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MountainMoose: You came on here for emotional support and you WILL GET IT. You cannot be emotionally battered by relatives who want to control you and your care of mother! Get aide from church friends/members and don't let your sisters have knowledge of it. They're not worthy of any plan of action. They are berating you and THAT IS WRONG.
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Wow, you all rock! I'm overwhelmed at such kind and thoughtful responses! I've been through your messages once and I'll go through them carefully again and again. This site is the one reason why I can keep going or how to think through various issues. I can't thank you all enough.

If any of you have a tough day and wonder if you make a difference in the world, tell yourself, "Yes, I do!"

I'll come back when I get some more time and answer some the questions.

Thank you all! {hug}
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Moose - your sisters are short sighted - that deck fix increased value of house so did fence so that is recoupable when time to sell it - talk to a real estate person as to how much & where other small fixes will improve bottom line - some fixes get more that 100% increase for the dollars put in

Start a new routine - you'll give them information on medical & money issues in direct proportion to the help you get from them so no help=no info - emotional blackmail is still blackmail - hire the people needed even if you need a reverse mortgage to pay for them - if mom has a house then that is money that should be spent on her care not to be saved for your sisters' inheritances

Start by giving yourself a fee for doing a 24/7 job - even a few hundred dollars a month will help you emotionally - there are 5040 hours in a 30 day month so even at 10 cents an hour that's $540.00 which is a bargain for the rest of family - don't sell yourself short because it's been a 100 years since 10 cents was an acceptable wage & slavery is illegal now! [$1260 is 25 cents an hour]

Ditch that niece because what you are saying is that you can't trust her - money would be better spent with proper help but now it's almost like you are babysitting her while paying her - family or not she is not meeting the job expectations - yes she should vacuum & not sleep - you'd have fired anyone else by now so start with this
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As for the house, if she has to go on Medicaid the State will probably attach a lien on it to pay for her care after she is gone. I don't think I would do a reverse mortgage, they are horribly expensive. Get help from an elder care attorney.
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       my mom got an infection while she was in hospital and they called the whole family in because they didn't think she was going to make it.I told them to unhook all the machines and just leave the antibiotics going and she started to come around,she is in bad shape but she is still here and I watch over them 24/7.My dad fell and broke his wrist and his hip and I'm also looking after him.I will do it until i can't any more.I'm lucky to get to spend this time with them.This thing cut off half of what i wrote sorry
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my mom got an infection while she was in hospital and they called the whole family in because they didn't think she was going to make it.I told them to unhook all the machines and just leave the antibiotics going and she started to come around,she is in bad shape but she is still here and I watch over them 24/7.My dad fell and broke his wrist and his hip and I'm also looking after him.I will do it until i can't any more.I'm lucky to get to spend this time with them.This thing cut off half of what i wrote sorry
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moecam: I hear you! Your point about my sisters' short sightedness about the house improvements was right on. I had researched whether that would be the case before I signed on for the work. The work I've done around the house was geared for resale, like replacing broken items and so on.

Here's an important tidbit about Mom being in her home and why us sisters are working to keep Mom here: she'll never see a nursing home--for better or worse. Mom has always said she'd never go to one. She wanted to stay home. I second-guessed our decision to support in this last year when a friend of mine, an MD whose specialty is geriatrics (gee, how much better can that be!?) I thought seriously about it, but coming here I decided there's just no way. Yeah, I'm POA for everything, but she's staying home.

Why are we girls committed to Mom staying home (or when her dementia is so bad she doesn't know this is her home and she and I can sell this house and move to my sister's) and the house gets sold?

Mom's had a hard life and she suffered for us kids. As a girl she had to drop out of school to support her mother and grandmother who were ill. She married a man who was an abusive alcoholic, our dad. She saved us kids from him and took it all herself until she couldn't take it anymore. She left him but then we lived in the midwest where she had no one--her people were all back East. Back then there wasn't much in support services. Instead of giving us to the state she kept us together. We were dirt poor and she went hungry so us kids could eat. She never complained. She's gentle and kind and never says a bad word of anyone.

So, that's why us girls are committed to keeping her home and doing the best we can--for better or worse, but that's Mom's wish and we intend to do our best. Us girls might bicker or snarl in fury, but Mom'll never know about it. What makes it so hard are my sisters' behavior toward me. I'll just keep doing the best I can.

Thank you all for your support. YOU are the reason why I'm managing.
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After rereading your post Moose... here's what I see - it is NOT the care-giving or mom that is the issue, it is dealing with your sisters. Rather than quit and give up on mom, put THEM out of mind for now. You said that you are POA for everything, so just do it!

