To anyone who is new and posting here:
We are a group of non-professional former and current caregivers.
AgingCare friends: let's tell new posters what they need to know upfront.
I'll start.
1. Don't promise your parent that you will never put them in a nursing home or other facility. Instead, say "I will never abandon you; if you need more care than I can provide, I will see that you get it. "
Some people believe that honesty without compassion is just great and to have said that makes me think that she herself is having a hard time. I hope that is why.
I am sorry that you are going through a serious physical illness while dealing with the recent loss of your dad and the sudden drop of your difficult mom into your life.
There really are people here that care.
"No, I cannot possibly do that."
I am pretty much echoing what "BarbBrooklyn" said in her comment in response to your question on "...elaborating on the issues making it this necessary" when it comes to discharge after a hospital/rehab stay.
When my mom was taken to ER from nearly dying of severe dehydration and getting the COVID virus back in April, it was the first time she had been hospitalized since being in an AL facility. During her four-day hospital stay, the hospital social worker contacted me and asked what my plan was once she was released. Since I felt like there was negligence on the part of her AL facility, there was no way I was sending her back there if I could help it which I explained to her. Thankfully, the doctors my mom had were very good and helpful and said they would be sending her to a physical therapy rehab facility (which would buy us some time). Since we were just a little over a month into the virus situation, there were only three rehab facilities who were even willing to take a COVID patient in. They gave me the names, I got on the internet right away to see what they looked like, how far away they would be from us and what kind of reviews they had. I kept hoping for the first one on the list and thankfully, that's the one who had a room available and would take a COVID patient.
Once she was there, the "Discharge Case Manager" already was asking me where she would be going upon her release. There were no places at that time who would take her. My husband found a placement agent that we were in contact with for over a week and all she could find was a "group home" an hour and a half away round trip but, they weren't licensed yet. In my heart I knew it would not work for my mom and I did not feel at peace with it which meant I would have to send her back to her AL facility. Every four days the manager would call and want to know if we were "actively" looking because she didn't know how long she could justify to Medicare keeping her since my mom wasn't making any progress and was being combative with the therapists. She held a meeting every Tuesday to go over all the patient's progress reports and then called us asking the same question. She ended up giving us two other group homes that were closer. We drove by them and I said "no way." Then she gave us another name of a placement agent. We couldn't work with her until we dissolved the written agreement we had with the other one. But, the new one helped us in spite of it. Finally, she gave us three IL/AL facilities with a memory care unit (she needed more care now). The one I really wanted, changed their mind, one of the other ones had too many citations leaving just one more option - they had not had any COVID cases within the facility. The location was great and familiar to us but, they only had four apartments left and only two of them were ones we could afford and private, one-person apartments. All we were waiting on was a "negative" test result but, I put a deposit down on the one room that was just right for her just to "hold it." Everything had to fall into place just right to make it happen and thankfully, it did. I had her previous facility breathing down my neck wondering when my mom would be returning (I didn't and couldn't tell them we were trying to find a new place because they still had all her belongings and I didn't want to burn any bridges). So thankfully, the rehab facility discharge manager kept my mom almost the entire length of time that Medicare would allow, my mom's test came back negative and she now was qualified for hospice care.
So like "Barb..." I had no idea about any of this stuff and it was extremely stressful for my husband and I (he ended up having to take a medical leave of absence from his job of 27 years so he could help me to help my mom).
If your relative is just not right - speak up. Behind the behaviour change may be a medical reason (undx disease, undx dementia, UTI, stroke, change of meds etc).
Gut feelings may pick up other serious issues (unsafe behaviours, overdose, addictions, elder abuse, financial abuse & more).
Do not front money for your parents' care expecting that you will "get it back" in the form of an inheritance. For most of us, every cent our parents saved, the price that their home fetches and their monthly Social Security check will be spent on their care (NH care where I live is about 11K per MONTH) and in the end, parent may well end up on Medicaid.
