My MIL lives in a remote area in Northern Lower Michigan. She widowed about 10 years ago and since has a reclusive lonesome lifestyle, but says she loves it and is unwilling to admit that her health and age make her home and location too much to handle. We live about 4 hours south of her, so occasional trips to visit are possible, but frequent trips are not. There is no other family closer.
Recently she got lost driving to the store after dark. The Neighbor had to come rescue her after she stopped at a random house and asked for help. I have no idea why she left to drive after dark - which she normally never does. She is elusive on the details, and we believe drinking may be the issue.
We have contacted her doctor to inform her of the concerns, and are trying to ask a neighbor about getting more details, but due to the politics of the family/area we cant reliably ask the neighbor to help. Honestly I have no idea how to best proceed. Any thought's or suggestions would help.
I think that seniors, not all, get scared of being seen as a burden and worry about being stuck in a facility. Most of them have habits that they believe will be squashed if they get help. Drinking would be one, however, I have toured facilities that have happy hour every night and allow alcohol in the facility as long as the person doesn't get wasted and create problems.
Having a talk now and seeing what the real situation is can help you do research to find out what is available in her area. It can also help you understand how she feels and to start encouraging her to think about living some place where the store isn't such a journey and other things that would appeal to her.
Michigan is a totally different system than the rest of the country, we have some experts from MI here that will hopefully chip in and help you get pointed in the right direction.
Hugs and strength, this is a difficult journey to be sure.
My husband's grandmother lived alone in a remote area up north also, in a small town. A police officer saw her driving one day and she'd bumped into a light pole and another car in the grocery store parking lot. She was unaware she'd done it-- eyesight becoming bad and beginning of dementia. The officer followed her home and told her (kindly) what she'd done. She had no relatives in her town, so the officer found her daughter's number and called her to tell her what was going on. Daughter was able to take action accordingly.
Whomever is her power-of-attorney for medical and overall affairs would have to initiate medical and financial issues. Family members who are not listed on a POA usually are not allowed any information.
I would explore a sale of the property, as this may fund her stay at a facility. You are free to talk to real estate agents and learn who is best for the location and type of property she owns. You can also look online to determine if properties have sold recently and for how much. If your husband feels he must say something, you don't even have to say you're looking online.
Her decline overall needs to be handled so that when all is said and done, you and your husband have no regrets because you acted to prevent the headaches and sorrows that come with unnecessary accidents and injuries to anybody. You will also feel better knowing you helped her move to a safer living arrangement.
So she drinks and apparently has been for some time. Alcoholic dementia and Wernicke-Korsakoff syndrome are very real and quite prevalent these days. I work as a receptionist in a Memory Care community and we have a woman there who was found at the bottom of her staircase, unconscious, covered in blood, after having fallen down the stairs in a drunken stupor. She was then diagnosed with alcoholic dementia and placed in the facility where I work. She repeats herself incessantly, unable to remember ANYTHING, literally, and insists she's the only one living there who does NOT suffer dementia. Trust me, she does.
I think you have no other choice but to go visit your MIL for a week or two to see for yourself what's going on. Then make the necessary decisions about whether to sell her house and move her to Assisted Living or whatever you feel the next step should be. I would NOT be moving her into your home, however, especially having no experience with dementia..........it can be brutal and something ordinary people are NOT equipped to deal with. She would need to be seen/diagnosed/tested by a doctor, of course, but getting lost while driving is a hallmark sign of dementia/Alzheimers.
Best of luck!
I suggest making a Thanksgiving weekend trip to access the MIL's situation; perhaps you can arrange a Christmas visit to your home. Stating your concern over her falling or getting lost this winter, you might want to gift her with a fall detecting system (like SkyAngel911FD, $180 on Amazon) that works on cellular networks (but does not require a service plan so there's no monthly fee) where you press a button to call 911. Usually the built in GPS can tell emergency personal where you are but in some areas of low cell signal the GPS function doesn't always work. Because it's cellular based, it will work when away from home if there is cell service in the area. With a monthly service plan, it can be setup to call a friends list before or after 911, which could include you and local neighbors. If at all possible, get on the HIPPA list at her doctor's so you can discuss her medical status and test results with the doctor.
I would not discuss MIL moving at all until you have POA documents, a definitive dementia diagnosis and maybe even a statement of incompetence in hand. I recommend focusing on in home services or home updates to help aging in place; in fact, I would use that term "aging in place" as often as possible. A misstep here alienating MIL can have disastrous consequences at this stage. Decades ago a widow nearing 80 in my extended family developed a friendship with a good looking con artist in his 40s (describing him as the son she didn't have) and proceeded to give him everything: her car, money, possessions, and eventually her house. Until or unless MIL is deemed incompetent, she is completely free to gift her money and possessions to anyone she chooses. The next door neighbor coming over for drinks in spite of the fact his wife hates MIL may be establishing a similar relationship. He's there everyday to relieve MIL's loneliness while your wife is hours away living a life of her own.
