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Many nursing homes are wonderful and are staffed by kind, dedicated, caring people. Visit some of them. Sometimes people think of nursing homes as they were many years ago. They are different now.
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You can't afford to prop your mother up in a house she can't use and can't live in independently with any quality of life. The prejudices and preconceptions about residential care in all its hugely varied forms that she and your father brought to the discussion, forcing you into unconsidered commitments, are worthless and obstructive at best. They have to go.

I haven't yet checked your profile and location, but that's where you start: researching what resources and services are available, preferably within easy reach of your home or your work or both.

[Goodness I'm irritated. Put them in the nursing home and throw them away, indeed. What nonsense. As though it's some law of nature that once your loved one is a nursing home she is held prisoner and you are barred from contributing to her life. This school of thought does SO much harm!]
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BurntCaregiver Jul 2022
You are so right, Countrymouse. In many cases "home" isn't always best or even possible.
I've had many cases where an elder would have been better off in a care facility because they had no life at all. No one visited them. They never went anywhere. They just sat in front of the tv day in and day out.
I had one old lady with some dementia who lived in a filthy, hoarded apartment. I was paid to be there two hours in the AM and one hour in the PM (to put her to bed). Her son and DIL lived on the second floor, she was on the first. The DIL was home all day and didn't work. She sat up in her hoard all day long watching tv. Every so often she's come downstairs and look in the window to make sure her MIL was still in the chair watching tv. Then the son would come home from work. He'd drop a plate of supper off for his mother then go back upstairs.
This poor lady would have been happy in an AL or even a memory care facility. She was so sweet and friendly, and never saw anyone.
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This is so hard, I have been where you are. My mum died of Alzheimer’s in a care home. Her and dad were adamant they wanted to die at home but mums personality took a turn and nobody could cope with her anymore.

Save yourself and your marriage. Put mum in assisted living and sell the family home to lay for it. It was unfair of your dad to give instructions on his death bed.

your mum will decline and it can happen quickly. Tell your mum that you can no longer look after her and her needs are better met by qualified carers. Look at nursing homes together.
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BurntCaregiver Jul 2022
Every elderly person is adamant about refusing to give up their homes and go into care.
Many times a care facility is the ONLY option.
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I think this is the correct site for your local Area Agency on Aging (it says it covers Lauderdale county? Is that correct for Florence? - sorry, not good on geography)

https://www.nacolg.org/aging-and-disability-resource-center

There's also a telephone number: (256) 389-0500

They won't have all the answers but they might be able to help you find where to start. Best wishes.
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It's time for your mother to go into a managed care facility. No parent has a right to make their adult child promise that they will not put them or their other parent in a nursing home. No one can really make a promise like this because no one can know what the future holds for themselves or their parents. This is a promise that no one can guarantee they deliver on.
Your father is dead. So whatever demands he made in life about his house never being handed over to a nursing home or no one outside the family getting it should just be put aside. He's gone. Now you do what's best for your mother because she's not.
Make a few appointments to tour memory care facilities. Then list mom's house for sale. It can still stay in the family if a family member decides to buy it but it will have to be sold at market value if placing your mother.
You have to do what's right for your mother. Unless you are willing to take care of her 24/7 yourself, or pay the difference for the live-in help that she can't afford on her own, she will have to go into memory care.
She put her parents (your grandparents) into a nursing home. I'm so sure they didn't want to go either. Yet, she expects her child to her out of one.
I don't think so.
She needs to be placed for her own health and safety. Unfortunately, you do not have a sibling to make this decision and carry it out. So you will have to do it. It's hard but you have to do what must be done.
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I understand the difficulty. My parents wanted to age at home too. They made plans for it though. I currently am primary caregiver for my 92- year old Dad and I reside with him. I took care of my Mom till she passed. They have been able to stay in their home.

My Dad periodically has delusions (?) related to a traumatic brain injury and sundowning. There are no resources on how to handle these. There is no training or help. You figure it out as you go. These are similar to someone with dementia. The difference is that my Dad’s condition won’t get worse.

With this background, I think you need to find a placement for your Mom before you exhaust all your resources. She can go into a facility that is just assisted living, but that has sections for memory care as her dementia progresses.

So while she’s still cognizant, she can be in assisted living with her own things around her. You, your wife and kids can visit her and take her on outings. You’ll have the time and energy, since you won’t be her primary caregiver.

You might see if there is room in a Greenhouse Project facility in Alabama. It is totally different than the typical care center concept.

The home is set up around a central hearth. Each person has his/her own room and they can decorate it or do as they wish with it. The schedule is driven by what the residents want, not by the administration. Residents can help plan & prepare meals. Each house has staff dedicated to that house.

