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My Dad died many years ago leaving my Mom home alone and with no friends except her sister (never were many friends if any). We grew up in a house that my Mom's father built, however the house had many many serious problems, things I couldn't tackle and issues that would require major dollars for a house not worth much.
My Mom's sister recently passed and now she is alone. We moved my Mom into our home, we have a beautiful finished basement with shower, bedroom, living room and mini kitchenette. There were prior conversations about living arrangements and need for space but they are no longer remembered. My Mom spends all day upstairs and just sits and watches TV, she routinely takes over part of the home we designated as our space, not that at times she isn't welcome and we do all eat together. My mom forgets prior conversations which means we have to talk about them over and over. These conversations don't go well. We moved my mom in because she didn't take of herself and I was either going to the hospital or running over to her house because a neighbor was calling. I have two brothers and a sister and for reason neither will assist, just a reality I have to live with.
Accompanied my mother to her last doctor's appointment where I learned some prior care history. My mother is addicted to lorazapan (some serious side effects with this drug), a very serious drug. Current doctor wants her off it but is afraid of the withdrawal symptoms at her age. Today, we had another conversation about needing family time and space, she went downstairs angry and hurt. No matter how much I try to explain its not personal she either doesn't understand or chooses not to understand but in either case the conversation details will have been forgotten and we'll be back here again in about 3-4 weeks. We have our own family stresses and now job concerns and this layered on top of it all. Fortunately we are not dealing with big financial issues but no where near the point of paying for $10k per month assisted living neither me or my mom. Im not regularly dealing with guilt, I'm doing the best I can but I also can't continue with these 4 week conversations, they are difficult and emotionally hard on all of us because one party doesn't understand the request and reasons why. I know if I chose to leave my mom in her house she likely would have passed by now and I wouldn't have wanted that. Id go over and shed be in the back bedroom, all the blinds drawn and curled up on a small couch, the house would stink and what food was in the house was rotten. My mother did drive during this time but now no longer. We need some long term relief, we can't even go away for a weekend or go on vacation. Two of my siblings rarely even call to talk with my mother, the whole situation is just very sad. I am the only working sibling and though my mother looks to us for companionship its not easy to offer after working a stressful job, taking care of the house, grocery shopping and cooking not to mention my own families needs. Mom won't do adult daycare, we've asked repeatedly. At the end of the day my concern is there is no workable solution to my situation.

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To answer your question....yes, you did take on WAY more than you can handle.
And thankfully your siblings were smart enough not to even try and tackle caring for their mom.
It sounds like perhaps your mom has some dementia which may be made worse by the medication she's on, and that will only continue to get worse. So if you think things are bad now, just wait.
It's time now to talk with your siblings about getting your mom placed in the appropriate facility, that she will pay for, not any of you.
And if money is an issue she'll have to apply for Medicaid.
You are NOT responsible for your mom, but you are responsible for your spouse and marriage, so you must now do what is best for your spouse and your marriage, and that more than likely will include getting your mom out of your house.
And until then you don't ask your mom if she wants to do this or that, but instead you TELL her what she will be doing if she's wanting to continue living in your house, until you find the proper placement.
I wish you well in taking your life back and getting your mom placed sooner than later.
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Reply to funkygrandma59
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TH2Os5 May 18, 2025
Some hard truths there, truths nevertheless and that's what I needed to hear. Thank you!!
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I don't completely understand the American system but, from everything I've read here, it seems that people who need more care but can't afford it get help through Medicaid. Their children aren't responsible for paying for their care, they are. So, if your mum needs more care, which it sounds like, then help her to apply for Medicaid.

Your mum sounds lonely, as well as cognitively impaired. Assisted living or memory care (whichever Medicaid will pay for and is appropriate) would mean that your mum isn't alone all day.

Your mum would likely resist having to move out, but you should be firm for both her sake and your own. Don't feel guilty about doing the right thing.

Also, don't feel guilty about wanting to live your own life.
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Geaton777 May 18, 2025
MiaMoor, in most states Medicaid only pays for LTC (so not AL or MC). One has to be medically assessed by the doctor or facility as needing LTC. It usually means one is profoundly impaired: usually immobile, needing a higher level of care daily. Then, the person also needs to qualify financially. In most states there is a 5-year "look-back" period on the application so how they (or their legal adcocate) manages their financial affairs is critical, since certain types of transactions are forbidden by Medicaid.

