My mom assumes I will eventually be her 24/7 caregiver—how do I manage her expectations?

I can relate! I am the only daughter and my mom always made differences between my brothers and me.

She raised my brothers to feel as if they were superior just because they were boys.

I was expected to be the servant because I was the girl. It’s an old fashioned attitude.

I did care for my in my home for 15 years. It’s really hard. Don’t do it!

Make it about you. Tell your mom that you love where you live and that you relish your privacy with your SO.

That way she can’t place herself in the picture as the main star!

She will have to make other care arrangements.

Don’t be concerned with your brothers. That is between them and your mom. Don’t get in the middle of it.

Don’t allow your mom to stir things up between you and your brothers.

The sooner that you talk to mom. The sooner that she can start to move forward with planning future care.

You can recommend that she speak to a social worker to help her gain insight on her particular situation.

Wishing you all the best.

Have a gentle, respectful conversation with her. Tell her, you love her, but you need your own space. She can hire someone else to help her. Tell her, I can visit you, or talk on the phone.
You are grateful to her. And now you have your own family........etc.

Don't let her guilt trip you. Do what's best for you

You tell her the truth, that it's not possible for you to be her caregiver. You love her but 24/7 care giving is not in you, sorry to say. You will be happy to help arrange Assisted Living for her, or in home care if preferred. It may hurt her, but it will hurt you more to agree to something you don't want to do. Let's face it.

I grew up in the crazy house caused by constant fighting between my mother and her mother,,,,,oil and water. My childhood was ruined as a result and I vowed to never take either of my folks in to live with me. I made myself crystal clear about that from the get go, too, because honesty is best. I'm an only child too....so you can imagine the expectations my mother has of me. She'll be 94 in Jan and lives in a Memory Care Assisted Living community and still wants to come live with me. There is no way I could possibly manage her myriad of health issues, wheelchair and moderate dementia, even if I wanted to. So she has her life over there and I have my life with my DH over here. I do A LOT for her, and manage her entire life, but it's from 4 miles away. It saves what's left of my sanity.

Best of luck making a plan and sticking to it.

Okay. Here is the tricky bit. You don’t try to manage your moms thinking. That is her own to manage You give her the facts. Your life is in Florida. Hers isn’t. She married a man who now needs care. His family is in Illinois. Your local brother sounds realistic. You need help, mom, Call 911. Your mom has no right to expect you to make the same mistakes she made. Being a girl doesn’t have to be a life sentence.
If you enable her to be in denial, you are doing her a big disservice. If she can manage without help. Good for her. She doesn’t get to turn away help because she thinks she has you to do for her. Get that part established. There will be plenty to do managing that help, her medical care and finances. Go back to Florida to your happy life. Let her think on her current circumstances in all the starkness without the illusion that anyone can make time stand still. She, by example, has taught you what not to do. Speak with your step sister so she understands where you are coming from. She will have her own tough decisions to make. Good luck and let us hear from you. We care.

Is sex reassignment surgery for you an option? 😉

Seriously, I do get some of that pressure - being a girl.

I sought counselling feeling so stressed out with the weight of this kind of future that others had laid out for me... The councillor asked 'What if I was a man? A man who drove long distance trucks for a living? And moved to Canada?' Would everyone still have the same expectations?? Wow that hit me as (unlike you) I hadn't seen it like that before.

My (female) cousin had. Her Father started priming her for HIS future. Started *joking* he would come to stay. She said great. "For one week. Only. Then I will deposit you & your bags to the nearest hotel".

So I'd say you've heard your Mother's hints - time to hint back... in whatever style is yours;

Caring & wordy;
Mother dear, you know I live in FL & I love Fl & am never leaving Fl. So if one day you can't live independently, I suppose you will have to decide to stay in IL or move to Fl. Both probably have nice assisted living options.

Honest & brutal;
You want to WHAT??? Live with ME?? 🤣🤣🤣 Gosh that would never work! Get that out of your head right now! What?? Me leave my home, partner, friends, life & move in with you so you can continue to live the way you want with no thought to my life at all? Now Mother, no-one would be that selfish surely? That's just downright CRAZY!

Do NOT, I repeat do NOT be guilted into becoming her caregiver. So what if girls are still expected to be the caregivers?

Who is going to become her POA/HCPOA?

