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Just to clear things up a bit, my MIL is in advanced stage of dementia and alzheimer's. She is unable to eat, dress herself, bathe, walk un assisted.....really do anything. She does understand 50% of the time what you are saying but has trouble responding. This is why she needs care by my husband and I 24/7, this is also why I need to ensure that I get a break and can take my holiday's from work. We do have part time care-givers come in for a few hours per day but the rest of the time I am taking care of her and juggling work at the same time (I work full time) My SIL is retired and not working. She is busy doing her own things and has left all care responsibilities to my husband and I and refuses to help. We are looking at respite now but want my SIL to cover the cost as she should be responsible for figuring out care for the 6 week break that we need if we are taking care of her mother 52 weeks of the year now. My MIL is helpless and does not understand what is going on, I even suggested that we make sure we keep some of her personal belongings and furniture for when she moves in to LTC in the future and my SIL said what's the point she does not even know what is going on.......so uncaring !! How does she know that my MIL would not recognize some of the things from her own home !
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wolflover451 Apr 2021
since I didn't see this since my first post.......nobody is responsible for paying for respite care.........anything that MIL needs comes out of HER money. Get in contact with an Elder attorney ASAP to get things figured out, she will probably qualify for medicaid. Things will only get harder in caring for her and you may not be equipped to handle that stress. I wish you luck.
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You wrote this in a more recent post:

"I am looking after my MIL while working with some help from my husband. She has Alzheimer's/Dementia so she needs help with everything (bathing, eating, dressing, walking etc...)"

and:

"We have zero help and are on 24/7 and I am fearful of losing my job because of the attention during the day that I have to give my MIL"

This sounds pretty dire. "Some help" from your H? And she "needs help with everything"? Better put your foot down NOW before you lose your job!

Is your H of the opinion "no facility for Mama!"? Because if he is, then things are going to be a LOT more difficult, since you will have to change his mind. (And you might have to move out temporarily.)

You didn't have mission creep...seems you jumped right into fullscale operations on the MIL caregiving front! I am also curious about SIL, though...was she taking care of MIL before she dumped her on your doorstep?
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ott1234 Apr 2021
My husband does help feed his mother but to be honest does not feel comfortable with toileting and some of the other personal things in order to take care of her. I by no way just jumped into this role, my husband and were looking after both of his parents for the last two years and more so the last year while his father was dying from cancer. My husband focused on care for his father while I helped with my MIL. Now that my FIL in passed I am now more the full time care giver for my MIL because she is comfortable with me and has seen me almost every day for the past year. She barely recognizes her own daughter when she comes to visit her. In fact my MIL thinks that I am her mother and is reverting more into a child like phase right now. I have purchased all of my MIL's new clothing and shoes because when my SIL dropped her off with her bag of clothes on our doorstep nothing fit ! I have not even received a call from her to inquire how she can help, what does her mother need, or even how she is doing....... Having a call today with an elder mediator to deal with the respite situation. Basically my husband and I have written her off as a helper but she is still POA along with him.
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I think the COVID issue is changing rapidly. In my state everyone who wants a vaccine can get it today. I would revisit the care facility with that in mind.
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I agree with Greaton777, if MIL is competent or only mildly cognitively deficient, have her revoke the current POA and assign you husband as DPOA for both medical and financial. I don't know your MIL's financial situation, but it might be good to contact and elder law attorney to get everything straightened out including having SIL provide proof she is acting in MIL's best interest as far as financially.

You can hire in home aide for MIL or charge for your services but that doesn't guarantee SIL will actually cut the check. I don't know where you live, but in my area, SNF, AL, MC were still admitting residents - I know Mom's AL facility would take in new people, only bad thing is they were locked down in their apartment for 14 days. They are now open for visitors after following the protocols. But again getting her into a facility will be difficult if daughter won't cooperate; unless MIL has access to her own accounts.

I also agree there is nothing you can do to make SIL take care of MIL, her "dumping" her at your door 2 days after FIL's funeral says it all. I'm sorry things are strained. Can you and hubby sit down list out needs and wants, have SIL do the same and sit and calmly discuss without a mediator. Otherwise mediation may be necessary.

I wish you and the family best of luck.
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Wow that is horrible that your SIL did that to you and I understand your not wanting to say no. I was there and lost many times to say I no. It sucks I allowed it to happen so long. Take a stand and drop her off at her house because she had no right to do that to you and none of yo are legally obligated to care for her but as POA it is her responsibility to find someone but they never will if they can take advantage. Contact social services and any legal recourse so that you make it clear you are not responsible. Keep you foot down and say you refuse to because she won’t be getting the best care of you don’t want to do it. I am working on my strength to say no too and reading what she did to you guys makes me so angry
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disgustedtoo Apr 2021
"Take a stand and drop her off at her house..."

