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My mother is 90 years old her health is great and she is physically able to live independently, but the loneliness and social isolation is beginning to take a toll. My mother does not speak English and we live in an English speaking country. A retirement home would not help her social isolation as she would have no one to connect with. My siblings and I all want to support our mum but we also recognize that it is a big undertaking for one person to bring her into their home. Would it be unwise for us to take turns housing my mother in our homes? Would the change every 6months/1year be good for her or would it potentially cause harm to her psyche and health?

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I’d say it’s not a good idea. At 90, people have a harder time adjusting to change. They’re likely to have some cognitive decline that isn’t apparent when you don’t live with them.

Also, what would happen when mom starts getting sicker and sicker? At her age, it’s bound to happen. Whose house will she be in when she isn’t able to do her daily living tasks, like go to the bathroom by herself? Who gets stuck with being her full-time care giver? That seems dangerously like a game of Russian roulette, everyone praying that it’s not them.
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My advice: there’s no general rule. You know your mom best, her personality…She might be overjoyed that ALL her children want to chip in like that, taking turns helping. You must have a wonderful family.

At some point, she might have a preference and want to live with THAT specific child.

Remember, it’s not just about her. It’s about all of you. Caregiving (having her in your home) mustn't destroy you.

Anyway, such decisions are reversible. You can try it out, change your mind.
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Really discuss this properly with all the siblings first. Then Mother.

It CAN work & it can NOT work - very much depends on many factors. Households, personalities, locations.

Getting honesty from the very start will help. Each houshold that volunteers must freely volunteer. (Unsaid resentment from siblings or guilting to be part of the team won't help).

Also, it may look more social living with family but may cut off the natural connections your Mother has in her community? (Unless you all live near). Eg Does she attend church/synagogue/faith group? Local women's group? Have local shopkeepers she talks to?

My Grandmother lost all that.
She liked to cook but very much disliked being a 'guest' & not feeling able to cook her way or have her own kitchen space.
Houshold pets became tripping hazzards. Not having the same Doctor was a hinderence too. (Although telehealth may help these days?)

Consider what your Mother likes to do, what solo space she will need for her own. It may well work out fine.
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I knew of one family that did this type of arrangement and it worked out well for them. Their mom didn’t have dementia and she loved it. The decision was made by all of the sisters and their mom.

One thing that they did was very clever. They kept clothing and everything else she needed at each location. So, there was absolutely no need for packing and unpacking when rotating. Many people keep sets of clothes in each parent’s house for children after a divorce as they also go back and forth between homes.

Their mom was a very sweet, easy going woman. It’s definitely less work than doing caregiving year round. Lesser of a concern for burn out.

Not that caregiving at home is ever easy. Certainly though, it is your decision to make. You can always discuss looking at alternatives as well in case things don’t go well.
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pamzimmrrt Oct 2023
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I’d suggest that you and your siblings start any new arrangement on an ‘experimental’ basis. You don’t know how your mother will take to change, or how any of the siblings will cope. There’s a lot going for trying an experiment for six months or a year, and agreeing in advance to review after that. How have things gone, and what differences might be worth trying? That stops a change feeling like ‘you’ve failed’.

One thing for the list of options to try might be care in M’s own country, with a planned schedule of visits from you and your siblings. That might be better value for money, and might solve the language problems. Another option might be to research finding USA facilities with language speakers among the staff, even the cleaners (easier if M speaks a language likely in migrant workers). And one more option, check to find an organisation for ex-pats from your M’s country. They might know of places with the right language option. I’ve written before to a woman who found a Finnish Association in Melbourne Australia, with language speakers who could support her mother – and I didn’t even know that we had Finnish migrants here. Language really does matter!
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My mother and her sister did this with my grandmother, although I think it was for 6 weeks at a time.

It didn't keep grandma from feeling lonely; she still had no one of her age to talk to.

My mother spent a lot of time and energy trying to please her mother, which had a negative affect on our family as a whole.
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NeedHelpWithMom Oct 2023
Barb,

Yes, it all depends on the individual circumstances. It can work out in some cases, other times it won’t.

Many years ago, when my husband and I were saving money for a house, we rented a house in an established neighborhood that had a mix of different aged people.

An elderly woman, a widow at that point in time lived down the street from us.

Her name was Ruth Falcon. Her only child, a daughter, also named Ruth Falcon was an opera singer and was living in New York.

Her daughter graduated from Loyola and Tulane University here in New Orleans. She sang all over the world.

Ruth would visit her mom as much as she could but she had a thriving career and didn’t get back to New Orleans as much as she would have liked.