You cannot tell her the truth without upsetting her. But you still have to tell her. It is possibly you could start the discussion by asking her how she sees the future playing out? What does she foresee happening? That might tell you what exactly she is expecting and give you the opportunity to shape her reality by telling her what your future plans are.
She made this plan. Her husband who needs care lives in Illinois as she does. If she did not think about what the next steps were when he began to develop dementia, that is on her. You are not the fallback plan. She can move to Florida and you will find her a place to live, and not with you. You don't need to be scared, you are no longer a 6 year old at her mercy. It is okay to say No. Might not be easy but it is okay.

Treecrout,

Guess what, you are ahead of the game, because you found this forum BEFORE you made the horrible mistake of taking on being your mother's caregiver out of FOG (fear obligation guilt).

Read for awhile, you will see MANY, many stories from people like me who found this forum way too late, in my case I had already made decisions about caring for my mom that I regret 100%. I moved her next to me when she decided it was time to get rolling with her elder care plan, which was me.

What I should have done when she started in with the manipulation was to stand firm and clearly tell her that I was willing to help her find senior housing, close to me, on her dime. And that's it.

Now she is right next to me, and everything is falling on me.

Do NOT be me.

Your mom is caring for a person with dementia. She FULL WELL knows the toll of this, and when you have the talk with her, mention senior living with a continuum of care "in case" she ever needs dementia care. If she gets angry, push back and say -- "Why would you want that for me?? I want to be your visiting daughter who watches out for you while you get quality professional care".

The sooner you make things clear to her the better.

One more thing- that local brother who seems to irritate you with his seeming indifference, is possibly the one you should talk to, because he seems to have successfully established some boundaries for himself. Being local he probably has seen more than you know and has wisely distanced himself from the BS.

Good luck, and remember you are ahead of the game! Need some incentive? Check out this recent thread (and there are many, many more just like it)

https://www.agingcare.com/discussions/this-is-getting-hard-463168.htm?orderby=oldest

Your feelings are shared by many others who are sandwiched between their families and their parents. Manage her expectations by telling her what not to expect. Be direct and factual but don't sound uncaring. Many times it's not what you say but how you say it. You know the facts... you live in FL, you have family there, there are others closer to be with her. You can reassure her of your love for her and that you will always care for her but, if she should mention it, never promise that she'll never be in a care facility. That could very well be a promise you can't keep. Don't volunteer to be her POA. It would be impractical to perform those duties from FL. Understand her concerns but stick to your guns.

I am the oldest if 4 and a girl. I also stayed in the same town my parents lived in. My sister passed, one brother lives 8 hrs away and YB is doing his own thing. So Moms care came to me. When she moved in with me it was not going to be permanent. She had some money and I was trying to sell the house. When in 2 years the house didn't sell, I placed her in an AL hoping it would sell. She had enough money for a year in the AL.

So my suggestion for you is stay in Fla and she stay in Illinois. Research resources in her area. One of your brothers should be her POA. Not you, you r too far away. I may ask the older brother why he is so adamant about not helping your parents at all. Is it a boundary thing? He doesn't know how to set them so better to just say no? He doesn't get along with Mom or Dad? Or he is just a selfish person?

There are those on site that don't agree but you don't have to physically take care of your parents. Two women cannot live together. With you, its been 30 yrs since you have been near Mom other than a visit. IMO, living together would not work. And I hate the word "owe". Our parents chose to have kids, they chose to sacrifice for them. But as children we do need to make sure they are safe, fed and cared for but we don't need to be the ones to do it. Your brothers need to be made to realize that you are not going to be moving back to IL and you will not be moving Mom to Fla at this point in her life. So, Mom has to plan now what is she going to do when Dad gets worse or passes. You all can be supportive but SHE needs to plan her future. That she can't expect her children to be there for her 24/7. You all have your own lives and responsibilities.

You need to nip her expectations of you in the bud, meaning now. Don't wait till something happens. When you heard that conversation, that was a good time for you to sit her down and look her in the eye and say "Mom, please do not expect me to be your Caregiver because I am the girl. That has nothing to do with being qualified to care for you. You have two sons that live nearby. You need to rely on them more or find resources. I cannot be relied on living _____ miles away. And sorry, me moving back or you moving to Fla is not an option. I really don't think that will work for either of us. There are resources available you need to take Advantage of. If you need help in accessing them, I can do that"

I never had this conversation with my Mom. She was still independent till her mid 80s. Nephew lived with her and was a big help. I took her in when her care became too much for my disabled nephew. But we never had the conversation that she expected me to care for her or Dad. I really don't think she felt she would live till 89 and have Dementia. My MIL was independent till she was 91. TG she stayed in FL after FIL died. She would have relied more on my DH if she moved back.

