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Less well known signs and symptoms of dementia?

(24 Posts)
Housecraftandcommunitystudies Fri 22-Nov-24 08:45:35

I have a good friend in her 70s and there are some things about her that may increase her risk for dementia which I dont want to put on here as I wouldn’t want the person to be identified. She is socially isolating her self more, and has recently had some falls. Some of her behaviour I initially found confusing and strange but I am now starting to wonder if this could be the start of dementia. She changes her mind very quickly going from one extreme to another for example being very positive about something and making plans and the next has completely changed her mind on it, saying the opposite or she appears to have complete forgotten what she was planning and saying the day previously. This has happened also with her attitude of other people, so one minute complaining her children are only interested in her for her money and the next they are the flavour of the month. She is estranged from her other daughter after an argument a couple of years ago I don’t know the details of. Both daughters have fallen in and out with her over the years in fact. She never had many friends but the one friend she had who always made an effort with her apart from me she has now fallen out with. I have no evidence or reason to believe at all that this person is being exploited or abused but of course I don’t know everything about her life. She lives alone and has good neighbours, her daughter is in touch with her although doesn’t see her much. She still works a small number of hours a week, it’s a job that requires one to be sharp and organised and she seems to do it very well. She is comfortably off financially. She has some small contact with her church community remotely. Shes promised me to go and see the practice nurse at the surgery and talk about her recent falls and now mood. She takes care care of her personal hygiene and looks after the home well. She checks in with me daily on the phone because she no longer wants to meet up in person. I am respecting her wishes and put no pressure on her as I have no other choice and I have no evidence she is lacking in any capacity and I respect her a lot. I know some of these changes could be depression or many other things and not necessarily dementia. At present I feel I can do no more then be there for her on the end of a phone daily and be a good friend. If she asks me for any more help or starts wanting to meet up in person again I will do it like a shot, anything. Does anyone else recognise some of the things I’ve been describing? She’s a good friend.

Housecraftandcommunitystudies Fri 22-Nov-24 08:49:31

Sorry, didn’t make this clear, does anyone have any thoughts on this and have they any experience of someone else they have been concerned about for similar reasons?

keepingquiet Fri 22-Nov-24 09:00:43

Are you in any contact with her family? I am Facebook friends with my friend's daughters. If anything worries me I sent them a quick message and they always get back to me.

Housecraftandcommunitystudies Fri 22-Nov-24 09:06:07

keepingquiet thankyou, yes I have done that once before when she had a fall. They would get involved if it was something big.

Shelflife Fri 22-Nov-24 09:34:27

You are in a difficult situation as you are not a relative. I have worked on a voluntary basis for the Alzheimer's society for many years and have gleaned experience. It may be dementia but there may be other reasons why her behaviour has changed. My DH was diognosed with Alzheimer's disease last March and his behaviour has changed. He back tracks on decisions we have made and is in absolute denial about arrangements we had made and nothing will make him change his mind .It complicates our every day life! but this is not about me !
If you Google Alzheimer's Society . there is help/ advise there , scroll down and there is a phone number. Are you in a position to speak to her daughter? Good luck , keep us posted.

Fleurpepper Fri 22-Nov-24 09:43:05

Social isolation is a well known factor. And so is lack of physical actitivty, not just mental stimulation.

Housecraftandcommunitystudies Fri 22-Nov-24 09:44:13

Thanks Shelflife. You’re right, as I am not a relative I can only do so much. I will look in the website. Messaged the daughter recently and she made a fleeting visit to my friend.

Housecraftandcommunitystudies Fri 22-Nov-24 09:46:55

Thanks Fleurpepper, I’m thinking at least me ringing her once a day is better then no social contact at all. She does walk quite a lot of at least she did up to a few weeks ago when I last saw her.

MissAdventure Fri 22-Nov-24 09:47:24

It could be that her overall mental health isn't good, or perhaps she is just curmudgeonly as she's ageing, or maybe other things, including dementia.

Witzend Fri 22-Nov-24 09:56:40

What resonated with me (a lot of experience with DM and FiL) was your saying that one minute she’s complaining that her children are only after her money, the next they’re flavour of the month. However I wouldn’t think this is necessarily at all indicative.

The most ‘outstanding’ early signs in our family cases were serious short term memory loss, and (in formerly fastidious people) wearing grubby clothes and being reluctant to change them, plus failing to bath/shower/shave/wash hair, and being extremely reluctant or decidedly stroppy if reminded.

winterwhite Fri 22-Nov-24 10:01:43

I think she sounds in pretty good shape and that you could actually stand back a bit rather than look to do more. It sounds as though her daughters need to build bridges back to her.

