Accusations and Memory Disease: A Hard Road for Caregivers

Alzheimer's is a progressive disease. In theare some proven responses.
moderate stage of the disease your loved one1. AGREE. Nothing diffuses an argument faster
may make unfounded -- even wild -- accusations.than agreeing with an agitated person. You may
Personality changes are common at this stageagree that your loved one's new place is as small
according to What kinds of accusations are weas a box. Or you may say, "No, the food here is
talking about?not like the home-cooked meals Mom used to
The University of Maryland Medical Center saysmake."
people with memory disease may accuse their2. DISTRACT. A related topic may divert your
spouse of infidelity. This is a hurtful accusation andloved one's attention. The above example about
you may be accused of other hurtful things.home-cooked meals is the perfect lead-in for a
Nancy L. Mace and Peter V. Rabins, MD, authorsdiscussion of your loved one's favorite meals.
of "The 36-Hour Day," cite examples of memoryArrange for this meal, if possible. You may also
disease accusations. Two of them: "You are crueldistract your loved one with a new activity.
to me" and "You are not my spouse."3. CHANGE LANGUAGE. Liz Ayres. an Alzheimer's
People with memory disease may accuse lovedvolunteer and former caregiver, gives examples
ones of trying to kill them. Caregiving is hardof language changes on State instructions in a
enough without accusations like these and youshort sentence, Ayres says, and repeat them the
have to survive the final stages of disease.same way. Ayres thinks "but" is an upsetting
My mother thought people were stealing fromword and says we should replace it with
her. Often the missing item was in plain sight, but"nevertheless." "I know chicken's not your favorite
my mother could not see it because she hadfood (smile) nevertheless I'd appreciate if you
visual agnosia -- the inability to identify objectswould eat a little."
and people. Finding lost items did not stop her4. DISCUSS. Keep a written record of your loved
accusations. Dealing with these accusations wasone's accusations and dates. Discuss these
hard for me because my mother had snitchedaccusations with your loved one's doctor and the
someone's teddy bear.Assisted Living or nursing home staff. Medications
How should caregivers respond? The Alzheimer'smay have to be adjusted and/or new ones may
Association of Los Angeles tells caregivers tobe prescribed.
"respond carefully to threats and accusations."As your loved one's Alzheimer's progresses you
You cannot reason with an impaired mind so dowill be the target of many accusations. Do not
not waste time on arguing. It is wise to preparetake them personally. Remember, you are talking
yourself for accusations for they will come. Hereto the disease, not the person you once knew.