Dad is getting upset with Mom, who has memory loss. How can we help him not get upset?

2 answers | Last updated: Oct 11, 2010
carolhoov asked...
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Caring.com User - Merrily Orsini
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Merrily Orsini, MSSW, was a pioneer in the business of providing geriatric care managed in-home care. She currently serves on the board of the...
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Merrily Orsini said...

First, there is no “age-related memory loss”. Loss of memory has an associated cause, and finding that cause is essential. Please do not use the physician who made the pronouncement See also:
Is rapid memory loss a sign of Alzheimer's?
of “age-related” rather seek out a geriatrician or a geriatrics center that does comprehensive evaluations. Sometimes memory loss has an underlying cause, like nutrition, or medication, lack of physical activity or depression.

Second, with a spousal upset at spouse's memory loss such as your father is experiencing, the key is understanding. And I mean understanding of the disease that is present causing the memory loss. So, number two is based on number one, and I cannot emphasize enough how important it is to understand the disease first, and to see if it IS a disease or something that can be cured through change in diet, change in medications, exercise, or addition of medications.

Having said that, if it IS an irreversible cognitive decline, then understanding the disease is key. There are several great resources here on caring.com, and one I would recommend first is http://www.caring.com/blogs/caring-currents/alzheimers-books-new-books-dementia and three books that are recommended. The classic book on understanding how to communicate with someone with a dementia is by two Johns Hopkins affiliates, Mace and Rabins, titled “The 36 Hour Day”. It is now in its 5th edition, and has more than one would ever want to know, but is a good baseline for understanding, and I recommend it for the entire family so you, your husband and brother will also be educated about the disease and how to handle your caregiving.

If it is Alzheimer’s or a progressive dementia, then your mother will eventually need more care, and either from caregivers who know how to deal with a dementia, or in a setting that specialized in care for the cognitively impaired. And your father may need some additional care as well, or even some respite now from the situation. This is a perfect time to call upon a geriatric care manager who can assess, recommend a good geriatrician, and help with planning out the care from now on.

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An anonymous caregiver said...

Thank you for your quick response. Mom's HMO, Kaiser, made the diagnosis of age-related memory loss. I do tend to believe them, as I recently saw an episode on Charlie Rose public television, and he had a panel of experts who discussed this very thing. There apparently are two distinct areas of the brain that display memory loss--one is the Alzheimer's area, and another they called "age-related". I've recorded and kept that program, so I'll review it again to ensure I'm understanding it correctly. I'll also see if Kaiser could give me a better explanation, and at the same time will try to find a geriatric center that could give me a second opinion. Thank you again for helping us in our dilemma.

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