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my husband has dementia due to a hemorragic stoke. every morning he wants the car keys to go to work. he sometimes gets very angry with me.

Remind him that he doesn't go to work. Ask him to do a task for you that you "can't" do.
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Reply to Taarna
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huskermania: An individual with dementia should NEVER have access to vehicle keys. Disable the vehicle.
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Reply to Llamalover47
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My husband has Dementia and Alzheimer’s. He took off one day driving while I was napping. He was gone for over 6 hours. I was so scared. When he came home he looked so scared, said he got lost, was in another town and stopped and told this guy he was lost and wanted to go home. The man told him how to get back to our town. I had called the police and they needed a description of our vehicle and license plate #. I didn’t know the license plate #. After that day, I wrote down the complete description of our SUV, the auto maker, the VIN # and the license plate #. He voluntarily gave our son is key that day. The very next day he had an outburst and demanded his car key as he said he had to go to work to make sure his truck was ready for him to go on the road. Our son gave him his key back because his Dad was yelling and cussing him out. A couple days later he did the same thing, took off while I was napping. I told his doctor and all his doctor said was for me to get Air Tags, put one in the glove box, one in the Console and one on his key ring. He said to have our son connect them to my cell phone. He did. I was upset with his doctor as I was worried my husband was going to be in an accident, get killed and kill somebody else. One month later he wanted to go somewhere and I went with him. On our way home he flipped out while driving, started screaming and cussing, saying no one was going to pass him. He deliberately hit the side of another car. Our windows were down, the other driver gassed it and got out of there, I’m sure they were scared of road rage. Paint from our car was in their car and their paint was in ours. It was a hit skip the State Highway Patrol Officer said. They asked me if the doctor knew his condition and I said yes but he told my husband he wasn’t allowed to take his license away. He just shook his head and said he was filing a report and he will have to be tested for his driving. I thanked him. The BMV sent a physician’s statement to be completed, I did not take it to his regular doctor as I no longer trusted him. I took it to his Psychiatrist to be completed and his office faxed it to the BMV. He was found unsafe to be driving and lost his license. He still has outbursts and wants his key but I told him I don’t have it and he no longer has a license to drive. You need to protect your spouse and other drivers in the road. Good luck!!
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Reply to loyalone
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Geaton777 Jul 11, 2024
I would report that doctor to their licensing board. What an idiot.
(4)
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There are two major issues happening:

1) he wants to drive 'go to work' (due to dementia)
2) he gets very angry with / towards you (how to handle it)

Re the car:
1) disable a part in the car
- be sure he can't call AAA or his / your car ins company for a repair
2) change the car key on the key ring (buy a 'look-alike' if needed)
3) tell him the insurance expired and you're in the process of getting it renewed
4) Is this your car? Can you sell his car? Can you park it elsewhere so he doesn't see it "It's in the shop" - needed a new starter ...
5) Do you have an MD letter indicating he is not allowed to drive?
6) Have you discussed #5 with DMV?
7) Notify local police that of the situation 'in case' he does drive. They are used to these situations (hopefully he won't be driving).

As you can, have a 'friend' come to pick him up for 'work' to take him out for breakfast, a walk, something. See if getting him dressed (tell him he has to shower and get 'ready for work' - if he can. The 'friend' could say it is a 'holiday' and then take him home ("the office is closed today for xxx").

Anger towards you:

1) Do not try to convince him that he cannot drive. He won't understand (as)
this will set up an argumentative, emotionally charged interaction. You want to avoid these charged situations however you can.

2) Say:
"I will look for the keys.
"Why don't you sit down while I look for them."
Then walk away.

Perhaps offer or give him a cup of coffee if he might accept it.
Tell him the office is closed today (its a legal holiday).

3) Consider how you handle his reactions (anger, agitation) other times?

How long does his 'anger' last ?

Do you do anything to re-direct his? / his focus (anger) - how?

Read Teepa Snow's website, study her webinars, buy her books, see her You Tube videos on how to handle these situations.

4) Get help(er) / caregiver in around the time he asks for the keys to leave.
Have that person come to the door to 'help him get ready for work" (get his papers, contracts, get dressed).

5) Consider:

When did this stroke happen?

Does the MD say he will be able to drive again at another time?

How has the stroke affected him in other ways / behavior / emotional reactions?

Is he diagnosed with dementia?
a) What kind?
b) Do you know what part of the brain is affected? and how?
(Study / read about)

How long as he been in this routine (wanting the keys to leave)?

What does he do when you say whatever you say about the keys - how long does he stay activated (angry) ...

Where does he go?

What does he 'then' do?

How is he otherwise different physically and mentally since the stroke?