Soooo, have that chat with Mom.

I think it is IMPORTANT to have this conversation, gently but firmly. There has been a huge shift in the norms of social expectations in the last several generations. Think of how new Medicare itself is? I still remember when it came in. Think of how many of us saw grandparents in our own home, there until their deaths (which in my case all came in their 60s; we can now add three decades to that).
In some cases these changes are recognized. My eldest daughter is 58. I am 78. It would hurt me to think she would even consider giving up some of the most quality years of her life, free of job and children raised and through college, to sacrifice those years to me. We have been clear with one another that that is NOT happening. I have saved most of my life to be certain it will not. But there is a whole other group my age, who cared for their own parents, who still see that as the norm, and who expect it happen.
Sit with your Mother, tell her of your fears for her in attempting still to care for her husband in the home. Tell her that several things she has said has led you to believe that she thinks that you will be caring for her in future in your own home. That this will not be happening, but that you will never abandon her, and will attempt to help her find the best living circumstances she can for the latter years of her life.
If she asks you why give her the real answer. WHATEVER that may be. As gently as you can. For me it would be "I am so sorry, but my human limitations are many; I am not as strong or as good as others, or any way you wish to look on it; I simply am not capable of doing that kind of care. "
Don't expect her not to feel anger, grief. Don't expect yourself not to feel guilt. Are these hard facts not worth the grieving, the sadness, the pain, the confusion?
When my bro became ill, in his last tiny home, with Lewy's Dementia, age 83, there was one brief shining second after flying where he lived, when I said to myself "If you were any kind of human being you would give up your partner, your comfortable life in a place you love, and you would move here and take care of this man who was the best and most decent man you will ever know for the rest of his life". As I said. ONE MOMENT. After that, he and I were honest with one another, supported one another, did the best we could the next two years, until his death. Tears? Fears? Anxiety? Dread? Oh, my yes. Part of the price of love and our own human limitations. Be honest. Relieve yourself of this by honesty so that you don't face every single conversation with your Mom with dread.

Thanks, all. Greatly appreciate your advice and it give me more resolve. We are dealing with another emergency today since my mom refused to call her doctor about a week ago when she started feeling awful. Went to the ER on Thanksgiving and was sent home with antibiotics.

my younger brother and I called the med facility that treated her via conf call and were directed to get her to the ER as soon as possible. She has diabetes that is barely controlled (refuses to eat healthy, etc. keeping with the theme of not taking care of herself).

older bro who previously refused to deal with her agreed to go over and facilitate getting her into an ambulance vs driving her there (I agree with this decision—she’ll likely be admitted more quickly).

younger bro is renting a car and driving to them until things get settled. I am paying for his rental since I am out of state and it’s the least I can do.

older bro is very angry at this point, but I understand his position better now.

this all has me very upset because I feel guilty for being so far away, but angry with my mom because this likely could have been avoided if she would just take responsibility for her health and accept the help that a Medicare likely would pay for.

greatly appreciate the help and support of this forum. I feel like the weak link in the chain, but trying to support my brothers as best I can from here and prepare for the difficult conversations ahead.

I have been very clear with my parents that I will not provide care, Period.

You just tell Mum that expecting you to provide care is not an option and she had better make other plans.

It does not matter what she chose to do with her own mother, you and an autonomous adult and make your own decisions.

I’ve also been very clear that I will not be the caregiver, I had to do it for a time a couple of years ago and my mother was so nasty and abusive. She would cuss at me while I was emptying her commode. For. No. Reason. She doesn’t have dementia, she would later claim she never did that and she’s not a “morning person.” I told her I will take care of legal and financial matters but someone else will take on physical caregiving. If you’re afraid of hurting her feelings, think about the F word being flung at you mercilessly while you’re cleaning a commode and all you said was good morning. (I hope this hasn’t happened to you of course) but a situation like that will instantly turn your feelings into a priority, which they should be. I think my mom thought it was a done deal with me too, and when I told her it would not happen she accepted it. She would rather have a relationship as a daughter and not a caregiver, than none at all.

