Follow
Share

Mom is in rehab after breaking her femur. Actually, she went from hospital to rehab, then back to hospital, now back in rehab. She is so so sad and very depressed. She cries everyday. Dad died in July. They were married 70 yrs! She feels lost.


I have siblings trying to take her out of rehab against medical advice. I am POA and know I can make her stay. But I feel so sorry for her being so miserable. My brain says she needs to get stronger. But my heart says she just wants to be home and maybe that would help.


Siblings think they can do it, but Mom can’t even go to the bathroom on her own. I have lung issues and Mom's a heavy smoker. I just know their plan will not work and it will be me and my brother caring for Mom all the time, the same way we did with Dad. Those same siblings were hardly around when Dad was in wheelchair and needed help. They all volunteered to come help Mom.


I’m just venting but any advice is welcome!

Leave mom where she is now in rehab as that is where she needs to be, and talk to her doctors about putting her on an anti-depressant for her depression.
You are her POA and you get the final say, so stick to your guns.
Helpful Answer (10)
Reply to funkygrandma59
Report

You are POA. You rule. She appointed you for a reason, which is that she trusted you to make decisions about her care and her end of life.

Being home has about a half percent chance of helping her. She'll bring that sadness back home with her, and then it spreads to everyone else and you're all miserable. She is fortunate to be in rehab where she has a chance of getting the help she needs. She won't get that at home. If you take her home, dad is still dead. She is mourning not only his loss but the loss of the life she knew. Be compassionate, but be strong.

Your siblings are way out of line here, and you need to let them know in no uncertain terms that you're the one in charge. The cruelest thing you could do for mom is take her home where she doesn't have trained help to get her to the bathroom when she hasn't been trained enough to help herself. Or she tries to get up but because of lack of muscle strength, she falls. Mom would be way worse off when that happens, and it will.

Speak to her doctor about meds for her depression, take her flowers in rehab, and if you don't already, have someone join her there for her meals. I hope she gains in strength and that she gets the meds she needs in order to persevere in the tasks ahead of her.
Helpful Answer (7)
Reply to Fawnby
Report

I agree that the first thing that needs to happen is to get her on anti-depressants, if she isn't on any yet. Once this is in place then maybe she can do some limit PT, enough to get her to stand and pivot. Even then, she'll probably need to live in a place that has wheelchair accessibility, or she's a candidate for LTC. My MIL was in a great LTC facility on Medicaid 3 miles from my house. She got excellent care -- far better than the family could have provided.

If your other siblings cause disruption with their insistance on bringing her home, then you should resign your PoA and let them try to pull it off, without any intervention from you or your brother. They are in denial.

I wish you clarity and wisdom and peace in your heart as you ponder the right solution for you and your Mom.
Helpful Answer (7)
Reply to Geaton777
Report

I don't believe, given advanced age (I am guessing due to her losing hubby after 70 years) that your mother will live long now. I am sorry to be so blunt when you just suffered one loss and it is looking like another on the way with your mom heartbroken as well. But I believe this is a fact. How a smoker made it to her 90s (?) is somewhat a miracle already.

Finally, no, her care is now such that she needs several shifts of several people each to deal with her end of life care. You should be considering hospice care. In facility. And discussing all this with her rehab. It will be a good deal easier finding good placement now with their discharge planners and especially if she is entering with Hospice on board.

I am so sorry. It is difficult to understand that many of us come to the point where we are done with life, no matter how good it has been. It becomes too difficult to go on. Speak honestly with your mother. People will ask if she is depressed. No. She has lost a spouse she spent a lifetime with. She is in mourning. And she is likely exhausted with life.

Find out now what mom wants. Do your best to do that. But your best isn't honestly to take a smoker in, make yourself sick, and take on care you cannot really sustain.

I am so very sorry.
Helpful Answer (5)
Reply to AlvaDeer
Report

None of us want to see our loved ones suffer, but of course it’s part of life and not something that can be fixed. Trust your logic that says she’s not strong enough to go home, and in fact it may be time to look for another setting. A woman I know from grief support moved to an assisted living and she has begun to enjoy her life again because she has people around her when she wants, including those who understand what it is to lose a life partner. The activities have also helped helped provide structure and things to look forward to(although everyone is different in this regard).

One of the hardest moments in my life was telling my dad in skilled nursing rehab that he would not be able to come back home with us and that I had found a good care home for him. Bless him, he accepted it calmly and I visited him daily until he died a couple months later. I loved my dad but was not willing to give up my mental/physical health to care for him. My husband understood the same thing and thankfully he was able to stay at home until he died.
Helpful Answer (5)
Reply to MidwestOT
Report

You say “she loves outside but once there wants to smoke”. At her age, smoking is not a big issue. If it hasn't killed her yet, it probably won't kill her quickly now. Get her outside and let her smoke, as much as you can! Let her be happy!
Helpful Answer (5)
Reply to MargaretMcKen
Report

You were chosen as POA for a reason. Use your head not your heart. This may be your mother but your decisions must be from a “business” head. What is best. Tell your siblings to make a place for her in their homes and give you a plan on how they will care for her and you will consider her leaving the NH. If they aren’t willing to do that then ignore them. Have the dr. prescribe patches for her nicotine addiction and clean your home of all the nicotine that resides on everything to improve your own health. Discuss the depression with dr. When and if she becomes independent enough to return home, do not allow smoking in the house. You must stand your ground.
Helpful Answer (4)
Reply to RetiredBrain
Report

Is the rehab allowing her to smoke or putting nicotine patches on her?

Her anxiety and tears could very well be a result of nicotine withdrawal. Her system is not producing the feel good hormones that nicotine trigger, being a smoker slows the natural production waaaaayyyyy down and it takes a long time to reset after quitting, so getting her the nicotine her system is use to might help.

Prayers that this works out, it is a tough place to be as the POA.
Helpful Answer (4)
Reply to Isthisrealyreal
Report
lealonnie1 Mar 9, 2025
Came here to say this exact thing. Of course she wants to go home.....to smoke! OP, please get mom some nicotine lozenges at Walgreens if she's going thru nicotine withdrawal, and keep her in rehab till she can walk on her own!
(4)
Report
See 2 more replies
Mom must be in her 90s? Does she have any dementia? If she does, Rehab may not work anyway. She has to be able to take instruction and remember the exercises.

Of course she is depressed, who wouldn't be. Can she be set up for "in home" therapy?
Helpful Answer (3)
Reply to JoAnn29
Report

You seem to know the answer already. Perhaps you're just looking for someone to tell you, "You are right!"

She will still be sad and lost at home. She may be happier in her own home than some strange facility, but at least let her complete rehab! When rehab is ready to discharge her, you will still have options. She can return home, or to some form of managed care. If she is a smoker, she will not like being somewhere she can not indulge in her habit!

If she does complete her rehab, and they determine she can go home to live on her own, don't your or your siblings upset your life to go and take care of her!
If she needs someone to take care of her, she can hire an aide, or she can consider managed care facility options. It is not your job to ensure she never faces any difficulties.
Helpful Answer (3)
Reply to CaringWifeAZ
Report

See All Answers
Ask a Question
Subscribe to
Our Newsletter