Is there an Association you can call for support?

5) Take care of yourself as you can / need to.
You cannot be 'on' 24/7 absorbing this / these reactions coming at you.
Get help in / take breaks / you need a respite.
Lean on your friends / networks / church for support.

6) Find a medical social worker (some work independently).
S/he may be able to help you.

Gena / Touch Matters
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Reply to TouchMatters
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Is there an Adult Day Program in your area?
Typically they will pick up in a van or bus, bring the participant to the center. There they get a breakfast, lunch, snack and activities.
I knew of one person that would slip the director $5.00 and the director would give it to the husband at the end of the day. That was his "pay" for coming to "work" they did give him some tasks to do during the day. He was very happy getting paid for his work.

But some of the things you can say to your husband.
"Work called earlier and they said that you don't have to come in today, your vacation day was approved."
maybe..."That machine broke and they are waiting on parts so you don't have to come in."
Or....give him wrong keys, you have to call for a tow so he can't go to work.
If you have 2 cars you need to get rid of the car he drove.
Make sure that you keep your keys on you at all time so that he can't get yours. And I always locked the car when it was in the garage so that he could not get into it to access the garage door remote.
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Reply to Grandma1954
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Disable the car so it won't start.
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Reply to Patathome01
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Give him keys to a different car and oops, they don't work this morning!
If his car has a key fob, remove the battery so it won't open the car door or turn on the car.
Remove the car to a neighbor's garage or park it around the corner. Oops, the car's in the shop today!
The doctor could prescribe meds to decrease his anger.
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Reply to Fawnby
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I just kept telling my husband that his doctor said he couldn't drive anymore. I took his keys while he was sleeping and hid them. Not long after that I sold the car to our granddaughter.
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Reply to WearyJean
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My father was a truck driver for nearly 50 years. Accordingly, driving was a large part of his life. When it reached a point that it was no longer safe for him to drive, we made sure that someone was always with him and could take him wherever he needed to go. He never threatened to leave on his own because my mother could always delay/redirect him. Nevertheless, much like your husband, he always had to have his keys, even if to just walk around with them in his pocket or to place them on the table next to his chair.

Eventually he declined to the point of sundowners and wandering. As he progressed into those stages, I surreptitiously swapped his keys for his car and truck with ones which were identical to his keys but not programmed to start the vehicles. Over the course of the next several years, he tried to drive the vehicles multiple times when he would become frustrated. In the later stages, he has now forgotten about the keys and we have put them away.

We still have the vehicles because they are needed for his care. I never requested that the issuing authority revoke his license because he would not have understood and it really would not have mattered to him if he decided that he wanted to drive. I did not disable the vehicles because it became unnecessary once he no longer had keys which worked. Finally, I allowed him to keep the keys and his dignity all while keeping him and others safe.
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Reply to MC1965
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MaryKathleen Jul 11, 2024
I love your answer. It would not have worked for my husband unless the keys looked just the same. But for many it would work. Great idea!
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This is a tough one and very common for sure. There are many posts which may be helpful. I hope you’re able to accomplish it without too much friction.
Go to “Caregiving Topics” and search “driving” (“car” and “keys” do not have results).
Also, go to “Search AgingCare” and enter “car,” “keys,” “driving,” etc. to read past advice/experiences.
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Reply to MissesJ
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After my dementia dad fell and went into the hospital, I was able to take the keys and car over to my house. I told my dad he didn't have to drive anymore and I would drive them around or run errands. Not long after, my dad received a letter in the mail stating that a doctor has to answer these questions proving his cognitive abilities prior to renewing his license. The state of PA randomly chooses seniors. It was a sign for sure. Don't let husband drive. He can get into a serious accident.
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Reply to Onlychild2024
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Anxietynacy Jul 11, 2024
She may need the car for herself, errands and appointments.
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Say Yes dear and Give him the key - to anything but that car.
then redirect - pick a meal, chore anything he can help you with.
time to make a new home for the car?
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Reply to AliOJ58
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Tell him when he passes the state's driving assessment then he can drive. He doesn't literally have to take this test, but it may stop him from asking for the keys. Your clinic may have this actual service through Occupational Therapy (mine did) and his doctor can order it. He will fail the assessment (it's a written cognitive test plus a physical reaction test). Then OT reports it to his doctor who reports it to the state (Dept of Public Safety) and then they will send a letter out cancelling his license. So, it's their fault he can't drive, not yours. This worked great for my Mom.
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Reply to Geaton777
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Tell him he’s retired.
If possible park your car out of sight .
And if you have two cars , sell one .
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Reply to waytomisery
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Sell the car. Out of sight, out of mind.
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Reply to Dawn88
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