Oh wow
I'm praying for you and your family.
I wish I had easy answers for you or any answers. I wish there was an easy assurance, a fix, a way to send hugs through the internet.
How long ago was your Grandma diagnosed? Do you know what stage they said she was in?
I went through this with my Grandpa he passed away the week of Thanksgiving 2017. He was diagnosed 16-17 years before that, but we caught it pretty early and I don't doubt Grandpa fought to stay with us until the end.
There's no question Alzheimers is a horrible, terrible and tortorous disease. I wouldn't wish it on anyone. It effects not only those who have it but everyone they love and the effect radiates out. It's almost tangible. I'm not an expert but I can share my story, my experiences with you and I pray that God give me the words to give you peace and help you to know the path He want for you.
That being said it also gave my Grandpa and all of us around him something. Something that nearly everyone loses as they grow. See while some, maybe the majority, of Alzheimer's and dementia patients can become suspicious, angry, or violent my Grandpa did not. He became like a little boy innocent and sweet. Loving and gentle.
See my Great Grandpa had Alzheimer's in the late 90s back when it was something that was hidden. I guess it was more newly diagnosed then. My Great Grandma hid it from the family covering for her husband until she passed away. It was only then that we noticed my Great Grandpa's erratic behavior. Underwear on the outside of his clothes, peeing in potted plants, wandering, getting lost, confusion. He moved in with my Grandma and Grandpa(his son) until his wandering became dangerous for him. He was placed in a nursing home. My Great Grandpa became erratic and at times angry with his Alzheimer's. He shadowboxed and ran around yelling. As children it was frightening for my brothers and I when he became very agitated. My Mom tried to keep us from the worst of it but allowed us to see him and we visited rather often. Some would say children shouldn't see such things but we had been through much in our lives and we were never in danger. My mother is a RN.
Great Grandpa passed away at the age of 90.
4-5 years later my Grandpa got the diagnosis. His worst fear. Losing himself. A strong farmer my grandpa said the last thing he wanted was to be placed in a home and languish like my Great Grandpa did(There was some question as to his care and if the lack of care in the Alzheimer's wing was the cause of death- my grandparents were the only ones suspicious so it wasn't pushed.)
**I make the above note not as a judgment of any or all facilities but merely because through our experiences we learned there will always be places and even people in good places that don't care the way they should and places that are also understaffed. Etc.
Even now I think Alzheimer's is something that touches so many but so few really know anything about. If you haven't had first hand experiences chances are you know next to nothing about Alzheimer's.
We kept my Grandpa home as long as possible. My mother and I even moved in full time for over 5 years to care for my grandparents. Grandpa with Alzheimer's and grandma with dementia. Of course this was when they could no longer do it themselves.
Grandpa did begin to wander and received a tracking bracelet by the police for his safety. Alarms were placed on the doors but although he would only seem to shuffle when watched. He could move! LOL we used to joke that he would run when we weren't looking. When the wandering became so bad that it wasn't safe for him to stay home any longer we did have to finally place him in a Alzheimer's care facility. It was fall and into winter and two or three times he wandered without a coat and ended up in the shallow creek down the road from my grandparents house. Somewheres there's still a pair of slippers down there of his. The bracelet allowed them to triangulate his position but it still sometimes took hours in the dense woods surrounding their house.
My Grandpa had always loved to be outside and so we hadn't locked him in the house because it was his greatest joy and could also trigger him to get upset. Still considering it all he seldom wandered until the very end of him being at home I can think of only two times both of which he was out in public and Grandma left him in the car, thankfully he didn't drive away(these we're also both before Mom and I moved in)
I have no doubt that him staying at home for so long allowed him to stay better for longer. He also lived in that farm for 40+ years which helped for a long time. We also took him to Bible study for quite a while even as he got worse the gentlemen in our church graciously took him into the men's bible study while we went to the women's in a different part of the church. The more interaction Alzheimer's patients have the longer they take to decline. Exercising their mind helps in all kinds of ways including conversation. Grandpa loved puzzles and word searches and various other things.
Now when we placed him he lived three more years before he passed away. In fact although he declined he was pretty good until the last year: specifically the last 6 months. He was mobile the entire time until the last month and continent until the last month or two.
My uncles, aunt, cousins and even my Grandma were in denial for a good long long while before they came to terms with the Alzheimer's. My uncles even both said that Grandpa was already "gone" as in dead because they didn't see the man he had been there. Now in my own opinion anyone who hasn't ever spent a longer time than the average visit with someone with Alzheimer's is not getting a true picture of that person and what is or isn't there. Frankly I don't doubt for even a moment that it's there it's all there. It's locked inside and seldom can they access it but it's there all of it and you'll see snippets. More about that in a moment.
