No matter what I do for my MIL, I feel like it's never enough. I am having to take care of ALL of her affairs. Right now I am anguishing over whether to keep her in the nursing home when her therapy is played out. She is past her initial 21 days and her secondary insurance is picking up the copay. I started looking into home care costs and what it would mean to bring her home verses leaving her there, paying down her money and applying for Medicaid. So much involved either way. I go up to see her everyday and bring her whatever she gets in her head that she wants. My kids and I took her kitties up to see her, she enjoyed that but cried when they left. I know that she would rather be home. Not my home, hers. She would be happy as a lark if I stayed with her 24/7. But I can't do that. At this point, she would need someone with her that much. She weighs 220 and there is no way I could do it alone. I really would need to have 2 people there all of the time. Regardless of what decision I make, she will run out of money. I feel guilty either way, and either way, there are lots of complications. And "no" I do not have much help in these decisions. Even though she still has 2 sons,( she lost three children) she only wanted me to make these decisions. So I have POA and my name is on her bank acct. the funny thing is, the rest of them seem happy that they don't have to deal with her affairs......ugh!
I don't know who "everyone" is, but I suspect they are right. Is there one of them you particularly respect that you could ask, help me figure out what I can stop doing? If you are doing too much, you need to do less, for the sake of your sanity and your family's well-being.
If this woman needs 2 person care around the clock, I don't think she is a good candidate for living in a private home -- hers or yours. Medicaid would help with some home care, but certainly not 24 hours/day for one person, let alone two! That is because it is more cost-efficient to pay for a care center that is set up to deal with MIL's issues. They not only have two people available at all times, but 3 or 4 if that is ever needed.
Do you like the facility she is in? Are there others in your area that might be worth checking out?
This is such a difficult spot to be in! I hope you can overcome your guilt feelings (that have to do with another situation altogether) and make decisions that are best for everyone. If the guilt is really getting in your way of moving ahead, perhaps a few sessions with a counselor might get you started.
Let us know how this all works out.
I have just gone through what you are going through only a wee bit different. My mom lived with us for 5+ years. As soon as she and my dad (who passed away 6 months later) arrived we went to an Elder Lawyer. I became POA and Representative Payee (Social Security). Mom was having back problems and I took her to ER. Brought her home from the hospital with medication and from there everything went backwards into a domino effect. Her dementia went into full throttle, talking for over a day and 1/2 non-stop. Brought her to our family physician, back to ER, admitted and then to the Nursing Home for rehab. Have you talked to the caring physician at the Nursing Home? Mine recommended she stay as I was no longer able to care for her. Also given her age of 94 and Sundowner's Alzheimer. Something I needed to make a decision about. Do I bring her home or keep her in nursing home. Not an easy decision.
She only got as far as they could get her in 10 days so I decided to enroll her in the extended care program for dementia patients. I explained everything to mom about not being able to lift her or care for her. I also went everyday, made sure she ate breakfast and was clean and dressed, etc.
I had the worst Guilt Feelings and blamed myself for her being in the nursing home. I would come home and cry as I was already on depression and anxiety medication just from dealing with all the paperwork for all those years. Having admitted her in the Nursing Home brought me into deeper depression figuring if I hadn't taken her to the ER she may still be with me and able to do things for herself. I couldn't get past the guilt. She was admitted to Nursing in Home in May. By August I called Hospice to look at her as she wasn't opening her eyes when I visited and her breathing was off and they put her on Hospice. My doctor advised me not to go everyday to the Nursing Home as it was affecting my health and depression so I cut back to twice a week. Also Hospice offered a Social Worker who was more like a therapist who I have to say got me through this rough time. Feeling guilty and overwhelmed by all the paperwork, lawyers, what you have to produce to get your loved one on Medicaid is draining and it doesn't end there. She finally got on Medicaid in December. It took me almost 9 months to finally rid myself of guilt and increased depression medicine. I was never on any anxiety medication or depression medication until my parents moved in with me, the bad part is I can never get off of them. My doctor recommended I go to a therapist but what would I do with Mom while I was in these appointments?
As far as having help at home once you are approved for Medicaid, Fidelis will come and provide a nurse to bathe, dress and do all that. Usually there is a person that helps you apply for Medicaid and the spend down at the Nursing Home. We however, went to a lawyer and it was worth $15,000 because there was so much involved and I kept good records thank god.
There were some things that were puzzling me about your MIL. Age, condition, can she walk at all?
Sadly...Mom passed away this past Saturday and she had the best care 24 hrs. a day at the Nursing Home.
It's not an easy decision to make and may God guide you through this time and make the decisions necessary. I will pray for you.
God Bless ~ Sharon
So how do you cut back when you are the one only for the ALF and doctors to call? I admit I can't do it all, I feel like I am failing myself, in order to save her. When I say things to anyone they don't understand and say don't do so much. Mom can't do for herself anymore (decision, health, finances).
I think we all suffer from guilt as care givers, we want to do our best but it is difficult because usually the person we are caring for doesn't appreciate or understand why we are in charge of their lives.