You may want to consider hiring someone local to call and/or physically look in on MIL daily so you can better monitor the situation. I would not trust any report from the next door neighbor since he potentially has a conflict of interest.
Find a senior service or something that will deliver groceries, or meals on wheels..
ask her social worker.
Take tours take MIL with you and have lunch on them,
The closer she is to you, the better you will be, since it won't take time to get there, pop in say hello and leave.
Contact the state about her driving. They will contact the sheriff and they will have to address it per their protocol. Or ask her doctor to make the contact if you are concerned about mom finding out.
Hopefully, she has her powers of attorney all setup. If she doesn't you may want to back off, just long enough, until you have the legal authority to do what needs to be done.
And get POA.
One day she will fall, maybe even break a hip or something and she will have no means of help, and just lay there and suffer. It happens all the time.
It's probably better if you get her and have her live with you until you can organize nursing home placement..or decide to keep her.
If she refuses, you better call 911 and have her Baker Acted. She is NOT SAFE by herself. Do NOT let her be by herself.
You better act fast. Her life depends on it. Falls happen REALLY fast.
Memory Care or at the least Assisted Living
I warned the daughter not to leave her alone..she did..because she says her mom refused to move from her home. Well--now she's dead.
Unfortunately many moves happen when a catastrophic event happens.
She falls, and 2 things possible she can call 911 or you or she remains on the floor and when she is found it is to late to help.
She gets lost, 2 things possible a neighbor helps or she freezes in a field.
Is it possible to install cameras in the house so you can monitor her? A GPS tracking on her phone and car so you can locate her if necessary? The best option would be to remove the car. She should not be driving if Alcohol is involved and or some form of dementia.
If she will not move you have 3 options.
1.) Leave things the way they are and hope for the best
2.) Get a Caregiver that will come in. How long would depend on what she needs. Could be a few hours now but know it will become a 24/7/365 job at some point.
3.) Begin Guardianship procedures so that you can force the move
after dark and see how She manages. If however You discover Your Mom is
drinking and driving then take the keys of the motor car away with You and
decide then on relocating Mom.
I agree that if at all possible someone needs to go and spend some time there with her on a “visit”. Assess the situation properly. Of course there is the possibility that she may do much better with someone in the house keeping her company. But it might make her realise her vulnerability and be more willing to move somewhere less remote like a retirement village or AL.
1) A visit, to do a first-hand assessment, needs to happen. concurrent with that visit, I would schedule an appt with her doc near the end of the visit. The docs assessment may very well require a referral for further assessment from a specialist...or at least that was our experience with our mom.
2) Start doing some research on devices to assist your MIL...a smart phone would likely have gotten her home, a smart watch can detect a fall, etc.
3) If not already in place, contact an attorney and get all the legal documents in place for you/your wife to be able to help your MIL when it becomes necessary.
Elderly care is now a big business. There are so many opportunities, but there are also a ton of obstacles. I am 3.5-4 hours away from my mom. My sisters provide primary care and I go down once a month for a week or so to give them a break. It is not easy when they are not close by.
Prayers and peace to you and yours that you'll find workable solutions for your MIL.
Good suggestions here.
My situation was pleasantly unique because my mom wanted to move into a senior living place. She was extremely lonely living by herself, had some clarity that she was mentally failing and wanted to be some place safe. I placed her in independent living because she demanded I give her a chance to live an unstigmatized lifestyle. She lived that way until she couldn’t. The senior place was well aware of my mom’s decline so it wasn’t a secret.
If your MIL can use a cell phone, god bless her. She probably isn’t in dire need of extreme action yet. Cell phones are still rather recent additions in this world so people with dementia usually forget how to use them early in their decline.
I really hope your MIL just has cataracts. My very best to you and your family.
Lots of good advice given here about your situation. This will take some boots on the ground. You need to see what is going on, is it dementia or alcohol or both? Do you need to move mom near you?
I lived 12 hours away from my folks when dad started developing dementia. I put a GPS device on his car and watched his every move for 2 years. When he started wandering and getting lost I stepped in and ended the driving. Mom was already in assited living at this point and dad joined her a few days later. It was a kicking screaming mess but it’s what I had to do to keep them safe.
Others have given many good suggestions - such as making a more extended visit to her house. Take a good survey of what is going on. See if she might have many unpaid bills lying around, still in their envelopes, for example and unopened mail or unread newspapers. (That was the first clue that something was VERY wrong with my father - because the man had been meticulous about finances previously.) Is there a lot of outdated or spoiled food in her refrigerator? Is she taking care of her pets? Inability to do those things can be a sign of inability to live alone.
What could be done in the meantime is to hire a home aide a couple of hours daily under the guise of "assisting her with household tasks" - and have that person provide you with reports of your mother's behavior, cognitive status, ability to manage things, etc.
I also agree with the suggestions of putting a GPS tracking device on her vehicle and also on her cell phone (if she has one).