Now this is the part I think is most important for your situation regardless of how far along your Grandma's disease is or isn't. She is inside there and it sucks when life gets busy and things get forgotten I know I've been there but move forward and think about what you can do. Forgive yourself. I'm sure she would want you to. Find things that bring her joy if you can. A stuffed animal, maybe a visit from a therapy dog or cat, flowers, balloons, a favorite food.
So many of my family stopped seeing Grandpa when he was placed into care. A few even stopped seeing him before that. One of these is one of my brothers he stopped seeing Grandpa afraid of the memories of my Great Grandpa. Instead of asking us if he was how Great Grandpa had been he didn't have any contact with him for three or four years before my Grandpa died and only saw him maybe once a year for several years before that.
As a granddaughter I too had no say in my Grandpa's care it's hard when you loved them so much and want what's best for them but some or all of the people in charge have their heads in the sand. Despite that for all the years I lived there and a couple before him and I talked and I think maybe I was the only one who asked him how he felt about the Alzheimer's, my aunt and uncle wouldn't listen and my other uncle wouldn't at first either.
Now if you would like to I would gladly talk to you more about it all and about your Grandma. I don't know what stage she's in but I will say that she may rally even in the final stages(my Grandpa did several times in his last year but we never knew it until his final 2 weeks when hospice was brought in). Don't fear hospice, they were a Godsend for us.
Now I know Grandpa broke most of the rules for Alzheimer's. When he was diagnosed they gave him 7 years I've already told you he lived almost 17. Of course 7 was a conservative estimate and back then there weren't as many treatments but he broke other rules too.
He never lost the ability to feed himself until he was in the very final stages like a month or two before he passed. He did go through 2-3 non-responsive times in his final maybe 8 months it wasn't until hospice told us that these times were coming to the end of life and then he rallied. All but the last one of these times were connected with an illness, including a MRSA infected bed sore due to how he liked to sit on his tail bone(he also had pneumonia that time). The facility missed the sore and didn't care for him well. He was rarely bathed, etc etc they also didn't know how to deal with him sundowning and placed two inexperienced girls in the wing at the same time without other supervision. They called it training for the girls. Anyway we of course moved him.
He was rushed to he hospital with a high fever and we were told he may not make it and the sore probably wouldn't heal however long he lived. My Grandma, Mom, Aunt, and Uncles(mostly the three latter) almost chose not to treat him with the harsh drugs. I went in if you can believe it with fresh strawberries and a hope and a prayer that he would become responsive again and they would change their minds. While they were at dinner my DH2B and I stopped by and found Grandpa awake and trying to remove his catheter. Ouch! I distracted him with the strawberries and that along with a couple other moments including him telling us he loved us and knowing my aunt's name they decided to treat him. The sore healed in between 3-6 months and he lived another year.
Grandpa was moved 5-6 times in the last year to 18 months of his life while we searched for a place that would give him proper care. One thing that repeated itself again and again at all these places were the lonely other residents most of which we never saw a single visitor for even though someone went to see Grandpa nearly every day. It was hard and we would be surrounded by multiple people with Alzheimer's wanting to tell us stories and talk to us and play with us and wanting hugs or a friendly smile. For too many of them their families just dumped them too busy to visit, too busy to deal with the "burden". One woman had fingernails that were never cut since who knows when wheeled up and asked us to help her. She had torn a nail way back and it was tearing more and more as it caught and none of the staff would help her. We cut and filed all of her nails and she was so happy she cried. The staff said she wouldn't let them but we had originally told them and they hadn't addressed it at all not even with a bandaid to hold the nail down. We later found Grandpa left in bed all day without meals or his medications because he wouldn't get up. We moved him again.
On and on it went I won't lie.
The last facility Grandpa was at for only two days when he came down with a fever and become non-responsive. He was again rushed to the hospital but after tests were discharged still in that state. The hospital told us they had no ideas. Hospice told us a few days later that what we were seeing were the end stages of life. Grandpa was dieing. She told us the symptoms and that we didn't know how long he had. She also said he could rally, and when she described it we realized he already had. We decided after a few days to bring him home still praying he would rally.
He did that first day she told us. For just a bit he woke up and I fed him some sherbet and he had some water and juice. He knew my name and my Grandma's he addressed us both and told us he loved us he even joked a little. Then he was almost completely silent again. I did get one last I love you after he was home.
He passed away three days after we brought him home. Surrounded by my Grandma, Mom, aunt, uncles and my DH2B and I. He waited until all of us told him he could go home and that we loved him and we'd miss him but we'd be okay.
Even when my Grandpa didn't know us by name he knew he loved us and most of the time he knew me even though I'm one of the youngest grandkids. After Grandpa was moved I moved in with my DH2B and Grandpa would ask my Mom and Grandma about me from time to time when they visited without me. Yes sometimes he didn't know us at all and that increased the worse he got. Sometimes it felt hopeless but then he would say our names and tell us he loved us.
I hope this gives you hope and peace and I pray you get a little more time with your Grandma.