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My wife and I have been my brother’s main caretakers for almost 5 months. He will not take his medicine every day, nor will he keep his appointments woth his doctors. One is an oncologist My brother has a mild form of leukemia), and one is a neurologist, who recommended that my brother get a more thorough neuro-psychological exam. My brother has acknowledged that he has thinking issues, but he will not acknowledge that he has alzheimers and leukemia. When we tell him he has Alzheimer’s, he gives us all a wrye smile and tells us that we are the ones who need to see the doctor.
Is this anosagnosia ?
Hi prov1kenobi -
The definition states: Anosognosia, also called "lack of insight," is a symptom of severe mental illness
experienced by some that impairs a person's ability to understand and perceive
his or her illness.
It is not denial, but rather the perception of the person that there is nothing wrong.
MIL has anosognosia, but will go to her doc appointments. We have to cajole and bribe to get her to take her meds each day, and we do not bring up the alz nor vascular. A PWD usually doesn't accept that. She knows she has had a stroke somewhere down the line, so we often tell her the meds are keeping her stable from having another. You may have to use fiblets to get him to the doctor. "An exam is required to keep your insurance" sometimes works.
Do you have POA and HIPAA accesses? This is important.
I think you’re probably hoping that your LO will have an “Ah ha!” moment by repeatedly telling him he has dementia. It’s not going to stick, so, as hard as it may be, you need to let go of the idea that he’s going to accept/remember his condition for any real length of time. You’ll only get that “wry smile” at the best of times. As his disease progresses, confronting him with his diagnosis might become more and more distressing to him in the moment.
If your niece has medical and legal POA, I think she’s going to need to get more involved(if she isn’t already) in his care if his cancer treatments are falling by the wayside. Like Susan mentioned, fiblets will become your friends as they can help motivate a LO to go to the doctor.
It’s a long, hard road with no finish line in sight. Your LO is lucky to have a caring family looking out for him since he can no longer do that for himself.
Yes. You will have to learn to use the work-arounds that the members talk about. There is no way to "fix" anosognosia.
PS: I used to live outside Fairbanks. I miss the northern lights.