Regardless of how or why the SIL did what she did, doing this doesn't make it right. MIL is not an unwanted "item" to be bandied about. She's not an unwanted "gift" that you can return. She is a person and should be treated as one, not chattel.

What SIL did was wrong, but as the saying goes, two wrongs don't make a right.
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The POA is only valid if Mom can't handle her own affairs. Is that the case? Is Mom competent? Does she know what Sis is doing?

You certainly have the option of telling Sis that you charge $25/ hour for caregiving plus all of Mom's expenses, including rent, groceries, clothes and medications should be charged to Mom.

Sis is likely cleaning out the accounts, just so you know.

Mediation is expensive and only useful if both sides agree to go by the mediator's recommendations. We paid $4,000 to a mediator as required by the sales contract when we bought our house. The mediator came, heard everyone's side, made his recommendations, and the seller still said, "Yeah, that's not going to happen. Sue me." That was $4,000 down the toilet.

I'd get an attorney instead. Make Sis provide detailed accountings of the money she spends on Mom's behalf, complete with receipts. Beyond that, stop stressing out about making her help. She isn't going to, and there's no point in adding more stress to your life about it.
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Zdarov Apr 2021
I agree, with what you mentioned and is reinforced here. Everybody plays nicer when a lawyer is there to help balance things. Including ensuring the money is used for your time and expenses, etc.
Also agree that looking at facilities shouldn’t be a real worry nowadays with over a year of practice at safe procedures and elders getting vaccinated.
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No SIL does not have to do the caring but it will be her that will have to set Mom up somewhere else. She holds the purse strings. She is the one who will sign as Moms representative. So DH may want to make it clear to sis that Mom staying with you is temorary and that eventually sis will need to place her Mom.
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LTC really IS an option if you want it to be. Get your MIL her shots and then get her placed. All the LTCs in our area are open for visits now as the residents have all been vaccinated. If your area hasn't quite opened up yet, it should do so shortly....call around to various ALs and find out.

You can't force your SIL to do the right thing but you can do what's right for YOU. Assisted Living is also a good option if your MIL has funds to private pay.

Good luck!
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Your feelings aren’t wrong, it’s disappointing when family members choose not to be involved. Realize first that her choices are her own and you have no power to change her. Accept her non involvement and make care plans that don’t involve needing her. Having her pay for respite care is a great idea, as well as having a regular helper come in. I’m glad your MIL is an easy going person, that makes the job infinitely better, but know it’s still a full time job from which you need breaks to avoid burnout
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If SIL is POA she is already doing "her share" in many ways. It is a difficult job. Do let her know you will need funds for respite care. You may also want to consider seeing an elder law person so you can work out in terms of funds just what care plan you wish, and how much your MIL will contribute to your household costs. You cannot change others. The best way to avoid conflict is to recognize that. Your SIL can refuse to care for your Mom but she cannot refuse the COST of care while you have your vacations. I think mediation is an excellent idea. EXCELLENT.
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Tothill Apr 2021
But Alva, the sister in law as POA, did not have the right to drop her Mum off OP's house 2 days after the funeral. No discussion etc.

We often see comments on this site that the care providing family member should be the one with POA.

Now we do not know any of the back story. Perhaps POA had been providing care to both parents for quite some time and had reached the end of her tether. Perhaps her needs for respite were not being met? We have no idea.

OP, look into respite care for Mum for your summer break. Mum should pay for it out of her own funds.
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You don't mention whether your MIL has any cognitive or memory loss. If not, then she has some say in the matter. You also don't say how old she is or if she has physical limitations. Was your SIL living with your in-laws when your FIL passed away? Was she caring for them in their home?

If your SIL was not caregiving but is the PoA and your MIL is in her right mind or only has very mild cognitive/memory issues I'd take her to the attorney and have her reassign durable PoA to your husband so that he has the legal ability to actually help her. At that appointment I hope she will also complete her Living Will (Advance Care Directive) and her Last Will.

In the end no one can assume or insist or demand that any one person care for another, and your SIL certainly doesn't sound like she's capable of acting in your MIL's best interests. Once your husband has PoA then you can both move forward and not rely on the flaky sister or her "help" or opinions on the matter.

But if your MIL has enough cognitive decline that she can no longer create a new PoA, then that's a totally different answer, so it would be helpful to know what the facts are in your situation.
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