My mother has been diagnosed with moderate to severe dementia. She lives by herself and won't get out of her house. She is incontinent and sits in her urine soaked clothes. She won't take help from any health aides we've had go over and won't open the door and let them in. Her neurologist said we may be able to have a psychiatrist deem her unfit to be in the house instead of having to pay a lot of money for a guardianship. Has anyone ever heard of this situation?
Does anyone have Power of Attorney for her? What concerns me is that since she owns her home, if you do put her in a facility and then need to sell her home and handle other financial obligations, you might run into roadblocks with all this if no one has power of attorney over her. You may need to get guardianship anyway.
Check the admit policies of your local assited living and nursing homes. Many will accept new residents based on a letter from a MD that the person cannot live at home and take care of themselves. The place I got my parents in was like this. It was obvious to anyone they should not be home alone.
I find it somewhat worrisome that you describe her as having “moderate to severe dementia”, then stating that she “won’t take help”, “won’t open the door” “won’t get out of her house” etc.
If the neurologist has given you a written statement about the dementia, you are certainly on solid ground to have her physically removed to a safer environment. Her condition indicates that she is no longer equipped to manage her own welfare.
Who writes checks for her bills, shops for her, addresses household concerns? Does that person have POA?
If you are attempting to find a peaceful resolution to her current circumstances it will tragically most likely not happen. The process of rescuing her may well incite a number of startling behaviors. You will need to make your mantra “safe, human needs met, protected”.
You probably still need someone with Power of Attorney to handle her personal affairs.
i have POA for my dad and not guardianship. He was the same way- resistant to help, and he never wants to see a doctor. He’s fully incontinent and sits in his dirty clothes. I told him if he didn’t allow me or his aide (who just started 3 days a week) to change him, then APS would send him to a NH.
It is a tough situation, but the law states that senior citizens are allowed to make their own decisions no matter how poor their choices may be. You can’t force anyone to live the way you want them to. I had to let go of that idea.....
I figure that if my dad gets an infection because he is sitting in wet clothes, then we will need to address the infection. It is heartbreaking to watch, and I completely understand that you will end up with a lot of laundry, steaming carpets three times a week, cleaning up after the mess, but if this is the way a senior chooses to live, then there’s really nothing you can force them to do unless you have guardianship.
If something doesn't look right, call an ambulance...
"... or how to get a caretaker involved to care for her." They tried this. Mom refuses to let them in. You can't FORCE mom to do this. Sure, you can try ways to get them in, like being there/arriving with them, but that likely is NOT going to change mom's refusal and it won't work if the OP and other family are working and cannot be there during the day.
"There are ways it can be done..." Such as? Just saying it is so is NOT helpful. She's looking for guidance, not platitudes.
"Then tell her this is the way it is going to be because......and there are no if's, and's or but's. She has to cooperate or else. Let her rant and rave but walk off if she does." This method does NOT work with dementia and in general it WILL backfire. Walk off? What, the pier? What exactly is THAT going to accomplish?
" She has no right to abuse you and make you feel guilty." I see nothing in OP's post that says mom is abusing her or making her feel guilty. She DOES have rights, with or without dementia, and that includes refusing to move, to do things she doesn't want to do, etc. Staff at mom's MC place AND the EC attorney clued us in there - EVEN with POA, they still have rights. EVEN with guardianship, they still have rights.
"She must be made to see that - one way or another." Can you clue anyone in on any of these 'ways'??? Dementia usually involves short-term memory loss dear. You can TELL her she MUST do X, Y, Z and within minutes (or less) can forget you even said it. You can tell her 10,000 times a day and she will forget you even said it once. There is no way to "make" someone with dementia "see" anything that you deem reasonable and responsible.
Go read up on dementia. All those college classes you took didn't cover this topic (nor did any of mine, neither degree - I had to learn by looking it up and reading about it when mom started down this "path." It WAS enlightening...)
Having a letter from a doctor (sometimes more than one) is often needed to activate a POA. Having letters from her primary doctor and specialists WILL assist in the guardianship process - saves some time for fact-checking and costs for testing, perhaps. Having a letter from this or any doctor may OR may not get her into a place, however here are where the questions come in:
**If no one is her POA or guardian, who is going to sign the paperwork for the facility (and there ARE a lot to sign!)? If one of you signs, you are likely signing that YOU are agreeing to make payments. Not an ideal situation. If you don't have POA, you are not signing FOR her, you are just signing. BEWARE
**If you don't have POA or guardianship, how will you be able to manage her finances, sell her home or make ANY decisions for her? You can apply to be rep payee for SS, but when you apply it takes a while AND they will notify your mother - mom was already in MC, so she didn't get the letters. This could raise a stink if you try this now. Even with POA, we had to get mom's signature on the deed (this one baffled me, but we managed to get it done) to sell her condo.
Legally, without the POA, you are up the creek. Even if you have POA, it does not, EVEN WITH A DOCTOR'S NOTE, grant you the power to force her to move. Been down that road. No POA, no move at all. POA, move *may* be possible, but usually involves some trickery. POA is NOT full power over anyone, it just allows you to make some financial/medical decisions and sign some paperwork for her.
I *would* suggest you make a consult appointment with an EC attorney (or two) ASAP and discuss this issue. If you or one of you have POA, you might be able to avoid guardianship. Even with POA, our EC atty told us we couldn't "drag" mom out of the house (she was refusing to move anywhere or let aides in.) Your mom's assets should pay the court/legal costs, but if she has none, discuss this with the attorney as well. If she owns her home, perhaps an arrangement can be made to sell it after the move and use the proceeds to cover the legal costs.
Generally the attorneys will all give you a 30-60 minute 'freebie', so have all your questions and concerns drafted ahead of time. They should be able to give you an estimate for the fees associated with guardianship - the actual can vary, but they should be able to target it. Do this ASAP - the longer you wait, the worse mom will get.
If none of you want the responsibility (there are rules and requirements, including keeping good financial records and reporting them to the court), you could ask about having a guardian appointed, but they are not cheap and it will take ALL assets and control, including where mom lives, out of your hands.
Don't go it alone. Adult Social Services would be my first call.
Good luck and wishing you the best on your caregiver journey!