OldFrill Fri 22-Nov-24 10:53:53

The falls could be down to many reasons and she really should have these investigated, but if she won't that's her prerogative. There are many different forms of dementia with a vast array of symptoms. If she's still coping at work it doesn't sound like she's vulnerable, and there's nothing really you or her family can do apart from encourage her to see the doctor about the falls, but given her mood you may all alienate her more.

kittylester Fri 22-Nov-24 11:02:18

I volunteer for AgeUk in their dementia service helping on Carer Learning courses. I think what we would suggest is that contact the relatives you have contact with and suggest they express your/their concerns to the person's gp.

Obviously, the gp won't discuss any information with the caller but should listen to their concerns.

Hopefully the gp will find a way of checking this out by examining the patient.

Or, if you have immediate concerns, contact adult social care.

Or ring the Admiral Nurse help line.

Housecraftandcommunitystudies Fri 22-Nov-24 11:04:33

Thank you all. She has had depression in the past, I think the issues with her daughters have contributed to this at times. She does work hard and try her best , like so many older people. I’m doing my best to make her feel she has a friend but not irritate her (so far touch wood I think she has appreciated that I care).

MissInterpreted Fri 22-Nov-24 11:05:15

Hindsight is a wonderful thing - and with my mum, we dismissed many of the early signs of her dementia as just her becoming a 'crabbit auld wummin'. When I look back now, it's obvious that she was in the early stages of dementia, but we genuinely didn't see it as that at the time. Be there for your friend, even by phone - and if you are genuinely concerned, contact a relative and let them know of your worries.

SparklyGrandma Fri 22-Nov-24 11:07:59

If she functions in her work, I’d say there is nothing to be concerned about.

Shelflife Fri 22-Nov-24 11:31:06

Dementia is a very very complex condition. It rears its ugly head and yet at other times people function in a usual and expected way. This makes it very difficult to understand. People often live in the moment and are able to chat to family and friends about the weather or their gardens, it is only when you live with someone that you see what is actually happening! I do hope the situation with your friend improves and that she is given support if that is deemed necessary. Memory loss is only a small part of the condition ( and for me it is the easiest to deal with) Lack of judgement and irrational thoughts are far more taxing for a spouse / family than memory loss.

MissAdventure Fri 22-Nov-24 11:34:44

Sometimes people could remember, for example, athe ingredients for a cake, but then have trouble with the order to put them in, to make the cake.

Shelflife Fri 22-Nov-24 13:47:45

The fact this lady is functioning at work does not necessarily mean she does not have dementia, ideally she needs a GP appointment, and an assessment . Many people with dementia are given the ok to drive (personally I am not too sure about that , I have considerable dementia experience not a medical qualification) Bring allowed to drive illustrates the complexity of Alzheimer's Disease and other dementia conditions. Do try your best to have a word with her daughter and hopefully she will take the necessary steps .

V3ra Fri 22-Nov-24 14:34:50

An early sign for my Mum's Alzheimer's, though I didn't make the connection until much later, was that she no longer had the concentration to read a book.
On one holiday she bought a magazine at the airport, then just sat turning the pages without actually reading anything.

My Dad has vascular dementia and his short-term memory has gone. He says himself he can't remember anything five minutes after I've told him. It doesn't bother him though!
His long-term memory is very detailed still. He's told us about all sorts of incidences from his childhood, one of being evacuated at the age of 8 with his army family by ship from India, then through France from Marseille by train, then arriving unannounced on a relative's doorstep in England at night.
We'd taken him to see the film about Sir Nicholas Winton and the Kindertransport and that prompted his story, one I'd never heard before.

M0nica Fri 22-Nov-24 18:27:12

OP I wonder whether you would consider breaking up your text into paragraphs when posting a long and quite serious post like this.

I find these long continuous screeds, and you are not the only one. unreadable. even when the subject, as in this case, is of interest to me.

watermeadow Fri 22-Nov-24 20:40:47

I’m pretty old and have older friends but I don’t know anyone with dementia. This thread has been very informative, I do wish dementia was talked about more openly so we all knew more about it.

Cabbie21 Fri 22-Nov-24 21:14:17

I guess all of us older people, especially those who live alone, should make details of our family available so that friends can contact them if needed.
I have a friend I am concerned about, but would not know who to contact. She is ok at the moment but one day might not be. And anything can happen to any of us- a fall, a stroke, which can change everything.

Norah Fri 22-Nov-24 21:17:15

watermeadow

I’m pretty old and have older friends but I don’t know anyone with dementia. This thread has been very informative, I do wish dementia was talked about more openly so we all knew more about it.

You are lucky. I know entirely too much by experience. sad