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I am my mother's medical and financial POA. My father and brother are dead and I have been managing my mother's affairs legally since 2018. Mom is in an assisted facility with memory deterioration. I live in a city an hour and half drive away. Mom moved into the facility after she had a serious heart failure that required a pacemaker implant. She lives in a rural community where health care is adequate, but anything difficult or requires a specialist means trips to nearby cities. I tried to keep her in her home as long as possible, but she finally made the decision to move to the only facility she deemed fit to go to. She liked it because she was close to my brother's wife and children and great grandchildren, with promises of visiting and calling. Mom's short term memory is leaving and her PCP assured me that this would have happened even if there was no covid and he has noticed a marked decline in the last several months. It is becoming more difficult for me to handle her needs, my stress is high. The cherished family that lives close by have not called or visited either social front porch/social room, or virtually. I have pushed, given suggestions, covered for them when she would ask why she doesn't see them. Mom is struggling to understand why they don't visit, I am struggling to deal with the difficulty in doing runs of "drive and drops" during lockdown. My stress level is high. I have made the difficult decision to move mom to a facility close to me so we can visit, she has good medical care as she ages, and to help my stress level.
My SIL had a stroke and has recovered, she is still dealing with memory and confusion issues due to the stroke. I have discussed this possibility of moving mom closer and she understands because she sees how difficult it is becoming for me. But her children will be upset, even tho they have not seen or talked with mom. MY children have seen her more via virtual visits and they live in various parts of the country and out of the country.
I know I am making the right decision, I know it will be difficult for mom to leave her little town, I am prepared to deal with this, but I am anticipating a major blowback from the local crew. NOT sure I can deal with THAT. My SIL sees mom is not mom, but her children, who live just blocks away, have not talked with her enough to notice the decline. Am I being too selfish for being exhausted with long distance management and stress? Has anyone any advice?

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What wonderful news!
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citymouse Apr 2021
Thanks!!
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Update to my update. Found a place for my mother and when I sat down with her last week I told her "Mom, I want to talk to you about moving to XXXXX. I miss visiting and we want you closer. I know you would be leaving XXXX but I found a place that is much closer to us and I can visit more. I miss you." Mom's response was "Yes, its a good idea. No one visits me anyway. Can I move today?"
After I picked myself up off the floor, I had to explain that it will be a couple of weeks, I had to finish the details and make a plan.
She is now a self appointed undercover agent...reporting gossip, but everyday asks when, and "I can start packing"
My daughter told me "I think Grandma has been wanting to move but was afraid to ask, she didn't want to bother me." And I think she may be right. I know this is going to be hard and there will be a period of adjustment and decline in her memory, but I am hoping to spend the time she has left with her enjoying her quirks. As some of you pointed out, the local family is relieved. Mom's comment was, "they never come, they never call, even when no one was allowed to visit, they could have called. I don't know why, but they can come to see me there"
Thanks to all.
Now on to the next hurdle on this track!
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citymouse: So glad to hear that out of a negative came a positive.
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Update to my dilemma. Those who said maybe my worries are all for nothing were correct. BUT recent events events made everything fall into place. (see my latest post on bedbugs and pacemaker monitor. The SIL told her kids and showed pictures of the dead bedbugs in the sheets we picked up. I wonder if they realized it was in the stuff was with items we picked up after treatment. They tossed the mattress and I was told they did the same with the sheets....WELL they didn't.
They said get grandma out of there and we don't care if she has to go to where I live.
So a negative has created a positive and it also made me a better consumer and I have appointments at several facilities with a long list of questions. My lawyer friend gave me great advice on how to deal with the current facility while working on getting her out.
Thanks for all the great advice!! And I think (fingers crossed) that while mom has memory issues..she is aware that something is not right and she keeps telling me "they are fudging things here"
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Stuff the extended family. What does your mother think, and what does her current medical/care team think about how well she'll adjust to the change?

I wouldn't give a monkey's about the vocal but absent family members, don't let that stop you; but if the advice specific to your mother suggests that it might be better for her to stay in her familiar surroundings that might give you pause. In that case, IF that's the advice, then you still cut back on your physical presence and be prepared to accept that mother gets fewer visitors.

