How has aging come to this?

This past Thursday, a funeral was held for the grandmother of a friend’s son-in-law. Although I didn’t know her, I was affected by her passing for a number of reasons, all having to do with how she spent her last two months.

This well-liked and vibrant woman was 87, and her daughter had been taking care of her in her home for a number of years. Unfortunately, she started to decline physically and mentally rather rapidly during the past year. I feel sure the pandemic had a lot to do with this.

The daughter, who is 65, had no help taking care of her mother. Although her mother had long term-care insurance, inexplicably, the daughter wouldn’t hire anyone or get help. Things got worse and worse and she and her son and daughter-in-law finally realized they would have to find a nursing home or memory care facility. The daughter couldn’t take it anymore. I can understad this, but I can’t fathom why they didnt get help when tbey had the means to hire caregivers. Some people evidently want to do it all by themselves, with sad and even tragic end results.

Having taken care of my mother in her home for ten years as her dementia and diabetes grew worse, I know for a fact that I could not have done it without the help of our dedicated home aides who I hired and who worked for us for some years. They became like family. We were very fortunate.

The daughter and her family found a new Alzheimer’s and dementia care facility her mother that is supposedly state of the art. But the grandmother would have nothing of it. From the first day there she rebelled. She wouldn’t eat and she slapped some of the staff. She ended up in the emergency room and hospital twice in the course of a month. The ER doctors told the family he didn’t see how she would last the first night there.

She did, but shortly after that I heard she was in a Hospice facility. It was a very rapid end. She obviously didn’t want to live any longer. She died there two days later.

I know only the bare bones facts of this whole situation, but my own experience with caregiving allows me to surmise what might have been going on.

My view is that the grandmother had slways wanted to die at home. I don’t see how anyone could choose to die in a hospital or nursing home, and from what I kbow about nursing homes, it’s worse than you can imagine. They are severely short staffed, pay workers little and in many cases are profit-making corporate ventures where the bottom line is controlling expenses so hat shareholders of the corporate stock get amply compensated, often to the detriment of residents in their care. Sadly this what care for a great many elderly persons in this country has cone to.

I think the grandmother, even with her dementia, realized what was happening to her.

This, according to one writer who visited a nursing home, is what you are likely to find in these “homes” of last resort:

I’m finding it hard to put into words how sad and upset this visit made me. Don’t get me wrong, the facility is spotlessly clean, the staff seemed nice and the place was decorated in an old fashioned décor which I’m sure people put time and…energy into.

However, even in this top-rated facility, there were people in wheelchairs lined up in a row left to stare a blank wall. For those people not lined up against the wall, they were placed/parked in front of a TV which was not on. In essence, they were bodies to be taken in and out of bed, fed, showered and tended to when necessary…

My mother, if placed in a memory care facility, would have reacted similarly to the grandmother, I believe. Every time I think about what it would have been like if she was lined ip against a wall in her wheelchair staring into space, I shudder and I tremble.

Please, to anyone reading this, do everything in your power to keep a loved one at home when they are aged and infirm and suffering from dementia or Alzheimer’s. It is a national scandal that nursing homes can cost up to $100,000 a year. Family members should be compensated for the many hundreds of hours spent caregiving, sacrificing jobs, livelihoods, and their emotional and psychological well being in the process.

I don’t know what will happen to me. I know I did my best for Mom. She was in her bedroom at home when she passed away. She had Hospice care until the end. She was at last released from the prison of dementia and is now a free and soaring soul.

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December 12, 2021

This is one of the things that scares me the most. I have no one to look after me when I reach that stage. There are still a lot of old people living where I am that are older than dirt, still at home in their little houses, and luckily dementia doesn’t run in my family, but still…it’s a scary prospect.

December 15, 2021

@startingover_1 It is indeed, but thankfully it’s not something I dwell on.  More and more I’m learning to take one day at a time.  As long as I have most of my mind, I’ll be okay.  If not, I will place it in God’s hands.

December 26, 2021

I think about my possible future a lot lately too.  I would like to stay in my home (or at least out of a nursing home) if at all possible.  But it may not be possible: my daughter wouldn’t do it — we just don’t get along.  My son might at lest try to orchestrate caregivers for me, but he would drive me crazy because he’s such a control freak.  My mother had dementia, but she was already showing signs of it by the time she was the age I am now, & I’m not so I’m really hoping I escape dementia so I can chart my own course.