"basically, she expects me to be her 24/7 caregiver at some point, because that is what she did, and I am the girl."

Oh dear. I have to hope not. Because your poor mother is going to be savagely disappointed if it's so!

But don't be scared because disappointment of that sort will do her no harm, whereas you have her own example with your grandmother's care to show what will happen to your loving relationship if you try to follow in her footsteps.

Besides, it is now 2020, and you live an awful long way from your mother, and you are altogether a different sort of person.

Really you are going to have to take a leaf out of your brother's excellent book of Common Sense Told Like It Is. No, not taking you. Call 911. And meekly, like a lamb, your mother did. See the result of that? Did it mean she thinks your brother doesn't love her? No, of course not. It just meant she got treated!

And again besides, what about your stepfather? She can't suppose you're going to take him in and provide 24/7 dementia care too?

Don't refer to living with you as an option. Start talking about moving her closer to you - find an assisted living facility or little apartment for her and talk about that. Also, if she has the finances, talk about the little apartment AND some in home help to assist her with things she needs.

Have a sit down chat with her about the in home help and seeing drs while she's at her current residence. You live too far away to give her 24/7 help and you need to know she's safe. The one sibling that is nearest her is not an option as already demonstrated. The other sibling is not that handy for emergencies. Tell her in order to stay in that house she has to agree to some help. Otherwise, she and hubby may need assisted living now to keep hubby by his daughter. If something happens to him, she could consider a move closer to you. You might throw in a comment about adult protective getting involved if others think she/hubby not able to live alone anymore.

Much more important to you are “what are your reasonable expectations and plans” ! Decide how much help you may be able and willing to give to her. Be realistic. It’s very hard to be a full time caregiver, and this site is full of people who’ll tell you this is true. Then tell her what, or how much you are willing to take on. Be firm. Set limits to protect your own life and your most significant relationships.
It is completely unreasonable* for an adult to expect their child to put their parent’s wants and needs ahead of their own. Though some do, none the less. Resentment is almost guaranteed eventually.
This is a well meaning warning to start early. I didn’t do this enough with my own elderly mom, as she got older, and regret that a lot. You may need professional help (a counselor) with learning how to set firm and completely reasonable limits. I did. Avoid the guilt trip.
Best of luck. Please keep us up to date. You’ll find lots of support here.

What you need to avoid is tip-toeing around the issue hoping not to anger your mom. We needed to have the "no, we are not going to move to take care of you. No, we are not going to take care of you in our home" with both my mom and my inlaws. There was just the assumption that we would do so.

We were politely direct - they did not like it. They were angry. There was yelling - attempts at guilt tripping etc. We held firm. Politely - over and over "we'll not abandon you - but you are in charge of your aging - and it is not in our home". So be ready for that.

Good luck.

Can you sit down with her and make a list of what her expectation of you are? Go prepared with a list of all the things you might be expected to do and go through them one by one: Ordering medicines, dr visits, housekeeping, grocery shopping, IT help, yard work, home maintenance, cleaning, laundry, haircuts, clothes shopping, errands, cooking, etc.

Ask her how much she would be willing to pay someone to do each of those items. Don’t comment, just let her tell you what she expects of each item and write her answers down by each item. Tell her you will review them and get back to her.

Go away and review the list, then decide which ones you are willing to take on from a distance. Sit down with Mom again and tell her what you are willing to do and what items she will have to find someone else to do, and pay, to do.

If you don’t want to take on the role of chief caregiver to your mom NOW is the time to take a stance and say no. Even if you move her near you many of these tasks can become very time consuming.

Will her husband come too? Multiple the tasks X2 then. I was taking Mom, a fairly healthy 92 yer-old, to 2-3 medical appointments a month, each of which could consume about 3 hours for a 10 minute visit.

Please, don’t act in haste. Spend some time on this forum before you make any decisions.

Start by talking with your life partner about what ways you are both comfortable in caring for your mother. Talk about time and costs involved in the ways you are OK with caring for her. Also, discuss your concerns and her needs that you can not cover.

After you have outlined what you are willing to do, you will need to have that talk with your mother. Let her know that you care about her. let her know the kinds of care you are wiling to provide. let her know the types of care that are beyond your abilities. Then, you can ask her to brainstorm with you about ways she can have the rest of her needs met.

