Mom is having a hard time adjusting to the new table in the dining room. I was told she got very upset when they told her she was being moved and demanded to know why… but I thought she’d be fine with it as soon as she got acquainted with the new table mates. But apparently every day she forgets and tries to sit at the old table and then it’s upsetting all over again when they tell her she can’t.
When I dropped her off after her dentist appointment today, I learned that there was an incident at breakfast. Mom came down to the dining room in her pajamas and tried to sit at the old table. The Care Director headed her off, telling her that she has to get dressed before she comes downstairs and that she has to sit at the other table. The way the Care Director told it, Mom had a temper tantrum, slamming her walker into the table and raising her voice. She refused to go back upstairs and change out of her pajamas, but they did talk her into sitting at the new table. “I’ve never seen her angry like that,” the CD told me. Neither have I. One of the saving graces so far is that Mom has always been so good natured and agreeable, but I guess that’s about to change.
It’s clear to me that she’s entered a new phase in her dementia since her last hospitalization. The things that used to work, like reminders via phone call, are no longer effective. She’s not managing her activities of daily living (ADLs) without some assistance, so we’re going to need to pony up more money every month to have someone get her dressed in the morning, comb her hair and help her brush her teeth, escort her to the dining room for meals, and help her get into her pajamas at night. And I think I should start looking into whether there’s a Medicaid waiver that covers Memory Care facilities, or if that’s just for skilled nursing, because I have a sneaking suspicion the staff at her current place aren’t at all equipped to deal with advanced dementia.
This is it, folks. The hard part starts now.