> year old mother has been diagnosed with " possible " LBD. There are so

> many questions in my mind that my head is spinning.

>

> At first I was in a stage of denial. I could not imagine that my

> mother who always had such a good memory for figures and numbers

could

> lose the ability to do the simple cognitive tasks that were required

> by her geriatric/psychiatrist.

>

> I also feel such guilt because I moved out of the house close to

three

> years ago when she started misplacing things and accusing my

boyfriend

> of taking them. However I was still working at the time as a full-

time

> teacher and I just couldn't take the relentless accusations about

> " petty " articles going missing and the fact that she thought he was

> such a " bad " person. In actual fact, he was very understanding and

has

> and had been very kind to her. However there was no reasoning with

> her. She was beginning to become more suspicious as time passed and

> even had the locks on the doors changed three or four times, was

> threatening to call the police, and generally picking at me all the

> time. My job was very demanding and this was beginning to take it's

> toll on me both physically and mentally.At that time I suspected

> Alzheimer's but my mother denied having any mental problems.In fact,

> for many years my mother and I were not getting along very well. It

> seems that no matter what I did for her which was considerable would

> ever put me on the same plane as my two brothers.

>

> My younger single brother moved back home two years ago.He left a

very

> good job because he said it was so stressful and now is a recovering

> alcoholic and suffering from severe depression for which he refuses

to

> seek help.My only consolation here is that my mother is no longer

> living alone. The accusations continued about things going missing

but

> over time , the blame shifted from my boyfriend to me. I spent many

> nights crying... thinking that my own mother would think that I was

> stealing from her.Although she was happy to have my brother home and

> everything was going along well at first, I noticed that when I

> visited, the house was becoming so cluttered and in general it

became

> a complete mess.So I tried to spend a couple of nights at home every

> few weeks and try to clean up especially the kitchen and dining

area .

> This became more discouraging because every time I went back things

> would be again in complete disarray and I would have to start over.

>

> My brother started to become more reclusive and didn't want to do

> anything more than watch TV and move from chair to sofa. He stopped

> cooking and began to make trips to town to buy fast food like

donairs

> , hamburgers, and pizza.My mother began to complain that he didn't

> want to anything around the house and her trips to town were too

quick

> and she never had time to look around to shop. He just wanted to

pick

> up groceries and return home as quickly as possible.

>

> I tried to take her to town whenever possible and gave her all the

> time she wanted to look around. She told me how nice it was not to

> have to rush. She stopped accusing me of taking missing objects but

> within the last year began to have hallucinations that there were

> people in the house particularly an old woman who was taking and

> hiding her things. She thought that people on TV were really there

and

> she was talking back to the TV.This is when I contacted her family

> doctor with a detailed letter about my observations.

>

> Her doctor saw her on Boxing Day 2007 and did a cognitive test on

her.

> Her score was 24/30.She was referred to a geriatric psychiatrist

after

> a wait of four months in April of 2008. At this point she scored a

bit

> lower on a cognitive test and was to see this doctor again at the

end

> of May.She gave me an envelop with lots of information on

Alzheimer's

> disease from the Alzheimer Society of Canada.

>

> I received a call from her two weeks later telling me that she had

> spoken to another doctor at the mental health clinic and recommended

> that she be referred to her. I agreed but was shocked to hear that

she

> couldn't get an appointment until August 21st. I called that

doctor's

> office and asked them to let me know of any cancellations and I

would

> be ready at short notice to take my mother in.Thankfully, after two

> phone calls the appointment was moved up to July 10th.

>

> The nurse did a cognitive test again and this time her score was

19/30

> so clearly there was more of a decline.She made recommendations

about

> power of attorney,was to have an occupational therapist visit my

> mother's home to assess her abilities, gave me a referral number for

> home care, and recommended that I put my mother's name on a waiting

> list for a nursing home. This is because there is a two year waiting

> list and if she needed to be placed before then they could put her

in

> any available space in the province. This is a quandary for me

because

> if I do this now and in two years she is still able to live at home

> with assistance her name goes to the bottom of the list again!

>

> The last doctor did not mention Parkinson's in her diagnosis and I

> don't know if the two diseases occur together or if it's possible to

> have LBD alone.I have done a lot of reading on LBD and the best

site I

> have found is

> http://www.mayoclinic.com/print/lewy-body-

dementia/DS00795/METHOD=print & DSECTION=all

>

> So my next task is to get my mother on a good day and talk this over

> with her to find out her wishes.I just feel so overwhelmed to get

all

> this thrown at me at once.

