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My elderly LO (75) might need a large surgery and has asked my teenager to be the one to do round-the-clock post-surgical care. My teenager is starting college in a week, has very limited experience caring for others, and has trouble lifting more than a purse due to a rare disease my kids and I have. My daughter says she doesn't feel comfortable doing it. She is worried about missing signs of a serious health problem and not being able to handle her college courses especially since it's her first semester (Freshman.)



Our LO has a very challenging personality on a good day. Past surgeries have been hard to help with after. There is a lot of yelling and constant demands. We are a family with lots of post-surgical experience and know our limits. To add perspective, my oldest daughter had complex spinal surgery as a teen with steel rods implanted and major complications and her recovery was easier to deal with than our LO's emotional reaction to a much more minor surgery.



There are no other family members either able or willing to help. Sadly, she really had offended a lot of people lately, so the universal feedback is - what's wrong with rehab?



What's the best (and most loving) way to handle this situation?

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Agree with others here. Your daughter is not available, end of, and she should be grateful rehab is an option. Take it.
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Say no.

"My daughter says she doesn't feel comfortable doing it".
That's enough.

LO will need to make other arrangements.

Hope you did say no.
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I think you just want cinfirmation that its OK to tell this person NO. I think you have gotten your answers, No is what you tell the LO. Main reason, your daughter is in College and not going to have the time to care for LO. In itself, that is a good excuse. But then her not being able to lift is good excuse even without College involved. Another excuse is your daughter does not want to do it, all for the right reasons. This is a good time to show her its OK to say No. And she is not responsible for the reaction she gets. He also recovered. But then he has a very high threshold of pain.

I would make sure that her doctor and discharge planners are aware that there will be no one to care for her at home. No matter what she tells them. It will be an unsafe discharge. That if she tells them otherwise, they need to confirm it. Also be aware, whoever picks her up can be held responsible for her care. And there is no help from the hospital once you walk thru those "out" doors.

The LO will just need to go to Rehab or ask her doctor for an order for "in home" care. Then LO hires an aide to be there when PT and OT aren't. In home will provide an aide for bathing. If LO is lucky, she may be able to get some hours there.

Really, is ur LO clueless about your childrens' conditions. My nephew has 4 rods in his back to correct scoliosis in his upper back and his lower back. He cannot lift more than 25 to 30 lbs. He has no flexibility in his back.
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ElizabethAR37 Aug 2023
Absolutely agree. This plan, proposed by the elderly patient-to-be, would be a non-starter for so many reasons. Admittedly, I would detest the idea of going to rehab if I should find myself in that situation--which could happen at my age, (86)--but I would NEVER ask or expect my grandchildren, or adult children, to provide hands-on post-surgical care.
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Your teenager shouldn't do it, and she doesn't want to do it. Is she afraid to tell your LO no? Does she expect you to be the one to break the news to the LO? I might do the same thing for an 18 year-old.

Is this her grandmother? Your mother? Your mother-in-law?

Best to let the LO know ASAP so that she can get used to the idea of rehab after her surgery.
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Absolutely not. She's getting ready to embark on an exciting time in her life at college and this burden should not be how she starts. Your LO zeroed in on your teenager, knowing she would be the easiest to manipulate and the least likely to resist. Rehab or home health care is what is needed in this case.
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My mom was sent by my grandparents to care for her aunt (my grandfather’s sister) when she was 14. Her aunt had cancer. Mom helped with caring for her until she died. I think mom said that she helped her aunt for about four months and that it was pure hell.

My mom was so affected by her caregiving as a teenager that when I volunteered as a teenager at our local children’s hospital, she made me quit.

I did well with the teenage kids in the gym. I loved playing basketball with them. They were in wheelchairs and would shoot hoops daily.

I had a tougher time emotionally when I interacted with the younger kids.

I came home from Children’s Hospital crying one day, because I became attached to this one little girl who was going to die.

I was angry with my mom for not allowing me to continue volunteering on Saturdays. Later on, I realized that it was because of what she went through when she was younger, being a caregiver for her aunt.
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NO to the millionth power. Or infinity. Or whatever is possibly the strongest possible NO!

I want you to imagine if you will - the worst possible emergency situation that the elderly loved one could experience post surgery. Possible internal bleeding or high fever from an infection (staph or MRSA) at the surgical site for example.

OR, conversely - let's just say your teenager WILLINGLY decides to do this and gets bullied by this CHALLENGING loved one who has been historically demanding and has high expectations. And pushes HERSELF beyond her own limits and INJURES herself.

HOW will your own child react in an emergency? What would her immediate response be to a crisis? And even the most level headed adult who is USED to dealing with crisis situations can panic under that kind of pressure - when they are facing the potential of a loved one bleeding to death or facing a life threatening infection - or they themselves are injured AND still responsible for someone else's care at the same time.

WHY would other adults around her even consider this an option?

It doesn't sound like YOU think this is a good idea. It doesn't sound like your daughter thinks this is a good idea - or at the very least she is significantly concerned about the potential of problems BEFORE it even occurs.