At the moment I am in
Exactly the same place you were...
Hard decision.. ty again
Since you acknowledge that it's really the guilt you have from the way you handled your mother's decline, I would try to seek professional help with it. It's not even rational to feel guilty about your MIL. You are doing loads of work, thinking of her care and devoting most of your waking hours to her welfare. Ruining your own health worrying about something that doesn't exist seems counter productive. Who takes care of matters if you become sick and unable? I'd work on learning to feel proud when you work hard and advocate for a loved one. People who do this should be able to find peace. Her journey may be for a while now. I'd try not to burn out.
You stated that you have POA, but, what about Healthcare POA? If so, I think you have already surmised that keeping MIL at home with her condition is not feasible. If she needs hands on care around the clock, I'd discuss how that can be accomplished with professionals so you know all that would be involved and if it's feasible in your situation. Keeping in mind that bringiing home a person with dementia, may not make them happy. I'd read a lot about how dementia patients have unrealistic expectations about how they will be just fine. Even if they are immobile and need help with all daily activities.
I'd read a lot of threads on this site about how family members did this and how it often works out. I think many people underestimate the enormity of the workload and stress that is involved. I hope you can find some peace.
Do you work? Because if you do, then you can't give her the care she needs.
Is there a way that she could live with you and people come in to help?
If there is, then set a room up at yours, providing you set out ground rules and you still get to live your life.
It's a dignity thing. I have to be honest, would you like to live in a care home, it's a last resort.
Finally, whatever decision you make, do not put your own mental health at risk. As you say, she's not YOUR mother.
I truly believe that selling the house is my only option, but I have tremendous guilt about that. She would rather be back home and having me care for her. The guilt-driven part of me wonders if I should.
It sounds like you intellectually already know what you need to do, but emotionally finding the will to do it is hard because you're projecting your regrets with your own mother onto your M I L. Until you conquer that and set genuine boundaries for yourself, nothing will change for you. I really understand what you are feeling, and it is so hard, but you have to separate the things you cannot control from the things you can control. In this case the only thing you can control is your own behavioral agreement to continue or discontinue this arrangement.
I think it would be really beneficial for you to talk to a counselor to help untangle your feelings toward your own mother and untangle your feelings of obligation to your MIL and see both of those relationships in separate columns. Once you've worked through that internally, and found some measure of closure with your own mother, I suspect you will be more at peace with setting boundaries without guilt. Good luck and blessings to you and everyone on this thread. Xo
I get very little help from the other 4 siblings, seems to be very common in most families, so at least we should all have a little comfort in that :) but not really, right?
I am not POA or on the health care proxy which adds a whole different dynamic to the situation
Mom has lived with me for 3 1/2 years now and has declined rapidly in the past 9 plus months. She is in the later stages of dementia.
I am going through the Medicaid process now (Community Medicaid) due to the POA announcing she can provide no more of mom's money to support her care. Also I am located in New York, not all states have Community Medicaid.
I hired a good care manager, she is worth the money! It's has been a process and it's rather exhausting but I did get approved for 24/7 care. So now the task at hand is working with one of their agencies to find the required help. In the meantime, however, I can become an employee of this agency and get paid for my time while we are looking for the right people and filling all the time slots.
My mom's wishes were always this - do not ever put me in a nursing home. So, that is what I am doing. Will I succeed to the end? I don't know but I will give it everything I have.
I learned quickly not to sacrifice my own health. So that comes first along side mom's care. It's been a struggle but it's working. I, unlike the other siblings, will have no regrets/guilt.
Bottom line is, you must take care of yourself and know your limits, which it appears you do. Do what your gut tells you to do. You are stressing over your guilt about not being there for your mom and we all understand that. But don't add that guilt to what is going on now. That is very unfair to you! Be kind to yourself. Don't beat yourself up. Love yourself more than anyone else. That will help you get through the trying times. Take care of yourself and let us know how you are doing.
You feel no matter what you do her money will be eaten up so balance where she would be best - hiring 2 people is not reasonable so if going to her home she will need a hoyerlift etc -
Hire a professional who doesn't stand to make money in anyway do an assessment of her home & her mobility to help you decide - that way you should not have any guilt in your final say as you can say to yourself 'I did everything possible'
If she has some dementia then an earlier move to a NH can be better for HER because she has time to get used to it & start participating in activities that will maximize her adjustment to her new way of life
It sound like MIL is a good hand with the guilt trip but acting out of guilt may not be in her best interest but getting all the information before you make your choice is -
Also stop going to see her every day by taking 1 day a week off for your own mental health - she is important BUT SO ARE YOU & you deserve time for what you want to do - don't feel guilty about this either because if you burn out then some else will have to take over who may not be as loving as you are .... so this time off will benefit you both -
You are doing more for your MIL than most children do for their parents SO STOP FEELING GUILTY BUT FEEL PROUD OF YOURSELF & look yourself in the eye while 'I have done very well by her & I will not feel guilty anymore' - hope this helps
My own hubby sees his mom when I FREAK OUT AT HIM and make him call/go see her. I am not allowed at her house (too huge of a backstory) so she only lets a very few people in. He is her POA and does occasionally look at her financials, but he could NOT care less about her health, what she's up to....and it's sad. I am seeing my only son parroting this behavior with me.
