I am so relieved to have found this site! I am at the *start* of this caregiving situation with my mom. Mom has a very low social security income and is 81 and on Medicare. I would like your advice! If you could go back to the beginning of what *you* have been through, what would you do differently?
Take care of yourself. First and foremost.
It's okay to let someone else do the majority of caregiving (assisted living, memory care, etc..)
Learn to smile and nod often.
However nasty and mean the comments, do your best to let it roll.
Use this site as needed. It's such a comfort. You are not alone.
I started my caregiver journey 8 years ago when my mother was 80 years old and I was a healthy 55 yrs old. I weighed about 140 lbs. Today I am 63, I weigh 205 lbs, I have had a minor stroke, I can't stand in one place for more than 5 minutes and I never leave the house except to take Mom to doctors appointments. This was NOT the life I envisioned for myself. When my Mom was my age, she and my Dad were jetting around Europe, riding bikes on 60 mile trips - I am missing that part of my life because I gave up the biggest earning years. I took early SS retirement last year so I'd at least get something, and because they look at the last 5 years, I only got $850/month. Don't do that to yourself. You have to look to your own future years, too.
You are so right, do not give up your job. It's the one sane place to go every day.
I remember when my own parents, such as your folks, had a wonderful retirement, traveling, dining out, movies, resorts, etc. I wanted the same bucket list they had, but after caring for them, my bucket is now a thimble due to my health issues brought on by non-stop stress. Sadly I have a lot of resentment over that.
This is just not fair.
I would maintain good contact with the neighbor and her friends. They can be VERY instrumental in noticing subtle changes. Our mother used to be social with the others in the 55+ condo area and go to Senior Center activities. At some point she started making excuses to no go - self-isolating.
The early stages of dementia can be easily missed. In retrospect, there were some things mom said/insisted on that were faint clues, but not knowing anything about dementia at that point, I missed them. Accusations regarding missing items, buying fresh foods, but not cooking, only eating frozen dinners, packaged stuff were a few. Since she was 1.5 hours away, I kept more contact by phone and a combination of repetition of questions/statements, issues with car, finding shriveled up fresh fruits and vegetables, extra meat and other items in the freezer from the last shopping trip, etc clued me in to start researching! Knowledge is a good thing and allowed me to see where this was going and what needed to be done. Trying to educate brothers was almost as difficult as dealing with mom!
Don't doubt yourself
If you think you have done something "wrong" forgive yourself.
If you think someone else has done something "wrong" forgive them.
(forgiving someone else is for YOUR benefit not theirs what emotions, feelings you have matters not in their life but it screws up yours.)
Make the best decisions you can at the moment, given the information you have.
When you go to bed if you can honestly say you did the best you could that day you should be able to sleep well. (until you hear him/her call out)
Accept help when you can.
If someone says.."if there is any thing I can do.." give them a task to do.
Contact Hospice a lot earlier than you think you should. They can give you and enormous amount of help and equipment. Once accepted on Hospice as long as there is "documented decline" a person can remain on Hospice. Keep notes for yourself, document daily life and any declines you notice. It might come in handy.
Self care is just as important as caring for someone else. Take time for yourself.
things I would say is to learn how to use therapeutic fibs, understand as much about dementia and ways to talk to the person. How to handle it if they get abusive ore resistant to your help. When to back off and when to have boundaries. BOUNDARIES are essential!!!
Also from the beginning, do not lose who you are!! Decide up front that you matter too and back off so you can enjoy your life and not give all of yourself. Sit down and figure out how you will do that by enlisting help, or respite care, day care etc. Personally, if the money is there I agree with the two parties living apart. Socialization is important and they can’t get that with just you. When they balk and refuse sitters etc. stand your ground. That is why you are now in charge. If you are getting too many calls a day or at inconvenient times, block the calls or don’t answer. You have to be up front and say I can’t do it all, I’m not a nurse a doctor or awake 24/7. I need to work, look after my health, my kids, my marriage, etc...you get the drift.
Dont let any one try to guilt you about how you are handling the situation. One last thing, people who don’t or have never been a caregiver don’t get it! Find someone who does.
Don't quit your job. And I found counseling was very helpful to get objective opinions. My best to you and stay in this forum.
Would I do it again?? Care for her, yes. Move in with her no. My mother also does not have the resources to find another home, nor does she want to. I can not even get her to go to her other daughters house for a night without a major brawl. Tears and threatening to call the police that she is being made to do something against her will. I could go on and on, and I did. Set boundaries and do not give it as it will snowball out of control.
