My mom wants to be put in a nursing home. My dad doesn't want to go, but he wants to be with my mom. If she goes, he wants to be with her. I am trying to keep her at home, but she thinks she will get better care at the home. I feel like a bad daughter by putting them in there. I keep telling mom of ways to make her life easier at home, but she won't listen. Things could work out at home if she would quit with the I can't attitude. It is her mental state that is the challenge.
Should I just let it go and do what she wants?
Even though you are doing all you can, and making all sorts of suggestions too, the fact is that looking after your father must mean work and stress for your mother that it sounds as if she's simply had enough of. If your father will go (even if it is under protest) and your mother actively wants to, then help them pack!
There are nursing homes and nursing homes, you know. Has she seen one she likes the look of?
"Check updated profile...thanks"
Okay, so can't afford AL, which would include most MC.
Given the conditions described, maybe, just maybe they might qualify for NH.
This should start with an assessment of their needs. IF it's determined that a NH would be the right place, then Medicaid application should be done. In general, Medicaid only pays for NH LTC (a few states have some funds for other facilities, but not much.)
I'm not familiar with how to get an assessment done. The only "assessment" my mother had was a nurse sent from the aide agency I was going to hire to try to keep her home longer. It was partly for physical needs (none really, at that time) and a test of her mental capability, aka dementia (based on what I could learn before then, most likely it was and the nurse confirmed. Others may be able to provide advice - through doctor maybe?
Additionally, when you say they are living "at home", is that their home or yours? If their home, do they own it? If yes, then a sale of the home could provide for some care, if properly invested. If it isn't their home, then with low income and no real assets, Medicaid should be approved.
While getting assessments arranged and during the application, take time to check out the options available. Not all NHs take Medicaid, and generally the number of rooms available are limited. So you need to find those that might have room and take Medicaid, but then do the 5 sense testing of the place. Never base the decision on reviews, pamphlets, etc. These *can* be helpful, but you really need to go yourself, multiple times, armed with questions for staff, and others you meet there.
Never feel like a "bad daughter" if you have to find a place for mom and dad. It IS still part of caring for them - you watch over them, visit, take them on outings if possible, advocate, bring gifts, participate in all but the physical care.
Tell us about their health so we can more be able there provide intelligent responses.
You don’t state what kind of facility your mother wants to move to. There are multiple levels depending on her physical needs from Independent Living to Assisted Living to Memory Care to Skilled Nursing Care.
You probably are not providing your mom with the best care possible, you have to much emotional baggage and resentment for her to truly be the best option, no judgment just fact based on your other posts, I wouldn't be able to be a good caregiver to my mom for similar issues. Heck, I have so many issues with her it is a subscription.
You really should get a needs assessment for both of them and start looking at facilities that will best serve both of their needs. Especially since dad is the one that is sicker, you won't have to deal with her in the event he passes first, she will already be established in her new home and that would be reason enough for me.
How old are your parents? Do they live with you, or in their own home? Do they have support – a cleaner, meals on wheels, etc? What are mother’s reasons for thinking she needs more assistance? Is she really in need of 24 hour nursing care? Is there something worrying her that you don’t know about – a fear of cancer or some other serious issue? And why do you feel guilty, if it’s what they want? Do they really know what a nursing home is like - none of them are much fun, even when the care is excellent. How would your father cope with living in a normal nursing home? Do you suspect that your mother may be keen on the idea of being waited on hand and foot? Or is she thinking of an interesting AL she has heard about?
Respite care sounds like a really good idea, even if just for a couple of weeks. It could give all of you a better idea about the options. This is a choice that could go badly wrong!
While it's noble to want to keep them home, if she's truly unhappy, perhaps you can find an AL that does "respite" care and try it for a month or 2. See how things go. If she's still unhappy, they can return back to your place. If they seem to do well, then extend it to see if it remains "stable." If so, then likely this would be a good fit. It shouldn't hurt to give it a try.
We don't often hear about those who WANT to go to a facility. Usually it is a fight to get a LO to even consider it (my mother was one of those, despite AL being in her own plans before dementia came knocking.)
If they both go together than you have no problems concerning assets. But if one goes in and the other remains in the home, the parent staying in the home is considered the Community spouse. Then assets have to be split, those of the NH parent gets spent down then Medicaid applied for. The CS stays in the home and gets enough if not all of the monthly income of SS and pensions, if applicable, to live on.
Be glad that Mom wants this and help them find a place they can afford and live in. Dad may find out he likes having 3 meals a day cooked for him and things to do if he wants to.
Many Assisted Living and Memory Care will allow a healthy spouse to live with the one that needs care. This way they are together and the healthy spouse can get the extra help that they need and they can also have access to the other amenities that the facility offers. As well as being able to come and go.
The fact that your mom understands that her level of care requires more that what you can safely do is commendable.
Start tours and ask if dad is able to move in with mom.
Her "I can't" is not an attitude -- it's her reality. Ignoring what she's saying to you clearly isn't helpful.
If she feels she would receive better care in a NH, then start making arrangements.