I am keeping up both our homes and have taken a leave of absence from work. I have to go back in a few months and want to bring my mother to my house and hire a caregiver during the day. Has anyone tried to move someone in stage 6? She knows me about half the time and sometimes does not know her own home. Every time I bring her over to my house for a visit, she doesn't recognize it. I don't want to cause her to decline, and I may have to move her again in the future if I can no longer take care of her.Any advice would be appreciated.
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My daddy had a saying, "Never worry!". Everyone was so used to hearing him say it that the people at the school where he worked gave him a plaque with the saying on it. I grew up with that and for the most part, I am able to follow the advice. My mom was not one to get upset easily either - she was very laid back and never got caught up in emotions. She loved us all dearly and made sure we behaved but both she and Daddy did it without yelling or hitting.
In addition, I have spent my life first raising my children and then basically being "a mom" at work. I was an executive assistant for over 20 years and my job was to take care of everyone. No task was too big or small, too important or not important enough. If it needed to be done, I just needed to do it. I also had to put up with the good and the bad as far as people's behaviors and just go with the flow. I think all that just prepared me for what I am doing now.
So, I'm very lucky. Mom is more amiable than Daddy was when she was caring for him and at the same time, when she does get angry and throw things at me or cusses at me, my life's lessons have taught me not to take it personally because she is not striking out at me in particular, just to the situation. The viewpoint helps tremendously!
I may change my tune when the end stage hits - we'll see - but at this point in time I am very happy that my husband and I made the decisions we did.
Both the personality of the elder parent and their family. Some are easier to care for - you're MIL seems to be a happy, content person who probably has been that way all of her life.
While her late husband would have been quite the handful to deal with.
And then there's the caregivers. Some of us truly enjoy the caregiving aspect and it's chores and some of us don't. You have to be realistic as to whether or not you're cut out to do it
24/7 solo or with a spouse.
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In May of this year, in four days time, we made the decision to move my 94 year old Mom from her home of 24 years (my brother's) to our home. We moved her bedroom furniture from there into her bedroom here to help with the transition. She was confused for awhile and it actually took a few months for both of us to settle into the routine and her change of location.
When we moved her, I knew she needed someone 24x7 but I didn't realize she was in stage 6. My brother lives an hour away so we were never with her for a long enough period to really know the situation. My brother didn't actually realize either because 1) he was too close to the situation and 2) he works during the day and she was always alone.
I'm glad I made the decision. Actually, my husband made the decision to move her in and he didn't even realize how bad she was. He just knew she needed someone 24x7 and I was able to retire and willing to do it and God love him, he's a fixer.
We've had our trials. The book The 36 Hour Day definitely helped me learn to handle various situations and understand what might be happening. This forum also has helped.
To make it work, I keep us on a regular schedule of getting up, eating both meals and snacks, activities and bedtime. I figure my job is to keep her active during the day (although at 94 I do allow some snoozing) so that she will have a better night's sleep. I also have quiet time after dinner. She and I sit down and watch TV - she may not watch but will sit with me if I am sitting. As long as I'm not up moving around, she doesn't get agitated and she seems to wind down nicely to bedtime. We've also added safety locks to cabinets and drawers and a hallway gate to keep her safe and help us sleep at night.
Will this always be the case? It might or might not. How the dementia manifests is based on the person's personality. My mom was a stay at home mom, didn't drive but ran the household. Once she got used to me running the household, she has settled in to the fact that I do that.
My father had Alzheimer's and was a captain in the Navy during the war, a teacher for 35 years and a farmer. He was used to being in charge of a ship or a room full of teenagers. His stage 6 was much different than Mom's.
So, I wish you the best with your decision. I, like others, would suggest that you get a care consult from the local Alzheimer's Association to help you think it through. If you are the praying sort (I am) then I would say pray about it and listen for that still small voice to tell you what to do. If not, then meditate on it to get your gut feel about what you need to do to feel comfortable with the outcome.
What you can and cannot afford both financially and physically
and emotionally.
Sounds like you are doing all this on your own without siblings.
It's tough. You really need to speak with her MD's and your spouse and your kids and an elder care / dementia specialist. If you have a husband & children & siblings, then you need to have a family pow-wow so that everyone is clear on care and finances and how their home will change once mom is there.
How flexible is your job? In this economic climate, employers don't have qualms about getting rid of employee who aren't
focused on their company. Can you afford to lose your job? if you need to be at home with mom, or run to the house if something happens, or a caregiver doesn't show up is it OK with them or will that give them cause to let you go?
If she has health issues above and beyond ALZ that needs to be taken into account. ALZ stage 6 is a 24/7 on call situtation and it never gets better. Couple that with diabetes or heart issues and there is alot of health monitoring to be done.
Can you do that and/or can you afford to have caregivers to do that? What can mom do?
If you haven't legally set up medical and durable POA, you need to do that ASAP. You mentioned having both homes to take care of - how is the maintenance & utilities on mom's being paid for? If she is fortuanate enough to have income to pay for things, you want to have the elder attorney do a personal services contract for you to compensate for your time.
If you are paying for everything and co-mingling your and her $$ you really should talk to the attorney about how to set all this up. Unless she has a huge estate, at some from now she will run out of funds and you do not want your assets attached/pledged to her care. I've gotten flack on this forum for this point of view but you really have to think about taking care of yourself and your family first and foremost.
The respite care is a great suggestion. This could be a way to have her assessed by a geriatric team as to what her true needs are. Multiple homes are great but require time, can you deal with yard and other maintenance issues on your own?
Can you rent her house if she needed income?
Perhaps also while she is away at respite care, you can have her house evaluated by realtors for sale and what needs to be done & paid for before it can go on the market and find out how the market is moving in her neighborhood. My experience is that they have put off needed repairs on their homes so the children find that there needs to be a new roof/water heater/foundation, etc so that there is a huge amount of $$ in repairs to get the house to be at the comp's sold. The level of repairs needed may make the house unsellable for FHA or VA loans which is the majority of buyers. If push came to shove, what could you sell her house for and would it be worth doing so or better to let the state lein it to pay for her care?
Perhaps you will find that she is best taken care of in a SNF,
if so, start putting her on lists as you want to find a place that
you feel 100% about. The good ones always have a waiting list.
This is alot to deal with. You can't do it all yourself. There will be a local senior/area council on aging to help you. Contact them to work with you to make things work for your mom. It's your tax dollars so take advantage of it.
Good Luck!
seraphim, I would listen to the gut feeling you have over this nor only fear of how it will impact her but also how it will impact you and anyone else living in the house. It sounds like a visit to the doctor is the next step to get a third party, objective opinion about what is the most reasonable step for her well being and yours. I wish you well.
Best to you on this journey~
Hap
Unfortunately, the facilities near me have approx. 1 year waiting lists. I suggest you start looking at places now and, if needed, put your mom on waiting lists at the ones you like.