>

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Guest guest

Good comment Sharon - think I'll add a line about Legal stuff to

the 'welcome links' - and link to the files where they can find Jim's

document about it:

http://health.groups.yahoo.com/group/LBDcaregivers/files/

scroll down to this document:

The Business of Dementia.doc

The 'legal' things you need to know about

>

>

> Subject: LBD...the beginning of our journey

> To: LBDcaregivers

> Date: Monday, July 14, 2008, 2:52 PM

>

>

>

>

>

>

> I am so grateful that this group has been formed. This past week my

77

> year old mother has been diagnosed with " possible " LBD. There are so

> many questions in my mind that my head is spinning.

>

> At first I was in a stage of denial. I could not imagine that my

> mother who always had such a good memory for figures and numbers

could

> lose the ability to do the simple cognitive tasks that were required

> by her geriatric/psychiatr ist.

>

> I also feel such guilt because I moved out of the house close to

three

> years ago when she started misplacing things and accusing my

boyfriend

> of taking them. However I was still working at the time as a full-

time

> teacher and I just couldn't take the relentless accusations about

> " petty " articles going missing and the fact that she thought he was

> such a " bad " person. In actual fact, he was very understanding and

has

> and had been very kind to her. However there was no reasoning with

> her. She was beginning to become more suspicious as time passed and

> even had the locks on the doors changed three or four times, was

> threatening to call the police, and generally picking at me all the

> time. My job was very demanding and this was beginning to take it's

> toll on me both physically and mentally.At that time I suspected

> Alzheimer's but my mother denied having any mental problems.In fact,

> for many years my mother and I were not getting along very well. It

> seems that no matter what I did for her which was considerable would

> ever put me on the same plane as my two brothers.

>

> My younger single brother moved back home two years ago.He left a

very

> good job because he said it was so stressful and now is a recovering

> alcoholic and suffering from severe depression for which he refuses

to

> seek help.My only consolation here is that my mother is no longer

> living alone. The accusations continued about things going missing

but

> over time , the blame shifted from my boyfriend to me. I spent many

> nights crying... thinking that my own mother would think that I was

> stealing from her.Although she was happy to have my brother home and

> everything was going along well at first, I noticed that when I

> visited, the house was becoming so cluttered and in general it

became

> a complete mess.So I tried to spend a couple of nights at home every

> few weeks and try to clean up especially the kitchen and dining

area .

> This became more discouraging because every time I went back things

> would be again in complete disarray and I would have to start over.

>

> My brother started to become more reclusive and didn't want to do

> anything more than watch TV and move from chair to sofa. He stopped

> cooking and began to make trips to town to buy fast food like

donairs

> , hamburgers, and pizza.My mother began to complain that he didn't

> want to anything around the house and her trips to town were too

quick

> and she never had time to look around to shop. He just wanted to

pick

> up groceries and return home as quickly as possible.

>

> I tried to take her to town whenever possible and gave her all the

> time she wanted to look around. She told me how nice it was not to

> have to rush. She stopped accusing me of taking missing objects but

> within the last year began to have hallucinations that there were

> people in the house particularly an old woman who was taking and

> hiding her things. She thought that people on TV were really there

and

> she was talking back to the TV.This is when I contacted her family

> doctor with a detailed letter about my observations.

>

> Her doctor saw her on Boxing Day 2007 and did a cognitive test on

her.

> Her score was 24/30.She was referred to a geriatric psychiatrist

after

> a wait of four months in April of 2008. At this point she scored a

bit

> lower on a cognitive test and was to see this doctor again at the

end

> of May.She gave me an envelop with lots of information on

Alzheimer's

> disease from the Alzheimer Society of Canada.

>

> I received a call from her two weeks later telling me that she had

> spoken to another doctor at the mental health clinic and recommended

> that she be referred to her. I agreed but was shocked to hear that

she

> couldn't get an appointment until August 21st. I called that

doctor's

> office and asked them to let me know of any cancellations and I

would

> be ready at short notice to take my mother in.Thankfully, after two

> phone calls the appointment was moved up to July 10th.

