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Well, it depends on your parent, but with my Mom, I would time the visit for about 30 minutes before her favorite soap opera started. That would give us time to have a small chat, and for us to go get a cup of coffee and take it to the TV room. Where it would just happen to be time for "our" favorite soap to start. So much easier to watch General Hospital, than to just sit and stare a the wall. Other times, if the weather was good, I'd wheel her chair outside for a short walk. She very soon, wasn't even up to even a simple chat, so I switched to doing her hair, while I was there. I asked the nurses for the schduled days that they would wash Mom's hair, and I made a point of visiting that after noon. I brought in a steam hair setter, and would set her hair. Still, I'd put on the TV, so we could both pretend to watch, since conversation wasn't happening anymore.

With Dad, he was a little more aware, and had alway had a terrible sweet tooth. (Thank goodness he waas not a diabetic) So I would stop at the donut shop on the way ther, and buy a few of his favorite glazed donuts. When I arrive at the Dementia care facilty, I'd take Dad to his room, (and make us a cup of decaf and have donuts. While we watched reruns (actually they were tapes) of Everybody Loves Raymond. Dad just loved that show. Other times, we listened to CD's of his favorite music Dean Martin, Tony Bennet, Frank Sinatra, etc. And while the music played we look at old family photos.

That was something I'd tried with Mom, but quickly realized she could not see enough to see the photos, due to cataracts. By the time we'd gotten her eyes done, she was no longer cognitively able to understand.

Then with Dad, who was about five years behind Mom on the Alzheimer's path, I started a photo album for him. It was a big 4 inch thick binder, titled "La Mia Famiglia" (Italian for : My Family). In the photo album there were a few basic pictures of Dad, and Mom, to start. Then every time I visited, I brought a few pages of more photos. The best of the old ones. So we'd mount the photos in the album, and I'd ask him questions about the people/places or time. Dad would still remember the old days, his brothers, and family.

My favorite was the day I'd brought a simple photo of Mom, from when she had been about sixty years old. And as Dad gazed at that photo for a long while, he said: "So beautiful. She was always so beautiful."
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What to discuss is an excellent question! I am with my 95 yr old dad 3-4 hrs every day and needless to say, I run out of topics. It would be great to start a list of things we could talk about that I haven't already thought of. Last week, I asked my daughter to send any little bit of info about her kids and her daily living and she has been a great help. All trivial but that is great!
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I visit my 89 year old husband every other day even though it is 45 miles away. He has Alzheimer's Disease with vascular dementia. He still know us and even knew his nephew and daughter who I took to have lunch with him last week. He hadn't seen either for several years. I usually stay between 1.5 and 2 hours and take my knitting along. He may visit for 10 minutes and then doze the rest of the time. Sometimes waking just enough to check that I'm still there. When I leave, I never tell him "Goodby" but just that I need to go let Suzie, our small rat terrier, out, and that will be been back soon. He accepts that and I go on my way.

He is in skilled care and can only feed himself, so other activities and difficult to find. He does like music, and I always try to be there when they are having special programs because if the staff asks him if he wants to go, he will say No. I don't give him the opportunity, I just say we are going to ???. He has little attention span for TV, although I try to find music or play CD for him when I am there.
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Everyone is different. A couple suggestions are, pick a day that when you go, you can give her a manicure and paint her nails. Or go in the evening after dinner and just sit and watch TV with her and leave when they come in to get her ready for bed. You don’t have to carry on a conversation the whole time you are there. Your presence is what’s vital. When my mom was in ALMemory I was the Tuesday night daughter and Sunday lunch. Fortunately I have a lot of siblings and we were able to divide and conquer! When she moved to SC, my company closed so I was able to go every morning to feed her breakfast, plus my Tuesday nt dinner and Sunday lunch. When in SC meal times are the important visiting times so you can help feed them and make sure they eat. When my SO was in AL and SC, I was there 7 hrs a day to cover both lunch and dinner. It’s not necessary to keep them amused the whole time, but visiting is crucial to keep the staff on their toes. You want to see how they are handled during all different times of the day. How do they handle showers? Toilet times? You only can know this if you are there. My journey with both has ended. Blessings to you as you continue your journey.
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AnnieWishes Nov 2019
Barb53, you are right on one vital point. The more the family and friends visit, the better care she will receive. Not that staff are deliberately careless, but it just keeps her in their minds more. This is not a criticism of the staff, they are all working hard for your relatives, but the difference is subtle, you see how they do things.

