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pamdemonium

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Loved one DX
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Albany
Hello
My father-in-law is in the advanced stages of PBP-onset ALS. He cannot talk or use his hands or feet at all. We are waiting for the arrival of an eye-max for him but in the meantime we are having a very difficult time communicating with him.

My mother-in-law takes care of him evenings and overnight. My brother-in-law takes care of him during the day while my mother-in-law goes to work. She is still working full time in addition to taking care of my FIL.

In the past few weeks, my FIL has not been able to sleep at all. They have tried several sleeping pills (ambien, lunesta and restoril). None of them are working and they seem to be having some terrible side effects (like extreme swelling of his hands and feet). He is literally not sleeping at all. He seems agitated but cannot tell us why. As a result of his inability to sleep, my MIL is not sleeping either.

They are both a mess. My mother-in-law seems like a woman on the verge of a breakdown. She is impatient with my FIL, which is understandable but still very disturbing. It cannot go on like this. My husband and I do not live close enough to help with the day-to-day care. We have encouraged her to bring on at least one additional person to help with his care. I am hoping she will do that soon. But that does not relieve his suffering at all.

Have any PALS struggled with this sort of hardcore insomnia that was not resolved with the normal sleeping pills?

Thanks in advance for any help.

Pam
 
Oh boy.. We sure do and are still having issues.

First thing is the caregivers right now for me.. Can you get help with overnights? Can you hire someone to sit with her overnight? We used to have our church help out. Also old friends will often come. We now have nursing help at night, but previously had a schedule of volunteers to help with that.

My pals problem is her antidepressents.. They keep her up all night long, however, she's happy so that's good. Our physicians were hesitant to give her something stronger than the usual because they'd be afraid she'd get addicted or that it wasn't good for her. I put up a HUGE fuss. Excuse me please.. she is terminally ill. I dont give a rats behind if she gets addicted to it. Give the poor woman some relief. Seriously people.. So now, she is on something quite strong.. but she sleeps through the night and will waken to use the commode on occasion. She can't sleep without the pills now at all. *shrugs* The benefits far outweighed the cons for our situation.
 
Also.. more rudely put.. she could have a hard time waking if she encounters breathing difficulties. Again, that's not all together a bad thing either we decided. Please note she is the decision maker. We dont pressure for anything. Well, I do pressure some things.. he he.. But she knows everything and the risks.
 
My BIL is a night owl and would be able to help with the overnights if they can get coverage for the days. I have encouraged my MIL to pursue this. I hope she will.

In my heart of hearts, I believe that my FIL is having anxiety attacks at night. There have been times when he has gotten himself 'stuck' in awkward positions in bed. My MIL could not understand this because under normal circumstances, he cannot move his limbs at ALL. He is also not able to smile at all but when he sees his 3-year old granddaughter (the light of his life), he smiles and his face lights up. So I believe that when he experiences strong emotions (like joy or panic), muscles that do not work normally somehow spontaneously work. I am hoping that my MIL will investigate starting some anti-anxiety meds. She is a nurse and I am not medical so I do not feel comfortable being too loud with my opinions.
 
I believe you're on the right track about the anti-anxiety meds. Combined with sleeping medication, Glen could at least put a few hours together at night.
 
Pamdemonium, I'm so glad you posted this question. Your FIL must be getting so frustrated, and be sooo tired.
Speak with his physician about addressing his anxiety, and that may be a start to letting him relax and sleep.
Please keep us posted on how he and everyone is doing - as my Mom has had similar ongoing problems with sleeping. We have tried several different things for her, but none have really worked. Anything you find that works for him, may help others.
You have my best wishes.
 
Both he and my MIL are beyond frustrated and exhausted. It is heartbreaking to watch and not be able to help at all. I wish the eyemax would arrive! Then they could at least 'talk'. Right now anxiety is just my educated guess. I will certainly let everyone know if we find a solution that resolves this issue.
 
you could come up with a bunch of questions and form them into yes/no type. then have him look one way for yes and the other for no. or he could blink for yes, or whatever he can still do...
this may be an obvious statement, but not sure if you had tried this or maybe it got over looked.
 
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