Again, read all comments. This WILL probably be your life.
Good luck!!
If I could go back and do it again, I only hope I might have been able to do things better for him. But I did my best, kept him at home and ambulatory until his last 3 days when he did become bedridden. I kept him out of adult briefs even though it meant taking him to the bathroom and cleaning him after; he had a fear of having to wear depends and I never forced him. We managed. Until the last 3 days when he wore them for 2 days and then I had to have him catheterized because he couldn't void. My DH was 96 yrs 8 months when he passed.
My only advice is to pray if you believe in God. I prayed daily for guidance and patience and my prayers were answered. Finding this site proves that my prayers were answered.
Keep coming back - there's a wealth of information available on this site.
Having POA does NOT mean you cover their expenses and does NOT make you responsible for their bills. It only facilitates you managing their finances and affairs. It does not make you financially responsible. If mom doesn't have enough money for facility and/or home care, you need to seek out Medicaid.
Mine did.
My advice is that for anyone with some financial buffer, use money to buy help. Try to retain some distance.
In my case, there was only a small amount if money and my mother was vicious to any outside help. So I got caught from both sides. I had to provide care myself, unpaid.
What are you supposed to do when your mother is rushed to a hospital? Say I cant go I am working? You have to be there to protect them.
Great question. If only something could have been done differently. Back when we had some health and energy and were still young. Now I am prematurely aged. I am barely living anymore. I just drag myself through the drudgery every day. It is endless. Fighting to get my mother to go to the toilet, or shower, or brush teeth or clean nails. Being abused for trying to help. Having to deal with mountains of paperwork. Having to deal with dozens of staff in facilities. No continuity, everyone overworked and hopeless.
It is a big lie that your parent will receive the care they need in a facility.
Back in the beginning, I wish I could have set a caregiving agreement in place with a lawyers advice. To protect me. To have in black and white what I would do, what compensation I would receive.
I just let it all unfold and it ate up my life.
I became a slave to my mothers well being. I thought I had enough strength to do it and still survive. But after ten years I am now weak. Broke. Tired. Depressed. Hopeless.
So if I could do it all over again? What choice does someone have when you are scrimping by financially?
You have to take care of your family no matter what.
We give up our lives and health.
A SMART person would figure out how to protect themselves. Retain some money. Retain your income. Retain your free time.
It has been a non-stop nightmare crisis every day. The irrational mental state of my Alzheimers mother set the tone for constant tip-toeing around her, walking on eggshells, having to dance around every issue in order to avoid a hysterical reaction. My mother is feisty and stubborn and it has been exhausting.
My life has been completely caught up in every single issue surrounding this one elderly woman. Its unbelievable how all encompassing it becomes.
It is beyond a hard job. It is slave labor and torture.
I have lost almost everything. My savings, my lost job income, my health, my relationship, my boyfriends life has been sacrificed too. We have had no freedom for the last ten years dealing with my mothers life.
It is very sad. She is a human being and I can not step away and allow her to suffer more neglect than is already happening.
I do the minimum I can but it still wipes me out on a daily basis. I will never recover from this.
It is beyond sad what the the reality of what happens in memory care facilities, hospitals, nursing homes, rehabs is. The level if incompetence for staff and management should be criminal.
I have had to give up a good portion if my life just to PROTECT my mother from the neglect she was subjected to.
Everyone has good intentions. But it sweeps you up and carries you away on a flood tide.
Caregiving is what it says.... it's giving care to someone..... it's not easy, but when there is deep, strong love present, plus, the love of God, well then, all things are possible.
I'm praying that you will meet Jesus, and that His love will change your life radically! Peace to you, Shalom. 🌺🕊🌺
I'm lucky I managed to get married to a guy who is retired on social security so at least when he dies I'll have most of his. He's comfortable financially so I married him for his money, he's a free baby sitter, so I can work sometimes. This is the extent of my self sacrifice for my mom.
While it is best to use simple solutions, this is not necessarily that simple.
Reflecting though, I think I’d pace myself better so I wouldn’t have reached “burn out” so quickly.
At first everything seems like a crisis. And I was always putting out fires. Thankfully not actual ones!
I also thought the commitment I was making would be short lived so I could pour all this energy into it.
Now getting close to five years (and I know that’s nothing compared to the journeys others are on) I would have let the knowledge that I’d be caring for my mom for a long time guide my decisions.
Some things I would’ve done sooner 1) move her into memory care for her own safety, 2) have her get a neurology assessment ASAP to better understand what we were dealing with, 3) start counseling immediately, and 3) establish a record keeping and filing system.
