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My 91 yr old mother is in the nursing home for the second time this year. She wants to go home and NH believes her that she has adequate support to do so. Nope! She has a colostomy (25yrs) and has had several partial blockages in the last year. She is improving in rehab and would do well in an assisted living facility with some additional help. However, she no no longer uses her walker on her own so she uses a wheelchair. I have to say she usually is good with transfers to the toilet, but the wheelchair won't work on her thick carpet or fit through the door to her bathroom. It has been an increasing problem for me in the last couple years running to her house in the middle of the night. She has fallen multiple times. Broke her hip 2 years ago. She can't cook anymore and doesn't like what meals on wheels brings. I bring her food and she lets it sit. I had aides coming in daily but she sent them away except for about an hour a day. She has lost 100 pounds in 2 years. I am 62 with my own health problems and I can no longer do this. My 73 year old husband is a peach helping but he says enough. We have helped her remain in her home for 16 years since my Dad died. I know I need to just tell her no. We are going to see her this week and lay out options for her. Basically one of two assisted living places or stay in NH. My husband says if she insists she's going home we say that's her choice but we will not help her do this because it is unsafe for her and harmful to our well-being. I just don't know how this will go and if she will fight us. If she managed to get home there is no way I'd ignore her so it seems an empty threat.

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Good luck. Stick to your guns, make no exceptions. Either Mom accepts caregivers in her home or she needs to move to a "senior living center".

Yes, your Mom will fight you. Before I found this website I didn't realized I was enabling my parents to continue with their own lifestyle while I had to make drastic changes to my own. If only I would re-wind the past 7 years !!

My Mom didn't want anything done to her house in the way of making it elderly friendly. She wouldn't even allow us to rearrange the furniture to make it easier for her and Dad. Use a walker? In what universe would that happen?

My Mom would fight us tooth and nail, and would die trying to prove us wrong, that she was able to take care of herself and my Mom. Her last fall was her final fall.

I honestly believe that our elderly parents don't view us as senior citizens. I know I could not convince my parents of my age, even waving my Medicare card and AARP membership. We will always be "kids" and what do we know. After going through the terrible stress of dealing with my parents I know now that senior citizens should not be caring for their parents, especially when we have our own age decline and health issues. There were days I thought my parents would outlive me.
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Ask for the OT at the rehab to go assess mom's home for safety. And what level of care she'll need. Make sure discharge knows you wont be available.
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You are right freqflyer. Many of us have compromised our own lives so that our parents can continue to live as they always have. And yes...senior citizens caring for the elderly is ridiculous. My husband and i plan to find a good assisted living place before we need one. Probably something with levels of assistance. I would never ask of anyone what mother has expected of me. She herself was never a caregiver...at least once childrearing was over. Her younger brother took care of her parents and died right after they did.
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I find that it requires a lot of time, strength, energy and endurance to get a person with limited mobility from place to place. I can't imagine how a 91 year old lady with all her health conditions would be able to do that for herself. especially, if the facility completes an assessment of what she needs and is informed by you that she does not have around the clock are in the home and that you have no intention of her getting it, since her past behavior forbade that kind of care. Sometimes, things just have to happen for the protection of the senior. I might practice being assertive and get support from her doctor and the facility.
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WHO at the nursing home believes her, given that history? Are you sure that it is not just some staff who are humoring her rather than really working on a discharge plan? Talk with someone actually in charge - social worker, head nurse, discharge planner...now if you can actually get and afford lots of in-home care, the carpet can be replaced, that's the least of it - but if her judgement is poor and she needs 24 x 7 to prevent injury and/or does not accept the care she needs, there is no way anyone should be thinking of letting her go home alone and putting that kind of impossible burden on you.
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Nobody over 60 should have to do all you have done. You are making the right decision. Tell her flat out YOU are too old and that makes her WAY too old to manage her own care. Hold your ground.
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Talked to the head social worker today. She says she believes my mother has narcissistic personality disorder and paranoia, though she acknowledges that is simply her opinion and not a diagnosis. It is however what i believe myself. She told me my mother has been manipulating staff and causing problems. I think the younger, more inexperienced social worker has bought her stories. Today i wrote a list of her options, none of which include her going home. Wish me luck presenting it tomorrow. If she acts up, im leaving. I'm done being used.
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Rosyday
Is narcissistic personality disorder and paranoia just since dementia?

