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I don’t know if I’m posting this in the right place.
My aunt (about 70, widowed) and cousin (her daughter, about 45) live in the house she inherited from my grandfather about twenty years ago. My aunt is my dad’s sister. Dad passed in 2018, but there are still 2 other brothers.
Last time I saw my aunt was about a year and half ago at my Moms funeral. Last time I had been to their house was a month or two before that. The house was scruffy, dilapidated and messy, but still livable. At the time, my aunt had bad knees and back but could get around OK with her walker. My cousin is way overweight but could still get around just fine. My aunt is a little absent minded (always has been) but basically sharp and with it. My cousin is… how to put this… A bit off? She’s quite intelligent but has a lot of depression and doesn’t take care of things unless she’s reminded. Self-absorbed I s’pose. She does work, though. Together they did OK.
Recently, I got a call from my cousin, asking if I could help her pick up her mom from rehab. I didn’t know she’d been in hospital- she’d had a bad flu/ fever. Sure, no problem. Last weekend I went and picked up my cousin and drove to the rehab center. I figured my aunt would be back up on her walker and be her usual smiling silly self.
It turned out she was still in pretty sad shape. She can’t put any weight on her knees. The nurses had to pick her up and sit her in my car. When we got back to her house. I had to use the bear hug method to hoist her up out of the car and into her wheelchair. I’m a pretty big dude, but it was still quite a job as she really couldn’t help at all with her legs. I have a feeling they sent her home because Medicare/Medicaid won’t pay for any more, but I didn’t ask. I also had to help my cousin up the porch stairs. She says she is now having trouble with her knees. I don’t know how she’s gonna help her mom get in and out of bed, bathroom, etc.
The worst is the state of the house. My cousin has completely let it go. Trash and dirt everywhere and dishes piled up. One room so completely piled full of trash and God knows what that you can’t even see into it. Smells like dog whizz. Bad. I’m not blaming the dog. She’s a sweet little dog and they have a fenced in back yard, but my cousin can’t seem to be bothered to let her out often enough.
There was a recent looking Visiting Angels folder on top of one pile, so I asked if they had someone coming to help. They said no, but my cousin said she was going to call about it again “this week”. Uh-huh. I wouldn’t blame any kind of visiting nurse for not wanting to work in that house anyway.
I feel sorry for my aunt. She deserves better than this. In a way I feel sorry for my cousin, too- she’s kinda messed up. But I feel like if she wants to live in a filthy hoarder house, that’s her choice. She owes her mom better, though.
The easiest thing for me to do is just what I did Saturday after giving them a ride. Get back in the car and drive home and try not to think about it. This is my cousin’s responsibility after all, not mine. But…
I’d like to help, but I wouldn’t even know where to start. My wife and I are both crazy-busy with work and fifty jillion other things; and when we’re not busy we’re beat. (Join the club right?) Besides I’m just one guy. It would take several people a few full days of trash hauling and scrubbing to get that house into decent (but still ugly) shape.
Is there any kind of charity program to help with a situation like this (In Southwestern Indiana)? I’d certainly even donate a few bucks to them- couldn’t be too much; I mean, my wife and I do OK but we’re not wealthy. Not that I’m complaining, I’m very blessed.
Now I’m rambling. Thanks for reading this and any suggestions and replies.,Hoosier225

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Call APS ( adult protective services ) tomorrow morning to report your aunt as a vulnerable elder .
This is too much for you to take on .
Your aunt and cousin most likely would not take any of your suggestions anyway. They may also lie to you and say visiting angels are coming .
Let APS , social services deal with it . They can do more than you can .