I feel I was very lucky to find this forum early on and it’s provided excellent guidance on so many topics.
To the original poster, you have to decide what you want for your life and what is most important to you. For me, keeping my mom out of a NH is more important than trips around Europe. My mom is now 92. She has a good life, as good as it gets. We are financially broke but we still have a roof over our heads and food on our plates. We have togetherness as a family. My mom lives with my husband and I. We eat meals together, the three us. The three of us go together everywhere we go: Costco, Commissary, Lowes, everywhere. My mom is now wheelchair bound and has been for the past couple years.
She was a wonderful mom. I tell her that now I am the mom. We do not ask her if she wants to go when we go out. We just take her. We just go. She knows that where we are, she is. She has no fear of abandonment or being left behind. For us, that is meaningful.
The doctors tell us, you guys are doing a great job. Sometimes the doctors will say, "A+ for you guys". The doctors say, "She is very lucky to have you."
What my mom has is love. She doesn't have money, we are covering almost her entire cost of living. She pays her own medical (has two insurances) and she pays for her hair (we take her to the salon). When she has extra money she covers some of her clothes. But, she gets kisses every night and in the morning. When my husband tucks her in (under her Disney princess blanket), he says "Good night princess, have sweet dreams. Hot breakfast in the morning. You are going to have a good day tomorrow." She sits on the sofa between us. Oh, and she has two bed buddies, her two dogs sleep in bed with her. She gets a shower once a day followed with body lotion, and then I style her hair.
We've been at this for 12 years and we've had only one UTI caught immediately and treated right away. I am a strong advocate with her doctors. She does not wait for anything. She gets right in.
My mom has never become angry and selfish. As someone posted about saying ALL aging people become that way - it is not true. Some people do not. Some people actually become sweeter. My mom is about the same as she has always been.
What I would say to you at the beginning of your journey is this. Organize yourself. That is key. Organize your physical space the best that you can. Be a strong advocate. You will find your voice, if you have not already. You will become a stronger and more effective person than you were - even if you were already strong and effective. Know you are going the distance and it's a marathon, not a sprint. So conserve your energy, take it slow. Build relationships with her medical staff - any doctors and dentists. Get her onto an online medical system where you can read her test results and email with her doctors. Be proactive with her dentistry. Dental is a MAJOR expense if there are issues so you want to be a step ahead of the game here, prevention is key. Accept where your mom is on each day. Things will change, she will change, but she is the same person. You need to change also to keep pace with her changes. Enjoy the craziness and frustration she creates. One day she will not be able to do that anymore. Remember that how are you in crisis says a lot about who you truly are. Use this time to become a better person because you will be challenged on so many levels. And remember that you choose your response. Let go, as best as you can learn to live in the moment of each day because for those of us traveling this way, the present moment is all we have. You will find out who your real friends are, you will lose some friends and it will be painful. You will gain new friends who you will treasure forever because caregiving is bonding. Exercise at home. Learn how to do that. Drink lots of water - you and your mom. And love, always love.
I got Mom's POA for medical and finances a couple years before moving in with her. After moving, the financial and emotional costs to me were enormous. With my sisters, in the beginning, they appreciated being relieved of their caregiving burden.
Then they became the Twisted Sisters and made my life a nightmare. They criticized everything, from that I washed my hands before making Mom's dinner to the Mom's money I spent putting up a fence to stop trespassers from walking through her yard in her nasty neighborhood. At the one-year point I was so physically, mentally, and emotionally spent I told TS1 that I needed to move back home. TS1 had so many plans to care for Mom in her home or sell Mom's house and move her into TS1's home, but never made a move to do anything. The issue was solved when Mom passed a month later.
I can write all this above, but of course, there are so many things that I could never have seen coming. Before I moved to Mom's house, we sisters worked very well with each other. I took care of all Mom's finances, dealing with insurance companies and the government, and they took care of Mom's person and her home. They were happy and so was I.
In no way, could I foreseen how things played out. Had I waited to come to help with Mom's care a month before she died (and TS1 and TS2 had done all the caregiving) likely we'd all be together to this day. Now (there's ALL LOT they did to me), for the abuse and the theft of my inheritance, I will never speak with them again.
Don't believe the lie that you aren't a good, decent human if you don't feel guilty for having a good balance and firm boundaries. That is just more manipulation, guilt is a lying emotion and should not be a master of our decisions.
