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Firstly, you have made it very very clear to all doctors, medical personnel, facility personnel, etc. etc. that you WILL NOT be able to take your mom into your home and you will not be able to do ANY caregiving, so if she goes home, she is literally on her own -  an unsafe discharge. She may be lying and claiming that you will take care of her so you had better be proactive here.  You will also need to make this quite clear to your mom and this will sound brutal but remind her that Adult Protective Services will be alerted by you if she does manage to go home.  Her wiser move is to accept AL and make the best of it.
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BeckyT Dec 2019
Upstream, This is Very Important! Do ASAP!
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My very blunt reply is meant kindly. Irrespective of whether dementia is involved or not, it is all downhill from here for your mother. And if you want some sort of satisfying life you would do best to get out of the way, otherwise you will be run over in the process. The fact that you are booked to see a therapist tells me you recognise your own fragile state and a determination to survive what your mother is throwing at you.
Most elderly people want to remain in their own homes and will do anything in their power to guilt their carers into allowing it. That is understandable, and sounds like your mother is super-successful in that department. Even when they no longer remember what home is, or where it is, they still want to go there. You call it the Taj Mahal that your mother is not satisfied with. With my mother, we say it would be Buckingham Palace and she still would not change her mind about the lovely facility she now lives in.
It is what it is. Steel yourself to ignore it. Come to think of it, steel yourself to ignore all her jibes, accusations, and any other negativity she can use to manipulate you. A therapist will help you to find the strength, and the pathway to negotiate this minefield you find yourself inhabiting. Your mother's carers and medical professionals have responsibility for her welfare from here on in. You are 'just' family and not responsible for your mother's happiness.
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anonymous912123 Dec 2019
My brother & I called our mother's home "The Mansion On The Hill", we fought her for over 10 years to sell it and move into AL. The answer was always the No, No, No, finally she had a stroke and we sprung, she is now in AL by us in Florida. House will be cleaned out and sold.
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Just in case...change the lock on the door of her house, or at least make sure she doesn't have her house key. Make sure she doesn't have her wallet, driver's license, ATM card, checkbook, credit card, cash, bus tickets, etc.

Do you have financial POA document? If so, bring it to her bank--they just scan it, email the scan to their legal department, get it approved, and you take back the original--takes about an hour. Establish a relationship with one the people at the bank branch--they may work with you a bit more than you expect, once you explain the situation. It would be good if they would alert you if she calls the bank and orders more checks sent to her at the facility.

Not sure of this is the case in all states--secure facility legally required to provide access to a phone and must provide envelopes and postage, must mail letters for resident. BUT you can ask the facility to mail all of mom's outgoing mail to YOU, and they will do it.

Sounds like she's not at secure wing yet, but from your description, that's the next step.

PS: Taj Mahal facility in suburban Maryland costs $9,000 per month.
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rovana Dec 2019
About banks and POA - some insist on their own process and documentation - B of A does in my experience.
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Hire private companion to monitor care in facility
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burlebaby Dec 2019
I agree! If the stress and transition is just too much, for both of you right now, but you still feel like you need to monitor her level of care in this new place, I would hire someone to go visit her twice a week for about 2 hours, maybe during a meal time and definitely at different hours of the day. This is mainly to
let staff know you are monitoring her care. This will give you a well deserved break and ease your mind, too. Momma may even make a new friend in the process. (((Hugs)))
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Relative to Countrymouse’s very logical observations, there may have been a cognitive assessment or screening done since she’s been in and out of the hospital so many times.
If that hasn’t happened yet, you may want to have one done, using her resources to get it.
Then consider the fact that having had so many falls and being a substance abuser, she needs a SAFER environment than is (or can be?) provided in her home.
But I’ve spent MANY years as responsible party for people in residential care, and have yet to hear a single person cheerfully exclaim about how happy they were to be there, except one woman who thought my mother was her personal maid, hired by her son for his mother’s comfort.
What I HAVE observed is that people who complain loudly can sometimes be the happiest residents after a couple years. The other aspect important in the “going home” quandary can also be that “home” means where they lived as children or in college or as young marrieds, NOT the place they left before entering residential care.
Final thought, tragically “what she says” is not in her best interests. Not even close.
You have a very strong tool with the hospital recommendation. Do you have written documentation regarding what you were told so explicitly?
Whether you “dumped her there to die” or didn’t makes absolutely no difference in the way this whole thing should or does play out.
You have done FINE with what you've described, and there is no reason for you to question or second guess your decision making. Stop talking to her as though logic will work. It won’t.
Relax and enjoy the life you’re making for yourself.
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If your mother is mentally competent (officially) she is free to leave at any time.