While it is nice to run things by other family, to be sure no one's toes are stepped on, sometimes this cannot be achieved. Since you have all the power vested in you, take charge and leave them out. If they complain, tune them out. You can try to explain if they question it, but if they start in on you again, hang up the phone. No one needs that kind of abuse.

Since you are already paying someone to watch mom (useless niece) so you can get errands done, why not hire someone reputable who WILL do some additional chores, given they are in the contract? It may take trying several before you find the right person, but once you have that person, pay them for times you need to run errands AND time to be YOU.

During that YOU time, find like-minded people so you have people to talk to. Join
a club or gym or whatever you like to do. You DO need time for yourself. Once you find new friends, invite them over during quiet times too. You deserve a life, and your sisters are not going to grant you one. It is times like these that I am thankful I never had a sister... :-o For what it's worth, I have two brothers, and have some issues with both (more so the younger one, but older one can be a pain too!) I am not physically caring for mom, but I get all the rest. Unless it involves the condo and big expense, I don't even bother consulting with them anymore (only two of us are DPOA and as of now only I deal with the paperwork and finances, he does nothing.) If they wanted a reckoning, I can give them one - I take nothing for what I handle unless I had to pay for something for her or the condo with my CC, so they cannot point any fingers at me!

Again, break away from the sisters. Mom and You should be your only focus. Find a GOOD backup care-giver for respite and errands and HELP for you (never mind what sister said, YOU could use the help too!)
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I'm sorry your going through this. You are a loving and caring daughter. Others have given good advice. The only thing as you probably already know you mentioned sister 1 is executor. Be advised they will get worse when mom passes. Even if no money there they may think there is. Keep good records. Sister 1 is executor not much you can do with that unless you can get it changed somehow. I saw an elder law attorney but find a good one. Hang in there wish you well.
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disgustedtoo: Thank you! And you're right that m sisters' attitude is the worst part--closely followed by the isolation. I will look into paying for someone to stay with Mom occasionally. Today's a perfect example: Niece was supposed to come today but she's terribly sick. I was looking forward to getting out. It's way too cold to get Mom outside (she likes staying in the car and watching people).

Labmom: Thank you! Sister 1 has made it known she's not up to being executor and wants to decline. I researched how to decline and for me to accept being executor. I have a form in the computer all ready to print for a notary's stamp that has S1 declining and for me accepting. I'll run it past Mom's lawyer before it's required. I have all Mom's accounts and her house all set up (joint ownership of bank accounts, Transfer on Death, those types of thing), it shouldn't be too bad to get it done.
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Yes, we did. My husband brought his 90-year-old mother across state to live with us two years ago. A live-in sibling there had continued to ignore Mom’s doctor’s directives regarding her diet, hygiene, and safety. Her home had deteriorated: bad plumbing, no AC, mold, inadequate heat in winter, roof leaked into rooms. She could no longer safely do stairs, so slept on a cot in downstairs den next to powder room (no tub or shower meant no more baths). He kept her isolated with absolutely no social interaction. He continued to stubbornly refuse to accept family’s help with any of those issues, even turning away repairmen.

Her doctor recommended a nearby quality, affordable senior daycare 2-3 days a week. We went with him on a tour, it had physical therapy, music therapy, nurse on duty, art room, movie room, activities, meals, snacks, beauty salon, even a step-in bathtub!!! We urged him to use it. It would have given him desperately-needed respite, and her desperately-needed interaction, but he refused. He finally admitted he was unwilling to provide for her personal care, however, when she became incontinent.

So we brought her here and stayed with her in a senior-accessible condo while our home sat empty. Caring for Mom meant an entire change in our lives. Our schedules now revolved around her. I learned to cook gluten free and soft chewable foods for her three meals a day. Advanced dementia meant she could not be left alone. We were often woken in the middle of the night by her wandering. There was extra laundry, cleaning bathrooms, bathing her (she fought it at first but finally complied), trying to keep her occupied, finding doctors and taking her to appointments. We began to feel trapped and strained by our new roles. We could no longer visit our kids, grandkids, all of whom lived in other states. I finally understood why that son, who struggled with his own issues and isolation, had not been able to care for her adequately; it was a balancing act for TWO of us, and was consuming us!

We could no longer go anywhere together. There was no family nearby to help. We hired an aid two evenings a week, so we could get out or go to meetings or church together (then we’d argue about how to “best use” that free time). We took her to a senior daycare facility, and found that she loved interacting with the staff and watching others around her.

