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Elderly relative help (dealing with dementia) (1 Viewer)

TLEF316

Footballguy
So I've posted about this before....but my grandmother on my mother's side turned 90 back in February. She has always been a bit kooky and has a major addiction to buying ridiculous stuff on QVC, but she's always been resonantly healthy physically. She never drank or smoked and always took care of her herself. If you just saw a picture of her, you would never guess that she was 90 years old.

But over the last year, she has had a couple of major health issues. Last July. she developed (and nearly died from) a bleeding ulcer that was probably caused by some bad advice from her doctor. She was probably 2 hours away from bleeding to death and spent nearly 2 months in the hospital/rehab. After mostly working her back from that, she fell at the bank back in November and broke her hip. That was another month in the hospital/rehab. She has had a live-in aid since then.

Since these 2 incidents, her mental state has been deteriorating rapidly. She had some reactions to the post-surgery medications (seeing things/people that weren't there) and her short term memory is basically totally gone at this point. It has gotten progressively worse over the past few months and is now become a MAJOR problem. She'll repeat the same questions 3 times in a 10 minute conversation, forget something she did 2 minutes earlier, call my mom about the same thing 3 times in one day, etc. Its getting pretty clear that she will never be able to live on her own again.

All of this is totally stressing out my mom. Her only sibling lives down in Tennessee and is very little help. (despite constant appeals). My brothers and I try to help when we can, but its tough (grandma lives 90 minutes away from me and I'm the closest). Now my grandmother is convinced that she is almost ready to drive again (even though she can't walk without a walker) and is demanding my mom give her back her car (My mom took it a few months ago to use temporarily to save some $$ at the end of a lease due to some financial troubles after losing her job).

So I guess my question is....what is the process (and does anyone have any tips) for basically getting my grandmother's license revoked? We've basically come to the conclusion that she needs to be declared incompetent, which obviously won't go over very well. She really should be in an assisted living facility but will NEVER go willingly.

I know lots of you guys have dealt with this, so any help would be greatly appreciated. When my mom calls to talk to me about it, I basically have no advice (since I've never dealt with anything like this) and would really like to change that. Unless my aunt steps up to the plate (very very unlikely based on the past 35 years) we're going to have to be the bad guys here. At the very least, we need to guarantee she'll never be on the road again.

 
My friend dealt with this with her mom. Her pcp either filled out a form or submitted a letter to the dmv and her license was revoked. But she had to take it a step further and take the car key away because she would sneak out and drive when no one was around.

 
I guess laws vary from state to state, but usually you have to go to court to have someone declared incompetant and have a guardian appointed. Check with an attorney who specializes in elder law. Good luck.

This seems to cover some of it. (Assuming she lives in New Jersey too.)

 
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What's the point of getting her license revoked? I doubt that will stop her in any way. Seems like taking the keys away is all you need to do.

 
What's the point of getting her license revoked? I doubt that will stop her in any way. Seems like taking the keys away is all you need to do.
Just spitballing, but I would guess it's to build a case that she can't take care of herself as well as to let the DMV/state know that she shouldn't be driving.But I'm just an armchair lawyer. :shrug:

 
What's the point of getting her license revoked? I doubt that will stop her in any way. Seems like taking the keys away is all you need to do.
I agree. The license has nothing to do with it.

Went through this with my girlfriend's grandmother.

We just took the keys away and told her that her driving days were over.

She complained about it at first -- and still brings it up once in a while -- but she doesn't drive.

 
What's the point of getting her license revoked? I doubt that will stop her in any way. Seems like taking the keys away is all you need to do.
I agree. The license has nothing to do with it.

Went through this with my girlfriend's grandmother.

We just took the keys away and told her that her driving days were over.

She complained about it at first -- and still brings it up once in a while -- but she doesn't drive.
I think TLEF's mother driving the car presents a complicating factor. Depending on how far gone his grandmother is and how upset she got, she could conceivably contact the police saying that her daughter stole her car to use for her own personal use and have a pretty solid case. But if her license is taken away, it's a moot point.

