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I haven't read all the comments but I think u are being lied to.

Medicare pays for 20 days 100%. 21 to 100 days 50%. With a secondary she may have to pay out of pocket. Maybe about $150 a day. If Gma doesn't have money, they can get Medicaid to put her in LTC. 20 days does not sound long enough in rehab for a stroke victim. Does Gma have money that the POA is trying not to spend so its there for when Gma passes?

Its time to speak up. You are not equipped to take care of someone 24/7. You are entitled to have a life. And they are not fair asking you to take on that responsibility. This may cause problems between u and family but you can't do it.
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You've received excellent advice. To be extra cautious, you might want to put your resignation from unpaid caregiving (effective immediately) in writing to your mother. Then give a signed, dated copy to the social worker and maybe the director of the facility along with a cover letter stating you no longer live in Gma's home nor will be providing caregiving for her in any capacity. State your mother seems in denial of this fact, but she is the POA they can contact for discharge planning.
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Move out now. Stop reporting to anyone. Do not go to anymore care meetings.
Say goodbye to grandma temporarily, telling her you will see her when she is settled in a safe place with caregivers. That you will find her, so do her best to get well in rehab.

You may be dealing with narcissists who want to hurt you and do not care at all about you. Don't know really, but make sure you are very clear that you have quit, said no, and no further discussion. This ends now. Make sure that you are not waffling, unclear, or amenable to manipulation. If your Mom is the problem, cut off communication after saying NO.

You just don't need this anymore in your life, imo.
You have paid any dues already, big time.

Go now, have a better life. The withdrawal pangs will be hard, but you are OKAY!
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My advice to you is not to take on this care. You must let the rehab know this at once. Do not consult your family. Go straight to the Rehab center and ask to speak to the Social Worker in charge. Tell her that you can not and you will not be taking care of your grandmother. Tell them that you have told your family this and the family insists that you can and you will. Tell them that discharging Grandma home will constitute unsafe discharge of her. If you must leave to stay with a friend do so NOW. Because yes, they will discharge her. They will promise you help. You will never get that help. They will say "We can make this work". They will not make it work. You are either willing now to sacrifice your own life, or you must move away from this entire situation. My advice is that once you take this on you will not be free of it until the death of your Grandmom. Sadly. So sorry. You are going to have to stand strong. I would PUT THIS IN WRITING to the Social Worker at the Rehab and I would do it today. They are correct that without POA you have no say in what happens but if someone is suggesting you have to take on her care they are absolutely DEAD WRONG. So do not do it, and thank goodness you do NOT have the POA. You can see for yourself how desperate those who do have it are.
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Sendhelp Jul 2019
Yes, exactly, I agree!
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NO is a complete sentence. Time to get on your life, stop allowing them to manipulate you, let your mother take care of her mother, or, place granny in a home. Take care of you, you are too young to be locked in a prison with invisible bars.
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You can get a job in your field, you have a place to stay, so just do it!

NO ONE else is going to look out for YOU. Be strong.
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Aquacrush, time to change primary doctors. There are things one can do for stress.

I use to say "no" to prescription drugs, nope, no way, nada. I was so stressed out I would wake up shaking like a leaf. This continued on even after my very elderly parents had passed on. I could kick myself for not accepting a prescription to help calm myself while helping my parents.... this med gave me the "whatever" feeling, so small things now don't bother me :)

Exercise is another good thing to help with stress, the only problem is finding time to do it, and to do it correctly. For me, I just became too lazy to bother. Walking is always good, but you would need to find someone to watch Grandmother.
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Aquacrush Jul 2019
I'm actually on an anti-depressant (Effexor) and an Iron suppliment. My doctor is a sweet lady who Ive been seening for about a year and a half since my old pcp retired. I don't fault her at all, and will at least look into a mild anxiety med at my next appointment (was on Vistatil for a short time years ago and it worked wonders)

I love walking, and more so hiking. We live in a large trailer park and up until recently cause use the "I need to walk up to check the mail" and just look the long way around. Most of any respite time I've had (before the dementia got bad, or the rare occasion when another relative was in town to keep her busy) I've spent hiking the nature trails near by.
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To add a bit more context for those who haven't seen my other posts, I have always been the go-to for my family, and have been in an on and off caregiving role for 16 years. I cared for my mother when I was 11-12, cleaning and sterilizing her nephrostomy tube during her 5 kidney surgeries. I cared for my oldest sister during her battle with lung cancer until her death when I was 17. I cared for my other sister with Parry–Romberg syndrome until her suicide when I was 22. And now my grandma the past 3 years.