Update: We were able to get her admitted to the hospital yesterday to get her acute kidney infection treated, and today we are working to talk to a social worker at the hospital to find some options upon her release. The attending physician does not feel she is a candidate for prescribed home care based on this incident. However, since nothing of this type was prescribed after her ankle surgery, our next attempt will be to talk to her ortho and see if he will prescribe some sort of home care.

a lot will depend on how she feels today, but none of us can stay with her right now, nor can we afford to pay for a caregiver out of pocket for any length of time. I have no idea how this works, but really hoping that there is a Medicare funded solution.

we are encouraging her husband’s family to get the ball rolling with some sort of care for him, even if it is in home visits. He has VA benefits, and any help for him would really help my mom since she is doing a lot of this neglect of self since she is caring for him.

greatly appreciate everyone’s advice. I really hope we can get them some help without further stress and drama. Would love to just have a day without crisis. It’s been a while since we have had a break from emergency mode.

"The attending physician does not feel she is a candidate for prescribed home care based on this incident. However, since nothing of this type was prescribed after her ankle surgery, our next attempt will be to talk to her ortho and see if he will prescribe some sort of home care.

a lot will depend on how she feels today, but none of us can stay with her right now, nor can we afford to pay for a caregiver out of pocket for any length of time. I have no idea how this works, but really hoping that there is a Medicare funded solution."

Here's what happened to my 92 y/o next door neighbor. She had a (partial?) hip replacement. Her 3 kids are all out of state. They had planned for her to go to rehab, but her dr. said no because of covid-19. So they had no plan. What happened? The one daughter ended up staying with Mama for a month, and now I've noticed that she's apparently taken Mama to her out of state home. Don't let this become you as the only daughter!

P.S. The woman next door lives in a large 2-story house. Her kids have tried to get her to move, but she refused. It will be interesting to see when she's brought back here to live on her own again.

You Can't help how you feel.
It is very hard to take on the responsibility of being the sole Caregiver and moving someone into your home.
You have two choices, let her know now your feelings on the subject and what her options will be.
Or
Wait until the time comes, after her husband has to be put in a Nursing Home or has passed.

If your other two brothers aren't going to help out or visit much then you might think about finding her a Nursing Home in Florida closer to you so at least you'll be able to visit and check on her without having to fly to visit.

I guess a 3rd option would be if she has the funds is to let her pay for a Caregiver to help or if she needs constant round the clock care then she could hire a Live In and be able to stay in her own home but the cost isn't cheap but she'll be happier staying in her own home.

This is what I did for my 96 yr old dad that did not want to go to a Nursing Home.
I installed Nest Cameras in the main rooms of tge home that he goes in and hired 24 7 Care.

Of course ut's being paid by my Dad so their won't be any inheritance money but him being able to live out his life in his own home is more important.

You can check around and find individual care from $10 an hr up as ling as you don't go thru an Agency as they charge $20 and up but only give the Caregiver minimum wage.

If I were you, I would have Camera put in their homes now then you're able to tune in and see and hear what's going on 24 7 by using your cell phone or laptop computer.

Treecrout
Im glad to hear your mom is getting care. Thank you for the update.
You sound so much better. You are doing a great job gathering the siblings around the issues.

Here are a couple of ideas. Contact the Area Agency on Aging for your moms county to see what services are available. Here is the link for Illinois. You can ask for an in person evaluation to determine what services your mom and step dad are eligible for.
I used them in my moms very rural area to install hand rails where needed in her home and a wheelchair ramp. They did not offer Meals on Wheels in her area which would have really helped her.

My DH aunt, who lives in a different county from my mom, has had MOW three times a week. I wanted them for a wellness check. My theory is the more eyes on the situation the better.

So check out your moms county to see what is available.

https://www2.illinois.gov/aging/pages/default.aspx

Home Health Services paid for by Medicare are limited but I found them very helpful for my mom and also now for my DH aunt. You can go about starting the services a couple of ways.

1) Call her primary doctor (or endocrinologist if that’s who manages the diabetes) and ask them to order HH. If they push back, just ask for an evaluation.

2) Call a HH agency and ask them to evaluate your mom for services and they will contact the doctor with the request for the doctors order. Just have your moms doctors information to give them. Doctors phone and fax number. Some doctors are more familiar with the services than others.
The HH rep can quickly access whether Medicare will reimburse for their services.

