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My MIL has thrown out 9 different aides that were assigned to work for her. Her physical health has also deteriorated greatly over the same 6-month period; she's used a wheeled walker for over a year now, when she does walk. Her sense of balance has worsened terribly.
I guess what I need to ask is what can we do (we being her two grown children and their spouses, 3 of whom work full-time - one of which has a heart condition and one who is disabled)? Her mobility is poor, she's incontinent, she refuses an aide, she refused her doctor's visit with her neurologist, and she now has started to become even more agitated and nasty with all family members... not just one of her children whom she loves to use as a punching bag.
Her laundry is done every week, along with fresh linens being put on her bed; grocery shopping is done every week along with cleaning the bathroom, cleaning the kitchen, the bedroom and living area. Her small patio gets swept every week to every other week.
The four of us are drowning in responsibilities. Of course my MIL should receive the best care possible, but the four of us have been doing this for a year and one half and we have responsibilities to our own families and to ourselves as individuals.
There aren't sufficient funds for an AL situation and while I know I'm not a doctor, it seems she would need more help than is offered at an AL facility.
Any ideas you may have are appreciated. Thanks.

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You said “Of course my MIL should receive the best care possible, but the four of us have been doing this for a year and one half and we have responsibilities to our own families and to ourselves as individuals.”

What she should have is the best care that’s possible for all of you involved. Not for four of you to hurl yourselves into an early grave to make her situation, which sucks, one pale sliver better. Focus on the least worst compromise that gets everyone involved the closest to what they need.

By the way when you do get her placed somewhere there will be PLENTY for you all to do and worry about. It’s not “abandon and forget”, so take that into consideration because you don’t want to wait until you’re so burned out you can’t deal with that.
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Reply to Slartibartfast
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It is estimated that approximately 30-50% of caregivers die before the person they are caring for. That isn’t by accident. If your MIl didn’t set up a power of attorney for financial or healthcare purposes, then you as a family need to speak to an attorney regarding options for setting up an estate plan or a guardianship/conservatorship for your MIl. It sounds as if she’s incapable of making financial and healthcare decisions for herself. That makes talking to an attorney even more crucial. Attorneys can help you navigate systems that can help you with AL options. This includes help with Social Security, Medicare and Medicaid. Sometimes tough love is needed. I became my sister’s caregiver in 2023 when we first discovered she was suffering from early stages of Alzheimer’s. It was a nightmare. She had no estate plan set up at the time, but we were able to work with attorneys to set up a plan for her. A few months later, her physician declared her incapacitated and incapable of making her own financial and healthcare decisions. It hasn’t been easy, but the cost of the attorney was well worth the time and effort for our family. My sister currently resides in a 24-7 Memory Care facility at a nearby AL that specializes in dementia care. It is paid for with SS funds, my sister’s savings, Medicare, and a Medicare Supplement to cover her medical needs. Fortunately, we don’t require Medicaid help yet, but that is still an option should funds run out (despite recent government changes, I think). I am not one to run to attorneys; however, in this type of case, it was money very well spent. It was also the very best care we could provide for my sister and our entire family.
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Reply to Sister48
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Does someone hold DPOA? If so, that person can have Mom placed. She can no longer make informed decisions. You will need to spend down what assets she has then apply for Medicaid. House and car are exempt assets. Its no longer what Mom wants but what she needs. And you and siblings need too.

