We have a new member on board here at AgingCare, who asked another member a question: Why will you not care for your parents in your home? I think that is an EXCELLENT topic for discussion.
If you are willing to take your folks into your home to provide care for them, why are you willing to do it? What are the pros of that situation?
If you are unwilling to take your folks into your home to provide care for them, what is the reason for that unwillingness? What are the cons of that situation?
As you can see, many variables here. Lots of people raising valid points. I have enjoyed reading all of them. Thanks for posting an important question such as this and we are all learning from it. 😊
As for the con side of the question, I have no experience to offer. I know of some family breakdowns but I don't want to speculate on the reasons for them.
At least in AL she has access to nurses, physical therapy, a chaplain ... to help keep her social. I don’t feel she would have gotten any of that here.
All that being said, I am still a total newbie at this. Every day brings a new challenge and a new emotional toll on me. I am so blessed to be able to be here for my mom, but I still wish it didn’t have to be this way. 😕
My Gram lived with Mom for 7 years. Gram was in her 90's, legally blind, bad arthritis in knees and hands, and starting to get forgetful. Gram needed the help to bathe, to dress, a little help to toilet, and increasingly to transfer from bed to chair to walk with her walker. Gram needed somebody to keep her meds straight, make sure she got the right meds, and ate 3 square meals every day. Mom and Gram did well together since Gram was easy-going and compliant. Mom has similar outlook/values as Gram. So their situation worked well. This is the good example of a "Yes, I'll take my parents in and help them".
Mom decided to sell her house after Gram died. Mom got a great offer the week she put her home on the market. Should have been a "Yeah, Mom!" moment. She was not prepared to move, had no place to move to, and needed to move in 30 days. I helped her move from Illinois to Florida to stay with us "for awhile". She promised it was only for a short time, couple months max. I gave her a large bedroom and "bonus room" for her stuff. The remainder went to storage for that eventual "new home". She slowly started having her stuff creep into other rooms of the house. Her housekeeping is more lax than mine and so is her hygiene. I asked her to let me help her clean her rooms. I asked her to bathe more often. I asked her to see a dentist about a horrendous case of "dragon breath". She resisted my suggestions. I needed to take allergy meds the entire time because she had mildew/mold on boxes in her room. After 6 months living with me, she finally decided she needed to move. It took 3 months to find a condo she liked and get her moved there. My hubby and I helped her with fixing it up. We put her on our dental insurance so she is finally getting her teeth fixed (lots of abscesses). She can still drive, take care of her own affairs, and has her own friends and activities. She and we are happier with us "helping her" without her living with us. When she has to move back, I will have an in-law cottage for her use. That will provide enough separation. She will have a feeling of control/ownership that she needs with a safety net of family "help". We will have the privacy/control we need as well to live according to our much different habits.
Two years ago signs of dementia progressed quickly, followed by a fractured shoulder and later a fractured hip. After two rounds of rehab with very little progress I decided I could take care of her just as good as the rehab employees. So for over eighteen months I was her caretaker. She received home care assistance that included nurse visits, an aide twice a week to bathe and dress her as well as an afternoon aide to relieve me for four hours a day. Mom and I had hours to chat and cement our mother/daughter relationship. In August her condition began to deteriorate further, packing food in her cheeks then not eating at all, not drinking and being able to swallow her meds, and losing significant weight. Mom eventually had to be placed on home hospice with someone from the care team visiting daily.
I am very relieved and at peace knowing I had the opportunity to provide care and solace to my mom in her final days.
Believe me the journey wasn’t an easy one. There were sleepless nights. Tons of frustration because she couldn’t/wouldn’t eat or drink, move on her own or assist me when I needed to move her BUT she was always thankful.
I would definitely do it again because I honestly feel it’s what she wanted me to do. I’m grateful that I had the opportunity to do it and demonstrate to my granddaughter what compassion is for your family but also for seniors.
In the beginning my patience needed improving because my caregiving experience was limited to mothering my child and grandchild, not adult care which is totally different.
My pros definitely outweighed my cons in the end. Not being a family of unlimited finances placing her a nursing home was absolutely out of the question. Caring for her at home was best for both her and me. Medicare and Medicaid contributed to her care by providing equipment and supplies necessary for her care.
He was in rehab 3 years ago after a fall. He should have stayed, but he talked his doctor into letting him go home. He wants to die in his home. And his doctor is behind him doing this. Until he falls and breaks a bone. Or goes completely blind. Or some other catastrophe.
We offered our home to him. He refused. We are glad he refused. He is the most bullheaded stubborn man I have ever met in my life.
Our home is our refuge, where we recover, after spending time with Papa. I can’t imagine having contact with him 24/7. I am close to losing my mind, as is.
We looked into assisted living, but thought it was expensive, already have a handicap accessible house, and she didn't really want to leave. If only we knew how long she will live - financial planning would be easier (lol). We will bring in help as long as it is practical and she is safe. We have a home health aid for 3 hours/week, house keeper every 2 weeks, lawn care, and snow plower. I encouraged her to make sure all legal paperwork is in order (trust, will, durable power of attorney, health care proxy).
NOTE... if my Father had outlived my mother, this would have been a much different story. He was a bear to live with and I would not have chosen to move in with him.
I am still employed and my mother got to the point where she needed someone to check in on her several times a day.
I helped to keep her in her own home for as long as possible - taking her to appointments, bringing groceries, doing laundry, etc.
But when it became apparent (to me, but not her) that she could no longer stay at home, I hired an "elder care advocate" to help me find the best facility and get her moved.
