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"I Promised My Parents I'd Never Put Them in a Nursing Home"

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Our parents cared for us and now, as they age, it’s natural that we want to care for them. At first, we figure we’ll stop over at their home and do what they need us to do. That can work for while, when all that’s needed is some help with errands, the lawn or fixing a meal now and then. It’s kind of a pleasant way to help out and show our love for our parents.

However as care needs increase, we are faced with more decisions. Many of us promised in good faith, back when our parents were healthy, that we wouldn’t ever put them in a nursing home. That would be abandoning them. We aim to care for them ourselves until they die.

Admirable thinking. However, as years go by and care needs mount, we find ourselves faced with the fact that we can’t raise our families, work our jobs and run to Mom and Dad’s condo three times a day.

So, with some guilt, we start looking at other options. For some people, this means having your parents move in with you. If there is enough room so everyone has privacy and the personalities blend, this can work. However, before making such a move, make sure your head is as engaged as your heart. While you are considering this option, you also may want to read “Living With Elderly Parents: Do You Regret the Decision?”

Another option you might start with, though there is some guilt attached, is getting some in-home agency help. Why the guilt? Because you are now sharing the caregiving with someone else. Someone who is not a family member. You are hiring help for your parents. That isn’t what you had in mind for them, but they are not safe alone all day, and you can’t be there all the time. You have to do something.

The same guilty feelings are often attached to adult day care. Adult day care can be a wonderful choice for many seniors, as they get care and supervision, plus peer interaction and activities more stimulating than watching TV all day. But, this too means you are turning over some of the care to strangers. You were going to handle it all yourself. You told them you would. And now? You can’t. You need help.

Then the day comes where in-home care can’t handle all of their needs. Adult day care can’t take care of them. Only one choice remains, and that is a nursing home.

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Esined0704 said
May 13, 2009

This is a good article, and everyone knows their own situations and what they can handle. However, there's a difference between not putting people in a nursing home, and promising to personally provide all their care for them. My grandparents were promised they would never go to a nursing home, and as a family, we stuck to that. With all the outside health care options available, we still did all that we could, and got the help with what we couldn't do. It was good for my children to spend some time with their great-grandparents without the discomfort of being in a facility. It also made it easier for frequent visits from other people, because they were actually visiting a house they knew, not a facility. Of course it wasn't easy, but it's not always easy to keep a promise. Please be mindful, I'm not speaking against anyone who did put someone in a facility. As I said before, we know what we can handle.

Anne said
May 13, 2009

This is an excellent article, Carol. I love the spirit of caring for our parents idea you presented. Thank God for all the choices out there, and the help it is to those of us caring for those who can no longer adequately care for themselves. My son is not uncomfortable in our Nursing Facility at all!!! In fact, they love him, and he asks to go. He plays the piano for the residents, plays ball with them, helps pick up dropped items, and the nursing staff love him as well. We love going to the facility for picnics, to watch movies, Laugh Club, garden parties, help bake cookies or do woodworking with Grandpa, go on the bus with Grandpa to a ballgame or to a local restaurant. For those who think facilities are uncomfortable, find one that isn't. I'd choose this one for myself! My Dad, and my Father-in-Law have thanked us for moving them there. It's a beautiful place, and the staff tells us everything we need to know about their care. We're there everyday to play Checkers, Chess, or build a puzzle. They have been such a blessing to us, and we don't have the grunge work, but have energy to enjoy our parent's final years... What a blessing the right facility can be for everyone. Thanks for the article, Carol. Anne

RSuzyJ said
May 13, 2009

I would like to find a location as lovely as where your parents are located, Anne. It sounds so nice and not at all like the nursing home my mom was in where clothing was lost and her things were misplaced or taken by others and where she suffered lack of care causing bladder infections along with staff inconsistency as to rules and assistance. My sister was working and lived near her and did her best to check in. I was only near her for a short time and have full time care of my husband who has Parkinson's disease. At this time, I cannot imagine living without him and I certainly do not want him to be in such a situation ever. I fully plan on spending every day with him if he must go into a nursing home later on. I am concerned, however, as to the length of time I can actually care for him myself because I am 60 years young this year. I too have promised him I will be here for him as long as I'm physically able. I thank Carol for her excellent article above and really like these last lines: "Honor the spirit of your promises by being the best caregiver you can be." I am not sure about getting on a list yet, but will look into it. Randyl

Anne said
May 14, 2009

Dear Randyl, can only imagine your hardship and struggle. A dear friend of mine fought for her husband's final days, and lost him to Cancer. Even though he's passed, she struggles, still. I pray you have tons of support and loved ones who can see you through this difficult time in all your lives. Good heavens! Sometimes we wonder how much we can take. Thank God he's there when we cry out to him. Always there, and never leaves us, even in the darkest hours.

Randyl, my Dad was in a horrible place before this, and another that seemed OK, at first, in comparison, but that I came to greatly dislike. We were absolutely blessed to find a facility within 4 minutes of home, and that Mom allowed me to transfer her husband by me. As legal guardian, I had the ultimate say, and have now moved her, so all is working out...for the moment. Though NOTHING is perfect, including our very own homes. A couple very nice new belts and a borrowed book disappeared from Dad's place, so we limit the valuables there. Once in awhile someone else's clothing ends up in his drawers or closet. Sometimes his get misdirected or find new homes. No big deal. No sweat. Just things. The most important thing is finding good care. I would not tolerate poor care, for long. And still, no place is perfect. Humans aren't, and humans run facilities. But active consistent family involvement helps greatly. I realize everyone will not be as fortunate as my loved ones have been. Often families have to make tough choices and sacrifices. My hats off to you who are doing the best you can with what you have and where you are at. You are heroes! Love is the bottom line. Love will persevere, protect, heal, and conquer. And most of the people on this site are full of compassion and love. Take care of yourself, Randyl. I'm praying for you. It's a very tough place you're at. Glad you can come to this site and find encouragement and many people who care.

RSuzyJ said
May 14, 2009

Anne how beautiful! Thank You for your kindness, encouraging words, love, and prayers! With smiles and some tears, I so appreciated your writing to me in this way! My situation is not as dark as it seems. For now, God has blessed my husband with continued mobility and we have had immense freedom as full-time RV'ers for 4 years. I have been able to drive our motor home and I tow a small car and we have toured much of the East coast and part of the West until finally we must stay put more due to tight finances and my husband's needs for more physical therapy. I love travel and I am kind of a 'wanna be' writer - but not enough time to pursue it now. I hope someday to have a memoir about our travels the past 4 years. My husband helped me find love and a true home when we met 11 years ago. He was diagnosed about 10 years ago. For one of the years, 5 years ago his family placed him in an Assisted Living Center and he was also in and out of a nursing home due to falls. I am also a trained massage therapist. I took a 'breather' from 'us' and went away to care for a friend's mom who had a stroke and during that year, my husband's family sold his farm. So, I had time to think about my choices and how I truly felt. I decided I could do this and wanted to be with him. He feels very blessed not to be in the Assisted Living Center now - although it was a very lovely one - so in the future we do not know what will be comfortable if or when a nursing home is needed, but I trust God and know all will be well. I hope everyone who reads this knows how important 'Faith' is and that as you said, it and Love can get you through most everything. I do appreciate this fine web site and hope others are benefitting from it also.

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