You can find the HH Agencies on line. Your step siblings or brothers may know of someone who uses home health and has a personal reference to one.
medicare.gov has a page that will compare the ones in her zip code.

How old are your mom and step dad?

HH will do a weekly nurse visit to check on vitals. More often visits when there is an issue that needs to be followed. The diabetes being out of control might be enough to get them onboard. If help is needed for hygiene, they will send out an aide to help with baths. Occupational, physical and speech therapy can be arranged through HH. The experience I have with them has been through traditional Medicare. If a UTI is suspected, they can handle the testing. If a blood draw is needed, they can do that. I can only imagine how difficult it is for your mom to go for routine checks with needing to arrange care for her husband or take him along.

Now until December 7 is when changes can be made on insurance. You haven’t mentioned if your mom is having trouble with managing the household finances. There are usually signs if there is a problem. But it can be difficult to catch on if you aren’t in the home to see how the mail is handled or if collection calls are on the phone.
If she hasn’t already done so, putting her regular bills on auto pay is a good idea.

Your mom really has her hands full running her home, caring for her husband, managing their diets. I hope you are able to find her help and that she is receptive. It always appeared to me that even the smallest layer of help makes a difference.

Try to impress upon your Mom that the more wiling she is to utilize the help that is available, the longer she will be able to live independently.
It is a lot for you to absorb. So no doubt your mom has been struggling with it for awhile and hoping you were the answer to all her problems.
It is a bigger job than one person can handle and come out on the other side sane.

She may need a little time or even an antidepressant to absorb that while you aren’t willing to be her own personal assisted living that you also aren’t abandoning her. It actually sounds like she has a lot of help from her husbands family. Many on this site have no help from others.

Treecrout, your mother has given you some good psychological ammunition--you are aware that she was miserable while trying to care for her own mother. You could remind her of this, and if she had actually made the comment that she was miserable, you could remind her of her own words. You can even tell her (very tactfully, of course) that you are thankful she has enabled you to learn from her mistakes!

Hey Treecrout. There isn't a way for you to make it known that you will not be her full-time caregiver without your mom feeling hurt or resentful. She will get over it. The same way she got over it when your brother told her to call 911 because he wouldn't take her to the hospital. I feel sorry for your mother in that she let her own martyrdom ruin her life. That's the thing about martyrs. Not only do they ruin their life, but the ruin everyone else's along with it. Her mother did the same thing to your mom and it ruined all her relationships and her life. Now she's of the mindset that if she had to suffer like that by moving in her mother and being the caregiver, then you deserve to as well because you're her daughter. It's a cycle of abuse. Make it known to her now that there will be no living with you and that you will not be her caregiver. Then start making plans with her now about what the other options might be. Like bringing in some homecare workers to help out for her and her husband. Like many, she's refusing outside help. She will accept outside help when she can no longer manage her situation rather than be put into a nursing home. I worked for many elderly clients who refused to allow outside help come in. My answer to them was always the same. 'Either we work together and you get to stay in your house, or your family is putting you in a nursing home'. This is not an expected response from a hired caregiver but it works. I think it will work for your situation too. Good luck.

You may have to hurt her feelings. She isn't thinking about your feelings is she? Just say "I am sorry, I can't do that". Don't argue, or feel guilty, just keep repeating that sentence over and over. Why are we so afraid of hurting someone's feelings when they want us to uproot our lives for their comfort?

MaryKathleen is right - sometimes you have to hurt other's feelings - just the way life is. Understandably you do not want to give up your life and significant other. What your mom and grandmother did was their choice - it does not bind you at all. And there is no earthly reason why anyone would demand that daughters must make the sacrifice to do hands on care. Subcontracting so to speak is perfectly acceptable and may well be the wisest choice on many cases. Caregiving decisions have to work for all doing the work. Only fair. I would lose no time in making it very clear to your mom that you are not going to do what she did in regard to her mother. Times have changed, and you are making a different decision. With that in mind, you are willing to help her make other plans. Being blunt is often being kind and if you waffle around this issue, you will only create confusion and turmoil.

Read through this thread:

https://www.agingcare.com/questions/elderly-parents-trying-to-force-themselves-into-your-home-do-i-start-calling-senior-living-places-no-459759.htm?orderby=recent&page=2

Especially Kimber's amazing post.

The fact that you're already living so far away helps. Don't fly back up there just for a general hospitalization anymore.