>

> The nurse did a cognitive test again and this time her score was

19/30

> so clearly there was more of a decline.She made recommendations

about

> power of attorney,was to have an occupational therapist visit my

> mother's home to assess her abilities, gave me a referral number for

> home care, and recommended that I put my mother's name on a waiting

> list for a nursing home. This is because there is a two year waiting

> list and if she needed to be placed before then they could put her

in

> any available space in the province. This is a quandary for me

because

> if I do this now and in two years she is still able to live at home

> with assistance her name goes to the bottom of the list again!

>

> The last doctor did not mention Parkinson's in her diagnosis and I

> don't know if the two diseases occur together or if it's possible to

> have LBD alone.I have done a lot of reading on LBD and the best

site I

> have found is

> http://www.mayoclin ic.com/print/ lewy-body- dementia/

DS00795/METHOD= print & DSECTION= all

>

> So my next task is to get my mother on a good day and talk this over

> with her to find out her wishes.I just feel so overwhelmed to get

all

> this thrown at me at once.

>

>

>

>

>

>

>

>

>

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Dear Peggy -

Welcome to our group. We are sorry you had to find us, but this is the best

place to be for understanding, wisdom and caring. Everybody is giving you good

advice, and reding some of the links sent you will be very helpful. 

 As the daughter of a mom with LBD and PD, I can say 'I get " your story and have

lots of empathy. My mom displayed all the behavior your mom is. Accusations,

anger, etc. My brother is also a substance abuser not in recovery and has fallen

into deep depression. He could not help my mom before we got her on the right

treatment plan - too many problems of his own. And mom couldn't get help

herself.

 

My mom's MD told me to repeat " She has dementia, she has dementia, she has

dementia " as a reminder of the reality I was facing. Our loved ones cannot

control their own behavior, and we cannot expect them to figure out what needs

to be done.

 

LBD is a nasty disease, but many of our loved ones (LO) can be helped for long

periods of time. What medications is your mom on now? A very important thing to

remember is that LBD is treated differently than other dementias. What works in

Alzheimer's, for example, may be harmful in LBD.

 

The first-line treatment is one of three meds: Razadyne, Aricept and Exelon.

These help cognition, memory, language and other aspects of the disease. Other

meds can be added if needed, such as meds to help control what in LBD can look

like psychotic behavior - agression, terrifying hallucinations, etc. But by all

means if your mom has LBD she needs medication.

 

Many of us find our LOs cannot help make decisions about their needs and desires

until the symptoms of the disease get addressed. My mom, who screamed I was

stealing her money, wasn't capable of discussing moving to a nursing home until

we got her on the proper meds and her paranoia and delusional thinking were

under control.

 

What kind of help is available to keep your mom at home? We know that people

with dementia can be a danger to themselves and others, so of course oversight

is needed. If your brother is so deeply depressed, is he able to help at all?

 

It sounds like you are the one who will be taking responsibility for getting

help for your mom and for making some short term and long term plans. The health

system in Canada is different than in the States, but treatment protocols and

meds are the same.

 

It seems if the MD didn't diagnose your mom with PD she may not have it. It's

not a disease you could " overlook. " Does your mom have trouble walking and/or

talking, problems with balance or swallowing?  Dementia occurs in about 30% of

all PD cases, and many experts say this is actually LBD. Some experts call it

Parkinson's Disease Dementia. Yes, LBD can and often does occur on its own. And

oover time some people with LBD begin to have symptoms that look like PD -

tremors, problems walking, difficulty talking or swallowing. Some people, like

my mom, have both at the same time.

 

Peggy, could you let us know what meds the MD prescribed for your mom, and what

else she might also be taking? Please know we are all thinking of you and your

mom, and hope you will stay in touch. We all need each other.

 

Lin

 

 

Subject: LBD...the beginning of our journey

To: LBDcaregivers

Date: Monday, July 14, 2008, 2:52 PM

I am so grateful that this group has been formed. This past week my 77

year old mother has been diagnosed with " possible " LBD. There are so

many questions in my mind that my head is spinning.

At first I was in a stage of denial. I could not imagine that my

mother who always had such a good memory for figures and numbers could

lose the ability to do the simple cognitive tasks that were required

by her geriatric/psychiatr ist.