I think part of the mindset of pushing this on me stem from the simple fact of, they always have. And now that I'm getting older and seeing more and learning more about myself, and pushing back, they don't know how to handle it. I've honestly enjoyed the time I've had with all of my family members, and have never minded caring for them, but it is reaching a point that I feel like there is a huge safety concern.
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AlvaDeer Jul 2019
All I can say is no wonder you are depressed. There are not enough pills in the world to cure what you are doing to yourself. Move away from this needy family now and get on with your own life. Continue to see someone to support you in this decision. Do not expect to escape feeling of guilt. All decent people have those feelings. Only psychopaths don't. Get on with your life. You are used to doing this now. Either you choose to continue to be everyone elses caregiver and give up your own life, or you have the courage to get out there and get your own life, and yes, it is a massive step and will take enormous courage.
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Aquacrush, may I ask why doesn't your mother start taking care of her own mother? What are her reasons? Even if your Mom says that she would pay you, I wouldn't accept. I wouldn't take this job for a million dollars because the job would outlast you.

Yes, you do have a say in this case. You are not an indentured servant, you do have rights. Honestly, I can't believe a couple of Elder Law Attorneys would say you do not have rights.

You can try to saying "no" about taking Grandmother back home from Rehab. Just tell the Case Worker you cannot do this anymore, that you are completely burnt out. Then it will be up to the case worker to contact your Mom and see whatever can be done.

Stats show that close to 40% of family caregivers die leaving behind the love one they were carrying. Then what? Tell your Mom that bit of information and see how she reacts. Talk to your primary doctor, explain the situation, get recommendations because you are now on the edge. Hopefully you have health insurance.
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Aquacrush Jul 2019
My mother is (forgive me) completely useless. My grandma is the one who raised me because my mother was to busy living the party life and didn't want to be settled with a kid. The only reason she is POA to begin with is because when the paperwork was filed I was to young to be eligible (you have to be 21 where I am, and I was only 16 at the time) and with the dementia it can no longer be changed.

She has never offered to pay me, except for paying my car insurance where I wasn't able to work so that I could get to doctors apointments/ grocery shopping. I do get medicaid with a work exemption (caring for a family member fullfills the work requirement because it is documented by her PCP) so I will have that until I start working a "normal" job. Luckily my field is in high demand here, so even with the gap in employment, it shouldn't be difficult to find work.

I have spoken to my doctor about the situation, but as she said "there is no pill to cure stress"
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You have every right to say no. If you can move out of your grandmother's house, do it now. At the next care meeting or visit, simply state that you are moving and not available to care for her. If moving out isn't an option, remind them that your mother has POA and they have to find a solution to care giving that doesn't involve you. You are 27 and you should be living your life. Asks them why is it oh so important that you have to take care of your grandmother. Is it because your mom, social worker and doctors too stupid and lazy to find something better?
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Aquacrush Jul 2019
Moving wouldn't be an issue, I don't have much where I've been full time caregiver and not workong for 3 years, and a friend has already offered me a bed (they have a 5 br house with only 2 people)

They haven't given any soind reasoning outside of "you know this is what she would have wanted, she wants to pass in her own home! How can tou be so selfish and lazy as to turn your back on her when she needs you the most?!?!"
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Whose home do you reside in?

If you can, leave. Go to a friend. Stay in a women's shelter. But get out.