Meadow, Barb53, best wishes to you both.
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I can sympathize with you.... my mother in law changed initially into a negative person, talking, for example, about one daughter in particular (the primary carer) in a very critical manner, usually confided in me rather than one of her other daughters. When in hospital some months later, I visited twice a day, ten fifteen minutes. I was a twenty minute drive away, the closest by far of her family. Even then it was hard to think of things to say . She would compliment me on visiting her to the other lady patient in the room, and once criticized the other lady in a loud voice, leaving me to apologize. On the one occasion the other lady s daughter came out after me to acknowledge, and said my mil was a lady, kindness indeed. That kind of interaction kept me going. My mil was beloved by her family, and although she had this loving family, she brought me into her heart, making these visits seem very little for me to do for her.

long tale. Ask others for talk ideas,, help her start a notebook, a pretty one, with life details, photos....

if her her memory is affected, you might be able to repeat topics. I hope you get lots of replies. You sound kind and caring. Keep visiting, and best wishes.
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Bring your own entertainment. What I mean is keep handy a joke book or a game. Even when my parents were quite infirm, they could play dominos and other simple games. Make something together, craft or food, and while you're going through that process, talk. Maybe the activity can segue to a memory of their younger years. At one point in my mother's last months, I bought a storybook that her sister used to read to her when they were children called The Five Little Peppers and How They Grew. Mom's roommate has end stage Parkinson's and was mostly very unhappy and although not really verbal, let everyone know. However, I learned that when I read from that book, not only did mom enjoy it, but so did her roommate. One chapter was about when the family came down with measles. Mom and her roommate shared their memories about the measles. Albeit, it was mostly my asking questions and they would answer yes or no, but it was still very interesting for me and them. For other visits, I would give mom a manicure or if time was limited, a tiny treat like a piece of fudge (easy to eat). Music works well, especially the oldies that they know the lyrics for. I used the phone a lot. Poems and reading wikipedia entries about golden age of Hollywood stars, and jokes worked for mom. Dad preferred chapter books and discussions of history; I had to keep the laptop handy. Just take their cues and think of ways to prod their memories of their childhood and young adulthood. I learned so much about them. Now that they are gone, there are times I'll relay one of their memories to my brother and he'll say "how did you learn that?" And I reply, "by spending all that time with them in the last few years." And you know what? I realize now that I should have asked so many more questions. So, I guess what I'm trying to say is see those visits as opportunities to learn their history.
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My Mom has dementia as well and I am not able to take her out so since her building is connected to the hospital (we are a town of about 6500)I take her for a walkthrough all the hallways of hospital in her wheelchair (I get her to walk sitting in it to encourage her to keep exercising). She is 96 and likes to "travel" so this helps me to not have to talk much (or keep asking same things) but I will say small towns are wonderful because they all smile or take time to chat with Mom a bit or even show her a baby that was born if Moms are good with it. One of the head nurses is so sweet and won't let Mom pass the Acute care until she gets a hug from Mom. Plus she sometimes makes small stuff for Mom. I am totally blessed this way. I sometimes just take her to dining room or cafeteria depending on the day and get her a hot chocolate which she loves but also know she falls asleep a lot in her chair. Her fav thing is when I scratch her back and head as we walk. I go almost everyday (sometimes only 5 days) because even if I don't feel like going I think how thankful I am to still have her. It wasn't that she was there much for us as kids but I do love her and she is so little (but tough...ask the staff. lol) so feel like she is my child (until she has an episode and then I have to leave...too emotional for me). I have 3 other siblings but the 2 boys haven't been here for about 4 years and my sister usually comes every summer for a month or so but since she doesn't drive I am always with her and Mom anyways and then have to take my sister to wherever she wants in town. Plus she is a night person so is never ready to go till 3 which is frustrating for me. I love her too but sometimes just more work. Either way I just want to encourage you to do what you can and not feel guilty when you don't go. We all need breaks and rest and friends. God bless you in all you set your hands to do!
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We have my MIL over for dinner once a week. I either refresh her nail polish or give her a manicure when I take her back after dinner. I find the time goes by faster over a meal or even a cup of tea. We often tell her about our week, tell her about current events, ask her about her childhood or early adult life. Sometimes we listen to music or watch movie. We always try to make her laugh. Good luck!