In-home Medicaid help is called an Elder Waiver but almost always is NOT full-time, like in a facility.

Hospice is covered by our Medicare benefit.
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If you've determined that mom will stay in your home, you’ll need to get her some social time and companionship. Don’t ask her to do adult daycare, take her and stay a bit and request the help of the staff in getting her involved. Hire a helper to come in to spend time with her, doing whatever you think is appropriate together, doing puzzles, baking, cooking, laundry, errands, cleaning, reading to mom, etc. Mom’s money can pay for the helper. I agree with the suggestion of a more complete cognitive evaluation. She needs more appropriate medication, especially for depression. Accept the siblings non involvement, many of us have had to face this and make peace with it. If there’s no workable solution, mom will move to where help is available and you’ll know you did your best
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Reply to Daughterof1930
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TH2Os5 May 18, 2025
Thank you!! Some really strong counsel. My mom has never been all that social but yet she does want to be where others are, which is understandable for sure. The primary reason "originally" with bringing her over was for someone to be around should she fall or have a medical emergency. She suffers from syncope and was found a couple of times passed out in the hot sun when living by herself. Even now though we battle with her eating and especially with drinking water. Weighs a 100lbs and won't drink a protein shake because of the calories and also thinks because coffee is water she is getting the proper amount of water, though I've tried to explain what coffee does/doesn't do. These reverse mortgages aren't good for every scenario.
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Consider hiring a caregiver from an agency to come 2-4 hours twice a week. She will be a paid “new friend “for mom. Let her ease into it a bit. Perhaps get a caregiver who has some cooking or cleaning skills and can help mom help you with folding laundry, prepping or making dinner, changing her sheets and putting in laundry, taking mom for a walk and bringing in the mail. Then, caregiver goes with mom to adult daycare twice a week. Caregiver and mom go. You may need to pick her up. If mom wants to sit there and stare at the wall. Fine. But she goes with her new friend who will be there with her for at least 3 hours. Caregiver may have to leave after a few hours due to shift length and amount you want to pay. Caregiver can take her, you pick her up. Start doing twice a week. Then maybe add another day without the caregiver once she gets accustomed. It might buy you a few more months while you decide about the best longer term placement. It also gives mom an eye opener that she’s not in charge and what may come. Absolutely take a respite week every month or 6 weeks. Even if you go nowhere or just go away for a couple of days. Mom goes to the local memory care or Alf or nursing home for a week. It’s a bonus to have the new caregiver friend visit and pay for a 4 hour shift with her while in respite a couple of times during the week. Use mom’s money for all of this. Consider selling her family home that needs major repairs to fund some of this. This will buy time to make more definite decisions and May make mom appreciate the downstairs apartment. It’s all so time consuming and difficult emotionally. I’ve been there and understand.
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Reply to Beethoven13
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An accurate diagnosis would be helpful. All the symptoms you describe seem like dementia. It would help you to learn about it, so that you don't keep interacting with her like she's her old self and expect her to react as if she's her old self. If she has dementia, she can't.

Dementia robs people of their ability to use logic and reason. They lose their ability to have empathy for others. They are more and more lost in time and space, and retain mostly only what's in their long-term memory. You keep attempting to get her to buy in to solutions but she is not able to ponder it, or remember it.

Please take her back to the doctor and give her a cognitive and memory test. It may not matter what type of dementia she has, only that her symptoms are not being caused by something that's treatable. There are many things that can cause dementia-like symptoms. One would be over-medication. Does she give herself the Ativan? Or do you? If you're leaving it for her to do it, she may be overdosing herself.