I also feel such guilt because I moved out of the house close to three

years ago when she started misplacing things and accusing my boyfriend

of taking them. However I was still working at the time as a full-time

teacher and I just couldn't take the relentless accusations about

" petty " articles going missing and the fact that she thought he was

such a " bad " person. In actual fact, he was very understanding and

has

and had been very kind to her. However there was no reasoning with

her. She was beginning to become more suspicious as time passed and

even had the locks on the doors changed three or four times, was

threatening to call the police, and generally picking at me all the

time. My job was very demanding and this was beginning to take it's

toll on me both physically and mentally.At that time I suspected

Alzheimer's but my mother denied having any mental problems.In fact,

for many years my mother and I were not getting along very well. It

seems that no matter what I did for her which was considerable would

ever put me on the same plane as my two brothers.

My younger single brother moved back home two years ago.He left a very

good job because he said it was so stressful and now is a recovering

alcoholic and suffering from severe depression for which he refuses to

seek help.My only consolation here is that my mother is no longer

living alone. The accusations continued about things going missing but

over time , the blame shifted from my boyfriend to me. I spent many

nights crying... thinking that my own mother would think that I was

stealing from her.Although she was happy to have my brother home and

everything was going along well at first, I noticed that when I

visited, the house was becoming so cluttered and in general it became

a complete mess.So I tried to spend a couple of nights at home every

few weeks and try to clean up especially the kitchen and dining area .

This became more discouraging because every time I went back things

would be again in complete disarray and I would have to start over.

My brother started to become more reclusive and didn't want to do

anything more than watch TV and move from chair to sofa. He stopped

cooking and began to make trips to town to buy fast food like donairs

, hamburgers, and pizza.My mother began to complain that he didn't

want to anything around the house and her trips to town were too quick

and she never had time to look around to shop. He just wanted to pick

up groceries and return home as quickly as possible.

I tried to take her to town whenever possible and gave her all the

time she wanted to look around. She told me how nice it was not to

have to rush. She stopped accusing me of taking missing objects but

within the last year began to have hallucinations that there were

people in the house particularly an old woman who was taking and

hiding her things. She thought that people on TV were really there and

she was talking back to the TV.This is when I contacted her family

doctor with a detailed letter about my observations.

Her doctor saw her on Boxing Day 2007 and did a cognitive test on her.

Her score was 24/30.She was referred to a geriatric psychiatrist after

a wait of four months in April of 2008. At this point she scored a bit

lower on a cognitive test and was to see this doctor again at the end

of May.She gave me an envelop with lots of information on Alzheimer's

disease from the Alzheimer Society of Canada.

I received a call from her two weeks later telling me that she had

spoken to another doctor at the mental health clinic and recommended

that she be referred to her. I agreed but was shocked to hear that she

couldn't get an appointment until August 21st. I called that doctor's

office and asked them to let me know of any cancellations and I would

be ready at short notice to take my mother in.Thankfully, after two

phone calls the appointment was moved up to July 10th.

The nurse did a cognitive test again and this time her score was 19/30

so clearly there was more of a decline.She made recommendations about

power of attorney,was to have an occupational therapist visit my

mother's home to assess her abilities, gave me a referral number for

home care, and recommended that I put my mother's name on a waiting

list for a nursing home. This is because there is a two year waiting

list and if she needed to be placed before then they could put her in

any available space in the province. This is a quandary for me because

if I do this now and in two years she is still able to live at home

with assistance her name goes to the bottom of the list again!

The last doctor did not mention Parkinson's in her diagnosis and I

don't know if the two diseases occur together or if it's possible to

have LBD alone.I have done a lot of reading on LBD and the best site I

have found is

http://www.mayoclin ic.com/print/ lewy-body- dementia/ DS00795/METHOD=

print & DSECTION= all

So my next task is to get my mother on a good day and talk this over

with her to find out her wishes.I just feel so overwhelmed to get all

this thrown at me at once.

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Guest guest

I want to thank you all so much for your kind words,compassion, and

advice. At this very moment I have tears streaming down my face I am

so overwhelmed and thankful to have found others with whom I can share!

My mother has been put on a 5 mg dose of Aricept which is to be

increased to 10 mg after one month.This is to help with her

hallucinations. The only help my brother can give is to make sure she

takes the meds. Just to make sure, I call every morning to remind him.