You mention your brother's wife, children and (your mother's?) great-grandchildren - does this mean that your brother himself is perhaps no longer with us?
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citymouse Mar 2021
yes. he died few years ago.
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Thanks to everyone for their care and support...and those who said it may not be as big as I worried about...well it turns out that is happening, but for other reasons. the frustration rant about bedbugs and pacemaker monitor issue the issues I posted on another topic. I made a call to mom's lawyer, who I happen to know from HS. His advice was: "Move her ASAP" then address the reasons why with the facility. There is a lot of "stuff" that I didn't post...but I have always been a documenter...I document, document and journal write.
For those who are struggling with facility issues, document. Save every scrap of paper, text, email, phone call notes. Date and document.
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Dealing with the extended family is difficult.  I feel for you.  You know you are making the right decision.  I think it would be different if they were very involved in her life and you were pulling her away from that.  If they give you any flack, just reassure them that they can visit and call as often as they do now...
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I felt that way too. We selected a facility near Mom's small town as well as numerous friends, church, and relatives, I am willing to say she got maybe one visit a month from anyone other than me. If anyone really cares they should be willing to make the trip to her new home.
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The decision is yours to make. You don't need to consult with the others or make excuses. Since they aren't even making an effort to visit or maintain contact, is it even necessary to consider how they feel about it or tell them? As others noted, if you moved her and said nothing, how long would it be before anyone noticed?

One brother and I were named POAs long ago. The other wasn't local and wasn't around then, so he wasn't included. When mom began showing signs of dementia, I learned all I could about it and tried to share information with them and include both in discussions about her care and future. All too often information was met with disbelief or even having one or the other calling me a know it all! The local brother helped when it came time to take the car, but who got all the flak? Three guesses, the first 2 don't count! Who also got the tasks to help her out, delivering supplies, taking her shopping or to appointments? I also lived 1.5 hours away, so I know how tiring and stressful it is! The only saving grace was getting laid off around the same time. At least I didn't have to worry about a job to get to.

So, for about 2 years, this was all on my plate. I tried bringing in aides, to get her used to having them (only 1hr/day, sanity and med check), with intent to increase if/when she needed it. She thwarted that plan by refusing to let them in. So, next was to look for a place for her. Neither brother would be good at caring for her (esp since they were clueless about dementia!) I couldn't physically do it, so I looked for places near where I live, knowing full well I would be the one running ragged! When I had scheduled to check 2 places, YB announced he found a place, about 5 minutes from where he lives. But, between being more expensive and less appealing, I knew I would be the one doing everything (it was about 45 m away, in good weather) and he wouldn't be picking up the slack. The place I opted for was about 10-15m away, much nicer and less expensive (non-profit.) Funny that after seeing the YB place, when they found out the cost, both said Gee, for that kind of money, I'll take her in! Sure they would.

After the move, which I made them do as I did all the prep work and wanted to avoid the flak from her, came the clear, clean, repair and sale of the condo. Yup, all me. About 1.75 years of my life, gone. Multiple weekly trips, 3 hrs round trip, plus time to do work, while one came a few weeks here and there and the other showed up once, maybe twice. During his last trip up, OB went with me the first night to visit, then I sent him alone one morning, before we headed to the condo. When I suggested he go again during down time, he refused, saying he didn't know what to do with her. This from someone who was going to take her in, full time???

The facility had many special meals and functions, to which I texted YB asking if he wanted to go (they want head count, not pressuring him to go.) I got tired of repeating the request and getting no answer, so I finally stopped asking. Mom used to ask about them, if I'd seen or heard from them (that first visit from OB was really telling - she was overjoyed, yet he couldn't stomach going back for a 10-20 m visit.) I'd just say not recently and made no excuses for them. Eventually she stopped asking. How sad. Out of sight, out of mind.

Her own sons didn't visit! My daughter went several times with me and my son brought his then 2yo for a visit too. Mom couldn't remember who the baby was, but enjoyed the pix I showed her. Everyone loved his visit! Early after the move I tried bringing others together at a restaurant but YB's daughters didn't join us. OB's daughter isn't local, so no go there.