After many falls my near 93 year old mom also refused to let caregivers in the house so now she's in a memory care facility - lots of problems with this situation now too

Are you sure your mom will be able to be in assisted living or will you have to hire a personal caregiver for her ?
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Sometimes things have to get worse before they get better.

Mom is almost certainly telling the young social worker " oh, my daughter will be there to do that".

Send the se, cc to the head social worker and don of rehab, a certified letter stating that you will not be on site to assist mom with bathing, transfers, meal prep, dressing or toileting. That if she needs assistance in those adls, caregivers will need to be hired or she will need facility care. Ask what level of care they are recommeding for your mom and make them put in writing what they believe. And ask for an assessment of the home by an OT.

If they plan to discharge mom to home, do not pick her up. Stand firm and don't let them guilt you.
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Madge the narcissism has always been. The paranoia has always been. Shes just less able to hide it. Since i was a little girl its always been all about mom. I fought to see reality ijstead of her skewed vision. This is a family illness. In some ways its a relief because she was so good at the front, i always had to hear how charming she was and what a pleasure she must be to care for. The reality was far different. She does not have dementia. She has been assessed 3 times.
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Our whole household revolved around my mother and her moods and her wishes. When i was 11 i was brutally sexually abused by a teacher. I didn't even know what happened because this was back in the days when kids knew little. I told my mother and she told me i lied and to never repeat it. I began to dought my own memory but had nightmares and sexual disfunction. I found out years later that other kids told and the teacher was removed. When i told my mother that, she still said i made it up....get this...to make her look bad and get attention.
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Hi Rosyday, How did your talk go with your mom? I'm really sorry she wasn't there for you as a child. Have you considered therapy to help you work through these tough issues? Take care of yourself and your sweet husband. Reconsider thinking you have to be there for her if she decides to go home. If you don't believe your No then she won't believe it either.
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Thanks 97. She agreed to go to AL. I wrote down options and gave them to her with my husband. I think she's a little afraid of him because he cant be manipulated. I dont fool myself that the fight is over. My husband has suggested i never see her alone again but always with him or a friend or relative. I did just start therapy.
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Jolene Brackery writes in Creating Moments of Joy: {Get and read this book !}
New found; Response to "I want to go home"
"When they ask to go home, they might be asking permission to leave
this world. It should be OK to go home ..."
"It is more difficult for a person with dementia to "go home"

Maybe your LO is using different words to asking permission to leave
this world?