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Mom is in assisted living. I visit 3X a week, the drive is 20 min each way. On her good days I stay around 1 1/2 hours. Today was a good day. We had tea and a muffin, chatted and I read to her. On her bad days, when she is having behaviors, I only stay around 45 minutes, just long enough to sooth and calm her. Those visits drain and exhaust me. They trigger bad memories. My sister sees Mom around three times a week too, which includes taking her to Dr. appointments as she has medical POA. My brother almost never visits.
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My mom is now 95 with advanced Alzheimer's and resides in a memory care facility. I try to visit on a daily basis at times when there are structured activities (such as bingo, card games, bible study, etc.) That way it's not just the 2 of use--other times she sits in her wheel chair and sleeps so after about a 1/2 hr I leave.
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I just want to empathize. My husband has fronto-temporal dementia and is in assisted living. He has not been able to verbally communicate for years. I go to see him daily but his primary interest seems to be watching television. Our best times together are when I’m able to get him out to ride and go get something to eat. I keep thinking there should be more I can do, but it’s very hard with someone who has dementia and cannot speak. Every now and then I think he does have lucid moments, and that, along with my love for him, are what keep me going.
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I have answered once but would like to add something after reading all of the good and thoughtful suggestions. For anybody whose loved one has dementia but is sort of in and out of it, please know that just your presence there helps them. My mother would be holding my hand and fall asleep (catnap) but would wake shortly to make sure I was just there. It was comforting to her. We didn’t have to talk all the time. I would watch her tv while she catnapped or even go on Facebook and check in to see posts of friends. Whatever I did, it got me through and comforted her. She was in there for 4 years. She seemed to do better with visitor I might bring along. Example—I asked a friend if she would go with me and we would have lunch somewhere and then go by to see my mother. Mom was on puréed food so she could not go to lunch with us. You find workarounds to make it easy. I love some of the suggestions on here.
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Hi Meadow,
I am writing from the patients perspective. I was diagnosed at the age of 57 with early onset Alz just about 3 1/2 yrs ago. After spending a couple of months reading up on this site, I thought about what I would like in terms of visitation. I've told my DW that I want to be put in a LTC facility at least 100 mi from where we live.
I've told my DW and children three of whom are adults and one is 12, that when it is time for me to go in to Memory Care, I want them to continue on with their lives, I won't remember whether they visited or not and I can't bear the thought of them feeling they had to entertain me and not know who they were. I want it to be inconvenient for them to visit so they won't feel obligated to make daily visits. I don't want them driven by guilt. We've had a very loving marriage, I want them to enjoy all of the time they have in their lives and with their own families. Let mom get on with her life, and make a new life for herself.
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Upstream Nov 2019
Wow, thank you for your heartfelt response to the question.
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Unfortunately my mother didn't even live in the same town, let alone the same state. I had to move in with her for 6 months.
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As you said the frequency and length of visits to an LO in a SNF depends on several factors. But visits are necessary on one level just to monitor her quality of care. We would all like to think all of these facilities are "dedicated" to providing the best of care for their residents.....the are more often not so much. It's all to often all about the money. So, taking your LO on a little stroll around the facility is one activity you both may enjoy and it gives you oppertunity to observe what all is going on in the facility.
I am sorry you are an unwilling visitor, that means you are walking into the visit with a somewhat negative frame of mind. And "stressing" over "what will we talk about" just adds to this being a negative experience. I'll bet your LO can sense on some level what you are feeling. I am not "blaming" or "shaming" you, just trying to state what i understand of the situation. But during your visits if you have some simple "activity" or subjects in mind you may also have less anxiety over the visit.
And one or 2 hours are enough. Your LO may actually get too "tired" if you stay overlong.
During your stroll around (inside and/or outside) you can stop just to say hello to the staff and to fellow residents. Does your LO like puzzles. Find 100 piece puzzles you can do together in a short amount of time. Does your LO like to read? Take magazines with interesting articles you can read aloud then discuss (if possible) or just give your thoughts on it. You could take a book that the 2 of you like so you can read it together. Take various picture albums (not all at one time, rotate ones you bring). Are you the only person who visits? Maybe some of your LO's other relatives or friends can also visit.....or join you in your visit.
Good luck and prayers 🙏
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I drove 40 min for 2 to 3 times a week - when I was having same issue I did a planned talk so I always brought  her a consumable item [favourite was a Tim's 1/2 decaf coffee & 1/2 hot chocolate] with 2 Timbits - I brought water for myself & we shared to Timbits - occationally I would bring some wine & even shrimp cocktail - I found the sharing of food with her was important to her

