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I have been advised to call on the situation and curious if there are people who have had adverse reactions when they thought they were doing the correct thing...I take care of my Dad who is Bedridden, and (try) to take care of my Mother who has beginnings of Dementia, and have a sibling who lives in the home who is older and in poor health and does not take care of themselves properly.

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If your definition of an adverse reaction means they will suggest things you don't want to do, don't bother calling them. You have to be willing to let them make objective decisions and take control.
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If you're calling because you honestly think someone in the home is unsafe and not because you just don't like the arrangement, you'll be happy with the outcome, in my opinion. They will either: take action; recommend action; or be satisfied no one in the home is unsafe.

If your motivation is pure of heart, don't worry about it. If, on the other hand, your brother is driving you nuts by living there and not paying his way? Well, that might give me niggles of conscience I wouldn't want to live with.
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First...you need to gather your thoughts and ask yourself what is your ultimate goal for the call?
I guess I'm confused on why a caregiver would call APS.
If you're looking for assistance...they may be able to help...but their role is to investigate abuse or neglect of the elderly.
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With everything you've shared with us, I, personally, would not make the call.

Odds are they would not remove your brother from the house anyway, Montana. If mom would be upset if you made the call, crushed if they removed her son, and, undoubtedly, also crushed if they removed your dad from the home? That's enough for me.

Remember, APS doesn't care WHO'S crushed. They act swiftly and without mercy if they believe someone is at risk. But really? It doesn't sound like anyone is. Let it go.

Addressing a specific problem you mention -- that your mom forgot to give you a doctor's message -- contact your mom and dad's doctors and instruct them they are to call YOU and not relay messages about your parents' health, lab results, medication adjustments, appointments or anything else to anyone but you. (I assume you have both of their healthcare powers of attorney.) My mom's been on that program for three or more years.
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She just forgot that I had told her that he had staph, she was questioning why we all have to be even more careful with hygiene and had forgotten that I had told her about the call. I just have to pray on it and have faith because it is a hard decision to make.
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I don't see where bad things could happen unless someone else makes the call before you do.
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Then I did read correctly between the lines. It's your brother you have a problem with. If this is mom/dad's home, ask them if they would like him gone. If they say yes, give him notice. If they say, "*shrug*, then if you've made the decision you can no longer care for them if he's in the house? Tell them that and leave it to them. If they say, "Yes, then let's ask him to leave," give him sixty days' notice. If he won't leave, call APS for their assistance. I don't know exactly what they'd be able to do . . . unless they found him unsafe. They might simply suggest eviction through an attorney.

If you're going to do this, you have to be willing to go to the wall. Once you ring that bell? It can't be unrung. It could get ugly. And you know that.
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You can have the sibling legally evicted through the city court simply by having one of your parents file.
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NEver got response from APS, could never reach a real person. Left a couple of messages on their answering machines. There are 2 staff covering several counties in West Central Indiana. I worked for a local non profit community mental health center and when I checked with professional staff, unfortunately it is rare for that Agency to respond to anything except Court Orders.
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That's the whole problem in a nutshell, she doesn't want him to leave, he could not take care of himself if he did. His Doctor sounds like a nut-job (10 INR) is ok?? Anything above a 3 should be ER...And he just keeps lying and telling her he does everything he suppose to and that I am just losing it....He needs to have a Case Worker come and explain things to him, and if not that then maybe go somewhere where they can monitor him...
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