My name is Jane. For two years now my son and I have been living with my parents after my husband and I separated. My father is a Vietnam Vet and retired New York City detective, a recovered alcoholic, has a bad heart, and has had diabetes for the past 25 years. He has needed to take insulin for 25 years and until recently has done so at his own discretion. Taking his insulin when he saw fit. Because he never controlled his diabetes it is now turned into brittle diabetes which means his blood sugar is either very high and he becomes hyperglycaemic or extremely low and becomes hypoglycemic. 3 weeks ago he was hospitalized for pneumonia and congested heart failure to be honest we didn't think he'd make it through the night. He was there for 8 days and since then he has been in and out of the hospital four times due to his diabetes. Now he's been home for a week we have noticed how much his behavior has changed. Because I am now overseeing his insulin intake and constantly having him take his blood sugar and feeding him the proper diet he is very angry with me and my mother. He insisted that I was not giving him enough food when actually I have given him more than he should actually have finally we got a diabetic nurse in here to make sure he can have even more food. Which I abide by. The other day he woke up and could not keep anything down an hour after that he became very confused and didn't even know who he was, silly things like using the phone as the television remote control. His physician told us to get him to an ER right away that it had nothing to do with his diabetes. Once he knew he had to go back to the ER he became very abusive both physically and verbally out of control. So much so that we could not go with him to the ER and being that no one was there the doctors did not know about his confused state and released him the same night. He could of had a stroke for all we know. When we went to pick him up he had asked my mother for a divorce told me I was good for nothing and that he would leave and never come back that's not getting into detail but again very abusive. At this point he does not want to go to any doctors or have the nurses come to our house anymore. Today the nurse came and he completely lost it went to go hit me in my face right in front of my son with his nurse standing watching all of this. He became angry with me because the nurse asked to see his blood sugar levels which have been crashing on a consistent basis. All we wanted to do was speak to do her about getting him a pump being that it's so hard to take ccare of him let alone give him shots. I know something is going on with him mentally and do not know what to do. He refuses to see a doctor because he doesn't want to end up in the hospital. How do you take care for grown man who is this abusive, I know he needs help but I don't know where to start. We have these nurses that come and know full well how he is with his rage and give us no options. All we've been told is to do the best we can. So what do we do when he's looking to hit me and he's screaming all these terrible things to my mother and I? I'm affair he could be dealing with dementia or something worse. Short of becoming physical with him or calling the police to have him taken out of here when he's this out of control I don't know what to do. The nurses won't help, he refuses to see his doctors or go to the hospital? I cannot have my 7 yr old seeing and hearing all of this. I'm getting to the point where I'm so angry I'm yelling at him and yes I'm scared at what he may do. If anyone here has any advise it would be greatly appreciated. Thanks for listening.
Hopefully the next trip to the ER will be more productive.
They will attempt to guilt you into taking him home. For your mom's sake, please don't.
You should get in touch with the VA and talk to them about placement.
In our experience, we called 911 when our LO threw us out of the house and wouldn't let us back inside to care for the LO. We got two cops and three ambulance guys within minutes. They gently coaxed our LO out, and away in the amublance to the ER to get checked out. I followed along behind to ensure that the docs had the right story, but stayed completely out of sight. That was the last time our LO was at home.
Quick points:
VA: Does your dad have a service connected disability? If he's a Vietnam vet, his diabetes and heart disease should be considered connected to his exposure to Agent Orange. For the VA to do much, they'll need to establish service connection. There is a process, it's not instant, and you may need help from an organization like the Disabled American Veterans. Someone on the force probably knows how to do this.
Protecting yourself: My all means, do not put yourself in harm's way and especially your son. We had to modify the way we deal with our LO because of our child and the potential for hostility. As important as your dad is, your son is first. The best way to address this is to call 911. Our LO lived in a small borough in a busy county in NJ. If these guys can do the right thing with a medically unstable older person, then NYC ought to have a gold plated response - at least you might think so. No one tackled our LO. There was really no problem. It worked out wonderfully.
You have been given excellent advice by those who have been in your shoes.
I hope that his partner can help. If you have to call 911 perhaps calling the partner too would be a good idea. If he could meet them at the ER or come immediately to your home, that might calm things down. But he no doubt has a life, too, and may be limited in what he can do.
Somehow you need to get Dad into an environment where he can be helped. Even if he doesn't want to be helped, you need to have him removed for the safety and well being of your mother and your son. Probably the most likely way to have him removed to a healing or at least safe environment is through the emergency room.
Be sure the ER has a clear picture of the hallucinations and violent behavior.
Insist that he cannot be returned to his home, because nobody there is able to care for him and he poses a safety risk to himself and others.Resist all attempts to guilt you into taking him home.
Expect your dad to be angry about this. But he is angry now, so you have nothing to lose.
My heart goes out to all of you. This crisis is not of your making and yet you are faced with coping with it. Best wishes to all of you.
Please keep us informed with what happens. We learn from each other, and learning helps us give better advice in the future. Tell us how this progresses for you, and help others in the future.
Your father's violence suggest to me that he is reacting to his present glucose levels and his brain may not permanently be impaired. This is what I hope. His diabetes, diet, and behavior also suggest to me he may be having some vascular events in his brain that can lead to serious long-term problems. I am not a doctor, but I would get him into a hospital where they can get his sugar stabilized and scan his brain for any signs of recent damage, e.g. ischemic attacks. If the doctors can get him stabilized, his behavior may improve. I don't envy you, because I know your father may try to fight you all the way.
http://www.nlm.nih.gov/medlineplus/ency/article/000683.htm
link --youtu.be/9kSjHtHSJCw
Title --Late Stage Alzheimer's Dementia Care: How to Recognize Pain" with Teepa Snow - Part 1