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Is FMLA (Family Medical Care Act) available at the company you work for? You may want to check with your employer's Human Resource Dept. on this.

In addition, I was the main caretaker for my dad and it was very time consuming. I wanted to make sure that all calls got directly to me regarding his medical care and informed my boss that I may need to step out of the office if I got an urgent call, or possibly even leave should it be something emergent.

As a parent ages, they become a high priority and since you are an only child, I hate to say it, but the responsibility DOES fall on you. Some medical emergencies may seem small; yet when it comes to an elderly parent, even something as simple as a UTI can turn into many more serious health conditions in a very short time.

I guess what I'm trying to say (and may get much flack from) is this. Your mom's impaired health is a concern to you...and there may be days when you may have to take her to a medical appt; miss work due to a medical emergency regarding your mom, etc. You also need to be available during the day in case of a medical emergency, due to the fact that you are probably Medical Power of Atty and need to be there.

You should be there anyway. Sorry.

These things are never "planned", but can happen out of the blue. Sounds like you've notified your new boss about the situation, which is good. As mentioned before, you may also want to contact your work's Human Resource Dept. and find out what their policies are regarding FMLA. Some companies allow you to split it up (one week here..another one there); while other policies say you have to take it all at once.

Keeping you in my prayers.
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Xina, ask one of her doctors about getting Palliative Care for her. It can be had in home, and would provide at least some supplementary care to the 24/7 care she has now, but I don't know if that's private duty with some medical, or primarily medical care.

It was recommended by our pulmonary doctor, who said it addresses people who have chronic problems, but aren't ready for hospice. Since then, I've found that nearly everyone I speak with in the medical profession has a different interpretation of Palliative Care.

Some agencies which also have hospice care and a home health care arm seem to have a more well developed program. One makes arrangements not only for periodic home nursing care but a visiting physician as well.

That could address the medical aspect. I think the fact that she's not alone but has support for 24/7 is a major factor, so think of that when you become anxious.

How confident are you in the 24/7 caregivers? Can they handle more, not necessarily interfacing with medical pros, but other tasks that now require your attention? I.e., how much can you delegate? Don't consider yourself a doer, but rather a manager and delegator. This could shift and substantially reduce the anxiety and responsibility you feel.

As to the various other issues that arise during the day:

Perhaps you could take your lunch hour at an earlier or later time and handle the medical calls then, and only then UNLESS it's an emergency. You might want to address this with the home care people if you have confidence that they can determine which calls and issues are emergencies and which are not.

Sometimes I just tell people I can't address this issue at the moment and will contact them after I've had a chance to review the situation.

I do know that it's often hard to treat everything as a potential emergency; I've been through that and had to learn to rationalize what the worst and best outcomes are, then decide whether the issue can wait until a higher priority has been resolved.

I can understand the anxiety that confronts you. I've battled with it myself and often am overcome. I've had to work hard to control it. What I find instantly relaxes me are garden magazines, photos of animals, especially kittens and puppies, or beautiful nature photos of magnificent mountains, meadows, and other natural wonders. I used to have these kinds of calendars at work and could glance at them periodically for some mental relief.

Even a 5 minute break helps relieve the anxiety. Since you're learning a new job, perhaps you can take a few minute every hour to just pretend you're working but allow your mind to roam to a calmer place.
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My mother was in a nursing home after a few months on their rehab floor after a stroke. The longterm care unit was a total nightmare, which is why we brought her home and arranged 24/7 care. She also has an amazing visiting doctor as well as nurse and PT. Really the ONLY thing that has sent her to the hospital in recent months has been the need for IV antibiotics and fluids. (Do they give those in the NH?) I wish she didn't have to go to the ER to get them!

Anyway, there is no way she is going back to a NH. That would kill her faster than any infection. Plus, I'd have to re-do the medicaid app for NH vs home care, which would kill me! Also, my office is very close to her apartment, so it's much easier for me to visit her regularly. The NHs in NYC are not close, and most of them are beyond bleak.

Gershun, you are absolutely right. I try to live in the moment and sometimes I turn off my phone. I figure a few hours isn't going to matter in terms of most of these calls. If it's a true emergency, her aide can call 911.
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Xina, my mom declined, more slowly than yours, over the course of 4 years, and there was always a knot in your stomach. I didn't realize until my mom died last month just the how unpresent I've been for my husband ( not that he's said anything, I just see now how I've been, now that I'm not).

My job performance certainly suffered, but not enough that it mattered to others, just to me.

But my mom was in a nursing home. If she had a uti or even pneumonia, it was handled in house.

I know this probably seems like a choice between you being miserable and her being miserable. And she may well decline just as fast from the uti and stone combination in the nh. But there will be less wear and tear on her, going to ERs and hospital stays if she's getting round the clock nursing care.
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My advice to you would be to try to live in the moment as much as you can. As a former caregiver to my Mom, I think the time spent thinking about the what if this happens or oh, this happened yesterday and it sucked was what drained me the most. Obviously, when you care about someone and you feel responsible for them this is easier said than done but when you think about it you can't change what happened yesterday and what is going to happen is not in your control. Do what you can when you can do it with your Mom and your job.

Trite advice maybe, but sometimes we complicate things in our mind too much. If I had it to do over again I would have lived in the moment more and left control up to God.
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Xina
I've been overwhelmed at work at times too with dealing with mom's care - it's exhausting and I make up for it by working long hours - I know of no easy solution short of turning away from it all, but then that's not going to happen

As one person told me - it won't always be like this

Rest when you can and be present as much as you can at work and make up the time missed even if something else such as household chores don't get done
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Your profile says she is in a nursing home. Is she in her own home? I would think a nursing home would be able to field many of these calls.

Many people in your situation would be able to throw themselves into their work and shut out all distractions while at work. But all the phone calls must make that difficult for you.
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