Anyway, I and two other women around my age (early 30’s) on our street looked out for our elderly neighbor, Ruth. She was a sweetheart! We adored her. She was blessed to have good health. Between the three of us Ruth was well cared for.

She absolutely loved being around younger women like us much more than older people her age because she didn’t get to see her own daughter very much. They spoke on the phone often though.

She was thrilled that her daughter achieved her dream as an opera singer and would have never asked her daughter to leave New York and return home to New Orleans. Her daughter started singing as a young person in her church and the rest is history.

The daughter did marry but chose not to have children due to her career. My neighbor was like a grandmother to my daughter and both of my other neighbor’s sons. We always invited her to BBQ’s, birthday parties, holiday gatherings and so on.

She adored music and the Louisiana Philharmonic Symphony would have dress rehearsals in the daytime for something like $4.00!

We took her every month to hear music. We also took her to lunch afterwards. We took her to the park. She told us wonderful stories of her youth.

Her daughter would keep in touch with my next door neighbor by phone and tell her how much she appreciated us looking out for her mom and doing fun things with her.

Wouldn’t it be great if every older person was like this? That will never be a reality but it is a nice thought.

I missed her when we moved. My oldest daughter was two and a half years old when we moved away.

Not long afterwards my dad got sick. Mom started having seizures and was diagnosed with Parkinson’s disease and I became too busy to continue to visit with Ruth and the other women.
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She can get some plants to talk to.
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JoAnn29 Oct 2023
Cover, and u have been so good lately
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How many siblings are there? Are you the primary one who looks after your mother now? (I'm guessing yes; let us know if it isn't you!) It's very important that ALL the siblings WILLINGLY agree to this sort of arrangement.

How many of them have spouses? Do the spouses all willingly agree?

What happens when Mom needs more personal caregiving help? What if she starts getting confused? Will she end up with the person who has her at that time? (Or will it be you, who seem to be the one doing the most for Mom now?) What happens if some of the siblings want out of the arrangement at that time?

Do the siblings all work now? If so, then what happens when Mom needs someone there all the time? And if there are spouses, it's best to NOT assume that any of the spouses who don't work outside of the home will be willing to take on Mom's supervision during the day.

You would have a most unusual family if all siblings took Mom in for equal periods of time. Usually one or more siblings (often all but one) back out of the arrangement, and then one sibling is left taking care of Mom (or Dad) fulltime, often resentfully.

Which sibling(s) have POA? HCPOA?
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To help keep stress down for the family, I would do the rotation plan.
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Please read what everyone wrote very carefully. What I remember most was my own teenage years when my grandparents were sent from home to home. It was very upsetting to each home and, if there are kids involved, more disturbing. Everyone needs safety and security so what I would suggest is one place to settle with an agreement that other siblings take her out or take care in some way so the burden isn’t on one family.
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AnnReid Oct 2023
I can’t remember how long “Grandma” stayed with us when I was a preteen, but I do remember that it turned out that it didn’t work for any of us.

Ultimately the “closer” child found a “boarding house” that was on a local farm, and Grandma adjusted quite well, and lived there for several years.

It cost my father the money that had been saved to put me through college, because there was no insurance (maybe SS, not sure) but everything sort of worked out for the best.
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I think the question at 90 years of age is no longer what is good for your Mom but what you can survive. Do what will help you MOST now.
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On a practical level, how would her Medicare and her supplementary health insurance be affected if she is living in different places for 6 months to a year at a stretch? I don't know the answer, but maybe someone who has had experience can weigh in on this.
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Thank you everyone for your feedback and insights. My mother has 4 children, all of us are empty nesters and want to help our mum the best we can. We wouldn’t make any decisions without all agreeing and of course my mom agreeing as well.
We are fortunate that finances are not an issue for my mom and all of us would also be able to assist should she ever outlive her savings and investments.
My biggest concern would be a yearly or 6month move taking a toll on her. We will just have to see how she feels about it and how it goes.
We are starting slow. Starting this week my mother is going to take turns spending the weekend at each of her children’s houses. The rest of us will step up to visit her more during the week.
We will see if this helps with her loneliness and isolation.
If she expresses she needs more or if we feel there is no improvement then we will discuss moving her in with one of us.
Thank you everyone for your thoughts advise and feedback. I will take this all into consideration going forward.
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I have known families who did this for years. The elder would rotate amongst each child for a few months at a time plus had the own small flat. It worked out really well
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I have not read all the responses yet but would this be an option..
Since you're all "empty nesters" would it be possible for each of the siblings to take turns staying at mom's house. 2 to 3 months each time. You can begin the process of going through "stuff" that mom has accumulated and "saved" for each of you.
This would keep mom in her home, keep her in an area that she knows, keep her with her friends.
Granted this would take you and your siblings away from your families, away from your homes and friends but my guess is you might be able to adjust a bit better than mom.
And at some point someone will have to go through her home and go through stuff. What better time than when she is there to express what she wants done with stuff and to talk about the items she has accumulated.
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Gosh, if I had kids and they all wanted to have me in their home, I think it might be an adventure!!
why not try it? If you see it’s taking a toll on mom, rethink the adventure. Decide among you kids what’s the next step?
Sounds like fun… can I be your moms traveling Assustant? Maybe have a grandchild who is an adult travel grandma to the next destination. And get the grandkids involved in helping GM to her next home..