I visited every weekend and tried to make sure she was as comfortable as possible.
Aside from being unable to do the care-giving required, I couldn't live with my mother even if her health and physical condition had been better.
She was NPD (Narcissistic) and was never the mother I needed, wanted, or deserved.
But, that's a discussion for another time...
Sadly, that only lasted 9 days. We had to put her back in assisted living. The whole intent for bringing her home was that she was able to use her walker in our house. We tried to tell her that the wheelchair is too big as we live in a 960 sq ft double-wide mobile home. It was hard to get her down the hallway and then the transitioning from chair to toilet was taking its toll on my back. I'm 71 and my husband 75. It just didn't work. So we took her back, and her money continued to disappear. I ended up getting a job in order to make up the difference for her room and board at the private pay facility. We looked at Medicaid facilities and they were just awful.
My story was longer than I had planned. Anyway, My only advice is if you have a house big enough that your parents would have their quarters large enough for them to be comfortable, and most important, have in home care help as much as you or they can afford because your life is truly not your own and the toll it could take on your marriage may not be something you want to risk. I think it is a wonderful and courageous thing to do by 24/7 care of your parents. I'm sure you'll have a lot of opinions to the pro/con options you are looking for with this life changing decision.
It was only the natural thing to do: having them move in. They took care of me when I was a child. I took care of them when they needed the help.
Circle of Life.
My parents-in-law, however, are both frail but very much alive.
They, along with all 3 children, plus me as daughter-in-law, agreed many years ago that - as much as we genuinely love each other - there is no bloomin' way our collective personalities could *ever* allow our generations to blend households.
They did resist leaving their home, long after it became untenable. At one point my local SIL lived at their place for a few months, but she HAD to move after a while (to no one's surprise or disapproval).
Parents-in-law finally saw the light after too many ER visits (not life-threatening, but worrisome). They now reside in Independent Living. The facility also offers Assisted Living (on several levels) and Memory Care.
So many of us caved into guilt. Even against our own desires, our own better judgment, knowing deep down in our souls that it’s not a good idea. We still do it out of obligation. Hate to call it dumb, but what else is it? Confused maybe? VERY confused! Brainwashed from a child.
Stigma: If a woman does work outside the home.
One is NOT better than the other.
Try not to exploit your differences.
Be kind.
Question though? Did anyone while at home wish that they were working at a ‘paying job’ and what about those with ‘outside paying jobs’, ever wish that you were home even if it meant sacrificing a paycheck? Such a controversial topic, isn’t it? Comes down to choice. One isn’t better than the other as sendhelp has stated so well.
When there I have no privacy until I go to bed. She wants to know what time I will arrive from work if I am going to be late, who I am with, where I am going, etc. I know she enjoys having me there in the evenings for the evening meal. On weekends I go to my own house and look forward to having that little bit of time to myself, see my own kids, grand-kids, friends, etc. If I take a vacation (which I am next week and which are my goals for 2020 and 2021) she doesn't like it. I have two living brothers, one of whom is mentally ill and unable to help. He wouldn't anyway even if he was not sick. My other brother ignores her most of the time (maybe has her for dinner once a month) but for her the sun rises and sets with him. Tired of that too. Unequal treatment, unequal responsibilities. She's always going on about how busy he and his wife are with their business, house, etc. Am I'm not?
Having said all that and done this now for 3-1/2 years, I can say unequivocally that I will not move her into my home to care for her when I retire in two years. She will sell her house and that money will pay for AL. She has had her life. I want to have mine. When her parents were old and sick she did very little for them and refused to take in her dad at the end of his life.
I have told my adult children that I am not interested in living with them if/when the time comes that I cannot care for myself. I don't want to spend their inheritance, but I don't want to live with them either.
No matter how sick Mother was,we always went to her Art group and Bridge Club and PEO luncheons and ofcourse the beauty shop and many days we went shopping or out to eat or had a picnic lunch in the park,or went to the library or Barnes and Noble,etc.
My Uncle,her faithful brother visited every day and brought Mother and I special treats he cooked or flowers from his garden.A lady from Mother's Hospice came 3 times a week and gave Mom backrubs and we fed the birds and walked around the block everyday.Some days I wheeled Mother through the house and we explored and she told me about things and every Halloween,I dressed Mother up in her Lady GaGa costume and we answered the door together and gave out the cupcakes we had made the night before .We celebrated all the holidays and decorated had some great times &.Sometimes we put on the TV and went to You Tube and I put in her favorite songs and we listened to those and even sang together,we did lots of things so Mother and I kept busy and made alot of wonderful memories together&.She did much better at home in her comfort zone and she certainly wasn't bored&.Along with her oxygen and breathing treatments, in a wheelchair and everything else,we continued to live the best we could.
Mother did alot better at home than she would have in a NH,I'm sure.
Being cared for in a private home can be very isolating and unstimulating for seniors (a sterile environment) especially if it is just them and a single caregiver. A care facility that is in close proximity where the family can visit for as much as they want and then leave seems to be the ideal arrangement. This is, of course, assuming that the LO is in a trustworthy place.
Often, well-meaning people commit to caregiving without really understanding what they are signing up for. No one can ever fully imagine how physically, emotionally, financially and relationally draining it will probably be. This forum has been extremely instructional to me. As an only child to a (challenging) single parent, I've made known to her what my limits will be and she understands and agrees. I've also already "released" my sons of ever even considering this for me and my husband. I'm unwilling to do it and unwilling to have my children to do it for me.