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Mom with dementia thinks she had a baby. She was waking me up to look for the baby at night. My sister got her a doll that she thinks is her baby. She questions a few things about the baby. I am worried and not sure how to handle the situation if she starts questioning if the baby is real.

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One of the episodes that caught me most off guard was when my 73 y/o wife exclaimed, “ the baby's coming, the baby's coming”! I had no response to that one. The baby never came!!

One thing that did give her comfort while in MC was holding on to a life sized doll. A life sized animated dog was also a hit in the unit.
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One of the dearest ladies in my mom's memory care had both a doll and a stuffed kitty she loved so much. We'd have great conversations about how they can be SUCH a handful, these children (the cat was also a child apparently), and oh, wasn't it difficult when they wouldn't eat their dinner (although both usually had jelly on their faces where she'd tried to feed them her morning toast), and other such things. She had a lovely English accent as well, and sometimes it was like talking with one of the Monty Python guys in drag, but she loved those babies with all her heart, and I loved talking "parenting" with her, bless her heart. She died of COVID early on in the pandemic, and I still miss seeing her sweet face.

That doll IS a real baby to your mother, so it's a real baby to you. Take your mother's lead when discussing the baby, and if she thinks something isn't quite right (which I doubt she will), tell her it seems OK to you, or "what you think might be wrong?" Let her set the narrative, and you may have some great conversations with her.
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If you ever visit a memory care unit, you will see most of the women walking around holding a baby doll in their arms. It's so common, and really quite sweet to watch them as they love on them and care for them.
You are now to the point with your mom that you must meet her in her world, not visa versa. If she says it's real, then it's real. If she says it's a doll, then it's a doll. You will find that it's much easier to just go along with whatever she says, even if that changes daily. Best wishes.
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I don't think you have to worry about her thinking its real if she doesn't already. Lots of woman with Dementia do well with a doll. Helps with anxiety.
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