Thursday, June 11, 2015

Today's Crisis

Lately, we have been experiencing crises with gran gran too often.  Today's crisis started in the morning.  As I am getting ready for work, she's in the kitchen having coffee with sweet bread as she grew up doing in Honduras; she has kept her morning rituals non-changing.  I went to the kitchen and greeted her, asked her how she was doing.  She said she felt a little hard of breathing, since I had to leave for work I wanted to make sure she used her inhaler to avoid any asthma attacks during the day since I wouldn't be there. She said she has no inhalers, which she does; she just misplaces them or overuses them.  This time I kept the brand new inhaler we just got for her yesterday.  So I pulled out the inhaler and I asked her to take a treatment before I leave for work so I don't worry about her during the day.  She must have been faking the symptoms because all of a sudden she could breathe and talk and yell and scream.  She got so offended that I had kept the inhaler, she asked me if I thought she was old and stupid that she couldn't keep her own medication, I of course tried to diffuse the situation to no avail.  I followed her upstairs where she was almost running to while simultaneously yelling insults at me, if there was no asthma attack before, there was sure to be one now.  As I reached upstairs she proceeded to bang on her head with her fists and then to drop to the ground.  I tried to help her fall but she began to scratch me, I pulled away and she continued to bang her head.  I grabbed her arms and told her that I could not let her hurt herself and that she needed to calm down; she refused and continued to scream and demanded to be left alone.  I just could not leave her.  I called my son and told him to stand by with the cell phone in case calling an ambulance became necessary; he too tried to calm her down to no avail.  Suddenly, I found myself yelling at her as if she was my child.  I don't even know at what moment I decided to do it, I don't think it was out of frustration, it felt more like it was out of necessity. I found myself yelling at my grandmother to calm down I screamed at her to let me take care of her or did she prefer I call an ambulance and have her restrained?.  She calmed down but I saw a look of helplessness in her eyes.  I felt she feels a little lost but she's not sure if she can trust me.  I helped her off the floor and onto her bed where she finally agreed to take the inhaler treatment. It was a moment loaded with emotions, she apologized to me for scratching me and insulting me, I told her there was no need for apologies and that I do not enjoy yelling at her and to forgive me that.  I told her to try to control her anger and try to trust me. She agreed. 

Although it was an emotionally charged morning, I feel like it helped me understand her a little more. I don't know if I reacted the right way, it felt like instinct almost, it just happened.  When I got to my office, I immediately started reading about dementia symptoms and came across do's and don'ts when experiencing incidents like this. I feel my reaction was a don't and now I know for next time.  

Now, I am in need of a muscle relaxer and eye drops. I'm afraid the stress of the morning will probably stay with me throughout the day.

I must reiterate that she has not been diagnosed with dementia or Alzheimer, but her pcp recognized her behavior as symptoms of dementia.  I am in the process of scheduling an appointment with a neurologist through Medicare.  

Good source of info:




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