Here’s what we began to realize. Our 24-care for Mom had lifted her out of a lonely, unhealthy, unsafe situation, and we saw her life improve, but only up to a point because dementia and health problems meant certain decline. We saw our lives and marriage in decline: loss of sleep, loss of independence, loss of friends, increase of stress and picking at each other. I confess that I felt like a maid. No, less than a maid — at least a maid gets paid. Then I struggled with shame for my negative attitude, but I felt so trapped. And depressed. My husband was caught between his loyalty to his mother and family, and his stinky wife. We were drinking more, snacking more, watching TV late at night to reduce boredom. Picture a graph: her life was up 25%, ours was down 75% and declining.

We realized if one of our kids had an emergency, we would be unavailable to help, let alone see them for fun. We added up the cost of in-home care, senior daycare, overnight care in the event of having to travel, and the myriad of other expenses; and the cost of a memory care facility appeared to be comparable. The cost to our family life and mental health tipped the scale. That’s when we began to visit memory care facilities.

We are surprised by how smoothly Mom has made the transition. She is content there. She enjoys being surrounded by her “interesting” new friends. She’s cared for, well fed, and her caregivers seem to do a good job. My husband still drives her to her doctor appointments. I cut her nails and trim her hair. We have moved back into our home. Now we can fly across country to visit grandkids. We can drive six hours to help a daughter move. We can get out and do a few chores, projects, or gardening together. We can meet with friends. But the very best thing is we are able to go to see her almost every day because it’s so close to home. We can meet her new friends there, maybe cheer them up, too, while we’re visiting her. And we can sleep through the night.
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I agree with all that ccheno has written. It was sad to admit that my Mom was doing better in a dementia facility than she was at home. She and the “like-minded” residents interacted on their level.
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ccheno: Thank you for your post! I'm so happy you found a great solution!
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UPDATE: I'll be heading home, likely in a few months. I've talked to Sisters and Mom will move to Sister 1's home. While I'm ready to go home, I want to make it as easy as possible for them. Mom's house will be put up for sale. Our talk today was civil, light-hearted at times, and for that I'm grateful. There's lot to do.

I can't thank you all for your support. You all have kept me sane and out of the ER. I couldn't have reached this point without horrible guilt. Thank you all!
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Oh Mountain Moose.
So happy that you get to go home. I’m also glad you had this time with your mom. You are an inspiration. You saw what you needed to do and you are getting it done.
I hope your sister gets the help she will need for herself and mom. Sisters will soon see what you were going through.
Getting the house ready for sale will take awhile I imagine. Will mom go ahead and move while you remain in the house to get it ready? I’m so glad you are working together.
Keep us up to date. Good job!!
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[RANT] Really!? Seriously!? I had posted in the past days that I told Sisters I want and need to go home in another state. We had decided to sell Mom's house and Mom would move in with Sister 1. There'd be plenty of money from the house sale to hire help. So, these past days I've been trying to work out the sequence of disposing and emptying and staging the house and moving Mom, and for me to schedule my moving home. This morning I mentioned to Sister 1 about figuring all this out.

She said, "We [Sister 1 and Sister 2] decided I'd move in with Mom."

I was so stunned but I wanted to scream, "And nobody bothers to tell me!?"

Man, I'm so mad I'm nauseous. I still managed to be civil and be considerate of HER needs of when she can move in.

Yesterday a letter addressed to Sister 1 from Mom's bank. Unless S1 got an account from that bank (which I seriously doubt) the only conclusion I have is she's made an inquiry into Mom's finances, which I handle. Yeah, I'm rational, but at the same time, with S1, I'm always waiting for the other shoe to drop. I can't help but wonder what she's up now.

Today I finalized a computer file of a resignation letter for Mom's POAs and declining to be her successor executor ready to print. I also included, with commentary to Mom why I'm resigning. Honestly, I don't if or when I'll "pull the trigger" but it may be with no notice and a massive pile of all Mom's papers on the floor.
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MountainMoose, start practicing saying "I cannot possibly do that" over and over until you feel you can say that to your sisters without hesitation.

I realize your reasons for not placing your Mom in a nursing home, but we also need to realize when we made such a promise we never knew what the future held. I found this good article here on Aging Care: https://www.agingcare.com/articles/I-promised-my-parents-I-d-never-put-them-in-a-nursing-home-133904.htm
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mountainmoose -

deep breath in
deep breath out
repeat

Count 1 to 20 slowly

You're almost free. About to go home. Leave all these behind. Focus on the goal.

We're cheering you on.
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freqflyer and polarbear: Thank you both. I appreciate your breath of fresh air!
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