mayve this way, when she does need to settle, whose home is a better fit or city is a better fit?

enjoy her… sounds good
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I knew a family that did this many years ago. The elder had no home, her husband having left her and then died. Apparently she had no resources at all other than what grown kids gave her. She was a bully and very demanding, and no one looked forward to her visits. She'd stay a couple of months, more if she could wangle it. She didn't contribute to household espenses, they "owed" it to her. MIL had many children, but only one of them had a large enough house for such a visitor. The others had to shuffle around, such as giving up their beds and sleeping on the screened porch on a cot or hammock, etc. She called one of her daughters-in-law in a huff demanding to know why she hadn't been sent her bus ticket yet. The reason was that DIL's family were living paycheck to paycheck and her son was spending anything extra at bars. The daughter-in-law herself was caring for her own kids plus a toddler whose single mom worked nights at a hospital, so the toddler spent the night and once MIL arrived, that meant no income for babysitting because MIL would need the bed. No one was sad when MIL died! Burden lifted. Even her own daughter didn't like MIL and was more than happy to ship her off when the time came.

So I wouldn't be too optimistic about such an arrangement.....
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This is an "old skool" thing and I didn't think people still did this. My grandpa came to stay with us for about a good three months. I guess my parents talked about it. It was fun to have granddad with us for awhile. Dad and Uncle Buster took him down on the boat. They had to help him get on since his legs had gotten weaker. After he got settled and dad gave him a drink, he was good to go. I think granddad spent some time with each of his kids in DC before going home to New Jersey. After he got back, he fell and somehow broke his leg, neglected it and it turned into gangrene. He had to have it amputated. Things went downhill for him from there. He became bedridden and developed a bad heart. He was really a sweetheart.

My great grandma did the same. She came and stayed with us a couple of weeks and then ventured to Baltimore, MD and stayed with her son for awhile before returning to South Carolina. She wasn't old by today's standards and could still get around. She did a lot of work in her church down south, and continued to work as a midwife before finally retiring.

I enjoyed them both. This was the thing a long time ago. The grandmothers did live with family back then and no one complained. These were good grandmothers who helped with the teenage kids, cooked, cleaned and did the laundry.

Now with my dad's mother, it was story. She was a nightmare and stayed on my mother's case the entire time during her visit. We were glad to see her go. She could be sweet at times but very bossy. One time she got mad at granddad after he had an affair and tried to move in with my parents. Granddad told her to bring her a$$ back home because he knew she was driving everyone up the wall with her behavior.

Today, there is a new breed of old people with severe entitlement issues. Even the folks I take care of on some of my homecare cases are different from the ones thirty years ago.
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Try it out. Why not? I doubt it would "cause harm to her psyche and health" being with her children, and if it does, you'll make other arrangements at that time.

All the "what ifs" are just that. Try it and find out the realities for all concerned.

Best of luck to you
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My thought about having the kids come and stay was based upon the ease of getting medical care that is consistent with the care that she has been getting.
Changing doctors several times a year can be / would be problematic. (unless of course all the siblings live in the same area)
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Just a thought here, I have 3 cousins, all in their 60's, who took turns caring for their mother in her own home. 2 lived nearby, one 3 hours away. They started out living with her rotating every 7-10 days, then shortened it to 3-4 days depending on their schedules.

This started when Auntie was 95 and no one expected her to last very long. She is now 99 and the experience has taken a toll on her kids. Spending 24/7 with an elderly person can be exhausting and you become the sole social interaction, cook, cleaner, caretaker, etc. An elderly person may need constant monitoring, a simple trip to the bathroom and result in a fall so you have to be on high alert all the time.

How will you entertain your mother? Will she have friends who can visit and give you a break? Will she have her own bedroom, TV, bathroom? Auntie watched old Westerns 10 hours a day till we could all recite the dialog! How about your life? Will you be able to follow your regular schedule, work, exercise, social, etc?

And what happens as your mom ages and becomes inform? You need to have a Plan B in place. Auntie fell and broke her leg and is now in a nursing home and surprisingly content as long as she has her Westerns and the occasional visitor.
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If your Mom is not memory impaired, ask her for her opinion. Although my sister wanted my Mom to come live with her, my Mom absolutely did NOT want to live with my sister.

