Struggling with our Dad's behaviour

Hello, I’m new to the Forum and would love to hear about other’s experience with family members suffering from Parkinson’s.

Our Dad was diagnosed with Parkinson’s and dementia at aged 84 and rapidly went down hill since then (he’s now 91).

He still lives at home with our mother (aged 90) who cares for him in addition to 4 daily visits from carers.

We love our Dad very much but the illnesses have turned him into a truly horrible, nasty bully. He is more or less bedbound which means in turn, that our mother is also more or less a prisoner in the home as she is unable to get outside unless someone takes her.

Both myself and my sister live overseas but try to get back to the UK every couple of months. Our brother lives in the UK but is not interested in getting involved with any support. His way to deal with it is to pretend nothing is wrong.

Since day 1, our Dad has been complete denial that he has Parkinson’s and anyone who tells him differently, regardless if it’s medical staff or family, is a complete idiot and he tells them to get out of the house as they don’t know what they are talking about.

He spends much of his days using our mother as a mental punchbag, ranting and raging over delusions he has. However, if the district nurse or doctor ever pop by, he is rational enough to put on an Oscar-winning performance and be on best behaviour so nobody outside of the family ever sees the true picture.

It’s almost like these illnesses have brought out the worst, horrible behaviours in his personality and magnified them by 100%. He has never laid a finger on our mother but he screams and shouts and has huge tantrums over things he has made up and generally, just seems to be in a horrible mood. He has made stories up about old friends, neighbours and carers, accusing them of all sorts of terrible things.

There is no talking to him whatsoever. You cannot sit and try to quietly explain to him about anything. He will not listen, is not interested in what you have to say and even if you walk away when he is ranting, the moment you go back into the room, he starts again. On and on and on.

Our parents live in a very small country town so no support that I can find. I plan to call the neurology team at the hospital where he was previously treated but unless he could go in person, they said they cannot do much.
He is unable to even get into an ambulance anymore and once in the past, when his meds were changed, he became very ill and even more confused until the dosage was changed again.

We have no idea what to do. My mother says she would rather be dead than go into a home, apart from a few health niggles she is running the house, cooking and cleaning and that gives her a small amount of freedom.
If they go into a home, then we fear she will be even more of a prisoner than she is now. Mentally, she is sharp as a tack.
And for sure, in a home, they would not deal with our Dad’s behaviour. Cook me this, cook me that, it’s too hot, it’s too cold, get me this, get me that. He has our mother absolutely running circles around him and unfortunately, she is of that generation where she has spent her entire life looking after him and she struggles to say no and she feels very disloyal complaining about him to anyone but me and my sister.
After 70 years of marriage, having our Dad put into a home and our Mam left alone in the house would kill them both. There are no care homes near to where they live anyway.

So really, I don’t even know what I’m asking for. We just want someone, anyone, to tell us what to do. Is there someone our mother could call?
Is this common that someone who has Parkinson’s is in total denial and is so nasty for so much of the time.

Sorry for the rant.

Hi FeeBee67,

Welcome to the forum! Thank you for joining, we’re sure you will find lots of support from the other lovely members of our community.

Do not apologise for the rant, that is what we and the community are for. Whilst we’re sure other members will provide their insight and support, please know we are here for you. Our helpline is available and our team can offer their advice and insights to help and support you and your family. Your mum can call them on 0808 800 0303.

We also have a page on our website dedicated to help and support for friends and family which you may find useful: Support for family and friends | Parkinson's UK

We’re sorry you are having a difficult time, but you are not alone.

Best wishes
Freya
Parkinson’s UK Moderation Team

Hello,
I would say you are not alone in what your experience is, i think if you were to go back over old posts, what you are describing comes up a lot.

First of all, it must be very difficult for your dad to cope with the diagnosis and it seems you all have been left to get on with it, with little support. Deep down, he must be frightened and frustrated and this is the reason for lashing out. I do think you should reach out to the Helpline for proper advice but just reading through your post, below is what i am thinking:

  1. You dont mention medication he is on but absolutely contact the Neurologist and explain your predicament. If you can get your Dad there, get an appointment and maybe your next trip home could conicide (usually a few months wait). Medication might need adjustment to help with delusions, could the aggression possibly be dementia kicking in and a patch is needed, does your Dad sleep and if not, could anything be done to help. Without knowing your Dad, the list is endless. If he wont go, ask if a PD nurse could call out? Tell them your Dad may present well but the reality is different, thats probably more common than you think.

  2. Ditto the above for GP, referrals to Falls Team, Chiropodist, Speech Therapy, Mental Health Assessment or anything else needed. He may need a referral to a Geriatrician for Memory Testing.

  3. Ring your Council and ask for a Needs Assessment for both your parents. If there are four daily carers in, how long ago is that arrangement in place, it might need review? If your brother will not help in a practical sense, could there be a financial contribution instead? Help to pay for a cleaner to free up your Mum? Help to pay for a private carer one afternoon to let your Mum get out to the shop or the library etc.

  4. Council might suggest that Adult Social Care call out to assess and in turn might give you details of local services you might not be aware of e.g. support groups, local transport to the nearest town for shopping etc. It sounds like your Mum needs a few hours of sanity a week.

  5. Try to detach yourselves a bit and not get sucked into the arguing. It will be difficult but PD is a condition that needs managing like anything else and stress doesn’t do any good, body fills with adrenalin and cortisol, then its a struggle to try come down after that. Think of it as you and family having the benefit of rational thinking but your Dad, maybe less so. There could be medical reasons whereby his brain and cognition is different.

It might seem overwhelming but break it down into manageable pieces. I hope whatever advice you get gives food for thought and you can try make even small changes.

HI FeeBee 67 rant as much as you like get it off your chest so to speak. My mum also had Dementia and she was one of the lucky one she was always smiling but my friends hubby also had it and what you are saying about your dad is very simlar to what my friends hubby did, in fact she ran outbof the house one day as he had realy upset her, So I take my hat off to your mum she sounds a loverly person. The advice that thelippyone has given you is excellent please follow it up. Even though your mum and dad live in a village this should not be happerning after working all the years they should be enjoying them selves. Just a couple of things not mentioned see if you can talk with the social worker every one has one and they are most helpful find name/tel number at your local council or county council office, also a lot of care homes do respite care and have day centers and a bus will pick up your father and it would give your mum a break and a lot do have dementia carers there who know more about it than we do. You say that your dad can not get into an ambulance we have an excellent system of transport for hospital There is a local team some were near your parents I use them when i have to go to hospital they ask in you want a car or transport ambulance and do you require help do you need a wheel chair, and the staff will always give you assistant and be with you all the way there and fetch you back when you are due to go home the only problem is you do have to be ready 2 hours before it comes and some times have to sit and wait for a free one to take you home, ask at your mum and dads doctors they will sometimes book it for you but if you have the list you can book it . The other thing about Hospital transport is that you have to go on your own but the staff who take you are just magic!!! there is maybe another solution you could employ a full time carer this would give your mum a break but if your dad is anything like my hubby he’ s not funny but he doe’s not like any one in the house, I have now had PD since 2010 and have just talked my hubby into letting me have a cleaner, he has taken to Megan well as I can no longer do the housework as I used too. At the moment she only comes in 2 hours a fortnight but its a start.
ps not sure but if a full time carer comes in you do i think have to pay. now its my turn to say sorry for long rant but do help all of us together have helped. Please let us know how you get on.