You are right — it’s a national disgrace how much care facilities cost here!  My aunt was able to be in a facility by just signing over her pension check less a small sum for monthly necessities.  I doubt very much if that can be done today — the price has gone up too much for anyone’s pension to come even close to the costs.

December 26, 2021

@ghostdancer It’s something I try not to think too much about.  Because if I did….. hmmm.   My sister and I are very close so I’m hoping she will do her best to keep me out of a nursing home.  I think my mother also asked her many years ago to look after me in my old age.  Of course, I hope she doesn’t have to, but she and my brother are my only family. I was already taking care of Mom who had dementia by then.

December 27, 2021

@oswego The new demographics — more of us living alone rather than in extended families — sure does result in worries about aging!  Personally, every day I do a whole set of mind games — in an effort to retain my thinking ability.  I also take some OTC supplements:

C0Q10, coral calcium, ginko biloba, Huperzine A, omega-3 fatty acids (The chief omega-3 in the brain is DHA, which is found in the fatty membranes that surround nerve cells, especially at the microscopic junctions where cells connect to one another.  Theories about why omega-3s might influence dementia risk include their benefit for the heart and blood vessels; anti-inflammatory effects; and support and protection of nerve cell membranes.

Two studies on Alzheimer’s Disease (AAICAD) found mixed results for the possible benefits of DHA:

The first study was a large federally funded clinical trial conducted by the Alzheimer’s Disease Cooperative Study (ADCS). In the ADCS study, participants with mild to moderate Alzheimer’s disease taking 2 grams of DHA daily fared no better overall than those who took a placebo (inactive, lookalike treatment). The data indicated a “signal” (preliminary but not conclusive evidence) that participants without the APOE-e4 Alzheimer’s risk gene might have experienced a slight benefit. More research is needed to confirm whether that preliminary signal is valid.
The second study—Memory Improvement with DHA (MIDAS)—enrolled older adults with normal age-related cognitive decline. Those who took 900 milligrams of DHA daily scored slightly better on a computerized memory test than those receiving the placebo. MIDAS was conducted by Martek Biosciences, the manufacturer of the DHA used in both studies.

Experts agree that more research is needed, and there is not yet sufficient evidence to recommend DHA or any other omega-3 fatty acids to treat or prevent Alzheimer’s disease.)  Phosphatidylserine; Tramiprosate — clinically tested as Alzhemed, marketed as a “medical food” called ViviMind — is a modified form of taurine, an amino acid found naturally in seaweed.

I do take some of these supplements, on the theory that it can’t hurt, & some of them are also good for other things.  For instance, CoQ10 is also good for keeping your heart in shape.  I mean, I may go gaga, but maybe some of these supplements will either prevent that, or else lessen the severity (my mother had almost completely lost touch with reality before she died.  It wasn’t Alzheimer’s — just dementia, but I wouldn’t want that either.)

December 29, 2021

@ghostdancer Oh, yes… the “new demographics.”  🥺🤔

I read about the lack of efficacy of DHA supplements, and I’ve been hearing this for awhile so now I can save a few dollars bu not buying my regular supply of fish oil supplements at Costco.  Instead I bought a six-pack of their yellow fin tina.  Plus, they have a nice brand of wild caught Alaska salmon.  So I will go back to eating my fish out of the can, maybe with a little mayo or Cajun sauce. 😌.  I can get quite lazy about eating.  I think I’m probably going back to nothing but frozen dinners (they are so much better and healthier these days) and  just be done with it.  Even fixing a plain green salad or pot of rice has become tiresome and annoying.  *sighs*

I will continue with my supplements, even if I continue to be deluded about them and waste scads of money.  But I’ve been taking Centrum multivitamins for 40 years or more and a B-complex for nearly 30 tears.  I swear the B vitamins are what give me plenty of energy and help me stay up all night.  Lol.  Deluded??

I also take CoQ10, Acetyl-L-Carnitine, tumeric, Reservatrol, Lycopene and Occuvite.  It all seriously adds up, but it makes me feel better about my health, deluded or not.