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My parents are 81 and have lived in AL for 16 months. My dad has dementia with very little short term memory, repeating himself over and over during visits. He has also lost his sense of direction. My mom is also losing memory, though hers is better than his. She is more physically frail, with a leaky valve in her heart and neuropathy in her hands and feet.


They lived for 40 years in their mountain home on five acres. It is two hours away. I'm their only remaining child. I was making frequent visits to their home for doctor's appointments and other emergencies, but it was chaos. I suspect my mother has always taken too many painkillers, and had frequent falls and hospitalizations. They would often go to the emergency room at the hospital in town for the same problems over and over but couldn't follow doctor's orders, manage their prescriptions or eat regularly.


I started talking to them about AL near my home. My mom eventually agreed, but my dad was pretty opposed. We signed them up at a very nice place, hoping my dad would come along if my mom went. The family showed up to move them and my mother went willingly, but my dad refused to get in the car. The family was alarmed that he was alone two hours away. He would frequently get lost in a small town, would sometimes get in the truck and drive around for hours without answering the phone, and he couldn't remember his meds. So I went up a few days later and talked him into giving AL a try with Mom.


The entire first year he insisted on going home, tried to leave, and called me many times a day, leaving messages trying to bribe me to take him home or threatening me. He told everyone at the AL that I was trying to steal his property and that's why he was in there. We got a doctor's letter about his dementia and received a guardianship. It was a terrible year.


Things have improved with consistent medical care, meals, etc. They see their grandkids a lot more, which is great. They love to play bingo and can attend church right down the hall regularly. Dad still refuses to go to the doctor but the visits every two weeks in AL from the healthcare team are so helpful! Even though he can't remember the name of the town he is in and is very confused, he still asks about home and it breaks my heart. My dad has always been a kind and gentle soul. He just can't comprehend or accept any help whatsoever.


The problem is, I know they are safer and life is more manageable for all of us... but I still have incredible guilt. I feel like I should have tried to move in with them so my dad could stay in his home — he loved it so much. Even though it was two hours away from my job and my own family, and I know I could not have handled it on my own long-term. There was not much help available in the small town where they lived.


And now we need to rent or sell their home to help pay for their care before they run out of money. I cannot even talk to them about it — it would cause them sadness and they wouldn't understand. This also is extremely difficult and a guilt-inducing situation.


Do you ever get over the guilt and know for sure you did the right thing?

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Honestly I think you are feeling the other G-word, which is GRIEF.
Guilt isn't involved here.
Guilt requires that you, with evil intent, CAUSED these problems and refuse to fix them.
The problems of aging weren't caused by you. And you can't fix them. So guilt is entirely inappropriate, and words you use to tell yourself things have great power as they form a habitual path through your brain.
You aren't god and aren't a Saint, and it is a kind of hubris to imagine you can be responsible for fixing everything, and for the happiness of those in the aging process. I am 82. I assure you, despite all the movies and memes about the glories of wisdom and age, this isn't a happy time in any way.
Throwing yourselves --your entire family -- upon the burning funeral pyre of the elders you love will not make for happiness for ANYONE involved. And it is often a slow burn.

Be easy on yourself. Sainthood is a bad job description when you think about it. Be happy enough to be a human being with limitations and with a right to your life.
This is full of pain for everyone. There's no way to avoid it. I am so very sorry.
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joleperk Apr 24, 2025
Wow, thank you so much for this comment. I have been thinking I was feeling guilt all this time over the choices I had to make with my parents. My Dad was taking care of my mom, he became very ill, then mom was diagnosed with sepsis and the doctor told me if I didnt get her in hospital in 24 hours she would likely die. So I got her up from her nap to go by ambulance to hospital. Told her it would be a short stay, which is what he had told me. But then she had several mini strokes and had to go to long term, still thought temporary, then Dad passed. Then mom got worse. I has to place her, in a wonderful place, but still to be yanked from her bed, with no warning, to never come home again, has kept me awake many nights. This was 2019. Mpm passed in 2022. But, now, to phrase it and recognize it as deep grief, I think I can heal better. I always look for your comments and feel close to you. You have helped so many.
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Think of the guilt you would've felt allowing dad to drive a truck with dementia had he killed innocent people on the road. Or killed himself in a fire he started in the house from leaving the stove on with a pot on it. You did the only sane thing by getting them into AL and now selling their home to finance their lives. Where does guilt come into this? All elders with dementia want to go home, ALL of them. Even those who already live at home eventually beg to go home. They're seeking a place in time when they were healthy and happy, when their parents were alive and times were easy. Their youth, in other words.