Do you gave a job? Get one. The only way you will get others to provide care for grandma is if you are not physically there.
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Aquacrush Jul 2019
I've been full time live-in caregiver for my grandma for 3 years. Moving wouldn't be an issue, as I have very few possessions, and a friend who knows everything that has happened has already offered to let me stay with them until I can get working, either permanently or until Im comfortable enough to get a place of my own.
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One more thing. If you hear comments like, “How can you give up on your grandmother?” Or “you are abandoning her when she needs you most”, you say, “Come on, Mom. I call BS on that. I am not interested in mind games. Nor does any of this help Gma. You may want to spend your time educating yourself on what you need to do going forward. There are resources available to you... just get in touch with the hospital/rehab social worker.”

Then, get busy... doing anything but engaging with these people. You don’t have to be mean or snotty... just stay very even and do not explain yourself beyond the above. If they ask why you aren’t around and you feel you need to answer, a simple, “I have my own responsibilities and future to work on.”
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Aquacrush Jul 2019
Thank you so much for the reply, it really put me at ease. Honestly my biggest concern was being in trouble legally for abandonment (which they have threatened me with), but with her being in the hospital right now, and the drastic change in circumstances, I wasn't sure what part of the grey area I was in. Ive been very open and honest the entire time that I was concerned about my abilities if she came home.

I know part of it is being a bit...jaded? (Not sure if thats the right term, but its the closest I can think of) It felt odd for them to say "you have no authority decision wise, but if you refuse we will have you arrested" if she was still living here I could understand, because I would be leaving her helpless, but this is a real opportunity to get her more professional help, better than I could ever think of accomplishing.

Moving out is no issue, where I only have a few years of work history due to caregiving, I don't really have any possessions outside of my clothes and a sketchbook/ drawing supplies which all fit into a backpack, and my cat (my tiny soul mate). One of the few friends I have who knows everything that is going on (bless his heart, he deserves a metal) has offered to let me stay with him while I start work, and can either stay permanently after or move into my own place when I feel ready.

Thank you for easing my mind some on the subject, and making me feel less selfish about my own needs.
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I don’t have much time to answer and hopefully others will chime in...

Oh honey! (I do not say that in a condescending manner... just in a sympathetic one:) You are NOT stuck, but you are going to have to be very strong and stand up for yourself in a way others may not be used to.

To your mother... “As POA, you are responsible to get proper care arranged for Gma... I am not it, so you should start looking elsewhere.”

Let all flattering language roll off of you and do not argue specifics AT ALL because that turns it into a back and forth. It gives her something to grab hold of and make you feel badly about. You say that sentence over and over again in front of a mirror. Then, you say it to the doctor, the attorney, your mom and anyone else who wants to guilt you into this.

This is not your mess and you have zero responsibility here... even if you have been living with her up until now. This kind of care is above and beyond, and it is up to HER CHILDREN to figure it out, not her granddaughter.

And you need to understand that what they are saying about you having no say in her care is true... BUT that is not something for you to fear because there are two parts to that - of which you are only hearing one. The other piece that no one is mentioning is that you have no responsibility for her care. None.

You may need to start thinking about new living arrangements but you stay calm and be a person of few words in this.

“If you don’t choose to provide Gma with proper care, Mom, that is your choice. I think it would be foolish and unkind and irresponsible, but it is your choice. I can’t make your choices for you. I can only make mine. I will not provide care in this situation... the game has changed. If I need to move out, I will do so in a reasonable timeframe, but from this point forward, I will provide NO care in this matter. I will visit Gma and kiss her forehead and bring her flowers, but I will not be providing any kind of care.”

Do not get dragged into into an argument.

And please do check back on this site regularly as you navigate this... there is much wisdom and kindness here and people will help you firm up your resolve and give you tools to move forward in a healthy manner. It is hard to break free of old patterns, but I can hear that you are at a critical juncture. You can do this. You have much ahead of you... even if you have to get through some weeds first.
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cwillie Jul 2019
A perfect answer, I wish I could vote this as helpful 10 times!
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