My mom is the primary caregiver for her aging parents (my grandparents). They are in their late 80s... her mom has advanced Alzheimer's/dementia. Her dad suffered from several strokes a few years ago, and has very poor vision/balance as a result. He is not qualified to care for himself, much less to care for his wife with Alzheimer's. Right now they live alone with their two dogs in their enormous house, about 3 miles from my mom/dad's house. Thankfully neither of them drives anymore, but that means they rely on my mom completely for everything/anything. My mom provides all their food, takes them out for errands/doctors appointments, and is basically at their beck and call 24/7. Both of them are in very poor health, and living in awful, unhygienic conditions in their home. My grandma never cleans herself, forgets to eat/drink, and frequently becomes combative. My grandfather is in complete denial of the entire situation... he absolutely refuses to leave the house. He is not cognitively fit to care for himself or for my grandmother. Their house is disgusting... there are mice everywhere, it is filthy, there's rotting food in the fridge... their dogs are not well cared for or trained. Both of them have suffered recent falls. We have no idea if they are taking their medication, and if they are, we have no idea if they are adhering to the dosage guidelines (very likely they are not). They also have a significant amount of money, and my grandfather is maintaining responsibility of their finances. We have no idea what he's doing with their money, and are quite certain that is not making good financial decisions. My grandfather insists that they are just fine, he is able to care for himself and his grandmother, and he absolutely refuses to let any home health agency in the house or even consider moving out to an assisted living community. As you can imagine, this entire situation is really wearing on my mom... I think she is depressed. She feels completely helpless, but wants to take care of her parents and do whatever they need. She doesn't feel like there's anything she can do to get them out of the house and into a safer environment. I hate watching this situation unfold. I feel like she is wallowing in "learned helplessness." I've tried talking to her about seeking help and support, but she never follows through. Most recently I did some research about obtaining guardianship of her parents, and sent her the pertinent information along with names/numbers of attorneys in the area who specialize in elderly care. Is there anything else I can be doing? Is obtaining guardianship the right next step for my mom? It is essential to my mom's mental health, and to the health/safety of my grandparents, that we get them out of that house and somewhere that they can be properly taken care of... this is a truly horrible situation and it breaks my heart everyday to think about their living situation, and my mom's pain/stress levels trying to care for them.
find elder attorney or at least paralegal notary able to do homevisit.
get a POA.
mom stressed out because she knows shes going to lose her parents.
Dont pleade act.
If he doest sign health care surrogate level with him. tell him children can be held responsible for complicity of a criminal act and mother in that enviorment is criminal act. what is he going to do when hes injail for abusing neglecting spouce and or parent.
no mis mash.
hardcore truth.
he wont go anywhere to do anything so it is upon you to step up to the table. gpa inaction is overwelmment.
someone needs to takecharge even if only starts with moving in and cleaning place up. take pictures of him them in the squalor.
Do it or lose them.
And your grandparents could still be viewing your mother as though she were a girl of school age!!
Please take great care when dealing with the dogs not to sign them away to an animal shelter, even one that looks helpful. They really do keep dogs only for a few days before putting them to sleep if not adopted, and if a dog has behavioural problems, however slight, their "tests" are laughable and designed to fail the dog. Next stop, lethal injection.
So please ask around via Facebook or elsewhere for a friendly animal rescue club or local family to foster the dogs, pay for their food, pay for any trainer to make them more sociable. Visits can be planned in a garden for the dogs to meet your grandparents, as they will be part of the structure of your grandmother's life. It will be good for the dogs themselves to be properly fed and cared for, and perhaps that would be the first stage of fostering before finding them a home when your grandparents do finally leave their house (sounds to me that that could be quite soon.
As for the rest, I have "been there", not with parents but with an aged friend who had no useful relatives. You have all my sympathy.
FYI, I am "that mom" with 2 grown children and sole caregiver for my 93 yr old mother who sounds like a combo of your grandfather and grandmother. She lives alone, dementia, large house, bad food, inconsistent hygiene, etc.
As for APS -- yes you can call. Maybe you will have better luck. APS has been called (by others) 2x on my mom and even with her "poor decisions"; unpaid bills, poor hygiene and dementia -- there is nothing they can do until she is in "dire straits" and immenent danger. They only monitor her with bi-weekly visits and even that stopped after a couple months. Unfortunately, these elders are still regarded legally as adults with rights -- which means they can refuse help, refuse services, refuse to have a mental evaluation.
An elder lawyer wasn't able to help me because they can't legally remove mom from her home. I'm POA (maybe your mom is too); but I can't make mom get a mental evaluation and I can't forcefully remove her from her home - legally, even with POA. So I have to wait until she is hospitalized (again) and demand psych evaluation then. Your mom may have to do the same thing.
wvavet has great advice:
1. Support and encourage mom to set boundaries
Tells and writes it down on a calendar for your grandparents -- "I will come Tue/Thur/Sun 10-2:30 pm. Period. She doesn't accept their calls; makes them leave a message (that way she will know if its an emergency) and tell Pop that if he has an emergency to call 911 first then mom.
She hires a CNA or homecare assistance and instructs them to do light housework, preparing meals, helping grandma bath, etc. -- Mom can ease that by being there on-site the first few times caregiver comes to make sure she stays and parents can't dismiss her. Grandpa pays for this service.
Encourage mom to document all the issues/concerns she has about parents and sends the note to their doctors for the record. (I did this and helped at least get the dementia/assessment and doctor had discussions with my mom). They may still get to be in their home; but mom will have a dr on her side should grandparents get hospitalized and mom has parents medical history to support her getting them moved maybe to AL or Memory Care facility.
I have a lot of guilt -- my kids see their grandmother deteriorating and Nani is combative, dismissive, "hates mom at times", won't share any financial or legal affairs with me and refuses to leave her house or have help. I live 6 hrs away --so not the day to day stress your mom is under. BUT I worry about what my kids think of me -- "that I'm a cruel daughter because I let Nani live worse than any dog I would care for"; "that I'm selfish because I dont visit her or call her more often". It makes me feel guilty. I protect them because I don't want them to have ill feelings toward their Nani; yet I don't want them to visit and be horrified at her appearance or the house condition or her greeting them in dirty clothes. I don't want them to witness her sometimes outlandish outbursts or talking to herself for an hour. THeir dad is extremely supportive and does tell them "why" -- but I know it is hard for them to understand and hurtful that she really isn't a part of their lives anymore.
Bless you for all you do and I hope above helps.
Call your state's bar association and ask for the names of some elder law attorneys and make an appointment for your mom to get a consult. An elder law attorney will be able to advise your mother how to proceed with her parents given their complex situation.
And let your mother know how concerned you are for her. The statistics on caregiving are not pretty. Many caregivers die before their loved one. You are understandably worried about your mother being in this position.