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The words "basement apartment" and "difficulty walking" should alarm you to think again. Does the apartment have a private entrance and exit to the outside that does not require a flight of steps? Do you live in a flood zone? Is the apartment self-sufficient: kitchen, bath, laundry, living space, etc,? Would the in-laws need to come upstairs on a daily basis? Face it: you and your husband both with two businesses each, plus a son who needs attention; how much time can you spend with the in-laws in their apartment, let alone your mother five minutes away? Your in-laws will need help which you are too busy to provide, so you will need to hire help like Visiting Angels or Health Care Aides. Will everybody be happy with the new arrangement? I doubt it! The in-laws are probably right in pushing back. Don't do it!
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Teddy2019 Dec 2019
No, the in laws are not right. I have friends who's parents told them they would want them to be in AL and not burden their children. I have made up my mind to tell my family the same. I will gladly go to AL when I need to and I do not want anyone to feel bad about that. I would feel terrible knowing that I was causing such huge problems for my family. I love my family too much to do that to any of them.
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I'm glad Barb brought it up because I thought no one was going to ask - what do your parents-in-law want to do?

Until they're unable to make decisions for themselves (either both of them, or one of them for both) it is up to them to make arrangements if they feel they're not managing at home. They of course can't move into your attached apartment except at your invitation, but have you discussed the idea with them in principle? What's been said about it?

If they're not keen, there's the end of your worries :)

If they've been counting on it but had reservations, there's the beginning of the practical talk. And ideally that talk will lead to their living in an environment that offers all-round support for them as well as a lot less weight on you.

If they are positively eager, it will still be your opportunity to say "hold your horses..." and then outline a) the practical difficulties of the apartment and b) (having first done your research) a shortlist of preferable alternatives.

You will gather I don't on the whole think it's a good idea for them to be so reliant on you, which they soon will be even if they aren't right now.

You yourself have noticed that you are beginning to fray. The stress of taking primary responsibility for not one but two potentially dependent elders *on* *your* *own* *premises*? - no. You'll snap.
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Your hearts are amazingly generous. However, you don't need to move the folks in. Please consider having home health care aides step in to assist them. This worked well for my MIL who lives in Hawaii until she could get into an adult day program and find a good live-in caregiver. AL and total care residential facilities can be a bit pricey. No matter which way you go, try to create a list of tasks that the parents need help with, resources to meet those needs, and the costs in time and/or money. It's easier to make decisions when you can see all the options laid out next to each other in black and white.
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Frances73 Dec 2019
You have to do the numbers. It was better financially for my 92 year-old mother to sell her house to finance AL than use all her savings to maintain a home and use home help. Plus in AL there is someone there 24/7 if she needs help. Home help runs +$25 an hour!
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You already have plenty on your plate. Find an AL facility. Then the burden won’t be just on you. And you can hopefully enjoy the time you spend together.
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I'm chiming in to concur with all the opinions below to not have them move in (or anyone else, including your own mother).

You are under no obligation to provide that kind of care for anyone. Not caring for them personally does NOT mean you don't love them or care about them. It's just not possible and will be damaging to you and your marriage and your future.

Your parents probably didn't ask you if you were going to be willing to be their caregiver (before all this) and even if they did, you wouldn't have known what it would entail. It would have been an emotional, not rational, decision.

You are already not yet "recovered" from dealing with your own son's issues.

All objective minds answering you on this post are telling you it is ok to not have them move in. Don't feel guilty! They've had their whole lives to think about this time and they should not have assumed you'd be their solution. They WILL be isolated and you WILL be overwhelmed and burn out in a flash. Again, don't feel guilty. May you receive peace in your heart over this decision and may all your parents' future transition go smoothly!
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I am stressed just reading your stresses, you have too much on your plate already.

Having them live with you IMO will put you over the top. Read the many posts on here, don't make a snap decision, you will regret doing that.

One of my concerns is isolation, both my mother and step-father waited too long to go into AL, they sat alone and digressed, they are both in AL now (different homes) and are flourishing, making new friends, doing things.

Sending support your way!
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Frances73 Dec 2019
Yes! My mother has a busy social life in AL. Yes, she still regrets losing her “independence” but now has daily social interactions.
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I'm sorry, but by the time parents reach the stage they cannot be left alone, they are usually beyond good in home care. They need the staff available 24/7 to answer their calls as provided in an assisted living environment. Particularly if they are still competent, the socialization and activities available in an AL can greatly improve quality of life. One couple I knew didn't care for shopping on the AL's weekly mall trips but did use the opportunity to enjoy restaurants and eateries. Many routine needs can be addressed by specialists visiting the AL instead of outside doctor trips. When they do need to visit an outside doctor, the AL staff can prepare them for the trip so they are ready when you pick them up. You and your husband can visit and provide supportive care without the dramatic impact providing 24/7 care creates.

I ask you to consider how you would handle one possible scenario: one of you has the flu or needs a minor outpatient surgery, one parent falls and needs an ER trip while the other needs someone caring for him/her at home, and there's a minor crisis at one of your businesses. How will the two of you cope and handle everything?
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It's not good for a 90 and 94 year old to be living alone, or driving if either are.  If you bring them to your home, they'll need care, and that will progress.  Then they would have to move again, which is stressful for anyone, especially for elderly, and even more with cognitive issues.  It may be better to find assisted living that matches with their current and possible future needs.

At 83, your mom should not be living alone much longer.  It would be good to look into assisted living or independent living that transitions to assisted living for her, too.

As nice as it might sound, you'll wind up taking on more than you bargain for if you bring anyone into your home, especially an elderly person who likely needs or will need caregiving at one level or another.

Good luck in whatever decision you make.
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If your in-laws are not incompetent, they are in the position of making their own decisions and doing their own research.

I would not offer in-home care to them, or to anyone. I believe it's isolating and makes getting good health care (constant appointments for multiple health issues) a real challenge.

When elders live in a care setting, there are multiple sets of eyes on them around the clock. Amenities such as hairdressers are onsite and routine healthcare (geriatric internist, podiatry, psychiatry etc.) are easily accessible.

Reading about your current life stressors made me tired. Don't add to that, especially with a fragile adult child.
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I would not advise doing this because it will kill your dreams of travel in your retirement; mean a decrease in income because one of you will need to stop working; and likely stress out your son.

Also, with her having a lot of trouble walking, going up and down basement stairs are not going to work.

I would have each of them see a geriatric doctor for his input of what level of care they need. Maybe they will listen to a objective third party more than a relative.

Have they given you durable and medical POA? If not, that is a deal breaker right there unless they will do it.

I wish you the best with this difficult situation.
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