It sounds like you folks are both doing fine in AL, so let yourself off the hook you've hung yourself on. Realize dementia is a no win situation for all concerned....you, them, everyone. Instead of blaming yourself for this situation, blame the disease which robs your parents of their minds and their abilities. That's the true culprit here.
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jlee67 Apr 16, 2025
True that dementia is the true culprit - it's very sad to watch. Thank you so much!
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You see it as you see it, but let's look at it from a different perspective.

Your parents were living in a wonderful home that they loved, but they didn't plan well for the future. They could have realized long ago that they couldn't live in that home forever because people do become older and more frail as they age. They could have discussed that with family and, on their own, they could have chosen a place where they would be cared for. They could have entered a facility at a time when they were still well enough to enjoy the activities of independent living. But no, not them!

They only had one surviving child - you. You work and have a life far away from their mountain home, but it was YOU that was supposed to alter YOUR life to take care of them. Plenty of warning signs; hospital visits! recurring health issues! And they never blinked an eye even as dad began to have signs of dementia! You! You are their salvation, never mind that THEY SHOULD have assumed responsibility for taking care of their own selves. So much for the common sense that they could have called upon at one time to figure this out for themselves. So much for your peace of mind!

Guilt? Because you think you should have moved away from your precious family to take care of over-entitled selfish parents who still do NOT understand your many sacrifices and never will? Because YOU can't make them happy enough? Because dad is sad? The truth is that you are not responsible to fix things that they should have taken care of long ago, such as checking into a continuum of care retirement place where as they get sicker, they could go to memory care, rehab, or SNF in the same facility. Guilt? When your family should come first, not them? When you can't, even now, discuss what needs to be done with them, grown-up to grown-up, without feeling even more guilty because they'd be sad? Awww, poor babies.

It isn't your job to keep them happy. The way to feel less guilt might be to work up a little resentment toward your parents. They could have spared you but didn't.

You are a kind and caring daughter, but for your own sake, you need to back off and stop being so empathetically involved. When the whining starts, and the blaming, and the tears begin, you hang up or leave. You can be nice about it, but don't keep giving them chances to load on the guilt, complain about their situation, or on and on and on. You didn't bring this upon them; their own failing health and lack of foresight did.

You should be mad as ell.
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jlee67 Apr 16, 2025
You make some good points actually. Thank you I appreciate that!
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Dementia did this, not you.
I don't know that you get over the guilt. Your guilt comes from being a good person from loving good parents and wanting them to be happy. It isn't always a logical emotion . Sadly, there isn't any way for them to return to the way it was.. that just doesn't exist anymore. You question whether you should have given up your life to go and help your dad continue his life he loved so much but he had that life, and it wasn't going to continue even if he stayed.
You have nothing to be guilty about. You did the right thing.. without question. The way your dads life was , was taken away from him by dementia not by you. You are just trying to do your best by them. How lucky they are to have you.
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DaughterJ57 Apr 24, 2025
Thank you for your reply. It helped me today as I too was struggling with guilt and sadness over my 94 year old mom who is in memory care and still wants to go home daily....even after a year in memory care. I appreciate your thoughtfulness.
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My 98-year-old stubbornly independent mom was diagnosed by a neurologist with severe short-term memory loss and stage 4 dementia in December. Had to do something because she was believing her dreams to be true. She was wandering outside in winter with no coat, just her pajamas, and forgot her keys. Physically active, placing her in the long term care section of a nursing home was a very difficult decision.

But it turns out that it was definitely the right decision for her. She does not use a cane or walker. She has constantly tried to escape the building, so they moved her twice. Now she is in the farthest room from the doors of the Memory Care unit which has door alarms. She has a Wander Guard on her ankle, which sets off alarms anytime she wanders off. She still believes her sister (who's been dead for almost 7 years) lives in the building and she wants to "find her". I just make excuses for the sister, as going along with these dreams that they believe in is typically the best to keep things calm. I cannot convince her of her sisters death. No matter what evidence or proof I show her, she just gets upset. She is acclimating to the place, which is good, because initially all she did was ask me to take her home.