With my Mom, she had 20k in assets. I placed her into Long term care and that 20k paid for 2 months. That gave me time to apply to Medicaid and get them info needed. By the third month, Medicaid had started paying.
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shirenagel Oct 23, 2025
It is my understanding that durable power of attorney is not enough to place somebody who is not willing to go. I am under the impression that you actually have to have guardianship to force someone against their will. An assisted living place will not take somebody says they won’t wanna be there. People still have rights even with dementia. Please correct me if I am missing something, but this is what an elder law attorney told me.
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Look into a memory care facility or skilled nursing facility that takes Medicaid. You are not able to keep up her care at home and she obviously doesn't appreciate outside care coming into the home. It's time to do what is best, not just what she wants. She is not a queen, and you are not her serfs. It's time to act in the best interest of everyone, not just one person. There are good facilities that can keep her safe and cared for.
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Ltracy Oct 4, 2025
I agree she needs more help than maybe family can give alone. Memory care may be their best bet. However, very likely her behavior is due to her broken dementia brain. Her being able to appreciate or not may not be in her capacity at this time. Doesn’t mean she’s a wicked mil.
My mom was kind & funny until vascular dementia set in. Totally different personality, thought we were poisoning her, didn’t want anyone coming in to help, very difficult. But it was because of her broken brain/vascular situation, not her thinking she was Queen bee.
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She no longer has the capacity to make decisions for her own well being.
She should no longer be living alone.
You, her family should not be enabling her to make decision like this.
She either has a full time, caregiver or several in shifts OR she is placed in a Memory Care facility that can meet her care needs.
She will not be happy with either decision but this is not up to her.
The choice of fulltime caregiver or a facility is one that her POA makes.
If the option is a facility then she is placed, the house is sold to pay for as much care as that will cover then an application for Medicaid is done. (Make sure the facility that you select initially is one that accepts Medicaid so you do not have to move her)
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JJDFLT: She requires residency in a managed care facility.
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Reply to Llamalover47
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She no longer gets to decide what is best for her. She has advanced dementia therefore she cannot make good decisions for herself. See an elder law attorney to discuss applying for Medicaid for long term care or other ways to finance caregiving at home. Maybe a reverse mortgage is something to look into.
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Reply to Hothouseflower
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At some point in this progression she will become weakened. She won’t have the strength she has now, my mom progressed from walking around to bed bound in 3 months. The first sign was her inability to get her footing correct and then losing her ability to control those functions. Have you guys looked into medicine for agitation or irritation? Unfortunately you don’t know what her your MIL interprets when she sees you guys, her brain could be giving you guys faces of unfamiliarity. Does she have a medical POA? That should happen sooner than later and it is time to (if she’s competent enough) to ask her what she wants, include her in her life and death planning. Just imagine, someone taking over your space and area and you literally just don’t comprehend what’s going on. I know the frustration, I wanted to quit, I cried a lot, my anxiety is terrible I don’t look at people the same, but I just had my moms funeral yesterday. That time with her I’ll never get back. These moments won’t last forever, praying for the strength of your family. Please don’t stop trying to do what’s best for her🙏
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JuliaH Oct 4, 2025
Sorry for your loss but they never really leave us spiritually. Rest now
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First, and most important, the four of you STOP doing things for her.
She doesn't feel she needs aides because she imagines you will continue to provide for her every need. Stop cleaning, shopping, and doing her laundry.

Does anyone have medical POA for her? If not, you can all step back and allow her to fail at living on her own. She will then have to make some hard choices, either die alone in her home in filth, hire housecleaners and/or personal care aides, or find a suitable nursing home which will be covered by Medicaid if she lacks the funds. The family does not pay for any of this.

One other option you have, but it's not ideal, is to call APS (Adult Protective Services) and tell them she is not able to take care of herself in her home, and the family is unable to care for her. If APS finds that she is unsafe, they will pursue a court appointed guardian who will make the decisions regarding her care.
If any one of you have POA, then it is that person's responsibility to ensure she is getting the care she needs, is safe and healthy, but it does NOT mean you have to be the hands on provider, and it does not mean the family needs to go in weekly and clean her home, make her bed, do her laundry, sweep her porch, and bring her groceries!
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Reply to CaringWifeAZ
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ig Your Mother was good to you all most of your lives, then remember she may not be able to help her behavior now. If she was always nasty, then this is just how she has usually been in life.

if she took care of all the tasks you listed, for all of her kids, that is a big difference from a Mom who was selfish and neglectful. Only you guys know if she really loved you, or was just a user.

If, she was a good Mom, then do your best for her. If not, it is understandable, and you can only do so much.

best of luck to you all. 🙏🍀❤️
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