Cleaning out the house isn’t enough . Your aunt needs nursing care NOW that your cousin can’t do for her .
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cover9339 Sep 24, 2024
Maybe that is what the cousin is afraid of. Mom going to a facility and she there alone in a home, she may not be able to manage.
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You are sweet to want to help but it’s going to be impossible. I’m also curious why your aunt is so bad off at 70.
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You are a kind soul, Hoosier. But I agree with the other posters that making this better is beyond what a helpful cousin could hope to accomplish, even if your aunt and cousin agreed to be helped. Definitely time for APS.
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This is major. Your Aunt needs help. And I think you may be the only one that can help her. As @WayToMisery says, call APS first thing in the morning. Or, call your cousin right away and check on her.

I took care of someone who couldn't walk or get out of bed. They must be taken care of properly, turned every few hours to avoid bed sores, moved to avoid blood clots. If your cousin is able to pick her up to get her to the bathroom there is a very high probability that the Aunt's legs will collapse and she will slide to the floor. If this happens, will your cousin realize she can call the Fire Dept. to help her Mom? I used to be a 911 Dispatcher. I know of times where people fell, and the caregivers didn't know what to do.

And, if she can't get her out of bed - what about her Mom's need to go to the bathroom? That's a major, major issue.
What about when her daughter goes to work? She can't just leave her there unattended. What if there is a fire, or burglary? Or she falls out of bed and has a stroke. How is she going to eat, if she's alone all day in bed?

Like I said, this is MAJOR and she needs help. If it was me, I'd call my cousin right away to see how she is managing. And, to make sure her Mom is safe. And, then I'd definitely call APS and the Facility that released her - because it sounds like an unsafe discharge to me.

Please note: I'm not suggesting you involve yourself physically by lifting or helping her clean. I'm suggesting you make phone calls to help your Aunt, or even stop by to check on her - because she needs your help.
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MargaretMcKen Sep 24, 2024
I'm not sure that it's a good idea to call "cousin right away". Cousin has let things get into this state, and the chances are that cousin will say everything is OK (probably plus can you do x, y and z to help). Cousin will certainly guess that it's you who has called APS. I'd suggest you call APS and let the professionals take over.
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Time to call APS for a wellness check.
This sounds also like an unsafe discharge with no followup. I am sorry no one more competent has any charge here.

Call APS and read them what you wrote to us. There may be need now for the state to step in to take on guardianship and appoint a court appointed fiduciary. There is need here for placement before bedsores come on the scene. They can be quickly deadly. I would STRESS to APS that her daughter is unable to move or maneuver her aunt at this point and you believe she will quickly get bedsores which will in this unsanitary environment quickly go septic.
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Reply to AlvaDeer
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The house isn’t your responsibility. Neither are cousin and aunt. Once you call APS and they step in, they’ll determine if either aunt or cousin is competent. Let them handle it.
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Interesting (though not surprising), the facility didn't do a check beforehand of the home before discharge (or was it mentioned and both said no)?
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waytomisery Sep 24, 2024
Both probably lied and said OP was helping them . Having OP come pick her up backed up their lies.
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Sounds to me like Aunt needs more care than cousin can supply. I also don't think cousin will lose the house because Aunt is not living in it. This was her residence and seems she may have done some caring for Mom.

Get APS involved. They maybe able to find services for the Aunt. Check on them every so often.