So, expect that at some point, things to get worse. This is not the scenario I wanted for my mom to finish her life. But it's better than being scared and up all night wondering what she is gonna do next.
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jlee67 Apr 16, 2025
That sounds very challenging. Sometimes I wonder what will happen to my dad if my mom passes first - I hate the thought of memory care but good chance that is in my dad's future. He can't even find his room in AL on his own. But at least they are safe and we can sleep at night. Exactly. Thank you
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Instead of thinking of their home as it was when they were in their prime, think of it as it would be if they were there now. It would be UNSAFE. Your parents would be unsafe. They had devolved into chaos. Your dad WAS unsafe while he was there alone, driving around, lost, skipping his meds.

Do you love your home and family? Why in the world should you have to give them up to move in with your dad so he could stay in his home? Read through this forum about the many people who did that, with good and generous intentions, and came to thoroughly regret it. If he's kind and gentle, as you said, he, if in his right mind, would never want you to give that up for him.
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jlee67 Apr 16, 2025
He would not want me to give up my life - despite the things he says now. Thank you
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Don't discuss the renting or selling of their home. They don't need to know about that and it will only upset them. Just go ahead and do what you have to so their AL bills can be paid.

You did nothing to feel guilty about. It wasn't feasible that you could have looked after two people with dementia, work a job that is two hours away each away, and also be available for your family and home. One person alone can't manage all that.

It's okay for you to feel sad for your parents that they couldn't stay in the home the loved. They did get 40 years in it and that's something great. Feel sad for their loss, not guilt. You did not cause their old age, their dementia, or the need for them to be in AL.
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Jlee, pls know you are/have done a wonderful job with your parents..This is a tough time & you have made decisions based on love, safety & medical needs..

My parents passed in 2018 & 2021..The guilt does subside though, at times, I feel a wave of it come back..This forum helps me realize I made the right decisions for my parents.

With dementia, my Dad asked to “go home.” He was referencing his childhood home..He didn’t understand where he was at & that he was at his house with my Mom.😞 A sad aspect of this disease..

I hope this helps..Prayers, we know what you’re going through..🙏🏼❤️
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Please, don't beat yourself up over this decision, which you had to make for your parents. If you have a family and job, you have to consider your own needs as well as theirs. Your main responsibility should be to your family. Your parents have dementia, and cannot make good decisions for themselves. You are their guardian and are making decisions for them to the best of your ability. They will not understand why the house must be sold. You shouldn't tell them that their house will be sold, it will cause anxiety. If they ask about going home, divert their attention and gently say to them that right now they need to be in a place that can provide more care and activities for them. When people with dementia say they want to go "home" it often has a symbolic meaning. They want to go back to a time when they were independent, didn't need anyone's help to take care of themselves and could do things for themselves. They are not happy that they need assistance with their everyday living. But this is where they are in life right now. They are in a safe place where they are being cared for by skilled staff. You are overseeing their care. That is the most important thing you can do for them. I'm guessing that they would never have expected or wanted you to sacrifice your family, your job and your life to care for them. It's just that with demenia they don't understand the limits of their capabilities and why they need to be in a place that provides care for them. Don't take accusations personally. This is a common symtom of dementia. At this point, you should be handling their bills and finances. Make sure all statements and bills are going to your address, or go paperless. They also should not have valuables with them at Assisted Living. Eventually they will forget about their home. Visit you parents as often as you can, and keep the visits loving and upbeat as much as you can. Bring your family to visit them for short visits. All the best to you and your family.
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jlee67 May 6, 2025
Thank you this is very helpful! I don't think they would want me to sacrifice either.
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I disagree with @fawnby who posted that you should be mad. Trading guilt for anger doesn't do anything to change your situation. Obviously, your parents didn't get ill or dementia on purpose to spite you, and they did eventually move into AL. In the big picture, that's a huge accomplishment you were able to put them in a place where they are together, in better care, and adjusting to their new life (albeit slowly for your father).

I am an only daughter and my father actually did plan well and agreed to move into AL/Memory Care before his dementia got worse. Even though he didn't object to moving, it's still a burden to deal with your parents' mental and health changes, no matter what. There will be at times guilt, second questioning, mistakes. That's what the journey is and it's ok, accept the good with the bad.

With dementia -- it's not about what they want anymore, it's about what is BEST for them. You are doing what's RIGHT, and that's most important. You are doing what's best for them. Be proud of yourself. There are many people who don't care what happens to their parents or don't have the means or the wherewithal to help them. Thankfully, that's not you.

So do your best to set aside any guilt, anger, resentment etc. and see how loved and lucky your parents are to have you and how wonderful it is that they are safe and your family can spend time together with whatever time they have left. However the struggle your journey might be, I know it's one I know you won't regret doing.
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