And please, make sure that you don't think that moving in with your elderly parent and essentially living off their SS is a good idea. In the end, as another poster pointed out, you will end up unemployed, homeless and unmoored when your parent dies.
Even though this isn't directly related to caregiving in and of itself, I didn't know where else to make this comment.
When you come to the AgingCare site, it's always a good idea to go to your profile page periodically to see if you have been sent any "messages." I know occasionally, I will send someone a "message" that others may see or a "private message" that others can't see. I've had several say they didn't even know they had messages sent to them. One had a lot just sitting there without ever being read. Just a thought I wanted to throw out there!
Thanks for letting me know they show up in the "news feed" - I did not know that so I tried it and there just happened to be a private message for me. I've only been on this site for a month so I'm still trying to learn how to navigate around it! :)
@ "elaine1962,"
I wasn't aware of them being in the email notifications in very fine print either. I'll have to look there next time but, I agree the profile and news feed is much easier. Thanks for helping me get the message out too! :)
Sometimes it’s okay to lie.
There is the catagory of “Therapeutic Fiblet”. These are the sometimes small lies and sometimes bigger lies that we have to tell our aged loved ones that are for their own good. Things like “The doctor says you need to stay here in rehab a little longer - to work on getting stronger” or “A main pipe broke at your house causing a lot of damage and mold - we need to get that all repaired before it’s safe for you...” - when the reality is - they are never gonna be able to live in their own home again.
Then there are the lies one tells businesses and bureaucracies - the ones that almost seem to be going out of their way - with their rules - to make everything harder than it needs to be. When things - EVERYTHING - is already hard enough...
Moms in rehab and between the UTI and the morphine - she’s just nutz. You’re trying to get information about her LTC policy but the dweeb-bot on the phone says they can’t release any information without moms consent. Could you put mom on the phone? Yeah, right - that’ll work - between being nutz and nearly deaf (and only God knows what she’s done with her hearing aids).
So, what’s an honest but exhausted and frustrated caregiving daughter to do? You say sweetly “Of course. Just let me get her”. Put the phone down - call out “Mom, they need to talk to you”, rustle and rumple the phone around for a minute - then you pick it back up and say “Hello. This is Mrs Policy Holder...”
... Yep. Sometimes - not all the time. Not even a lot of the time. Just just sometimes - It’s okay to lie.
LOL Rainmom, I so would have done exactly what you said, but mom was sitting right across from me so it was easy enough to put her on the phone.
That said, had I known I wasn't on the "list" to get information, I would have fixed that a long time ago...I just wanted to pass on what little knowledge I have...😇
I'm not certain if this is still true after you've gone to another message within AgingCare, such as clicking on a different subject at the bottom of the page without closing the website, but this may be a possibility.
However, this is GREATLY appreciated, as websites such as Yahoo and YouTube don't enable any editing after a comment has been posted.
I was finally told this by a therapist, because my ex kept telling me that clearly, all of the issues in our marriage were MY fault, because the docs threw him out of therapy and kept me.
"That's because you have the flexibility and capacity to change; he is so rigid that any change will break him into a thousand tiny pieces".
It was quite a stunning revelation for me.
Most of us go into the position of caregiver to an elderly loved one with the very best intentions. Some, have made the promise to the elder or the dying spouse of the elder that we will care for them and never put them in a nursing home.
But, fact of the matter is - many of us are ill equipped to deal with the often increasing needs and complications that come with an ailing elder - be those complications physical and/or mental. Dementia.
But - we “do the best we can”. We try to be all things - all the time. And, the plain truth of the matter is - “the best we can“, is sometimes simply not good enough.