My sister was very intellegent but she too allowed her house to become awful. She too was obese.
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Update- Thanks for all the help. I called my cousin Tuesday morning and asked how her Mom was doing and if she (my cousin- let’s call her Darlene) had been able get her (my aunt let’s call her Mable) up and into her wheelchair. Darlene said Mable was “doing ok” but no, she hadn’t been able to get her out of bed. She said she was going to call about getting Mable back into rehab. I told her to call me back as soon as she heard something . She called back about an hour later when I was away from the phone and left a message asking if I could “stop by after work” and help her Turn her mom. Stopping by after work is about 50 miles round trip but that way I could see for myself what was going on. Well it was as bad as I was afraid of. Mable was still laying in bed. She insisted she was doing OK. I was able to get her turned on her other side, but of course she was wet with pee. I told them both that I knew how hard this was; that I’d been through it with my own mom with Alzheimer’s. Mable needs to be in a place where they can take care of her, and I’m gonna call for an Ambulance and see to getting her evaluated. Darlene actually seemed relieved, telling Mable that yes; she needed more care. Problem is, now Mable is refusing to go. When the medics arrived, they talked to each of us in turn. They said that as bad as this was they couldn’t take her if she wouldn’t go. She’s still technically in sound mind even if she’s making dumb decisions. Basically, she still has a right to lay in pee If she wants to. Sheesh. So much for me thinking I’m gonna ride in here like John Wayne. While the medics were talking to Mable, Darlene was calling the rehab center that Mable had just gotten out of. I could hear some of the call (it was on speaker) The lady said that Darlene could call back in the morning and get Mable readmitted. Something about her having to be out of there for 72 hours before she’d be eligible to come back? Not sure I understood that part of it. I called Darlene back this afternoon (Wednesday). Well she said Mable was “OK” and that they hadn’t heard anything yet. And thanks for calling. I’m going to call Darlene back tomorrow. If there’s still no progress (or she says there is but I suspect otherwise) then I’ll call APS. I know you folks said I should do that right away, but I wanted to give them one more chance to keep this between family. To be honest, I’m a bit leery of government agencies like that. They seem to be staffed by a few good caring people and way too many bums who are just in it for the pension. Darlene actually works for such an agency ironically enough. I also called other relatives to see if anyone else knew anything about all this and found out that Darlene has alienated just about everyone in the family. I guess she’s working her way down the list and finally got to me. If I find out Mable has gone back to rehab tomorrow, then good (and yes I’ll confirm it, not just take Darlene’s word). I really don’t expect much though, and I’ll probably be calling APS. When Darlene and I were kids (God, forty-five years ago!) We all lived on the same block. There were plenty of times when I stayed at Mable’s while my folks were at work. And I know I could be a mean little sh— and a pain in the butt, so I figure I owe it to her to at least give it a try to get her out of this mess, you know? I’ll call APS say a prayer and see what happens.
Thanks for the help,
Hoosier225
P.S. I also found out their house has no running water. S’pose I’ll be telling APS about that too.
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AlvaDeer Sep 26, 2024
Hoosier,
I agree with RealyReal that no running water will get emergency response.
Call APS and do update us. If they will do nothing I am afraid that you are flat out of luck other than continuing weekly to report to all entities for wellness checks.
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Hoosier, thank you so much for your update, and for caring. Calling APS tomorrow if nothing comes of the going back to rehab plan sounds great.

And yes, DEFINITELY tell APS (or the rehab if she does get readmitted) about no running water at the house. Wow! I’m sure you were kind of shell-shocked by it all by the time that crazy detail came out. How is anything being washed and cleaned … How are people washing their hands, brushing their teeth? This poor woman lying in urine … Not being turned … Obviously, this can’t go on.

Again, thank you for your compassion. Like you said, you couldn’t go in all guns blazing like John Wayne and make it right immediately but I’d say whatever you can do to shine a light on this situation and find assistance for these two overwhelmed and vulnerable people is helping immensely.
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Hoosier, no running water will get emergency intervention. That and no food in the house are 2 things that get APS' attention and start the process of dramatic changes.

Maybe your cousin doesn't have the heart or courage to place her mom and this is her plea for help, it must be overwhelming for her.

May The Lord be with all of you during this trying, difficult time.
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Update- Well I called “Darlene” again Thursday afternoon and got no answer and a “voicemail box is full” message. I think they’re avoiding me, no surprise. I called APS today and gave them all the information. I guess we’ll see what happens. I’ll probably only hear about it second hand as I doubt Mable and Darlene are going to be too happy with me now. Normally I don’t believe in sticking my nose into anyone else’s business. But they did ask for my help so I guess they got it weather they like it or not. Thanks again for all the advice, Hoosier225
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waytomisery Sep 27, 2024
You did the right thing .
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