Since I will be home alone for a week, I am going to get my mother to

stay with me for a few days. We really need to talk about her wishes

and we will try to look after the legal stuff this week.

In our province there is help available in the form of housekeeping

and homemakers who will come in to prepare meals.I will be in contact

with them as soon as the occupational therapist visits my mother to

determine her needs.Since my father was a war veteran, she is also

entitled to some benefits through the Veteran's Independence Program.

My mother goes back to the geriatric doctor in October for another

assessment. She does not yet exhibit any signs of Parkinson's and the

doctor has diagnosed her as being in the " moderate " stage of LBD.

Once again, I want to thank you all for your encouraging words and

helpful advice. I'm sure I will be posting again soon when I get more

things settled.

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Guest guest

peggy,

that is what us, your new extended family are here to do, help you anyway we

can. hugs. sharon

Subject: Re: LBD...the beginning of our journey

To: LBDcaregivers

Date: Tuesday, July 15, 2008, 1:38 PM

I want to thank you all so much for your kind words,compassion, and

advice. At this very moment I have tears streaming down my face I am

so overwhelmed and thankful to have found others with whom I can share!

My mother has been put on a 5 mg dose of Aricept which is to be

increased to 10 mg after one month.This is to help with her

hallucinations. The only help my brother can give is to make sure she

takes the meds. Just to make sure, I call every morning to remind him.

Since I will be home alone for a week, I am going to get my mother to

stay with me for a few days. We really need to talk about her wishes

and we will try to look after the legal stuff this week.

In our province there is help available in the form of housekeeping

and homemakers who will come in to prepare meals.I will be in contact

with them as soon as the occupational therapist visits my mother to

determine her needs.Since my father was a war veteran, she is also

entitled to some benefits through the Veteran's Independence Program.

My mother goes back to the geriatric doctor in October for another

assessment. She does not yet exhibit any signs of Parkinson's and the

doctor has diagnosed her as being in the " moderate " stage of LBD.

Once again, I want to thank you all for your encouraging words and

helpful advice. I'm sure I will be posting again soon when I get more

things settled.

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Peggy Mac,

Welcome, I don't think I have said that yet. My Mom never did have many of the

PD symptoms.. Mostly falls and visual distortion. And that was after 4 years.

Hugs,

Donna R

Caregave for Mom (after I brought her from WI to MI) for 3 years and 4th year in

a nh.

She was almost 89 when she died in '02. No dx other than mine.

Re: LBD...the beginning of our journey

I want to thank you all so much for your kind words,compassion, and

advice. At this very moment I have tears streaming down my face I am

so overwhelmed and thankful to have found others with whom I can share!

My mother has been put on a 5 mg dose of Aricept which is to be

increased to 10 mg after one month.This is to help with her

hallucinations. The only help my brother can give is to make sure she

takes the meds. Just to make sure, I call every morning to remind him.

Since I will be home alone for a week, I am going to get my mother to

stay with me for a few days. We really need to talk about her wishes

and we will try to look after the legal stuff this week.

In our province there is help available in the form of housekeeping

and homemakers who will come in to prepare meals.I will be in contact

with them as soon as the occupational therapist visits my mother to

determine her needs.Since my father was a war veteran, she is also

entitled to some benefits through the Veteran's Independence Program.

My mother goes back to the geriatric doctor in October for another

assessment. She does not yet exhibit any signs of Parkinson's and the

doctor has diagnosed her as being in the " moderate " stage of LBD.

Once again, I want to thank you all for your encouraging words and

helpful advice. I'm sure I will be posting again soon when I get more

things settled.

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Guest guest

Peggy, oh boy we've all been here and yes it is a bit overwhelming at

first. I actually, like alot of folks here, pretty much figured out

Dad's LBD on my own from reading and from finding this site. You are

at the best place you could ever be for help with questions, love,

careing and a place to vent your frustrations when they arise. So at

this point I'd say just take a deep breath and sit back and try to

enjoy the ride cause we really don't have anywhere else to be when it

comes to our LO's. Meri Jane

>

> I am so grateful that this group has been formed. This past week my

77

> year old mother has been diagnosed with " possible " LBD. There are so

> many questions in my mind that my head is spinning.

>

> At first I was in a stage of denial. I could not imagine that my

> mother who always had such a good memory for figures and numbers

could

> lose the ability to do the simple cognitive tasks that were required

> by her geriatric/psychiatrist.

