OK, my mom calls, says she took a tumble. She does not want to go to the doctor and check her arm, where she hit it against the fridge. She wants me to go get her cigarettes. I go there, look at her arm (a bit swollen in the forearm, but she can move her fingers and wrists, albeit it's a bit sore). Again, is she sure she wouldn't want to see her doctor, which is up the road and they can do an x-ray there? No. Only cigarettes. So I go get her cigarettes and try again about the doctor. It's tense because I'm angry because she's been in her narcissistic mood swings. Just a week ago I received a letter from her telling me not to call her anymore (one of many) and now of course she can't roll her cigarettes so her sucker/child is needed to get them for her. I left and told her to enjoy the smokes and to call me when she wanted to go to the doctor or really wanted to get help for her health problems.
But, can I force her to see her doctor in cases like this? In a sensible world it's not unreasonable to want to get an xray to make sure there's no break. But in her world money is only for spending on cigarettes -- not on anything (hearing aid, gerontologist, neurologist) that might actually make her later years a bit better.
This should be on YOUR terms. If she goes for regular check-ups have a discussion in front of her with her doctor about your situation. Protect yourself. If worse comes to worse, call EMS to check her out at her home. Good Luck & God Bless all who write in for help and those that respond with their ideas! We're all in this together; together is a GOOD place to be!
Leolady 2007: My husband was saying my mom sounds like an addict. That's always when she gets the most dramatic, when she's running low on her poison. (She doesn't have a favorite brand, Freqflyer, she'll smoke anything. She prefers the cheapest, but the only thing unacceptable for her is not having her cigarettes.
We have tried a number of things to get her help. In the past when she's been in the hospital (for a UTI where she had a bad bout of delusions) they did a psych evaluation. Nothing. She answered the questions the right way. (She also knows when her rent is due and her pill schedule, so she's got her head on straight in ways.)
Her doctor (and past doctors) have been informed repeatedly about the delusions and the tantrums. We get nowhere with it because she passes their dementia tests well enough.
I've called the Area Agency on Aging and Alzheimer's Association and other places trying to get direction or help and the consensus is you can always try to take it to court but they say it's pretty much an uphill battle up an icy hill.
Last night she called while I was at a friend's and all of a sudden she was like, "Oh I don't think I just hit my arm the other day, I must have hit my head!" She said she was tired and so on. Well, I asked if she wanted me to take her to the hospital. Nope. "Just call me back in an hour and see if I'm still alive."
Now, she's done that in the past so much it's like crying wolf and I tend to believe she's more likely to do it for a reaction than anything. Even one of my friends, who has worked with the elderly in the past said, "It sounds like she wants attention." But I talked to her a bit and then called her back an hour later and she'd napped a bit and said she felt better. (Again, I think it was she'd gotten attention and was calmed by it.) So I left it at that. I'll check again today to see if she got some good rest, but I'm just kind of tired of it.
I used to really worry but I've heard so many threats, gotten so many letters and lectures telling me I'm a jerk or never to talk to her again. I've also heard so many fake diagnoses and talk of doom. She had polyps in her colon and told me it was cancer; later the truth came out. She says she has mini strokes or heart attacks. When it's been timed with a doctor's appointment they'll do a chest x-ray or something and it seems fine.
When I was 11 she told me she had stomach cancer and I was devastated. Then, nothing.
Me: Hey mom, are you going to get treatment?
Her: For what?
Me: Your stomach cancer.
Her: What?
Me: You said you had stomach cancer.
Her: What? Oh no, I don't have that.
Me: But you said you did. Why would you say you have cancer if you don't. I was terrified you were going to die.
Her: Oh, don't be silly. I was just being eccentric.
I've heard that eccentric line for so many years. I've brought it up in the past, citing it was an example of why I'm annoyed or leery. She just replies that I hang on to the bad or only think nasty things of her. Well, I'd kind of like some truth here. Something honest, and not someone who's making crap up because they're bored or angry or depressed or whatever.
She's even threatened suicide if I don't get her her cigarettes and then again, I get labeled a jerk for being annoyed about it. And if I say, "how would you like it if I said I was going to cut my wrists because you wouldn't buy me a pair of earrings?" she doesn't get it.
So it's a dilemma. This old, feeble yet manipulative mother vs. a daughter who is tired of being expected to be her mother's dog. I want to give her real help, and not deal with this drama and lying and crazy talk anymore.
Don't know if this is an option for you, but wanted to mention it as it might help you or someone else.
Meanwhile, to echo the chorus, yes, you cannot force your mom to see a doctor. Only a guardian can force someone to do something. As it's been explained to us, seniors have the right to make bad decisions. However, if your mom were to be found incompetent and you named the guardian, then that's a different story. She no longer has the right to make decisions and you or whomever's guardian makes all of them for her. This is another just another option.
We don't know if there is a word that describes what we go through when we are forced to sit back and watch our parents make bad decisions. "Frustrated" doesn't even begin to cover it.
Dave recommended a welfare check. We recommend you keep APS or the police out of your business until it's an emergency. At that point, call 911 for the police and/or an ambulance. The police are needed in case your mom is seriously hurt or in danger but is refusing assistance. The ambulance will take her to the ER for care.
I would have told her we would get the cigarettes after we got the x-ray or she would do without smoking.
It goes without saying that she needs to be under a doctor's care, a good primary doctor. Sounds like mental health issues could be in play, or she has some ongoing infections which are upsetting her personality--either way a doctor's workup seems in order.
The smoking is a problem too, not just the health issue but if she has mobility issues (falling into the refrigerator) then she will likely fall asleep smoking and light up the house.
Either way she will be seeing a doctor, if she continues to ignore the health problems---she will land in a hospital and then be under medical care.
If there is no reasoning with her, then just let things ride and be prepared to call the EMTs when she ends up traveling to the local ER.
You are not a sucker/child for trying to help her, at some point she will not be able to live without her daughter's help and she will hopefully correct the attitude at that point. You are trying to be a good daughter, she is lucky you care.
xo
-SS
Do you know her doctor's name? Do you have a signed HIPAA giving you access to information from her caregivers? If not you can talk to doctor to give information but doctor can't give you answers
Invest a few hundred dollars and visit with a elder affairs attorney and get your family documents in order. Being next of kin means nothing.
[Um. A bit swollen in the forearm, but where was the impact, did she let you see? Just a heads up - you want to keep an eye out for anything she might have dislodged in her elbow. But worry about that if it doesn't start getting better of its own accord.]
And if I were you I'd frame that letter and use it as a shield next time she accuses you of neglecting her duty. "Here, mother, see? Your instructions. Your signature. So." Mind you then she'd probably only move on to accusing you of forgery instead… groan. You can't win.
Don't start treating this, by the way, if she asks you for heat packs or ice packs or rubs or anything. When it comes to treatment it's your way (MOTHER SEE A DOCTOR) or nothing.
I then called APS. You know -his decision was a danger to his health. I was told that he has a right to refuse medical help. If he wants to die, that is his choice. They then referred me to an elder law attorney. I was told the same thing. Finally, I was told here on this site that eventually the pain will force my dad to seek medical help. Yep, a week later, he told me to call the ambulance and take him to ER.
I believe some people rather not go to a doctor of any type because they are afraid the doctor might find something that needs attention. It's the fear of the unknown, and I can understand that.
Heidi, my Mom has the opposite problem, she insists on going to her annual appointments with a whole group of different doctors, and at 96 she still insist on getting a mammogram [it takes two technicians to help her because she is frail], and I am thinking even on the remote chance something is found, Mom couldn't have surgery nor could survive chemo at her age. But I still take her.