Guilt is so free floating--you're probably looking ahead and behind and feeling guilty for everything. Therapy has helped me tremendously in dealing with that "free floating" guilt. You can do so much...and then no more. After you've hit your "limit" you are just hurting yourself. And you can (obviously!) do quite a bit.
Yes, you want to give your MIL the best, but you realistically cannot. That is sadly her burden to dear. You can make sure she is safe, loved, cared for in the most basic ways and that's about it. You can't MAKE her feel happy about it. I hope you can place her in a safe, warm environment and cut your visits to a reasonable length of time. You mention still having kids at home? My kids HATED my caring for grandpa...and they were teenagers! It didn't last very long, but I spent so much time with Gpa and the kids were resentful (little brats :) )
I wish you luck. This is a huge thing for you. I admire someone who can love an inlaw like that. You're amazing!!
I'm so sorry to hear about what is happening with your MIL. You are an angel for caring so much about her. It is a lot responsibility for one person to bear. And a struggle to do the right thing. For your own health and well being I hope you can find the right balance. I know it will not be easy. For myself, I ended up doing everything as well. And I tell you, the anger, resentment only escalated. By year three, I became indifferent. I had no more fight left in me. My dad has passed now. I still have guilt about all the things I could have done differently. I hope you will consider counseling or a support group for yourself. Do not try to go this alone. Try to access any community resources you can to help your MIL. Take care and I hope things work out.
The movers and I were able to make their new apartment look just like their bedroom and den back at the their condo and when they got there after going out for breakfast with another friend and then to have their nails done, the husband saw his recliner, tv, couch, table and lamp, pictures on the wall, etc and sat down with a sigh of relief and has been happy ever since. In home care for the wife was going to cost $13,000 a month. This apartment would cost $11,000 a month for the two of them, $7200 now that that wife has passed and just the husband is there. He is happy with the new friends he has at meal time and that he doesn't have to take care of a thing. I am happy with the level of care they received and he receives now. The health nurses fill me in when I talk with them about how my friend is doing and I tell them the results when I take him to the dentist or eye doctor. Their daily records are invaluable and reassure me they are paying attention. Going through their 47 years of accumulated treasures and getting rid of all their furniture and belongings is a big job. I have learned a lot more about them and their lives and it only makes me appreciate them even more. My friend is a well-educated black man and we joke about being "brothers of another color." He is not family, but feels like it and to be able to play this role in his life is an honor. But, having someone else do all the daily care is a huge relief. Doing all this other, behind-the-scenes stuff is a big enough job. It's a good thing I am retired and have the time to use. It feels like another job and the only pay is the feeling of getting it right. Plus whatever merit it brings after we die.
My MIL will be running out of money in a few months, so I went to the business office at the NH and talked to them about how the applying for Medicaid process works. I found out that we have a problem in that my MIL had loaned a fairly large chunk of money to my brother in law and she would be penalized for that amount of money, which means that she will have to come home or we make the monthly payments ourselves until that amount was put back, or my BIL pay back what he owes. Well, the last won't happen in this century, so I am having to also hire an attorney to get through this. I do not feel like I qualify for this job, I feel like I am in over my head. In in the meantime, my MIL continues with her demands!
I know that I have got to STOP this psychotic behavior....I also realize that I cannot do it on my own and am crying out to a higher power! I do appreciate the prayers, and all of you that posted the same feelings that I am having, I will pray for you too. As it says in Job 42:10, And the Lord turned the captivity of Job, when he prayed for his friends. I do love my MIL but I am not really doing her any good by behaving the way I am. I want to be there for her and make sure that she is getting the care that she needs, but at the rate I am going, I am wearing myself slap out!
My MIL will be running out of money in a few months, so I went to the business office at the NH and talked to them about how the applying for Medicaid process works. I found out that we have a problem in that my MIL had loaned a fairly large chunk of money to my brother in law and she would be penalized for that amount of money, which means that she will have to come home or we make the monthly payments ourselves until that amount was put back, or my BIL pay back what he owes. Well, the last won't happen in this century, so I am having to also hire an attorney to get through this. I do not feel like I qualify for this job, I feel like I am in over my head. In in the meantime, my MIL continues with her demands!
I know that I have got to STOP this psychotic behavior....I also realize that I cannot do it on my own and am crying out to a higher power! I do appreciate the prayers, and all of you that posted the same feelings that I am having, I will pray for you too. As it says in Job 42:10, And the Lord turned the captivity of Job, when he prayed for his friends. I do love my MIL but I am not really doing her any good by behaving the way I am. I want to be there for her and make sure that she is getting the care that she needs, but at the rate I am going, I am wearing myself slap out!
God bless you!