>

> I also feel such guilt because I moved out of the house close to

three

> years ago when she started misplacing things and accusing my

boyfriend

> of taking them. However I was still working at the time as a full-

time

> teacher and I just couldn't take the relentless accusations about

> " petty " articles going missing and the fact that she thought he was

> such a " bad " person. In actual fact, he was very understanding and

has

> and had been very kind to her. However there was no reasoning with

> her. She was beginning to become more suspicious as time passed and

> even had the locks on the doors changed three or four times, was

> threatening to call the police, and generally picking at me all the

> time. My job was very demanding and this was beginning to take it's

> toll on me both physically and mentally.At that time I suspected

> Alzheimer's but my mother denied having any mental problems.In fact,

> for many years my mother and I were not getting along very well. It

> seems that no matter what I did for her which was considerable would

> ever put me on the same plane as my two brothers.

>

> My younger single brother moved back home two years ago.He left a

very

> good job because he said it was so stressful and now is a recovering

> alcoholic and suffering from severe depression for which he refuses

to

> seek help.My only consolation here is that my mother is no longer

> living alone. The accusations continued about things going missing

but

> over time , the blame shifted from my boyfriend to me. I spent many

> nights crying... thinking that my own mother would think that I was

> stealing from her.Although she was happy to have my brother home and

> everything was going along well at first, I noticed that when I

> visited, the house was becoming so cluttered and in general it

became

> a complete mess.So I tried to spend a couple of nights at home every

> few weeks and try to clean up especially the kitchen and dining

area .

> This became more discouraging because every time I went back things

> would be again in complete disarray and I would have to start over.

>

> My brother started to become more reclusive and didn't want to do

> anything more than watch TV and move from chair to sofa. He stopped

> cooking and began to make trips to town to buy fast food like

donairs

> , hamburgers, and pizza.My mother began to complain that he didn't

> want to anything around the house and her trips to town were too

quick

> and she never had time to look around to shop. He just wanted to

pick

> up groceries and return home as quickly as possible.

>

> I tried to take her to town whenever possible and gave her all the

> time she wanted to look around. She told me how nice it was not to

> have to rush. She stopped accusing me of taking missing objects but

> within the last year began to have hallucinations that there were

> people in the house particularly an old woman who was taking and

> hiding her things. She thought that people on TV were really there

and

> she was talking back to the TV.This is when I contacted her family

> doctor with a detailed letter about my observations.

>

> Her doctor saw her on Boxing Day 2007 and did a cognitive test on

her.

> Her score was 24/30.She was referred to a geriatric psychiatrist

after

> a wait of four months in April of 2008. At this point she scored a

bit

> lower on a cognitive test and was to see this doctor again at the

end

> of May.She gave me an envelop with lots of information on

Alzheimer's

> disease from the Alzheimer Society of Canada.

>

> I received a call from her two weeks later telling me that she had

> spoken to another doctor at the mental health clinic and recommended

> that she be referred to her. I agreed but was shocked to hear that

she

> couldn't get an appointment until August 21st. I called that

doctor's

> office and asked them to let me know of any cancellations and I

would

> be ready at short notice to take my mother in.Thankfully, after two

> phone calls the appointment was moved up to July 10th.

>

> The nurse did a cognitive test again and this time her score was

19/30

> so clearly there was more of a decline.She made recommendations

about

> power of attorney,was to have an occupational therapist visit my

> mother's home to assess her abilities, gave me a referral number for

> home care, and recommended that I put my mother's name on a waiting

> list for a nursing home. This is because there is a two year waiting

> list and if she needed to be placed before then they could put her

in

> any available space in the province. This is a quandary for me

because

> if I do this now and in two years she is still able to live at home

> with assistance her name goes to the bottom of the list again!

>

> The last doctor did not mention Parkinson's in her diagnosis and I

> don't know if the two diseases occur together or if it's possible to

> have LBD alone.I have done a lot of reading on LBD and the best

site I

> have found is

> http://www.mayoclinic.com/print/lewy-body-

dementia/DS00795/METHOD=print & DSECTION=all

>

> So my next task is to get my mother on a good day and talk this over

> with her to find out her wishes.I just feel so overwhelmed to get

all

> this thrown at me at once.

>

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