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My BIL and sister made family members promise to never put them into a care facility. Money is very limited so hiring help is not an option. Their income is such that they don't qualify for aid, but don't make enough to hire outside help. Any suggestions as to how to proceed?

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Anyone selfish enough to ask someone to make such a promise most likely would put you in a home before they'd ever lift a finger to help you.

This whole "promise not to put me in a home" business needs to be a two-way street.

Sure, I'll promise not to put you in a home, but ONLY if YOU can promise me not to ever get so sick that you need to be in a home.
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GSDlover Jun 30, 2025
Hear, hear!
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First of all promises are made in certain circumstances and they are off the table in others. There would be no divorce if this wasn't the case. Promises are silly and a set up for failure; that's fine, because failure is a fact in life, and we learn from it.

Now on to assessing the situation. What it is, what is needed, what the assets are, and best how to proceed step by step. What to try and what to try first. Set aside the whole silly "promise angst" and get on with it would be my advice.
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When someone tells family or friends never to put them in a “home,” it’s time to have a serious discussion about the alternatives. They clearly don’t realize what they’re asking. They might be shocked if they knew. Like, my parents’ dying took 5 years. And they didn’t go gently. They’d made no plans, and it was all up to me.

I’ve learned that there’s a better way than jumping in and promising to do it all. Lay it on the line for them and tell them you’re unable to rearrange your life. Then offer to help them find another way to provide care for themselves.

Wow! Care for themselves! It’s in their corner now! What a wonderful idea!
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Forget the promises. They were made without information you now have. They were made without ever thinking you’d be where you are now. They were made out of wanting others to have their way, not knowing the harsh realities that were to come. They were made out of a false sense of being able to control the future, to change circumstances of which there is no control. Forget the promises and never listen to anyone who tries to remind you of them. Make decisions based on the least bad option, based on the realities of now, and the best interests of all involved, including those expected to save the day
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TouchMatters Jul 6, 2025
Thank you Daughter of 1930.
Very well said. Amen.

Gena / Touch Matters
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These people that have family members ‘promise’ to never put them into a ‘home’ infuriates me to no end. Hey, if they are well off and won’t run out of money, then hire in home help to the moon and beyond. But most situations don’t have endless deep pockets and the money is either limited or non existent, and by the time they are ready for some type of help their children are in their retirement years. It robs their younger children/relatives of a time in life where they should be enjoying themselves, but a lot of these seniors don’t care. It’s really quite selfish and unrealistic.
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MissesJ Jul 10, 2025
True! I recently had this talk with my m-in-law. She said, “I had four children so that I would never have to go to a nursing home.” I told her that we all talk to one another and we definitely will.
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Don’t take on POA for people like this . They dig their heels in at home and it’s a nightmare. Trying to force you to be a care slave.
Sorry if I sound bitter and harsh .BTDT with parents and in laws.
When the time comes call APS , or the relatives local area Agency of Aging . Let them deal with these people.
Do not move them into your home . That makes your home their residence . My nephew made that mistake . He’s in a very bad spot right now.
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JeanLouise Jul 7, 2025
BTDT?
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I think the answers given are very sound. I would like to go a bit further into the process, though. I wish my mother had spent her last 3 or 4 years in a care facility. There was no money to hire help so 2 of my sisters and I did what we could to keep Mom safe and clean. It was hard work and often rather trying. She would have qualified for Medicaid to pay for a care facility but refused to go through the process. Each of us, in our late 60's and early 70's sustained injuries trying to to the caregiving that we were simply too old to do.

On the positive side, my sisters and I formed a much stronger friendship than we had had before we had this common commitment and I did forge a new relationship with my mother.

On the other hand, we would have spent just as much time with her if she had been willing to leave her crumbling home. The difference would have been that instead of doing her housework we would have been keeping her company and taking her on rides and to lunch, etc. We all would have enjoyed those last years so much more.

Children who are of retirement age should not take on the work of caring for those who need significant help. Those who work in care facilities have training that enables them to do the necessary work more easily and safely. It is both unrealistic and unkind of an older person to expect relatives to take on work that is beyond their skill level or their fitness level, It is unrealistic and unwise of us who are, ourselves, elderly to attempt to do so. A gentle reality session should be instigated to explore better alternatives.
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SID2020 Jul 6, 2025
Thank you so much for your heartfelt response, it means so much. I'm glad you and your sisters were able to find positives in your situation. It is so hard but this forum is changing lives.
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This is now your sister and her husbands issue, not yours. If they don't have money to hire help then they will have to look into facility care as it is NOT their families responsibility to have to look after them and give up their lives or money for them.
That is just pure selfishness.
No one wants to go into a nursing facility, but often there comes a time when there is no choice but that, promise or no promise. And why families are foolish to make such promises I'll never understand.
So the choices are either to struggle on their own, because as long as family continues to step up and enable their false illusion of independence, they will never see the situation as it truly is, and for the family to call APS to report vulnerable adults that shouldn't be living by themselves, or your sister and BIL agree to move into the appropriate facility using what money they have to pay for it and when that runs out apply for Medicaid.
Time for a come to Jesus meeting with the family, sister and BIL and lay these choices out.
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Reply to funkygrandma59
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Alva's post is bang on, we often make promises based on love and feelings and then find we had no idea what we were getting ourselves into when cold hard reality arrives. Re-frame this in your mind as a promise to advocate for the best care you can arrange that will meet their needs.
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Silly me. I made that promise early on waaaay before I knew anything about dementia. I'd cared for my mother with end stage cancer-that was easier, more support than dementia care. I did not know about the unholy dementia beast. I do now. And my husband isn't that far down the god-awful road. I think by the time placement will happen, there won't be much push back about it. I know I won't be able to deal with the poop. This house, like most, is not designed to be an inpatient ward of linoleum floors, specially designed bathrooms, wheelchair wide doorways and easy outside access. Full shift of staff to help me. Impossible dreams quickly evaporate against the reality of living in an old Victorian house, and no family help. I will be able to manage his care for a while longer, but I'll be quite ok with placement. As one poster wrote-"in the end, it's either you or them."
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cover9339 Jul 6, 2025
For better or worse?
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