She is not free to move into your house without your invitation.
She is not free to insist that you do the work of moving her.
You have no legal or moral duty to carry out any preparations for her to move back home.

So... I'd say "let her try it." How far do you think she'd get without your active co-operation?
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Sometimes a certain med that use to work, wears off over time. There are plenty to choose from though.
Big Hug. You made it this far. Let the staff take care of things. Visit once a week. Mainly just be her advocate. But don't worry to much what she wants, just what she needs.
Live your life. You are doing what you can. Take care of You too
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Upstream; Keep that idea, that mom has not been happy in a decade or more in mind.

In time, she may find some peace in the lovely place that you lovingly found for her. If she doesn't, it's NOT YOUR FAULT!

Let her settle in and limit contact. You are not responsible for her happiness and you are not obliged to assist her in an ill-advised move back to her home.

There is no law, civil or moral, that says that you must destroy your life in order to aid and abet a parent who is in pursuit of self-destruction.
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Long time lurker here. If it helps to keep this in mind... it doesn't sound as if your mother was happy at home so does it make that much difference if she isn't happy in her new place? At least she is taken care of and you can focus on gaining your self back. In time, I am sure your mom will adjust. She may eventually be happier there and if she never is, so what. You are doing what is best for her and in turn, yourself. Stress can kill you. If it does, then what happens to her? You are doing the right thing. Never doubt that for one second!
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Upstream Dec 2019
Tiredandweary, Thank you! Yes I am feeling the affects of the stress, for sure. I feel backed into a corner, that it's now her or me, and it's my decision not to let her take me down. She has been miserable for the past 8 years or so, she has done nothing meaningful, constructive or joyful in a decade.
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Upstream--

You have done more than most kids would do and put up with more than most also--and done it w/o support, it sounds like.

Block your mom's number from your phone. At least for now, and for as long as you and your therapist agree is appropriate.

This is called going 'grey rock' where you don't cut them off completely, but rather control the amount of time and energy you give them.

As an only child, you don't have the support of sibs--but believe me, they are not always "supportive' and can actually be a blockade to doing the right thing for an aging parent.

I have not spoken to my mother since I told her I had cancer, 8+ months ago. Her response was "Oh, your daddy will be so glad to see you" (daddy's been dead 15 years.) What kind of mother DOES that? It crushed me, but also made me realize she TRULY does not care about me, so I cut ties with her---and haven't spoken to her for 8 months. She is getting a group Christmas gift that I organized but I am not taking it to her nor do I have any desire to ever see her again.

Maybe in time the broken heart will heal. The cancer did. But I had to preserve myself, and dealing with her (she has not been dxed with any kind of cognitive disorder)….really made me sicker.

Believe me, although I was sick as a dog for months, NOT talking to or dealing with her has been so peaceful.
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Upstream Dec 2019
Midkid58, wow, good for you in standing up for yourself! What a terrible thing to have said to you! My mom was horribly verbally abusive to my dad when he was in the memory care facility - she said things that will haunt me forever.
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Upstream, just keep blaming the docs.

If mom can manage to arrange her own release and get herself back home, leave her be and allow her to self destruct. Do NOT let her take you down with her.

I'm so sorry its come to this. ((((Hugs)))))
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Mom is not enjoying Assisted Living but YOU sure are! She stays put and gets used to her new life, translation RULES, and you get to live YOUR new life, translation NO MORE CHAOS, as you see fit.

Practice some new language to start using:
Gee mom, that's unfortunate.
I'm sorry to hear you feel that way.
How do you plan to handle that situation, mom?

There are plenty of other seniors in her ALF that she can talk and complain with every day, plenty of activities to enjoy, lots of meals and snacks to complain about, if she so chooses. Otherwise, she may choose to sit in her apartment and sulk all day. It's up to her.

In any event, she's no longer your problem, so figure out how to cut down your interactions with her and allow her to form her OWN life over there.

Best of luck!
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Upstream Dec 2019
She was always a huge dog lover, I was able to select an apartment with two windows overlooking a city dog park. There is a lot of activity there including police K9 exercising. So far she's sitting in her room with the blinds closed sulking. I was hoping the dog park would draw her out, as I see residents of the ALF strolling over to the park and some even have their own dogs. She could get her own dog if she got better. She keeps saying that's the one thing she would enjoy, a dog.
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It took my husband 4 months to stop asking when can he go home. After that he was asking why were we not living together if we were married. You can make up some "story" such as " you can't go home until the Dr says so" . These are what is called therapeutic white lies. Time your visits around a meal time so you have a short visit and then can run out the door fast to avoid more questions. Eventually your mother will stop asking. It is also for your mental and physical health that she stays where she is. Don't let the guilt get you. You have done your bit. You can take a break for a few weeks too. Hugs
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Normal behavior, they all want out. Cut back on your visits, let her settle in. If she starts on you when you do visit leave, restrict your phone calls with her, if she starts say goodbye, later.