Are you ready and able to grant LO permmission?
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Rosyday, that's wonderful news. "Don't go alone" is advice I've often seen given to children of narcissists.
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I do understand how hard it can be to know when it's time to put your love one in a home as a caregiver view. I am a live in caregiver for a father of a family that doesn't take care of their father because they can't. The problem is I can not car for him because I have no help and I can no longer lift him, and he is worse of his illness and his saftey and mine is in question and the daughter still is not wanting to do what she should. What or how does a caregiver talk to the boss and explain I can no longer be a caregiver for her father.
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Rosyday, Thank you for posting this comment. Recently, I was in the process of looking for respite care for my 88 year old mom who has dementia. The day I asked the respite service to come by so I could sign up, my mom fell just as the woman pulled up to the driveway. Long story short, mom broke her hip and is now in a rehab facility. My reason for the respite care was to give me the ability look for a skilled nursing home since I no longer feel I can competently care for her. She is also a below the knee amputee and is hard of hearing. This new injury is on the leg which was amputated. My sibling and I agreed it was time to prepare ourselves for the next level of her care. I live in another state and have been mom's primary caregiver living with her for the last year and a half. My one sibling still needs to work and the other is in another state and has basically not stepped in to help at all. So, for us the alternative is a skilled facility. Believe me, I had all the guilt of doing this. I think if there is an emotional attachment, whether it be love or not, there will always be a form of guilt. However, when I look back on this past year and a half of MY life, it hasn't been a life at all. Most of the day was spent watching mom sleep or answering the same questions every five minutes. Half the time I could answer the question just by the way she would start it! Then the argument would start about not letting her ask her question. I know it was probably not the right thing to do, but some days it would just drive me crazy! I never wanted to grow up to be a caregiver, I felt I wasn't cut out for it. But here I find myself in this position and. considering everything, I think I did okay by her. Now, however, I have finally gotten the courage to say it is time to let her go and have professional people care for her. We have been trying to figure out how to tell her she will be staying at the facility in which she is doing rehab. I don't frequent this site too often but decided I needed to post a question regarding how to tell mom she was staying. Well, imagine my surprise when your question was the first I saw! I'm glad I read your post and very glad I read all the reply comments. You never know where an inspiration will come from! I'm taking the phrase "senior living center" and will hope to use this to convince mom she is stay in one. I found over the last year and a half that just by changing the word or phrase I use can be helpful, such as a 'wheelchair' became a 'pushcart' when used in a store. I'm hoping a 'skilled nursing home' will become a 'senior living center' and more acceptable for her. We will see. Stay strong, and remember: Life is a balance of holding on and letting go.
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Thank you so much for sharing your story. I am glad my question and reaching out for help was a inspiration you needed, Yes, you never know when, how, where or who will be your answer or strength to do what needs to be done for all in concern.
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Hi, this is josie335860oreo,
I have been reading other post comments and see there is no easy decision for family or caregiver. I have come to the reality of what is important and best for the love one I am being a caregiver for is SAFTEY FOR THE LOVE ONE AND THE CAREGIVER. Saftey is vital and so because I know the 86 old man I care for is to a point I can not care for him I need to say to the family member I can no longer care for her day because of saftey reasons. She knows he needs to go to a home but can't do it but I believe she will have to do something because I can no longer be the caregiver. Do I give her a time so she can make arrangements or what if she just won't. Please help me with some advice. This is been a long term relationship living with the man. Yes, there are some emotional ties, because I have come to love him as my own dad and the daughter has nothing to do with him as far as care, none of the family. I do it all. I have no complaints it has been a joy but I can't continue because I know he needs to be in a home with proper care and so I pray to God that the daughter does the right thing and I am doing the right thing. I believe I am. What is some advice please
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I find this site has an uncanny knack of reading my mind - either that, or there are a whole lot of us dealing with the same problems and frustrations. I'll be mulling something over in my head, decide to come here and ask a question- and volia' - there's my question being asked by someone else! I love this site and adore all the smart, wise, tired, worn out people here!
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{Q} I'll be mulling something over in my head, decide to come here and ask a question- and volia' - there's my question being asked by someone else!

So very true ! I enjoy reading differing points of view and very helpful stuff.
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I am glad that your question or questions get answered. You never know where or how or whom your answers can come from. Having an open mind helps but being discerning and having discernment also helps to know what answer is for you or just put it on the shelf for the time being. Just Saying.
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Josie it is a responsibility to your patient and yourself to remove yourself from your current situation. You are putting yourself and this man in physical danger.
Tell the daughter what you have just told us. She must immediately hire more caregivers or place her dad in skilled care. This is no longer a one person live in caregiver job. I am guessing you probably have no legal protection if you become injured. Do you have proper employment papers and pay social security etc or is this a casual agreement as so many are? Protect yourself no one is going to look after you if the pair of you fall. In fact you will probably be blamed for negligence. Sorry to be so harsh but far too many women fall into these casual employment traps.
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Rosyday thank goodness for your loving and supportive husband.
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Thank you Veronica 91
That was very encouraging. I did not received it harsh but much wisdom. You seemed to know what I am going through. No, to your question as far as I have any legal help.. Can you direct me to some one who can help me as far as legal help. I have a contract and I have kept up every detail and beyond. The daughter is power of attorney and she knows I have went beyond she has told me. The rest of the family wants her to put her dad in a home but she feels guilty but she knows being safe is prority so any way I still need to protect myself. Any more wisdom you can throw my way. help
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