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There are 4 people at her table. The first lady, who was her buddy and neighbor, helped show mom the ropes when she first moved in. Now this lady is in rehab or SNF in same facility but she doesn't come to the dining room anymore. She has a lovely, calm personality and is greatly missed.
2nd lady very quiet but doesn't do anything annoying.
3rd is a lady across the hall and her and mom really get along nicely.



I have already asked for one lady to be removed from mom's table a couple months ago. She was very difficult and mom started wanting to avoid going to meals which is NOT OK. She deserves to go to meals and needs the exercise to get there and the socialization it provides. This lady is paranoid and at almost every meal was claiming that another lady in the room was watching her and hates her and wants to kill her. So, she's at a new table. And she repeats herself about so many things and was just a handful. Woohoo! Now that's she's not sitting at mom's table, she can tolerate her much better around the facility and even visits with her sometimes.



Her replacement has disgusting table manners and is constantly picking at her teeth during meals. So now mom is again upset and talking about not going to meals. I asked if she went to bingo today (and she almost always goes!), she said no because she was trying to avoid this lady. UGH. It's high school all over again! I suggested she go to bingo but try to go in a little later and sit somewhere where this lady is not in her line of sight.



I think I'll let the head nurse know about this issue and see what she suggests. She probably does not know and I figure if it's at least on her radar, then she can keep an eye on it and possible resolve it. I know it's a little petty but mom has moderate dementia and has a hard time dealing with things like this. I would not be able to sit with someone like that either. Yuck.

It is (likely) a matter of both
(1) asking for what you want for your mom's dining companions
and
(2) accepting that people are in constant change and changing brain chemistry so asking for these changing likely cannot happen 'all the time' as people's brains are changing all the time.

STILL. You are likely paying good money for AL.
You/r mother deserves some peace while dining in the common area.

As I always say DOCUMENT everything. Keep a journal and have your requests / journal entries date and time recorded.

If I were you, I would notify:
1) the administrator of the facility
2) the dining room manager (if they have one)

Good for you doing all this advocacy for your mom.
Gena / Touch Matters
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againx100: It's good that you're letting the head nurse know. Hopefully the lady with the calm personality returns soon.
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Let administration know of your mom's difficulties. Be aware that your mom may become the "difficult person" at some point as her dementia progresses. When she does, please address her mental health challenges promptly.
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Be petty within reason. Little adjustments might work if they don't need a lot of staff direction and actually improve the situation.
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My daughter, RN, has worked in NHs and ALs for over 20yrs. She told me when Mom entered the AL, learn to pick your battles. The only time I questioned who my Mom was sitting with was when they sat her with a man worse off than she was Dementia wise. I came in after dinner to find them both in the dining area alone. Mom was crying. Next day I said something to the nurse and she said they had been jabbering away when she left to go home. I told her Mom had gotten to the point she did not like men and didn't like being alone. Could they just sit her with another group of women and they did.

Mom will never have it all her way. Just won't happen in this type of facility.
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@againx100, does the dining room have any small tables for just two people? If so, arrange for your mother to be seated at a table for two, along with another unobjectionable resident.

Edited to add: I just read that the lady your mom likes is due to come back soon. It would be fantastic if your mom and the nice lady could be accommodated at a table for two.
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againx100 Oct 28, 2023
Thanks for responding. Good idea. I'll see if that can work.
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AlvaDeer: Yikes, I knew it had gone up but $30K?! Well, that's about 4-5 months in an ALF or 3 in a SNF in this area--and that's without a toaster (thanks for that info, waytomisery), so there's the choice. No toast for the old folks! I'd miss that, for sure.

We started a "Travel Fund" some time ago; looks like we'd better add more to it as best we can.
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@againx100, I think the residents of my IL's SNF established their "cool kids table" all on their own.
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Oh, I have it all planned out. I don't eat much breakfast and no lunch. I just snack in the afternoon. So no need for me to eat those meals in the dining room. What I eat can be kept in the kitchenette. Just need a toaster. I only need to eat dinner. Guess I could put up with people at one meal. Yes, I am going to be a pain.
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waytomisery Oct 25, 2023
JoAnn ,
Most of the AL by me don’t allow toasters in the kitchenette just a microwave. You better ask before you pick one out if that’s high on your priority list , like it was for my FIL . It boils down to my FIL is paying $3000 more a month to have a toaster in his room . Granted he’s getting what amounts to a one bedroom apartment for that and not a studio . Where he is used to be IL , but now the building is AL.
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OMG--perish forbid! This sounds like a Total Worst Nightmare scenario for an old person who's an introvert and appreciates peace, quiet and privacy--also who had her fill of bullies in high school. I'm committed to not being a care burden to our family, but I'm not a fan of communal living. Never was, even back in the '60s. Definitely wouldn't be in my 80s+ but, like AlvaDeer's late brother, would try to make the best of it if I had to.