This is all a game with her, manipulation, to get what she wants, don't fall for it. She hasn't been there long enough to settle in and you are her go to complaint department.

It is no longer about her wants, it is about her needs...she needs to be where she is. You can tell her when you get a letter from her doctor(s) saying she can be sent home, you will take it under consideration. It won't happen.
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Upstream Dec 2019
oooo, I like the letter idea! I told one of the high-ups at the AL yesterday that I will in no way accept responsibility for her, I will not sign anything accepting responsibility for her care, I will not take her home, etc. I told her if Mom moves out of there, it will be with someone else accepting to be responsible for her.
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Upstream, Mum can demand as much as she wants, you do not have to do anything about her demands.

Remind her that the doctor is the one who said she has to be in the AL. You cannot go against the doctor's wishes.

I am glad you are seeking therapy, it does help, but it also takes time.

You are allowed to hung up the phone or leave if you are visiting the moment she starts into you. She will never understand or accept that she has caused you any harm. So it is your job to protect yourself against any further harm.
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I am first of all extremely worried about withdrawal from drinking and med popping without any help. This is, as her doctor will confirm for you, exceptionally dangerous to her health. She should be in rehab to withdraw. You will see such things as "drinking listerine" in an attempt to keep some alcohol on board, and you may see some severe mental changes without a withdrawal program.
As to "not liking it" I would tell her that you understand that there are many end of life situations that will not be to her liking and that you are very sorry about that, and that you will continue to do all you can to help her adapt and adjust, but that much of her ongoing life is in her hands, and will result from her basic attitude. She has not been happy at home, either. So you are not looking at anything new here.
You have my admiration for all you have done for your parents. There is nothing that could be done better. Hugs out to you. I think you will not be able to "fix" her behavior or her attitude, but do consult with her MD about withdrawal during the time.
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Upstream Dec 2019
Hey AlvaDeer! The 3 weeks she spent in the mental health hospital included alcohol cessation. The pills are prescription (Benzos), which she still receives, they are just managed for her so that she can no longer double or triple up her daily dosage. I think that's a big part of her anger, she is very agitated because her crutches of wine & Benzo-excesses are gone.
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She is where she needs to be. Stop answering calls from her. Visit maybe once a week. If you're visiting and she starts whinging, get up and leave.

Live your life. Her fate is her own.
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Upstream, you’ve had a tough few years. Condolences on the loss of your father. Take a moment to reflect on how far you’ve come...your Moms residing in a Taj Mahal, safe & being taken care of 24/7, and you have a small glimpse into what it’s like to potentially have your life back. Well done! You don’t mention what “home” was to your Mom...was she living with you in your house, you living with her in hers, living apart? The best way to proceed with her probably depends on the answer to that, if you’re concerned that she may try to “escape”. Does she have the mental and physical capacity to actually pull that off without help? Also, do you have POA for financial and medical issues?
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Upstream Dec 2019
Yes, I am POA for medical and financial. My parents moved three houses down from me while they were in their mid-60s (15 years ago). I thought that was a good thing at the time, but boy was I wrong. Unknown to me there were brewing marital problems and both were drinking waaay too much. Things started to spiral down at Christmas time of 2010 and were totally out of control my mid-2011. It's been a nightmare since 2011.
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I would tell her not gonna happen and block her number.

She will never stop tearing you down, you have to step back and let her cope with her new reality.

Don't engage or listen to the garbage she is spewing to guilt you into giving her what she wants. She is missing her highs right now and that makes her mad. When she starts in, you hang up, walk away and live to fight another day.

You know that she is in the best place possible for her needs. Her wants no longer concern you.

I would honestly take a month break and regain the balance that you lost when your dad passed and she started all her crap. She will be okay, she will be mad but what is new.

Upstream you have given her so much and she has taken all she can, you matter in this and it doesn't matter that she doesn't have any other children to spew her venom on, that doesn't mean that you just have to buck up and take it. Great big hug! Step back before you die from the stress. She is fine with only the staff to chew on.
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NeedHelpWithMom Dec 2019
Amen!
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