What if I'm worried about my dad's Alzheimer's but he and my mom aren't?
Although my dad's Alzheimer's problems have progressed to losing his wallet, getting confused easily, and not being able to drive or give directions, he and my mother, both 79 and otherwise healthy, don't seem to mind. They refuse to discuss what could happen next. No one lives nearby to look in on them daily, and they won't talk about moving. How long can this go on, and what should I do?
Expert Answer
You're in a common but difficult situation: Your perceptions and expectations differ from those of your parents.
Consider where they're coming from. They may be thinking, "Nothing bad has happened yet. We're managing fine." It's an issue of pride, privacy, and, perhaps, fear. They may be afraid of their independence being threatened, that someone will come in and take over.
A lot depends on your mother remaining well. If she would agree to it, the best solution would be to hire a local geriatric case manager. A representative who has the skills and understanding to provide some monitoring and support can make life easier for everyone. A geriatric case manager basically connects your mom and dad with local Alzheimer's and other geriatric-care resources and is on hand with advice if a problem comes up. The manager can also observe how well your parents are coping and, with their permission, keep you informed. Even if there's no crisis, you get peace of mind.
However, your parents may resist that idea. If so, until they run into an actual problem, all you can do is make suggestions as needed about their medical, financial, and housing situations. Remember that it's important for them to keep as much control as they can, but explain that you worry because you can't be as involved as you'd like. If they won't move closer so that you can be involved, point out that a geriatric case manager is someone who can help provide that kind of support, and who therefore may enable them to remain independent longer.