Part of problem is that it can seem like the same visit each time - so do something to direct the conversation like taking old family pix or a book of whatever you want to talk about [garden, dogs, etc] -

I gave her a cute mauve metal container with silk flowers in it for Mother's Day with the idea that I could bring a new stem & re-arrange the flowers as part of the visit just for something a bit different to do

It is on you to set the tone of the conversation & bringing a 'prop' to help will make it easier on you both - go to a dollar store for these things - my mom loved getting anything so even a dog toy to use as an exercise ball for her hands made her happy or a child's toy can be re-purposed to do the same - the brighter the better as it will grab her attention

I tried to mix it up a bit so that the NH didn't know exactly when I was coming so that she wasn't just 'done up nice' once a week - when I went away I left 'parcels' that I did up with small items that I supposedly mailed from my trip but it was the staff who would give her 1 every few days so that she felt 'remembered'

As to how often that is up to you but by bringing something this will take up a good part of the visit - share pix from you cell phone if you can - I even would take pix of new decorating item I was doing & just talking about it out loud helped me - if I had an idea while talking to mom I would let her think she came up with it & thank her for help which made her feel better about herself

I hope this can help you make more meaningful visits with your mom & creat nice memories that you can look back on in the future
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This is a tough one..... At first , almost daily, to get a feel for things and try to calm mom's nerves.... Now, I try to go twice a week - once on the night I know she will be at bingo, to straighten out her room, take dirty clothes & bring clean ones. The facility does do laundry, but I prefer to do it... I want to make sure mom looks nice. I choose to do it when mom is not around, because she gets very agitated & tells me not to bring too much bec ise she is not staying there. She is staying, has been there about a year & a half. Then I go on Sundays for our visit ( not much going on activity wise).... Visits are usually bad, she tells me how much she hates it, and how could I do this to her. No reasoning with her, so when she starts, I try to change the subject, if she persists I cut the visit short. If I can redirect, I try a change of scenery, take her outside, maybe try a puzzle, coloring....

