But, it has to be started at the very very first sign of dementia, which is an abnormality in memory.

There is no "trigger" so to speak as to location effecting his alz. condition.  Physical location has no influence.

What you are seeing is periods where what Grandpa sees as his "home" gets him more animated as his comfort zone. In his case "home" is out working in the fields. The fields are his "comfort zone'.  It does NOT effect his outburts thou.

Moving to a town house as a stop gap measure will not help. This is the time to do as I stated earlier. He in all likelyhood, will start showing signs of sundowner snydrome if he hasn't already. That in conjunction with ALZ. is NOT good. 

The thing to keep in mind is yes 90+% of the time Grandpa is Grandpa, but,, the 10% is what is dangerous for him and Grandma, and every one else around him too.  This danger is physical yes,, but also there is allot of emotionl danger involved people refuse to believe or accept.

Loved one's are just as much a victim of this disease as the person having alztimers.

It is hard to accept putting Grandpa into assisted living.  But,, You are NOT "doing anything to Grandpa",, neither is he "doing anything to himself".  This is NOT a "punishment" or anything normally associated with bad behavior.

His memory is and will continue to fade, in reverse order. Newest memory's will fade first, his oldest most engrained memories will hold out longest. Just an example,,  Grandpa won't remember what he had for lunch 2 hours later but,,,  he will know the name of his dog he had when he was 6 years old.  That is what you are experiencing right now,, Grandpa remembers the fields and cattle and remembers the comfort of being there. Being in the house is not as Strong a memory, so he doesn't remember that comfort.  How fast that 'comfort' will fade no one knows.

You will see Grandpa perfectly normal, then he will go thru a real difficult period of time,, then,,,,  he will seem normal again.   But...  each time he goes thru a difficult period it is a little longer and worse. And,, when he "seems back to normal" ,, that normalacy  IS NOT at the same level as before.  Grandpa does not "bounce back" to his previous normal lovable self. 

 This is like turning on a light and turning off a light. Each time the light is switched off it stays off a little longer and when the light is switched back on it's never quite as bright as it was before.

The differences between ALZ and Dementia are very minute. The only recognized difference is ALZ patients have a tendency to be more violent.  It is not 100% type test,, but fairly accurate.

I sincerely hope the doctor has explained in exact detail what is happening to your Grandpa's brain. ??

Yes he will worry allot, he knows "something" isn't quite right, but he is at a loss to understand exactly what is happening. What he knows is something just doesn't seem quite right.  

One of the most important things to remember is,, this IS NOT something you are DOING TO Grandpa, this is only having to choose the lessor of a whole stack of bad alternatives.

Yes there is a quality of life issue. And everyone involved wants to do what seems like the lease 'restrictive' (loss of mobility/freedom)  but,, this is a whole lot different than a physical disability.  There is no quantifiable timeline or way to judge what any specific time period will be like.  These cycles  *up/down* happen at different times for different people. The only known result is it will become worse and last longer each time.

The hardest time in many people's lives is when the role reversal is- or going to happen.  Parent's becoming the children, or Grandparents becoming the children, and the children becoming the parents.

I know what I've said so far is harsh, it's not meant to be.  

The biggest 'hurdle' to get thru is, the feelings of 'guilt'.  Again,, this is not something you are 'doing to' Grandpa.  It is simply choosing the best course of action out of a mountain of ugly alternatives.  

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