Do what you need to do for YOU and your MOM. She'll be closer if she needs you or medical care. It would have been very difficult for me to do all that is needed if mom were 45m away. She will forget the grandkids soon enough. Do it for the two of you. No discussion.
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citymouse Mar 2021
Thank YOU!! Been wanting to thank you and just now could..
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Do what is best for your mom and you. If relatives don't visit now blaming you will be the excuse they need. Dismiss it all, let them have their justification for not giving a d***.
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If she's not getting visited by others then you have every right to make the visits for you closer and more convenient.
The others can make the same trip you've been doing if they decide to see her
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It sounds as you know already what you want and what you have to do and what you will do. so just do it, and worry about the rest later. If you put the worried about the others before you, they will be the biggest mental obstacles for you before you can even start your plan.
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You have gone above and beyond to help. What is happening to your mother can't be fixed - it will get worse. No one is helping or doing their parts - it all falls on you. As I see it, YOU must make the decisions and tell them this is the way it is. End of statement. She needs to be in a facility and YOU must learn to stand up for yourself. You have a right to a life and one without stress. If that means placing her in a place you feel is right, AND DISTANCING YOURSELF FROM THE OTHERS, THEN THAT IS WHAT YOU HAVE TO DO. Do not take crap from them- they are doing nothing. You are so YOU make the decisions and tell them this is the way it is - and leave and don't look back if that is necessary.
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You are making the right decision based on what your mind and health needs are. I am exactly in the same boat as you are. Your mom will adjust and trust me when I say with her ongoing memory loss she will eventually not know if she is in her little town or across the world. What is important for you to remember is that YOU are the one who is taking care of her. YOU are the one who see her decline each and everyday. As her caregiver we understand it's our job to take care of our Mom (I'm taking care of my 90 year old mother who is entering into the last of dementia) as their daughters it is one of the most difficult things to watch. YOU are also not going to be able to take care of your mom if you don't take care of yourself. YOU ARE DOING THE RIGHT THING!!!
Also, I agree with lealonnie1, don't say anything until it is all done and you and your mom are settled in. If the others are concerned for her well being they can then make the choice to move her back and take care of her which you know by is absence now that that won't happen. Do it for YOU first, then your mom. Your mom has lived a long life and yes we care deeply for them. But you need to stay healthy for her and YOU. Stay healthy for you so you can at least live what is left of your live long after your mom has passed. You will have great memories to hold onto and have those memories to enjoy the rest of you life.
YOUR DOING THE RIGHT THING!!!
Short story on my situation. Taking care of my mom now for 3 years. 3 siblings live 15 minutes away, two in Ohio. I have had NO help with taking care of my mom so I had to hire caregivers after my health got bad. Sisters came to see mom once in 3 years and stayed 45 minutes and the other 1.5 hours. Just didn't know who my mom was because she had changed so much in three years. I have now decided to move to Ohio (I have a brother there and his two daughters are caregivers for the elderly). Collectively they all got together and decided to offer me the help I need. I was going to go about a year and a half ago but felt bad for taking my mom away from my siblings here were I live. WHY? because they haven't called or seen my mom. So my husband and I are packing up and moving to Ohio so I can get the help I need. (I know my siblings would never do that). I know I will get flak from them (LOL) when they find out but oh well. I'm not happy because I am a California girl and OHIO is NOT where I want to live, not to mentioned the cost. (We will be maintaining to houses). I'm 66 years old and these are my husband and mine Golden years but not so much. The best I can do is do this move to get help with my mom, stay healthy and spend more time with my husband.
Please don't worry about what anyone else will say. Like I said their actions now will be the same after they tell you all the bad things they want you to hear to make them feel better for what they are NOT doing.
I wish you well in this new adventure with your mom. Remember this is also about you.
YOUR DOING THE RIGHT THING!!! GOOD LUCK AND GOD BLESS!
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You are the one with the legal responsibility for her. You are the one visiting and seeing to her care. SIL not able and the grandkids do not get a say - especially since they have not taken advantage of the time they have had to step up. Let SIL - if able and/or the kids if they can drive - do so. If Mom is agreeable (if she has the capability to decide she should have a say - ) then do the move before she gets worse. My Mom left her small town (Age 97) to live with me cross country. She had a few health problems but no mental problems. We were blessed with 7 years in my home and only the last 6 months did she have to have sitters for care. Was so much easier for me to coordinate care when needed - she would have had to go to AL if she had stayed where she was. Not to mention in that rural area care beyond basics means a 50 mile trip to the big city. Where I am I had the resources close at hand. She enjoyed her time here. Most of locals there were happy for her - the 1 or 2 that didnt want her to go never did anything for her during the 30 years she lived there. They get no say.
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I moved my mother closer to oversee her care because it was costing me a ton of money in travel and hotels and it didn’t make any sense to be schlepping across the country every time something needed to be managed.