Google Greenhouse Project.

Alabama Green House Projects

Tuscaloosa VA Medical Center
Skilled Nursing
Operating: 2
East Tuscaloosa, AL 35404
More information: http://www.tuscaloosa.va.gov/

St. Martin's in the Pines
Skilled Nursing
Operating: 9
Birmingham, AL 35210
More information: https://stmartinsinthepines.org/the-cottages/

The other thing you might do is talk to your Mom’s primary care physician. Tell him/her about the problem. Ask to meet with a social worker to help figure out what to do and for help on the financial questions.

Once you have your Mom in a safe, enjoyable environment, you’ll be able to ensure she has everything she needs to be happy. Chair, bed, TV, subscription to favorite magazine, hair appts, church, whatever is needed. And you and your family will have the energy to give her quality time, visits and outings. A sane setup that works for everyone. It has to work for everyone, not just your Mom.
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Hi there. I am going through the same thing except my mother moved in with me because I pulled her out of an independent senior living place. The food was bad, her memory failed, and she lost a bunch of weight. Calling me saying “where did everyone go?”, “You guys left me here”. Which no one was there or had visited that day. In the nine months she was there, I think she was just barely starting to get used to it, but my conscience couldn’t let me leave her there. The wisdom of your father was correct. Is it possible to sell her house or downsize? Not sure how much equity she has, but maybe renting a small apartment can afford her some care or do find her a place to go. She can make friends hopefully and you can stop by to visit. It is a lot, I know. I have several siblings, They don’t help much. The best thing to do is not to lose yourself in the situation. It is what it is. I try not to get emotionally involved and tell myself, “I’m still me”. Do what you can to make plans for yourself too. This phrase “I’m still me” literally pulled me out of depression I was going into and really helped me. I haven’t felt the same since, and I have also told two friends how I was feeling. Let it out and you’ll feel better.
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Dear sgsellsit. You have such a heart of compassion, and I respect your desire to fulfill the promise you made to your dad.
 
Being an Elder in your church means you know all about serving others, and have likely done so sacrificially. Here is my Christian perspective. It may not solve anything but I hope it offers you some peace.  
 
** Honorably, you want to fulfill the promise you made to your dad. This may also be a time when the Lord asks you to surrender that promise to Him, trusting He will fulfill the promise in a way that brings Him glory. When I struggle with this kind of tension, I pray the Lord will align my heart to His.    
 
** The Lord’s yoke isn't just easy; it serves as protection against carrying too much. It is an armor that prevents unnecessary burdens from weighing down my spirit.
 
** In the desert, God called His people to discipline themselves and eat only the mana that was needed for the day. It didn't matter that there was an abundance of food; He still asked His people to leave perfectly good mana on the ground. I look at my list of "to do's" through the same lens. Just because there are stacks of things that need to be taken care of, it does not mean I’m supposed to do them all. To gain perspective, I ask myself, “Am I glorifying Him?”  
 
** The Lord calls people to do many different things. When I need help, I realize reaching out may be the catalyst to help someone else fulfill his or her calling. I’m one thread…often frayed. Only the Lord knows how to tuck me in and weave a tapestry that reflects His Goodness.

Gratefully, He is.
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Becky04489 Aug 2022
I go to church for my Bible lessons. Not Aging Care. Posts are not supposed to offend ANY religious group. Not everyone on Aging Care is a Christian.
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Your fathers wishes are what most of us hope for. No one wants to go into a nursing home and no one wants to sell their home and not leave anything to their families when they die. But that is exactly what most of us have to do. It doesn't sound like your parents are wealthy people, so they are no exception. The reason your parents put their parents in a nursing home is because there isn't enough money, time or energy to become a full time caregiver and have a life of your own. What has changed since your parents placed their parents is there are now assisted living facilities and many are quite nice. In assisted living, your mom would have access to care 24/7. She would be around folks her own age and stage of life and she will make friends to lunch with daily. Depending on the care needed, they can give meds, help her bathe and dress. Meals are served in a dining room. There would be no home to maintain and she would be safe, which would take a lot of worry off of your shoulders. They are expensive, so after the sale of your moms home, I don't know how much time that would buy her, but you can cross that bridge when you come to it. As her dementia progresses, she may need to advance to memory care / long term care and may not be as cognizant when you have to make those decisions.

You are still working full time, raising a family, taking care of your own home and trying to keep your marriage in tact. You will have to sell her home and place her. That way she can get the care she needs without destroying your family in the process. You will still have to manage her care but you won't be the one staying up all night to give it.