It’s important to realize that - and with no shame. How many of us are doctors or nurses? And even if you are - are you also a nutritionist? A geriatric psychologist? A physical therapist? An occupational therapist? A speech therapist? Do you have the physical strength to lift a 100+ pound person day after day - to dress them, change their Depends, shower them, pick them up off the floor? Is your home equipped with ramps, stair lifts, grab bars? Is theirs? Do you have unlimited time to take them to the doctors, the store, on recreational activities? Are you available to talk to them throughout the entire day? The patience to answer the same question over and over and over again throughout that same day? To plan and make special and separate meals that might require pureeing? To then feed them? Can you go with little to no sleep for days and nights at a time? Enough money stashed away for your retirement since this is 24/7 and you’re not able to hold a job? Is your own spouse and/or your children understand why you have no time or energy for them? The list goes on...
Maybe your elder only needs some of this. Or maybe you are equipped to do a lot of this. Maybe you made a promise. But - day after day after day? Perhaps, stretching on into year after year?
Being a caregiver is hard work. Really hard. There is no shame in admitting that “the best you can” isn’t cutting it. That you need help.
Please know that recognizing your own limitations and asking for help - maybe breaking a promise - does not make you a failure. It does not make you a bad person.
Sometimes admitting you can’t do it and ASKING FOR HELP - that, that is really what it means to “do the best you can”.
"However, this is GREATLY appreciated, as websites such as Yahoo and YouTube don't enable any editing after a comment has been posted."
I can't speak for Yahoo as I don't have a current account with them AND recently they have turned off comments. Although it was sometimes good to read some posts, not so much others, I can see why they have done it. Too many of the posts were just nasty and really did not lend to the discussion. Anyway, I don't know if their comments had the ability to be edited, BUT I can say that YouTube does allow edits. I have edited my comments multiple times, to add more, to make corrections, whatever. Just now I went back to one comment posted 3 weeks ago and the edit capability was still functional (I added another ! and SAVE became available so I clicked that - your username line will then show (edited).)
How it works (there is a delete option as well - haven't checked that out here, but maybe if you edit and delete everything?):
To the right of your YouTube comment there are 3 dots, stacked up/down, like the Google dots on the upper right of the browser that opens the menu (go figure, Google owns YouTube!!!) If you left-click the dots, the Edit and Delete options are presented. Select Edit, make changes, SAVE is activated and then you save or cancel!
I have at times come back to posts here later and have been able to still edit. Just today I posted and came back MUCH later - the edit "button" was still there, so I fixed a grammar booboo I missed earlier... The edit capability on that comment is gone now, but I'm fairly certain it was much longer that 30 minutes later when I made the edit.
But, mainly I responded so you and others know how to edit and/or delete YouTube comments!
Even phones have the ability to add a blank line between paragraphs. Please use punctuation and paragraphs and your posts will be read by more people.
Another pet peeve is those that use all caps when trying to get a point across. There is no need to yell unless just a few words. People listen and understand easier when they are not being yelled at.
As an example, mine offers case management services, "needs assessments", knows where the local Adult Day Cares are and maintains contacts with the local facilities like ALs and NHs.
Certainly, they are the place to start!
Don't get into a situation where you are the full time caregiver and need to beg your sibling who has POA for approval for payment, respite or reimbursement for supplies.
Understand Medicaid regs BEFORE you jump into caring for your parent and don't be enticed by "oh, you'll get the house".
Remember to say NO and don’t feel guilty!
There should be ZERO tolerance for abuse here.
https://www.agingcare.com/aboutus
The fear of ABANDONMENT is the real core of this issue. At 80 yrs. old and still living independently, I know this fear all too well. The day may come when I am less than agreeable, less than enjoyable to be around, less attentive to my previous standards of personal hygiene. If this happens, please understand that I don't really like being this way. I just don't feel good most of the time.
But don't feel guilty if you must place me in the care of others! Look for the cleanest, kindest setting you can find. But most important, don't desert me. Let me know that even if I'm not at my previous best, maybe not even near it, you still care.
Hopefully debt is not a factor for family. (I recognize too that some family relationships, many spoken of here, plagued by lingering rage, are too dysfunctional to even produce guilt feelings. Very sad.)