My mom, 93 years old, sent out over 2000.00 in cash gifts to all her children and grandchildren and great grandchildren. She does this out of the kindness of her heart. However, this Christmas she received only about 10 cards and of the 10 cards there were only 1 from the ones she had sent the money to. She keeps asking me why she has not received any cards or a thank you from the ones she sent the money to. She has dementia (I think the early stages at some times and then intermediate at other times) and gets depressed easily when she does not get telephone calls or letters or even visits. My brothers and sisters do call and some come to visit once or twice a month. But I wish they would call her more often and visit more often to give her spirits an uplift. Most of them are not retired but some that are, live about 1.5 hours away. Do you think I should write them and tell them my concerns? I have talked this over with my husband and he says that this is a part of aging and that being lonely, depressed is not uncommon. I feel for my mother because when she gets a visit or phone call I can see her spirits rise up and she has more energy. Because I care for her 24/7 I feel I am doing all I can for her as it is and when I go out I like to be by myself. I am in a bit of a delimma. Is anyone else experiencing this situation?Thank you for listening!
Linda
Those of us who are the 24/7 caregivers have the benefit of time and trial and error in learning how to interact with our caregiv-ees more successfully and we may forget how awkward and overwhelming it can be for those who don't see them all the time. I think those who don't see the person very often lose their sense of connection, and then when they do see them, they feel awkward and they don't know how to talk to them, and they feel uncomfortable with the behaviors and communication difficulties and the physical changes they see. Interactions like this are so painful that someone who is not the full-time caregiver is reluctant to visit again and go through all that, and they may feel that they did not make any difference anyway, and they just feel helpless and sad from the visit.
I asked my brother if he could come over once a week or every other week and just do something that needs to be done around the house, fix something or do some yard work, etc. That way he doesn't feel like he has to come and just sit and have an awkward, difficult conversation with someone who is not very good at communicating any more. And I always try to tell him that he really makes a huge difference when he does this, that mom is often more perky for a couple days afterward (even if she doesn't remember that he came), and his visits help ME so much more than just the physical work that he does (which in itself is a huge blessing). Sometimes he has just taken mom and me for a ride in the countryside nearby because I told him that is something she enjoys. Sometimes his whole family comes and they bring dinner and we have a nice time together. Sometimes he comes and helps me with my computer. I think having concrete things he can do helps and makes him feel better and more motivated to come. Now he initiates the visits, he calls and asks if such and such a day and time would be a good time for him to come, and he would like to work on such and such when he comes. I only have to initiate when there is something specific I need to ask him for help with, like helping me go get something with his car which is bigger than mine, or something in the house that needs urgent attention.
I guess my point is that anger and nagging and guilt and blame will get us nowhere, as tempting as it is (and as justified as we would be) to use it when those who should care are doing nothing to help. Understanding how difficult it might be for those who are on the outside (meaning not 24/7 caregivers) looking in and feeling helpless to really make anything better, and not knowing how to interact with the person any more, and how sad it makes them to see the person in their current condition, it might help them to be more involved if you can simply ask for help with a small task that you need help with. While they are there helping with the task, they can interact with your caregiv-ee at the level they are comfortable with. And then show sincere appreciation for their help, and let them know what a difference their presence and help has made. If they leave feeling good about the visit, and feeling like they actually made a difference, they might want to come and help more often. But don't wait for them to initiate- ask for help again with another concrete task when something needs to be done. They may actually begin to initiate after they've experienced a few visits that went well, and they have a better idea of what they can do to help. If they don't, don't get resentful, just keep asking for help with specific tasks, and keep showing appreciation. If someone just does not come around with this approach, let them go. Hopefully, some will come around, then build on those relationships, and everyone benefits.
There may be a reason why you siblings don't visit. My Mom and I visit my Dad with advanced Alzheimers at least every two weeks. It is sad to see him, but I want to spend as much time with him as I can. My Sister is very reluctant to go because she wants to remember Dad the way he was and won't take my Dad's grandchildren for the same reason. My Brother also has a hard time dealing with his feeling about Dad's illness. I make up for the visits because I am retired and they both work.
My Mother is blind and in assisted living and I try to call her almost every day. It makes her happy and less lonely. I am the only one that takes her to see my Dad but I don't mind.
One thing to remember - visits are soon forgotten when someone has mid-stage or beyond AD. Even early stages often present as memory loss. The elder looks forward to a visit for a long time, the visit is only for a day or weekend, and then the visitor is gone. Often, so is the memory. While I'd certainly encourage visits, I'd strongly suggest that you underscore the value of cards and notes. Then your mother can read them repeatedly (or you can read them to her). That will mean a lot and will take minimal effort from your family. Do try to explain this without any blame. Good luck,
Carol