My parents like to try and use fear, well I'll be dead one day...yep, we all will be dead one day. What does that have to do with you living in my home, sucking my life away, treating me like I am 5 years old and all while you treat me like a personal slave on my dime?!?
I would have found accommodations for care where my dad lived instead of moving him to my home. It didn't last long because all of the lies unraveled quickly because of his health, but it could have been a long nightmare trying to do the right thing by him. Don't believe what your parents tell you, make them show and prove the facts, because I experienced and have read innumerable stories here how the truth is so subjective to old, ill, demented people. They will do and say anything that gets them what they want and if there is money, the proverbial carrot will be dangled to manipulate.
Know what you are willing and able to do, learn to say no and learn to walk out, hang up and not answer the phone. Set boundaries and enforce them, no matter where they go to trying to get around your boundaries. Remember they have the desires of a child with decades of living to be able to manipulate you. It becomes all about them. Believe what you see, believe when they show you who they are, it will help you keep your boundaries and your own life.
Know before you start what the expectations are with the diagnosis. Dementia is a rollercoaster ride and it only gets worse. Every situation is different, however, there are many similarities that you can have a general idea of what to expect.
I hope that you find a great facility and remain a daughter and advocate. If you take this on, you will be a caregiver, cook, housekeeper, scratching post, errand girl, chauffeur, social director, medical assistant, possible diaper changer and that's all before lunch.
Of course we older caregivers need them, too!
You can see from the responses how difficult it is to make the decisions that must be made. Every situation is different and solutions are limited by income, ability, availability, etc. Reading the travails of others can give you some inkling of issues you might encounter.
From your profile, it doesn't sound like your mother has dementia, or at least it hasn't been identified yet. It might be wise to at least familiarize yourself with the signs - the early ones are very subtle. If she starts down that path, you will want to know asap and having the knowledge will help!
As cwillie said, "hindsight is 20/20!"
Harpcat said "things I would say is to learn how to use therapeutic fibs, understand as much about dementia and ways to talk to the person. How to handle it if they get abusive ore resistant to your help. When to back off and when to have boundaries. BOUNDARIES are essential!!!" and "Dont let any one try to guilt you about how you are handling the situation."
The first part of Harpcat's comments posted above deals with handling someone with dementia. Keep those in mind if you find your mom starts down that path. As for the guilt laying, that goes double for those who will try that on this forum!!! There are family and friends who might guilt you about not taking on mom's care, but don't let it affect your decisions. If they are so smart, let them do it! There are also a few on this forum who will guilt you, tell you your parents cared for you as a child, etc, but 1) it isn't the same and 2) it should be done if you can and you care, NOT because they raised you (mostly this is choice by parents - we don't always get the choice!)
Your profile says "In a family of four children, there are 3 boys and I am the only girl. 56 years old, and the one stuck with caring for my 81 year old mother."
This is another lesson for anyone new to the care giving decisions - all too often siblings are distant/useless. Even worse are those who are not only useless, but criticize what you do and try to direct you. Ignore them. Don't harbor any ill will towards them in any case - it won't affect them, but it will affect you! Just ignore and pretend they don't exist.
Doing differently? My decision not to take on mom's care was made before it needed to be made. There is no way I could live with her before the dementia, less after. She can be very difficult to work with, critical, stubborn, petulant, accusatory, guilt-tripping, nasty, etc, and also I am older and have several back issues that mean I can't support her weight, my house can't be "handicapped", esp the tiny bathrooms and there's no way she can get in/out of the house with full stair access only. I probably would have taken funding to tackle all the trips I had to make AFTER her move to MC (50 miles/1.5 hr each way, for 1.5 years!) to get her condo clean, clear, repaired for sale. Perhaps some pay for all the work needing to be done to get on as rep payee for SS and federal pension (POAs do not work for these and roadblocks on pension, it took over a year!) I didn't mind taking over the finances, etc when she couldn't do it, or make trips to help out when still living in her place, but since then, eeeeuch.
In the end it is a personal decision. Being informed helps, being aware of her issues is key. Knowing how taking her in, if that's a consideration, could impact your present and future and this should be considered as well. Leaving work before retirement age will impact not only your family's current financial needs, but your SS/retirement and/or your own future health and medical/care needs. Giving up your free time and then some could make for some resentment. If you think you can handle it all, and you have a great or at least very good relationship with mom, it might work. If you don't, I wouldn't consider this an option unless there are no others.
Question - does hr current Independent living mean a home or a facility?
