My mom broke her knee cap and lives in an apt upstairs she needs rehab but wants to live with me. So since my original post I got my mom into a SNF for rehab on her knee. Today I had a meeting with social services and she hinted that 10 days is the norm for discharging patients and that would probably be happening soon. Even if I could get her upstairs , the social worker says she will need to be looked after. Mom can not bend her knee for another 4 weeks wears a big heavy brace and can not get up, can not go to the bathroom by herself. I asked her what are my options if they discharge her and I can not take care of her and refuse to take her, she said she could give me a number to a board and care facility that I could call. I told her my mom has no money and can not pay for that, and Medicaid doesn't cover that. She told me I need to put together a plan A ,B and C. We have no other family. I told her my plan was for her to stay there until she can get around, get up, and go to the bathroom by herself. And then, I may consider her coming with me for a week or two until she can get approved for In Home Care. But that I can't stay home 24 hours a day, and change diapers etc. she gave me the impression they would be discharging her this next week. Can anyone help me? I am in California, she has Medicare and Medi-cal. If I take her I do not believe I will ever be able to get her to leave and within 2-3 days I will be looking for a bridge to jump off. What will they do with her if I don't take her? Please don't judge me, I really need help on what options I have. I am confused and stressed and sad for what my life will be. I feel like the social worker did nothing but try and bully me into taking my mother.
They get to a point that many just cannot continue he and it is not worth feeling badly Bout her lIfe of planning.
Best of luck and hugs!
And then you write: "If I take her I do not believe I will ever be able to get her to leave and within 2-3 days I will be looking for a bridge to jump off."
Then please do not take her in with you for that "week or two"!
You are correct; that social worker is bullying you. One thing to realize is that it's easier for HER if you agree to take your mother in or to provide care for her. It's not your job to make it easier for the social worker.
"Unsafe discharge," as is stated above, is the key phrase you need to remember. Don't waffle on what you might do; set very very firm boundaries. You will NOT take care of your mother or have her come to live with you for any length of time, for any reason.
You CAN say " no, I can't possibly do that, I can't care for my mother in my home and I can't pay for her care".
Stand firm.
"She told me I need to put together a plan A ,B and C."
Your social worker seems to be having a little trouble with her pronouns.
THEY need to put together a plan A, B, C.
YOU make it clear - and I should keep it simple, as per Barb's suggested formula - that you are not A, B, C, Z or any other letter in any known alphabet.
Oo. Just a thought. You didn't sign any undertakings as part of the process of getting her admitted to rehab, did you?
That is plan ABC.
Under today's abbreviations for caregivers, I am assigning the social worker's ABC to:
"Another Bad Call".
I am seething at this, I had a very similar situation but, I did not know anything or have any resources at that time, it took ten years off my life and aged me like 15 years. Si I get really ticked when I here someone else is going through the same crap.
As others have said, Not a safe release plan, unsafe release, you are not an option, PERIOD!
Are you willing to tell them that they need to get approval for her to stay or find her a safe place to be released to until she is self sufficient and then walk away, no visits, no calls, no anything? This is tough but it may be what is needed to force them to do their jobs.
Uugghh, the medical industry is so frustrating.
Stay firm and strong and do not let your mom come to your home at all.
Do NOT answer the door!
They can't force you (legally) to care for her.
But they sure have some underhanded tactics.
"Are you willing to tell them that they need to get approval for her to stay or find her a safe place to be released to until she is self sufficient". YES
" and then walk away, no visits, no calls, no anything? This is tough but it may be what is needed to force them to do their jobs. " NO, probably not. Ask me in a couple days after she came home with me, the answer would be different I am sure.
Country, no I did not sigh anything saying I would undertake anything. Unless they had me sign something unknowningly.
When my honey was in the hospital with his edema and heart failure... I flat told the doctors, social workers, nurses etc that he could not come home until he was fully mobile and able to care for himself....period and stood by that all the way through. My honey was transferred to a skilled nursing facility where he received rehab. He dropped 74lbs, regained his mobility and was able to do for himself (except for his IV). He just came home a week ago yesterday. Yes I am his caregiver as I have been since his strokes 13 years ago, take care of changing his bags and batteries on his IV and have generally resumed the caregiving I have been doing for 13 years.
Hope this has helped a little. Hang in there and take care.
Please keep us posted and let us know how you are doing.
I know this sounds a touch paranoid, but what you must not allow - the line not to cross - is for your mother to be your responsibility at any point. At no time must she be in your control. When she is transported, it is done by a service which takes her from point A to point B and nothing else. If she's in your car and you get to point B and they say "sorry no room..." if you're an ambulance driver, you return her to point A. If you're you, you're well and truly stuck.
You wait 'til she's got there and settled in, then you turn up with flowers and a hug. But Do Not Pick Her Up, literally or metaphorically.
Your mother apparently now in need of full time care. She has Medicare and California's Medicaid. She is IN a bed in a facility that can care for her.
If the social worker continues to insist that you accept your mother into your home, take a "vacation". Stop visiting, block phone calls.
It's the nuclear option, but it IS an option .
Agree with CM, DON'T try to transport her anywhere on your own.
People who plan ahead live in single level homes with good handicap access a decade before that's a need. Others think "oh, I'll think about that tomorrow" or "I'll just go live with my kids".
Your mother's lack of planning does not equate to you giving up your livelihood.
I wonder if the social worker is being quite as obtuse as she seems to be because your mother is constantly assuring her that staying with you will be fine, no problem, was always the plan blah blah blah. If your mother appears to be rational and states it as her wish and intention to stay in your home, if she even maybe overeggs it a bit and gives the impression that your home is "our" home, and given that your mother is the social worker's client, it might explain why Social Sally is really not getting the point.
Maybe it's time for some kind of very blunt, crystal clear "for the avoidance of doubt" communication. Start by finding out in detail exactly what your mother has been telling her, maybe.
She is manipulating the situation by telling social workers that she is coming to stay with you, are you willing to be manipulated every minute of everyday until she decides otherwise? Is it really fair to her, to let her come to your house knowing you are not able to care for her? Why is she not working on a solution to her problem? Because she knows she can push you around.
I hope you find the strength to preserve your life and tell her no.
I am not trying to hurt you, I just know you will regret it if you don't say no.
Are you willing to live in misery because she failed to plan?
Can you see a future for yourself with her as your live in parent, you and her and no one else because she has taken over your life?
This will sound harsh and maybe cruel, but, get a spine and stand up to your abusive mom if you want a life.
My mom was in a facility but the rent went too high. Hubby said, "She can move in with us!" "Oh no", I said, " it won't work out." She lasted 3 months with us. We weren't getting along.
For the sake of your relationship, please don't move her in. You will regret it.
Did she get the two-day notice today? Have you decided what you are going to do?
Please, please refuse to take her into your apartment. I can see you regretting it very much if you do. What's to regret if you DON'T?
Consider informing the social worker/discharge team/whoever out of your mother's earshot that you cannot take care of her, and that THEY will have to find an alternative placement for her.
Your mother is at risk of dying if she can't walk to leave her home in case of fire or other disaster.
HOW can they discharge someone who would not be able to escape a catastrophe? Call the fire department and ask about this logic. Then report back to the rehab center as to what they said.
You should be brainstorming right now with the discharge planner/social worker as to WHERE she will go after discharge. Tell them she CAN'T stay with you. And since she will need help after d/c, they need to be looking for a SNF for her.
Practice in the mirror saying,"No, I can NOT take care of her." They don't need a reason. Just NO. They will not put her out on the street. But you MUST be firm.