If you are the one that has legal responsibility for your mothers affairs you need to do what is sensible and convenient for you, not for the occasional visitor.

I had some blowback from some of my mother’s so-called friends for moving her but I found her in a terrible situation and none of her friends seem to step up to insure her safety or overall well-being. What I did notice is that she no longer had jewelry and there was no accounting for ATM withdrawals. Eventually I learned it was okay to block their phone calls. I don’t answer to anyone but my own common sense. I have to consider mine and my family’s health first.

You are making the right decision. You have every right to to say, “this is the right plan for me and my mother. Feel free to travel and see her: I can recommend a good hotel nearby.”
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Omg you are not being selfish at all. I am in a similar situation. You gave to do what is best for you. I did the same. It is best to move them when there are some cognitive skills left so they understand the move. Good luck....unless you have been a full time care giver, a person has no idea
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I wrote a similar answer to AARP news letter that was published.
As an ordained minister that worked in nursing care I have sen this happen al to often. It is unfortunate when others want to control others. You are the one responsible for your Mother. That decision has been made. Moving her closer to you gives you more ability to provide for her in the best manner that you can.
It is unfortunate that people want to tell others what to do in life. What I said in AARP is that you can do everything others want and give up your needs (and in this case what is best for her) and often the others are still not satisfied. Often bitterness and resentment set in for a lifetime. It isn't worth it.
I agree with others. Don't say a word to others. Just do what is best for her and you. YOU ARE SO KIND TO TAKE CARE OF THE RESPONSIBILITY THAT YOU ACEPTED IN SUCH A LOVING CARING WAY> NOT ALL DO.
God bless you in your endeavours.
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MountainMoose Mar 2021
Preach, Minister Peace1! Excellent advice.
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Ha! I wouldn't say one single word to any of the relatives about this move, not a PEEP. See how long it takes before they even call you to see what's going on! That will give you an idea of just how much they really give a hoot....just like my extended family. Quick to criticize and never visit, ever. They can all kiss my grits, and I'm not even southern. When they start doing anything for your mother, that's when they have a say in where she lives.
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shuffle Mar 2021
haha love it, I so agree.
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You're doing the right thing. It may be that they are not sure how to act with her, or it makes them sad, and so they avoid seeing her. That's probably not going to change, so do what you need to do so that you can best take care of yourself and your mom. Good Luck!
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The extended family may not have a problem since they don't visit anyway. If they do complain, explain that she will be closer to specialists when she needs them - and that she does need them. Don't even mention your stress levels, since they don't appear to care.

Feel good about your decision and that you are helping the people who matter most in this decision - you (the holder of her POAs) and her.
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There is no blowback if you just stop the discussion when it starts. Due to the distance I have to drive, this is what I think is best. Don't get in to the back and forth about who went to see her and who didn't. You need more quality time, whatever is left, with YOUR mom, too. You might say to them that they have enjoyed time with her from a closer distance with her and now it's your turn. Regardless what they say, you reply with 'THAT MY BE, HOWEVER this is the best decision for me'. --Words I learned from a wonderful boss many years ago to get a conversation back on track and away from the side bars.
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Just another thought here.. if they are not visiting or calling now, perhaps they will be glad or "unconcerned' that you are moving her, and you are worrying for nothing? the grandchildren may protest because they think they "should" but it sounds like they really don;t care.. and they will get over it as they continue on with thier social media busy lives.. after all, they are "too busy"
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my2cents Mar 2021
Some grandchildren would consider what they might not inherit if g'ma moves away and this child becomes closer to her.
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I went through the EXACT same thing. I had to move my mom from her home of 50 years immediately after my dad died, so I moved her to a facility where my dad had been a trustee and was in her general neighborhood. My brother and his daughter lived just a couple of miles away, and her friends and church family were a mile away. (I live an hour away.)

In the seven months she was there, she was visited by two friends a couple of times and by people from her church she didn't know. My brother wouldn't visit unless I was there, too, so neither did my niece. I was there every Wednesday and Sunday, though, and spent hundreds of dollars on gas and food, because I brought Sunday dinner for all of us to have with her.