 
On the medical side, if it's recently gotten progressively worse, I highly recommend checking with a neurologist and investigating hydrocephalus or water on the brain as it's coliqually termed. If she has recent injuries and recent woes, this is absolutely worth investigating.

If there is reason to believe it's present, a simple cat scan can tell a lot. But if it is suspected, the next step as an intermediate determination is a spinal drain where spinal fluid is drained slowly over 3 days in the hosptial. If you get fast, marked improvement from this, you may be looking at a great help or an option to go to shunting which is a drain in the brain.

If it doesn't help, it's a low risk procedure.

Have had recent life experience with this and life changing is not a strong enough statement. Miraculous is really the word. But our results are very preliminary and early on but I would at least urge a doctors visit to you or anyone dealing with symptoms that came "out of nowhere". We probably live In denial on a lot of this but altimzhers isn't a switch that gets flipped. It's progressive.

 
Oof. From doing some light reading, this whole process seems like a mess. If its as simple as just talking to the PCP and having them handle the paperwork, then no harm in doing that to make taking the keys away a little more legit.

 
I have first hand experience with this. First ask her Dr to notify the DMV, if she won't do it then Have her Dr write a neuropsyochology test . Have her take the test, it takes 3 4 hours. Based on the results her Dr can then clinically say she cannot drive. Or go have her test at a OT facility for driving. They will go out driving with her (scarry job I bet) to determine if she can drive. If she cannot they are mandated to report to DMV. Who knows, maybe she'll pass.

Eta I totally agree with the CT scan first to check water on the brain. Especially if this came on fast. Good call on that one.

 
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Thanks for all the advice guys

Thankfully, power of attorney has been in place for a while. She had some legal stuff to deal with a while back (bankruptcy due to decades of wasteful spending and minimum credit card payments) so my mom got that in place back then. So that's good news I suppose.

My mom has the car and keys at her house, so she (grandma) obviously doesn't have access to a vehicle at this point. But she's pushing for it and I am concerned that things will turn ugly (and she'll call the police) if my mom doesn't give her the car back. That's really why I'm focused on the license portion of it.

She has been seeing a neurologist but I don't know when her last CT was or whether they've looked for water on the brain. Great suggestion and something we'll definitely look into.

There is NO CHANCE she'll pass any sort of driving test. She was a horrendous driver 20 years ago when she was healthy. She won't drive over 30 mph and there's no chance she'd have the reaction time to avoid any sort of accident. There's a slight chance she'd be able to drive locally to run errands but it would really just be a ticking time bomb.

This whole situation just really sucks. We've come so far medically in terms of keeping the body going but we can do little to help a failing mind.

This whole situation just really sucks.

 
I'm sorry to hear that. I may have this issue with my MiL coming down the road, but right now it's nowhere near your situation.

Stay strong. :brohug:

 
Oof. From doing some light reading, this whole process seems like a mess. If its as simple as just talking to the PCP and having them handle the paperwork, then no harm in doing that to make taking the keys away a little more legit.
That's all my friend had to do with her mom, so unless laws are different in other states (I'm in CA), it was that simple. Her mom isn't so far gone. She has memory and concentration issues but could still drive ok slow and short distances. Just every time she came home, we'd find damage to her car which of course she blames on the other person, but her other dau in the car confirmed it was mom that was scraping up against parked cars.

 
We had this issue with my grandmother awhile back. She'd had a series of strokes, her short term memory was toast, and her reaction time/vision was nowhere near what it needed to be to drive. My grandfather is still around so there was someone to drive her around, but she still wanted to drive herself.

What finally did it, after repeated conversations and different techniques on the subject, was to ask her "what if you were in an accident and hit your great granddaughters (my kids) who were in the other car." Somehow in her state of mind she still knew that this would be terrible, and she'd never want to do that, so she probably shouldn't drive.

Stay strong and be supportive to your mom. She/you're going to need it. Dealing with a mentally unstable adult is very difficult, especially one with enough faculties to seem lucid. As my grandmothers memory and faculties faded, the conversations got tougher (for/on us).

 

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