Hmmm, Switzerland seems like a nice place to visit. . . Pricey, though.
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AlvaDeer Oct 25, 2023
IS pricey. Used to be said to be about 10,000. But now closer to 30,000 given you need to stay so long for residency, eat out, and etc. Going to have to save up!
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Uggh , the high school personality complaints I would try to ignore , mom will have to learn to deal with it , or she will have you asking them to play musical chairs in the dining room every week . If it gets real ugly and loud the staff will deal with it .

But I agree with not being able to eat if someone has gross habits at the table . That’s when I would ask for a table change . I did that for my Mom . I went to witness this person eating before I complained . I couldn’t blame her , it was really bad , and turned me off . I felt bad the man couldn’t help it but……
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againx100 Oct 24, 2023
Thanks for responding. I ignore the petty comments - like some ladies make weird comments or blah blah blah. OK, whatever. At this point, my mom would never get ugly and loud. When her dementia gets more advanced, who knows?? I guess the problem will be resolved soon. Hopefully this week.
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Your poor mother. I feel bad for her because I know how it is. I was a supervisor in a very nice AL. The old-people 'cliques' are worse in AL then in middle school and high school. I remember those old biddies. Especially at bingo. They were the original girls.

The ladies would complain to me incessantly about each other and expect me to settle every little petty, nonsense squabble they'd have.
I pretty much ignored them, but there was a couple times I had to have a group of ladies into my office for a talking to because they were shunning a resident like they were Amish and would not let her sit with them for meals or anything else.

If your mother is struggling with the people at her table, then by all means she should be moved. If someone is gross and disgusting at the table, no one has to put up with that.
AL is expensive and it is the staff's job to accommodate the residents the best they can.
Changing someone's seating is a reasonable request.

The AL I worked at did not have assigned seating in the beginning. Meal times was like trying to herd cats. The women (never the old guys) would complain about where they wanted to sit and the food was hotter if they were closer to the kitchen. It was insanity.

Talk to the director. They will be able to work out a seating arrangement that will work for your mother.
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againx100 Oct 24, 2023
Thanks for your response and perspective. I did email the director today and she told me that the lady in question was only supposed to be there temporarily since hopefully the lady who's in rehab should be coming back soon. She said she'll move her sooner rather than later. YES!

I was thinking about how it would work if there was NOT assigned seating. Herding cats is a perfect description to what I was imagining. I imagine it like high school - if you get there late, you don't know where to sit as most tables already have people at them, etc. I don't think I'd like that very much. But I guess I wouldn't like being assigned to a table with people I didn't like either. Here's hoping that we all stay healthy and live to a ripe old age where we're with it mentally and physically and then just peacefully die in our own beds one night before dementia and physical decline ruin our lives.
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An AL maybe in my future and I for one want to enjoy my meals. I will be paying big bucks for the privledge. I had a father who picked his fights at the dinner table. I blame him for my stomach problems. I need peace when I eat.😊

The one AL I looked at for Mom, residents could take meals back to their rooms.
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BurntCaregiver Oct 24, 2023
I agree with you 100%, JoAnn. I too have to have peace when I eat and I cannot tolerate disgusting table manners because it makes me sick.

When I worked at the AL, I ate lunch in my office.
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Does your mom know and acknowledge that she has dementia herself? My mother did not, and therefore, everyone ELSE was annoying and disgusting and bothersome to her. Nevermind mom sucked her teeth, slurped soup, and ate like a slob in general. I'm sure her chronic nitpicking and complaining was not entertaining for the other residents either. But bc mom could not recognize her own deficits, they did not exist.

All that to say, there will ALWAYS be someone to irritate your mother in AL. It's The Law. Let her work it out herself, is my suggestion, bc you can't intervene for every complaint she has. The admin can change her table mate to another who's 10x worse and then what?

My parent's first AL, the admin would switch up table seating assignments regularly so everyone would get to know one another AND to avoid the kerfuffles in general.
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againx100 Oct 24, 2023
Does anyone acknowledge that they have dementia?? My mom doesn't but does know that she has "memory issues" and gets confused sometimes. My mom is pretty easy going and I hope she is not annoying to other residents. I think she mostly complains to me. Maybe to her neighbor too?

You're right that I"m sure there will always be someone to irritate my mom! She really can't work things out herself though. With her dementia, she just does not problem solve and is not a self starting with getting things done in general. I've ignored many of her complaints.
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Well, having had a brother in ALF who put up with the same sort of thing, I can only observe that he and I giggled and discussed and gossiped and no one lasted at the table all that long. And given he died after a year in ALF, even HE, if he annoyed others, was ultimately gone.

This is communal living. My brother used to say it was much like our growing up in the 60s. A commune with all the problems of the commune, all the gossip, all the bickers, all the dissention, and even some of the fun and companionship.

