Originally Posted by ivinsfan
This is true my MIL had dementia , she had money to pre pay for around 2-3 years but we had to select our second choice because our first choick told us very clearly that they didn't accept Medicaid. It was a difficult choice for the family because it was her third placement and everytime we switched her placement she declined significantly.
This is something that many people new to caregiving may not be aware of.
Change is very, very hard
for people with dementia. Think of dementia as a "narrowing" of the visual world they see. As dementia progresses, more and more of those visual details begin to "lack sense".
Let's say there's a lamp on a table, between a sofa and chair. The sofa has a throw over it, as well as a few different decorative pillows. The chair has a seatpad on it, and somebody's sweater hanging on the back. There's tchotchkes on the table - a couple of photos, a few magazines, somebody's coffee cup.
Dementia turns this visual into a confusing, chaotic mess.
The clutter of so many details overwhelms the dementia-afflicted. Multiply that one visual by different angles/perspective - every time the person turns around, there are more shapes and colors and details crowding in!
Individual elements get "lost". Even something familiar may not be remembered, because there are too many things around it, and the dementia prevents being able to visually separate items into familiar/unfamiliar.
It all becomes strange and confusing.....which creates anxiety. The mind freezes up further under stress, and the anxiety continues to build.
The world becomes an unfamiliar, vaguely threatening, visual kaleidoscope every time the surroundings visually change. So routine is very comforting to dementia patients, greatly lessening stress.
Sorry to have gone OT, but the lesson we learned is, when you are caring for someone with dementia, you have to very carefully approach change with them. They don't take it well, so if you can avoid it, best to do so.