This was finally untenable, and I decided to move her closer to me. She doesn't miss the old place, she doesn't talk about her friends, and she's getting far better care. I no longer resent my brother for being weak about visiting, and everything is much better, especially when I get midnight or 5 a.m. phone calls saying she's being sent to the hospital for one thing or another.

You're doing the right thing, and don't worry about any blow-back. If the grandchildren want to see her, they know where she is. It isn't your job to make it easy on them.
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citymouse Mar 2021
Thank you. I needed to hear that, it was like you wrote my life circumstances the last 3 years.
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You know what is best for your mom and yourself.

Follow your instincts and make things easier for you and your mom.

You don’t owe anyone an explanation or an apology.

If they question your choice, simply say that you are providing the best possible care for your mom.

Give them her new address and tell them that they are welcome to send her lovely cards signed with a personal note from time to time.
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I am the person who could be made to feel guilty. I am now 71 years old and I work very hard not to let "guilty" into my life. Like you, it was me and I lived 5 min away from Mom. My brother lived 8 hrs the other 30 min. Did they go out of their way to see Mom? Did her grands even send a card. NO. When it came to Moms care, I made the decisions because those decisions effected me. I not so much get stressed but I do get overwhelmed.

The stress will lessen if Mom is closer. Yes, you still will need to pay bills and get her personal items not provided by AL. Visit. The best thing for me was Medicaid. Mom no longer had any money to worry about. I allowed the NH, she transferred to from the AL, to become her payee for SS. All her Depends and personal items were supplied by the NH. All I had to do was visit.

As my dear daughter would say "turn it back on them". If the grands complain about not being able to see Grandma, just say "when is the last time u saw her, talked to her on the phone, or sent a card?" And let it go at that. You do what you need to do for you. It is no longer what Mom wants its what she needs. She needs to be closer to the one who does the Caring.
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bundleofjoy Mar 2021
hugs to you JoAnn!!
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My mother’s Memory Care is 5 minutes away. It is still stressful, with the phone calls from doctors and staff. Plus, drop off of needed items (they don’t provide everything), when that comes up. Calls from hospice, and dealing with insurance, take up more time, and are stressful.

I can’t imagine if Mom’s facility was further away.

You are doing the right thing.

Anyone who does not participate, in care or visits, does not get a dang vote.
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bundleofjoy Mar 2021
“Anyone who does not participate, in care or visits, does not get a dang vote.”

i agree!!
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No. You're not being selfish. You are doing what you have to do to make sure your mom gets the best possible care and outcome for her situation.
Don't pay any mind to your relatives carrying on about the it. They aren't the ones who have the responsibility of her. You are and if they don't like it too bad.
You don't owe them an explanation. If you feel so inclined to give them one then do. Tell them that they don't visit now while she's still home, and that if you moved her into a local AL what would happen is that she'd get no visitors at all. At least she'd be seeing you regularly because she won't be living an hour and a half away anymore.
You know families are often very generous with their "advice" and their criticism about the about how the responsible party takes care of an elderly relative. They are not so generous with any offers to help out with the care the elderly relative needs. Most of the time they aren't even willing to offer some their time and commit to a few hours a week staying with the elder. So, don't pay any mind to what any of them say.
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bundleofjoy Mar 2021
“You know families are often very generous with their "advice" and their criticism about the about how the responsible party takes care of an elderly relative. They are not so generous with any offers to help out with the care the elderly relative needs. Most of the time they aren't even willing to offer some their time”

i totally agree.
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I am already the bossy aunt,so the thick skin is growing. Thank you! What bothers me is my SIL sees this and tells her kids the difficulties and she has reminded her kids that "grandma is changing and forgetting" They continue to do the " I am just so busy"
Thank you!
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cherokeegrrl54 Mar 2021
I would take lealonnie’s advice and not tell them one dang word about your mothers move!! Its ALL on you so please make the decisions that are best for your mom and yourself. Then if the others want to know what happened to granny, you can give them the address and visiting hours.....liz
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Unless the grandchildren are going to step in and do the work (your work) ...I started to think this...
they won’t.....

do what’s right for you and your mother.... and don’t feel guilty about trying to please them....
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