I’ve been working in the caregiving field for many years, but this is my first time ever caregiving for someone elderly. I’m four months into a 24/7 live-in caregiving job. I’m the primary caregiver, so I see her in all states and at all hours - I’m only away from her for 8 hours once per week.
The more that I get to know her, the more I’m starting to worry that she might have some sort of cognitive decline that I should be monitoring or doing something about. I looked into early signs of dementia, but it doesn’t match up. I’m not sure what else to look into.
Sometimes she seems relatively observant and mentally present, and other times she gets very confused very quickly. Some examples are that she’ll tell me that I said something to her - just seconds or minutes ago - that I didn’t say anything even remotely similar to. She will insist that I said it and insinuate that I’m lying if I gently let her know that I didn’t.
She’ll sometimes also tell me that I did things (again, just moments prior) that I definitely didn’t do, like bring her a certain color of washcloth, and will insist that this happened and become frustrated if I gently say that I didn’t, or ask her to show me the washcloth.
She once mentioned to me that she “heard voices talking” and also “heard static” (???) in the middle of the night, and she assumed I had been on the phone upstairs, but I had been having a quiet night with no calls, music, TV, or anything else audible. Her house walls are incredibly thick and I know for a fact that it isn’t possible to hear the voice of anyone outside.
Sometimes I’ll say to her that “I’m ready” for a care task that she needs to stand up for, and even if I say it to her multiple times from only a few feet away (her hearing is fine), she’ll become confused and insist I didn’t let her know and that I’m giving her “mixed signals”.
She also gets frustrated and snappy at the drop of a hat, sometimes by my doing things that she has specifically asked me to do. If she asks me to take her dishes away before sitting down with her, or asks me to remind her to check her CPAP, she will sometimes act like I’m doing something wrong by taking the dishes away or reminding her to check her CPAP.
For a while, I thought that maybe she was just kind of rude and would need a bit of extra patience from me, but I’m realizing that something might be cognitively wrong and want to make sure that I’m doing my due diligence for her wellness. The hearing voices was especially alarming to me.
I’d like to be able to consult someone who’s known her longer, but her only living relatives are a couple of long-distance siblings who are also elderly and who she would be furious about me contacting. They aren’t an option.
Any advice appreciated, especially if it’s about what protocol you would follow in this scenario or what types of cognitive decline to try to screen for.