I would nip this in the bud. Rehab is the best option. Other family members secondary. But your daughter has other priorities to focus on.
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100% no. You don’t even have to explain it. No is a complete sentence.
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No...do not place your 19 at risk for disturbing the rods implanted in her spine by lifting/moving the patient (although it probably unlikely, there's no need for the patient to know that). There is a reason that rehab facilities are available...to rehabilitate a patient without having untrained caregivers inflict themselves on the patient and vice-versa. Besides, starting college is stressful enough without having to look after a cranky, unwell person. Just. say. no.
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You answered your own question. There's no one available from your family who can safely and successfully provide care to the family member having surgery.

The answer is no. Your family member will have to accept that. If they don't then they will have a very hard recovery ahead of themselves.

You must speak very plainly to this family member and make sure they know in no uncertain terms that neither you nor your daughter can provide the care she needs.

If she refuses to understand and accept this and decides to get srubborn about it because she thinks you'll come through, she will have to learn a hard lesson like so many other seniors do.
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NO ONE should be "picked" to provide post-surgical care UNLESS he/she agrees to it. It is very difficult to handle all the emotional challenges (do I need to call for greater care, is the patient eating enough or the right things, getting enough water, is it okay to let him/her have another pain pill 30 minutes early, etc.) when one is a fully consenting and mature adult.
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It’s hard enough for adult children to care for their parents. It’s absolutely unconscionable to ask a teenage grandchild to care for their grandparents!

Nix the idea of grandchildren being caregivers immediately!

Rehab is the best and only solution!
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No! No! No! Starting college and adjusting to a full schedule is a challenge within itself.

I'm beginning to wonder where and what these folks are thinking when they request this type of care. Let your loved one recover in a facility. There are all types of monetary help for people with limited funds.
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JoAnn29 Aug 2023
The are self-centerd, selfish people.
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My Dh thought that it was a TERRIFIC idea to have our 16-18 yo granddaughters take care of their Great grandmother who is in in home Hospice.

SERIOUSLY?????????? I couldn't even begin to tell him all the things that were wrong with this scenario, the biggest one being: the girls do not even KNOW their ggma. Not at all. Like, couldn't pick her out of a lineup. And she doesn't know them!

MIL is also VERY demanding and hard to deal with. Even tho the pay was going to pretty amazing, not ONE of 4 grand girls took the bait.

My SIL, who is a Dr said that this was a terrible idea--for so many reasons. He stated that if gma had a bad fall or even DIED on their watch, it would be scarring for them-what was DH even thinking?? It helped that SIL weighed in on this b/c my DH was so adamant that this would work really well. (He was desperate at this point).

Rehab exists for this reason. My MIL is like a lot of older entitled people. They want what they want and don't care about anyone else.
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USally discharge planners will not discharge home if the patient says that his 90 year old wife will do it because of fall danger. If this teenager is weak, it will not work. Your LO should go to rehab. Make sure your discharge person knows this. Let him hear from the professionals
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YoungerWife, let me tell you a story.

In 1965, my grandma fell and broke her hip. She was 80, still working 3 days a week at Macy's Herald Square, living alone and quite demanding of her daughters ( but not, of course, her sons).

Her hip was surgically repaired. Rehab was a new idea back then--Medicare had just been passed.

My GMA excitedly called all her friends and said " I'm to be an invalid--my daughters will care for me." She was clearly looking forward to this.

My mother was a SAHM with 3 kids, including a 2 year old. The hospital suggested that GMA could go to this new-fangled thing called "rehab" and grandma snorted. "My family will care for me".

My mom got wind of all this and said "Mother, you are going to rehab. I cannot care for you if you can't walk. I cannot care for someone who is bedridden."

My GMA was incensed. "You'd send me to live amongst STRANGERS???" she bellowed. My mom said yes, if that's what it would take to get her on her feet again.

You can love someone and not accede to their unreasonable demands. You might say I learned to say "no" from my mom. It's a lesson I'm grateful for.
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NeedHelpWithMom Aug 2023
Your mom taught you a very good lesson!

Sadly, I did care for my mom way too long.

My daughters said, “Mom, one day we will take care of you like you did for grandma.”

My response was, “Like hell you will! Thanks for offering, but I will never allow you to make the same mistakes that I made.”

They both said to me that they were sorry that I felt as if I had to take care of grandma so long and thanked me for not expecting them to do the same.

It really does change our family dynamics when daughters are expected to carry the heavy burden of caregiving responsibilities throughout their lives.

Sometimes, sons are expected to be there too, although not as often.
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Tell your elderly LO no your daughter cannot do this. They will need to go into a skilled nursing facility if they need help.

Shame this elderly LO is he'll bent on killing your daughter and you with their toxic personality and demands. Time to cut this person off from future caregiving.
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My kids, ages 19 and 22, would not be comfortable with this. Sounds like rehab is a better plan.
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It’s terrible that she’d ask a teenager to do that. LO is thinking this care is the same as babysitting.
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Your elder needs to go to rehab if that is what the MEDICAL PROFESSIONALS are recommending.

Geez. What a selfish narcissist. Please say NO and don't traumatize your kid.

This demanding person needs to be stood up to; forget the 'loving' part.
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Your family does not qualify to be a caregiver for a post-surgical patient.
Period.

The doctor will order rehab where the professional care will be what the patient needs.

That is the most loving thing you can do.
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