Visit several assisted living facilities near your home. Once you find one that you like, plan a visit with your mom so that she can see it. You're going to have to have a reality talk with your mom. The home needs repairs she can't make and can't afford to hire out. Tell her you're tired and have to work to take care of your family. You want her close by so that you can be her son and visit her, but you need help and an AL facility would help.

Don't let your dads wishes guilt you into running yourself into the ground, missing your sons school events or tax your marriage. Take a deep breath, and make some sound decisions for mom that are in her best interest.
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SG, quick question for you, your mom lives in another city, right?
so is mom living in Alabama? Or does she live in Mississippi? or in Tenn? Florence is right up at the border, minutes away from either.

Where is she? . If you’re in AL and she’s in MS, or up in TN, the dynamics of all of this will be very very different & way way more complicated.
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I think like many people already mentioned, try looking into Assisted Living. Depending on where you live, some are more affordable than others. I had to put my Dad in Assisted Living, and honestly he's better off there than living with my husband and me. We both work full-time jobs. It's extremely boring if my Dad were to live with us while we're just working all day. He stayed with us for two weeks last summer and was miserable - that answered the question in my mind of what to do. He had no one to talk to (I'm in meetings most of the day) and my husband is busy working. In assited living, they can make new friends, talk with their friends, go on trips, do activities and a lot more than I could ever hope to offer. Plus he's SAFE there and there is a memory care so he can go into memory care as his Dementia progressed. I'd suggest assisted living for the stage your mother is in. Try visiting a few places - they are NOT like what many imagine. The seniors sit together outside, chat, gossip - my Dad even got a new girlfriend. So try looking into it.
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You need to make appointment with Elder law Atty asap. They will create plan so house & life saving is saved. Hugs 🤗
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I feel you, I'm currently doing this with my 94 year old mom. I'm blessed to have 3 siblings helping. Mom lives an hour away, we all split the week staying over nights with mom 24/7 for 2 months now. before she needed round the clock I was there every week on and off for 5 years now. Almost lost my husband neglected my own family, all for mom. Dad died from dementia and pneumonia 5 years ago. I took care of him as well. All I have is trust in God, I have nothing else. I go thru the gambit of emotion. It's a roller coaster. One thing I did learn was to stop beating myself up. Take the break for you whenever you can find one. You can't run yourself into the ground. I do a lot if praying, it's all I got.
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I honestly felt compelled to sign up for aging care after reading your post. I am so sorry you are going through this. I can relate all too well. I was a person that always said I would never put my mom in a home. I thought that was a disgrace and that I could manage alone. I'm 31 years old, and my mom is 73. She suffered a hemorrhagic stroke, amongst other things, including most recently small lung cell cancer. When she first got sick, she went to an SNF, where I got a taste of nursing homes to complete rehab, but due to covid, I couldn't really see the facility or be involved as much as I wanted to be. Sorry I completely got sidetracked by relaying my story. What I mean to say in your specific situation is that you have 2 options. You can try to have your mom apply for long-term managed care through Medicaid if she is eligible, but honestly, if you are needing round-the-clock care and can't afford it, you may want to consider a nursing home. I recently came to this decision myself. There are options where you can get 24hr in-home care, but it is proving to be very difficult to obtain and may take a very long time. I expect my first child in October, and I know I can't manage to care for my mom, who also needs around-the-clock care. The most we were ever able to get was 12hrs, which still wasn't enough, and I would either have to go to where she lives to stay at night, or I was draining my pockets trying to find people to care for her outside the 12 hrs. It's just unsustainable. I know nursing homes have a bad rep (I still don't feel 100 percent comfortable with my decision), but I do not believe caregiving stops once your loved one is in a home. Make sure you visit and call them and get familiar and friendly with the workers there so you know your mom is in good hands and so they also know that you are an involved child. Since your mom still seems to have some wits about her, try having the conversation with her. I hope this helps!
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My first thought is its time to downsize moms living situation and upgrade yours. If you don't want to place her in assisted living then you need someplace closer to where you live. (An ADU with cameras and communication set up.) Or a smaller more manageable place near your family. My mom is still in her house but she's close by and Alexa Cameras are excellent help since she gets phone confused with remote controls.
Its only going to get harder on you. Your mom and dad's wishes are not the only ones that matter. We all get just ONE life.
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Have you considered moving mom closer to you in a senior apartment and selling her home to pay for caregiving help?

Since you are a church elder do you know anyone willing to help your mom for a reasonable fee? The agencies are very expensive.

Maybe see a financial counselor to help sort out these money issues. You cannot keep going at this pace because for sure your health will suffer.

You need to do what is best for your family first meaning your wife and son still at home. Taking care of mom does not mean you have to do it all yourself!
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