This is life. It isn't always perfect. I think that Mom may have to adjust. Sometimes people who should be in another level of care remain too long in ALF; it annoys ALL residents and staff that this is so, but it is so. So, again. This is life.
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againx100 Oct 24, 2023
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My inlaws SNF had a "cool kids table". Both of them loved the socialization opportunities in the dining hall, despite both having dementia. They quickly made it to the good table and no longer had to be placed at a table. We were surprised, we shouldn't have been, because they had always enjoyed socializing.
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againx100 Oct 24, 2023
Thanks for your response. Was this an assigned seating situation or the "cool kids" just gravitated together?? Interesting....
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So..my FIL IS the annoying person lol. We ALL know this. Thankfully he HATES the dining room and after one trip down he refused to ever go back because according to HIM - everyone else was annoying. He is very picky about who he associates with and if you don't meet his standards he will not give you the time of day.

Frankly, it's his loss - he has missed out on a lot of really great people that way.

But regardless - I will say this - nursing homes, assisted living facilities -etc - walk a fine line - in juggling the needs of their residents. They have to meet EVERYONE'S needs. So while your mother may find the manners of this one resident abhorrent, that same resident may find the body odor of another resident at another table off putting and refuses to sit with them, and that resident refuses to sit with Sallie Mae because she stole her boyfriend and Sallie May refuses to sit with Joe because he was her ex-boyfriend and there is bad blood there. Seating assignments in a facility could become worse than a game of Red Rover or Tag.

I agree with the others - assigned seating may be needed in certain circumstances, but it most definitely doesn't seem to make any sense in the vast majority of cases. Why are they micromanaging the residents choice of seating? Everywhere I've ever seen just had open seating.

Unfortunately - there are always going to be cases where your mother isn't happy with something - and as much as I hate to say this -if she has dementia - those times are likely going to increase. My FIL has always been hard to please (ok...impossible to please). But here lately, there is literally no chance of pleasing him. Even my Dh and his sister, who have had some pathological need to please him due to childhood trauma, have basically come to their senses and just stopped trying because even when they do everything he wants he isn't happy.

I would gently suggest picking your battles. If you go to the staff every single time she isn't happy with her dinner companions, what happens if she has a falling out with the ones that she likes? You ask them to move them and then she forgets that she's mad at them? Take a deep breath and give it a few days. It's an adjustment, and with dementia, sometimes that adjustment starts over every day.
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againx100 Oct 24, 2023
Thanks for your response. Funny that your FIL was the annoying person! I agree it was good for others that he found THEM annoying and stayed away. But he did miss out on a lot of good opportunities.

It's got to be VERY challenging to try to meet everyone's needs in these places.

I do realize that she will always have some complaints and that they will get worse as she declines. Most things I brush off and try to wait and see how often she complains about the same thing. I have waited to say anything about this situation - it's been about a month now and it's gone from mom just being annoyed to actively trying to avoid the situation so I guess it's worth addressing, in a nice way.
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It’s too bad they have assigned seating.

suggest they move people around do they have a chance to meet other residents .

easier said than done, eith dementia. Etc.
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againx100 Oct 24, 2023
Thanks for responding! I imagine there are pros and cons of having/not having assigned seating. I do like the idea of moving people around to get to know other residents. It's really not all that easy for many of them to make friends, depending on what activities they go to, etc.

I'd say about half the residents have some level of dementia so not knowing where they should sit could be confusing. I also see some people sitting alone - maybe their table mates didn't show up or they need/want to sit alone. IDK and don't desire to find out. Maybe if they had an "open table" that anyone can sit at to join in with others? Oh well.

I'm also thinking maybe mom's meals can be brought to the activity room where I've seen others eat that is right near her room and the nurses station. Then she won't be alone in her room with her tray. Hmmmm
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For all you know, your mother may be annoying to others! How very arrogant of you to try and hand-pick the dinner companions your (apparently) very fussy mother will deign to dine with!

This is a nursing home, not a cruise ship, darlin’. If she gets hungry and bored enough, she will show up at mealtimes, and resume her attendance at bingo. My word! You have mentioned your dissatisfaction to the staff (who probably rolled their eyes, having heard this song and dance many, many times) so now, just let it go. Seems to me you are looking for a solution that doesn’t exist,
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againx100 Oct 24, 2023
Arrogant? How do I nicely say screw you??

I think mom is a bit of a complainer but in this case, the complaints are reasonable and understandable. She has 3 meals a day with this crew and I don't think it's unreasonable for it to be a nice experience.

She is in AL not a nursing home and of course it's not a cruise ship.
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It seems as if several of these ladies, including your mom, might do better in memory care than assisted living.

If mom truly belongs where she is, realize that there is always an adjustment period and you can’t control much about that. Good luck.
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againx100 Oct 24, 2023
I'm not sure how you have come to the conclusion that my mom would be better off in MC. Her dementia is not quite that bad yet. The lady with the paranoia? Maybe.

My mom has been here for almost a year now. The lady that is picking her teeth a lot, has been at mom's table for about a month and mom is not getting used to it but getting more disgusted by it. I can't blame her. I doubt many of us would like to eat with someone like that.
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🙂
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