There is a workable solution, if you accept it as such. She gets a proper diagnosis and you work to transition her into a good facility. She does not get to "drive the bus". She' no longer capable. You're on the bus with her and she's imparied. You now need to commandeer the bus. I wish you wisdom and peace in your heart as you help her get diagnosed and plan her future care.
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Reply to Geaton777
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TH2Os5 May 18, 2025
Thank you!!! You highlighted some key things for me especially in the first two paragraphs.
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Coming off the benzodiazepines will be difficult. My elderly aunt had many Emergency visits for metabolic encephalopathy due to trying to get her off the Xanax for over 30 years. She was not functioning and total care when they tried to wean her. She had been self prescribing for over 30 years after working at a doctors office. She was Dealing with trying to be a caregiver for her elderly parents and death of her husband from cancer. I’m not sure I would pursue that. Risk: benefit. She’s not going to be great either way. I would choose the path of least resistance if her prescribing doctor is agreeable. Yes, the lorazepam makes her sleepy, confused, a fall risk. How hard will withdrawal be and is it worth it? Withdrawal can include more confusion, agitation, paranoia, insomnia and hallucinations. She may need psychiatric hospitalization. Is that available in your area? Is she ever going to be fully independent and managing her own life again? Is she 74 or 94? It makes a huge difference on the course you take, imo. Maybe continue the lorazepam and adjust her care and expectations is something to consider. Would I start someone on benzodiazepines at your mothers age. No. Absolutely not. But once they are established on them. For whatever reason, if they have limited life expectancy. Consider continuing. I’ve witnessed the trying to stop because of guidelines first hand and it was more trauma for the patient and the adult child trying to care for them. Hospice will quickly start her on lorazepam for anxiety, fyi.
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TH2Os5 May 18, 2025
Thanks again, I truly appreciate your post and the info provided, she is 88. Dr. is actually concerned she wouldnt live through the withdrawals and would he ever suggest it, which i already know he won't, he said for sure she'd have to be in the hospiral if weaning were ever considered.
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Caregiver can organize the pantry. Make the grocery list. You can order online and mom and caregiver go pick up and caregiver puts the groceries away. Caregiver trims mom’s nails and helps her with basic manicure. Caregiver helps mom organize her closet and weed out things. The caregiver is there to help You off load basic tasks.
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Reply to Beethoven13
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I just don’t see how it’s fair to her that you moved your mother in with you and then effectively banish her to the basement.

honestly, I think you have lost your mind a bit with that one.
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Reply to Bulldog54321
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Fawnby May 18, 2025
It’s a nice basement apartment. OP expected to have privacy, but mom doesn’t remember that.
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You could try respite care and say " Mom we need to take a break . " it would give you a week to problem solve and perhaps Look at Options . It sounds Like she does have dementia - you would need a diagnosis from her Doctor or Neurologist . She is Lonely and people with Dementia or often confused and afraid so they seek to be with other people . Could you get her a small dog for company ? Could she walk a dog or sit Outside with a Pet . Perhaps getting her into a Hobby like Gardening . You could Have a companion come over when she isn't home and walk with her . Next Door .com you could Place a ad for a walking companion . These are just ideas of what I would do till I could come up with a solution . There is the senior center also where she could eat Lunch . I am sure you could find a person to be her companion and take her Out for a reasonable cost .
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Reply to KNance72
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TH2Os5 May 18, 2025
Thank you!!! My mom is very sedentary, has been through PT. I could try to force it but she isn't interested. However, you gave me much to mull over.
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I agree with Funky. Mom likely has dementia going on from all the benzo abuse....it fries all lobes of the brain. Get her to the doc for a cognition test and diagnosis. Then her house can be sold and the proceeds used for Assisted Living and then Skilled Nursing with Medicaid. You moved the woman into the basement apartment and now she has taken over the house. She cannot understand logic or reason....shes an addict and her brain is not working properly. Keep that in mind. He's hurt and insulted by your boundaries bc again, she cannot comprehend them, or that you have your own life, job and problems. She is the center of the universe now. Such is the nature of how her mind works. So now YOU tell HER how things work from now on. She's not capable of living alone and you're not capable of caring for her anymore. It's no longer working.

Get a diagnosis and get the ball rolling to move to phase 2 of moms new life. THIS is precisely why doctors can no longer write prescriptions for large amounts of benzos or opioids. Because they put holes in our brains.
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Reply to lealonnie1
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TH2Os5 May 18, 2025
Thank you!! So much of what you wrote struck a chord!! I certainly read up on lorazapan, but apparently not how to spell it, and like you mention, the side effects are severe. Very true on the prescribing, she'll forget many things but when she sees that bottle running low she's right on the Rx line with the doctor for the refill. No matter the number of holes or damaged lobes she won't be without this one drug. This is a serious question/thought which i have shared with other family members, but I swear, I believe her head has shrunk in size, wonder if this actually occurs or is it just the hairloss that gives that appearance?
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