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A few weeks ago....my sister and I made the difficult decision to move our 92 year old grandmother with dementia into an assisted living facility. Since she has been there, she has called us once to say she had fun. Every other call is she hates it and wants to go to the "other place".
Here is some background information. She lived by herself in CA until 2018; we, her family lived in PA. In summer of 2018, our mother went out to stay with her because of concerns for her safety. It was decided then to sell her home in CA and move her to PA with family. This was attempted many times over the years and she refused, this time she agreed.
The house was sold and she moved in with our mother in January 2019. They bought a one level home that was best for both of them and moved in July 2019.
Fast forward to January 2020, our mother, the sole caregiver for our grandmother, passed away very unexpectedly. The night this happened, my sister and I went on autopilot and had been in damage control mode in regards to our grandmother ever since. My sister and I both work full time and have families, but took turns during our bereavement leave to spend days/nights at our grandmothers home. During this time, our grandmother had to be admitted into the hospital and there the dementia was formally diagnosed. The death of her daughter (our mother) triggered a significant decline in her mental state. She was in the hospital for a week and released to rehab for approximately 3 weeks. It was recommended she have 24 hour care. When she was released home, we hired aides to be with her to make sure she took her medication, ate her meals, etc. Needless to say this didn't sit well with her. We discussed one of us moving our families in with her but we couldn't do it without thinking of long term, not to mention we both had children in different school districts.
She hasn't live in the house long enough to associate it as home
Unfortunately we reached the point that she started wandering at night and she fell and broker her finger. Fortunately it wasn't as bad as it could have been.
COVID of course added another wrinkle into all of this, we couldn't visit her for the first two weeks. When we finally could, she looked horrible, her eyes were red from crying and it broke our hearts.
We know she is safe where she is, which is our priority. But we can't help but feel bad. This isn't the life she signed up for, she should not be spending whatever time she has miserable and unhappy. Our hope is that where she is, she will have a social life at some point. They have meals together and do activities The aides that came to the house, just sat and watched TV with her, that was it.
There is so much more I could share, but I'm running out of characters...lol.
I just hope we are doing the right thing for her.....
She doesn't understand and she doesn't remember our conversations. She remembers that her daughter died, sometimes she remembers that we are her granddaughters.
I appreciate any advice or insight that anyone could give...just listening helps too....
Take care...

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Yes you have 100% done the right thing.

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Thank you everyone for your responses and insight. It is greatly appreciated. It seems like when I accept the fact that this is the best thing for her, she calls me and she's so upset and then I question our decision. Even knowing at some point she would need care beyond what we could provide.
In the afternoon/evening her calls are the worst. They are mean and hateful, which I know is the dementia and not her. She calls at least a dozen times each day. Of course she doesn't remember when we do talk. She is on a low dose medication for the sundowning. But for my own sanity, I had to force myself to only answer two calls a day from her. I feel guilty about it, but I reconcile it to the fact I know she is safe now....where when she was living at her home...I had to answer the calls at all hours because I didn't know, despite having cameras set up at her doorways.
Thank you again...hearing other experiences is so helpful. I'm 44 and my sister is 35, trying to get friends to understand what we are going through...is difficult. Fortunately our friends have not experienced losing both parents unexpectedly at age 66 and within a few years of each other and become responsible for a grandparent. Our friends try and they are supportive...but they don't "get it".
Thank you!! :-)
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It is my opinion that you have done the best for your own lives and in fact for your grandmother. As my brother, who was in assisted living the year before his death, and I discussed, complaining is the main activity at ALFs. From the food on. You never heard so much gossip.
The end of life when you have Alzheimer's is not really up for "happiness". Not everything can be fixed. It is a long slow decline with many losses of bodily functions, of mind. You are doing the best you can with a bad situation. I am so sorry for the death of your Mom, but this is not the first time that a daughter who attempts 24/7 care of her loved elder has actually predeceeded the elder. It is a grueling task with no upside that gets more and more difficult daily, taking a toll not only on the caregiver but on her family as well, and with honestly very little upside for the elder.
Be as supportive as you are able with loving visits. Keep short those visits (when able) or calls that descend into unhappiness.
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I am so sorry for what you have been going through. It is not easy doing what needs to be done. Dementia is a horrible desease. What you need to understand is that Grandma may have no idea what is happening to her and that is scary. The other place may be her home in Cal. As her Dementia progresses she will acclimate herself. She may always say she wants to go home. That also could be her childhood home. She cannot be reasoned with, she cannot process or comprehend. Its now what she wants, not what she needs.

Be happy knowing up until now she had a good life for a lot of years. Not all of us live till 92.
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Back in the old days, people generally didn't live very long, 70's was about it. My mom is 91 and has 3 older surviving sisters (96, 98 and 101). She had 8 total siblings and they all lived into their mid 90's. Some had dementia, some didn't. We have our own kids at an older age now (generally) and so we become the Sandwich Generation, caring for humans younger and older than us. Although there are many beautiful things about a multi-generational household, it is complicated, compromising and exhausting. One can only do what one is willing and able to do. There's no point in being spread so thin that you're a mile wide but an inch deep. Please have peace in your heart that you are doing your best for your grandma.
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You are doing the right thing. Often times the caregiver will pass before the one they care for. I am sorry for the loss of your mom, unfortunately she is one of those. Caring for our elderly is one of the most stressful jobs we do. It impact every area of our lives in a negative way. It effects out health and our sense of well-being. You and sister's jobs are to raise your families and build your careers. That is what mom and grandma would want for you.

Know too, that placing grandma is best for all of you. Anything else would have significant impact on your lives.
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I'm so sorry for the loss of your mother. Also for the unhappy situation with your grandmother.

I have no doubt you are doing the only responsible thing. Your grandmother needs round the clock care that you and your sister could not provide even if you sacrificed your own lives and those of your families trying to do it. It is very sad when a person reaches the point she can no longer live independently, but your grandmother has reached that point and you are having to deal with it.

I hope, as you do, that your grandmother will adjust to her new reality and find peace. Whether she does or not, I firmly believe you and your sister are doing the right thing.
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