When at 87 general weakness prompted an ER visit, the techs discovered the bedsore which was about the size of a quarter, contacted APS, who said she couldn't be released to home. Eventually, APS discovered the lay of the land and dropped accusations, but by then the bedsore needed exhaustive treatment and healed completely after about 2 years; Mom never came home again. When she died one year after that, she had no bedsore because the SNF was a good one and attentive to moving and positioning frequently.
I am not trying to make you wrong or belittle your decisions, but I believe that we all have a choice when thrown or drug into the caregiving roll. Others struggling need to know that they can say no and it is okay.
I am sorry that you felt like you had no choice, because you did.
2. Research local rehabs now, not at the last minute under pressure. Rehab is where she would go after the hospital to continue physical therapy and 24-hour supervision. Medicare pays for rehab for up to 3 months. Rehabs vary widely. Some are awful, some are fabulous, probably many in between. Sometimes the neighborhood is a factor--a rehab in a poor neighborhood is probably not so good.
3. Hope for the best, prepare for the worst. She will likely be in the hospital for one reason or another soon enough.
4. Keep copies of all medical records. Make sure all doctors have records from all the other doctors. Read the medication list. If you can't understand the nurse's accent, you must insist that the nurse slow down and spell everything out. Do not agree to any new meds until you find out what, why, how much, how often, side effects, and who recommended it for mom.
5. After the fall in April, hosp 1 week, rehab for 4 weeks, my mother is now in a really good assisted living with memory care. The best have doctors and/or nurses on the premises every day. But every state has different regulations and different standards for assisted living, memory care, nursing care.
6. A private room is best in rehab or memory care--for your own sake. Imagine the stress of visiting mom, and then having to deal with, or even just look at, ANOTHER frail, confused elderly person who is no relation to you at all.
7. Don't underestimate the impact of the stress of watching your parent deteriorate. The stress really packs a wallop. If mom is a group care, you are watching a whole group of people deteriorate--that just takes the stress to another level. You must make time for yourself, even if you take the "easier" route of group care.
Great question and great posts. I think AgingCare should make this a suggested reading for all new members. I just finished reading through all the answers. The people on this forum are so amazing.
Someone brought it up, but I have seen it on other posts also, the fact that everyone’s situation is different. There are so many things we have in common, and that’s why the advice and suggestions that we get on this forum are so useful, but there are so many variables within the caregiving situation: dementia, mobility, length of caregiving, personality of person cared for, prior relationship with caregiver, caregiver’s own physical and mental health, finances. The list could go on, but differences in any of these could make your caregiving situation work differently than someone else’s. So we take what we like and leave the rest.
Another poster said that none of your family and friends can understand your situation unless they have been in your shoes. You will find more understanding here, but even then we may have some dissension. Take what you like......
I know of no one of my friends or acquaintances who have had the long slow decline that my siblings and I experienced with my parents. No one.
Things we did right:
1) Used my parents’ funds to hire caregivers and lawn care when they needed them in early 70’s.
2) Periodically assessed their needs to increase caregivers
3) Had family meetings of all children to discuss caregiving needs. (we started this about 16 years ago, and had our most recent last month)
4) Took complete control over parents’ finances which saved their home
5) Researched and received some free caregiving assistance through local Agency on Aging
6) All siblings participated in caregiving (some more than others due to work and family obligations). Prior to my parents going in to the nursing home, we had been on rotating shifts for about two years.
And......we prayed
Things we should have done:
1) We should have taken control of their money earlier. My sister, a CPA tried to handle their finances to no avail because my parents were still able to access their money and squander it.
2) we should have questioned more, and limited the revolving door of doctors appointments due to the fact that my parents had such excellent insurance
3) we should have pursued more and earlier the veterans’ benefits that my father and mother were eligible for
4) we should have researched earlier local hospice companies (don’t wait until you need them)
5) we should have set aside money for their burial so we wouldn’t have to wait for life insurance payout which takes some time
6) we should have educated ourselves earlier that dementia and decline ebbs and flows. Just because they can do something one day, doesn’t mean they can do it the next
......and the list could go on
It is also great to hear from those of you who CAN and DO work together for everyone's best interest! So many siblings don't help or make things worse, so it is nice to hear from the other side! Personally we're in the middle somewhere. Brothers went along with the plan (some balking) to move mom when in-home wasn't going to work, but have mostly stayed out of doing much of anything since. I did have to ask the local one to take over med/dental visits because I can't support mom's weight. I don't even seek advice on care/finances anymore - takes more effort, so it's just easier to do it without asking.