Harm to your Mom's psyche and health now? Probably not. However, if any of you are in different states and she is on Medicare, make sure that her insurance will cover her as she moves from state-to-state.

I have a Medicare Advantage plan. The one that I had last year, considered anything that I did out-of-state, as being out of network. All of them say that emergencies are covered if you are out of state. However, not all will say that routine care (e.g. physical therapy) out of state is covered. As soon as a person moves from one state to another, Medicare will change your residency to the new state.

If you and your siblings haven't dealt with Medicare yet and you live in different states, I highly suggest that you talk with SHIP (a federally funded program in all states that give you unbiased assistance on Medicare insurance) to ensure that your Mom is covered by medical insurance.

One other thought as you embark on this adventure. As your Mom gets older, you might have to get help from managed care. If your Mom doesn't speak English, how are you going to accommodate this? Will she move back to her native country? Another possibility would be to get her acclimated to a Independent Living facility that will accommodate her until end of life. Because she has all her faculties now, she can learn the routines and the new way of life, prior to becoming dependent upon someone else.

Good luck and enjoy your Mom while she is healthy enough to enjoy life.
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I will just offer one word of advice. I can't speak specifically to your mother - you know her better than we can of course. But after dealing with my FIL for the last forever lol, I can give you the advice that the nursing home nurse navigator just gave us.

Once a person begins to experience any cognitive decline (and even more so if they have dementia) - every time you move them it is cumulative and causes quiet a bit of anxiety. The adjustment period is longer each time. It can cause confusion and disorientation and agitation. She could be a perfectly sweet person but it could cause personality swings simply because it upsets the apple cart because she needs consistency.

Now, to give you context -we were discussing my FIL (who is almost 90 and has a number of comorbidities and early dementia) and his adjusting to moving to their nursing home after several stints in hospital and rehab after a number of years at home with full time family care. He just returned to their care after a brief hospital stay again and she was reminding us that every single time he changes locations it impacts his personality and his ability to feel settled and that his agitation and confusion are coming from the move to and from the hospital.

So to your question - while you know her best -there IS potential to impact both her psyche and her health if she is moving too frequently or frankly at all, especially with the language barrier. I don't know what the answer is - I just know that it could have impacts - but honestly everything has impacts so you can't feel too guilty about everything when you are just doing the best that you can. Does all of the family live in the same English speaking country? Does anyone live in her home country that could live near a retirement home where she could be comfortable? Are there any other options that would be a compromise?
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As long as your mother does not have dementia, she would probably enjoy seeing all her children and grandchildren. If she does have dementia, she will need a consistent routine and a consistent environment. You can help her by having her bedroom the same in each home (same linen, similar furniture) and an activity area that is similar in every home. Then, she can relax when there is less "new" to get used to or to frustrate her. Try to get her 1 doctor to oversee her care and collaborate with other doctor(s) wherever other homes are.
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If you decide to do this, first make sure your Mom's health insurance will cover her in all of the places she will be living. My Mom came to live with me after a post-fall rehab stint, and because I live in a different state, her Medicare Advantage insurance plan was no good here. She could still fill her prescriptions here, but she couldn't get physical or occupational therapy visits. Her plan is based in the city where she lives, but outside that city, it's pretty much useless.

Side note: while regular Medicare covers you anywhere in the US, Medicare Advantage plans MAY have restrictions like this. I know I'll keep this in mind for my own insurance in the future.
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I personally don't think shifting a 90 year old woman from house to house, just to even things out is a good idea. She needs a stable environment, help if needed, etc. What could happen is choose one child to "keep Mom". All the others pitch in monetarily to see she has comfort, space, and attention when needed, she can't live alone it seems. And, other siblings offer to take Mom for rides, shoipping, ice cream store visits, etc. Then, each sibling can also contribute monetarily, faithfully, to the main permanent caregiver, so that person can have a break from 24-7 caring for Mom.
I am an 84 year old person writing this comment, and I know what it is to be moving every 2 years, as I was an Army wife for 20+ years. Seems like family members wouldn't keep Mom that long, but want to get rid of her in less time, shift onto another sibling. What a life for Mom!!!
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At 74 I would not like this arrangement. I am not a good traveler. Is there no way that one child can have her living at her home and the others providing respite care. I think I would rather be in an Assisted living than have to change houses every so often.
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At 90. No.
Have each child stay with the parent for 1-2 months at a time.
The elderly parent shouldn't be moved.

Find caregivers that speak her language.

Read up on elders as they age, esp in their 90s.
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