The worst part is, some days she knows me , other times she doesn't. The nurses tell me that she forgets I was even there, 5 minutes after I leave.... : (

Do what you can for her, but you have to find a balance to keep your sanity as well.
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kdcm1011 Nov 2019
When Mom would get agitated & insist she wanted to leave with me, I would say “Mom, that’s great; I’m going to Shop Rite (grocery store) for their Can Can sale & can use your help.” Sometimes she would beg off because those sales are brutal. On the times she would agree, I would suggest we wait a bit to “rest up” and then when it was obvious she was ready for a nap I would say “ok, let’s go grocery shopping”. She always said she was too tired.
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Trust me when I tell you that you're not alone.  I hate going to see my mom.  I can't really talk about anything.  I have to be careful about anything that comes out of my mouth because it gets turned around in her head and then becomes some crazy story she is telling everyone.  I get depressed and feel sick when I have to go see her.  I force myself to do it for two reasons...the first is I supply all of her personables out of my own pocket...toilet paper, deodorant, hand soap, hairspray, etc..  I also have to search her AL apartment for dirty clothes (she hides them everywhere...under the couch, on top of the cabinets, in between the mattress and box spring, in her purse, etc) I take her clothes home to clean them and then bring them back and put everything way.  The visit with her also allows me to make sure she isn't dropping weight (forgetting to eat).  It is horrible to see her the way she is and I dread it every damn time, but it is my new normal and there is no getting out of it.  When I visit her I try to make her laugh.  it makes me feel better and I think it makes her feel better.  Laughter is good for the soul. 

You'll have to find what works for you and your mom.
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Know exactly how you feel. What do you say or do with a loved one who has dementia? I think it comes down to quality vs. length of visit. If the facility allows pets and you're a pet owner, how about bringing your pet for a visit?(as long as your pet is comfortable in the car) How about bringing photographs past and present and have a conversation about them? If it's a nice day, what about taking her outside? What about if there is an activity scheduled during your visit, why don't you both attend and while she's engaged in the activity, slip out? You may also want to schedule your visit close to a meal and then you can slip out while she's eating. If she has a better time of day, why not schedule your visit then? As a social worker in a facility, I would suggest 20 to 30 minutes and I would suggest that you engage the staff's assistance to leave your mom especially if she gets agitated.
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I could have written this almost word for word. Sorry I don't have an answer, but you're not alone!
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I have already commented, but wanted to add something...so many things play into how the visit goes.  What stage is your LO in, what type of dementia do they have, what was your relationship with them prior to dementia...etc.

Some of us don't have the quiet mom who naps most of the time and enjoys being read to while holding hands.  Some of us have moms that are angry and violent and repetitive and disheveled and combative and sometimes lucid "just enough" to push every button you have.

So I guess what I am saying is you need to evaluate your own situation and do what you can do.  Don't guilt yourself because another poster has a very cathartic, peaceful, loving visit and you don't.  Visits with my mom vary from day to day and week to week.  Some times I leave crying and other times I leave with a smile on my face.  Do what you can do and know that is enough.

Take care.
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lealonnie1 Nov 2019
Very well said, James. It can be hard to read about visits with sweet little old ladies who smile and blow kisses while we are stuck visiting with snarling, angry women who only want to carry on and complain. It's the thing stomach aches are made of, for me. We must remember NOT to compare cantaloupes to hamburgers, and to give what we CAN and then leave when the going gets too rough to handle.
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Dad’s new to his memory care facility. He’s been there 10 days. I go daily, sometimes twice. He mostly sleeps, I guess because he was in the hospital then rehab... so he’s really exhausted.
Sometimes I stay 15 minutes, sometimes an hour or so. It depends how he feels and if he’s sleeping. He eats in his room, not with the group, but this is how he is normally. He’s fine alone- never complains. Never feels “sick” despite having C diff and dangerously low potassium. He argues with the aides about changing clothes because he says he’s comfortable... but otherwise he is happy just to “be.” I wish I knew how to get him involved with some of the activities, but honestly, he never would have participated 30 years ago, so he hasn’t changed much. I visit, my husband visits, and when his grandkids come home from college they always visit... but otherwise he lost my mom almost 2 years ago, and many friends have passed.
Do what you can... you are doing the BEST you can.
Peace and hugs
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