I'm adopted and there is a big age gap between me and mum, 48 years - I'm only 31 and she's 79. We lost dad when I was 16 to liver cancer and around the same time my mum became semi-invalid due to spinal cord problems. She's not wheelchair bound but she can barely walk. As if things weren't bad enough, she had breast cancer 2 years ago, had to undergo a mastectomy and chemo and she's now left quite debilitated but recovered. I live abroad with my partner, so I have to travel every other month back home to see her. My mum's sister and her husband live near her and are there if she needs anything. In the last two years, we have noticed how mum isn't really safe home alone anymore, she has fallen a few times in the past and injured her knee. The problem is that mum is struggling mentally with all the bad things that are afflicting her and not coming to terms with the fact that she needs support. She lost her parents young and I think she grew up thinking she needs to hide any sign of weakness, especially mental health struggles. She's a serial liar and it is part of her persona to pretend that things are fine even when they aren't. My aunt is becoming increasingly worried about mum living by herself and even though she has only good intentions, she has become very pushy in regards to finding mum a carer which my mum completely opposes and they fight a lot over it. Personally, I'm struggling between agreeing with my aunt that mum needs care but also wanting to respect my mum's will to retain independence. I'm starting to feel like because she refused any sort of help (including psychological help) over the years. She's close to breaking down and perhaps she's already depressed. But she can barely walk, has incontinence, struggles to cook meals and wash herself. She takes our advice for a home carer as an imposition and opposes it with all her strength. I feel really bad for making mum feel like this but I also feel it's irresponsible to leave her home alone by herself. I suggested she at least starts some psychotherapy to work through her trauma and I hope she accepts to do that. Any advice on what to do in this situation would be greatly appreciated because I'm on the brink of losing it myself, I'm constantly stressed and anxious about the situation :(
Aunt is advocating at the 'duty of care* end. She sees it as her family duty to protect her sister. But too much protection could lead to overriding Mom's rights to choose.
At the other end, too much freedom - allowing Mom her choice to refuse care could head into neglect.
Now there is no legal *duty* here. (Unless Mom has been deemed mentally incapable & a POA or Guardian is in charge of her affairs). We are talking more about ethics. Aunt feels it is unethical to leave her home alone when it is clear she cannot look after herself. Aunt has every right to install boundaries & not become Mom's maid. To not enable a *farce of independence*. So she has turned to you with hope for action. But you have no more power than she to force change...
I have been in a similar place.
My LO could no longer self care. It was obvious to others, but not to her. There were falls but no immediate crises of house fire, wandering or med mismanagement. No big crises to force change..
I too felt a moral obligation to not let her stay home dirty etc. I sought a LOT of advice.
Dr noted 'lack of insight' (med term anosognosia). Not saying your Mom has that but may be interesting to read up on.
So that advice would be for your Aunt. She can say what she will do & leave the home help brochures for the rest. Eg Leave a cleaning agency phone number, don't BE the cleaner. It is kind of a life teaching method.
(Obviously not leaving her in a dangerous way, eg without food, water, heating, power).
The big thing will be stay on the same team as your Aunt. She is the boots on the ground & you are both lucky to have her nearby. If you can get a plan & work together you will do well.
If Aunt gets overwhelmed & starts blaming you, try to refocus back to Mom's care. Explain you are as limited as she is.
My LO (who says she lives independent) was described by a social worker as *living alone, dependently*.
That took a while to wrap my head around. Would that describe your Mother yet?
"She takes our advice for a home carer as an imposition and opposes it with all her strength".
If she can change her thoughts to *a home carer will help me stay in my home longer*...
Coz that's the truth.
That’s what you then talk about with your mother. This is one time when ‘ganging up on her’ is a good idea, because you three are the only ‘gang’ she has.
Find out about the other options as well. A caregiver can only do so much in the time that she is there. Is that going to be enough? Would AL be more appropriate? Or a group home?
This is always a difficult situation, even if you are on the spot. Present the problems seriously to your mother, don’t accept ‘I’ll sort that out when it happens’, and try to get your mother to use her brains! That's what you can respect about her, not denial that doesn't add up.
You will feel less stressed and your mother will be safer if you get her home care. It isn't your mother's choice anymore. You wouldn't leave a child on their own as they wouldn't be able to care for themselves and your mother is in a similar position now.
I would start with physical help before mental help. I say this as she needs to be in a safe environment before she starts to deal with her mental state.
You and your sibling have a talk with her. Ask her if she would have denied the two of you care when you were kids if you said no to it.
Let her know how much it hurts the two of you to see her living like she is in a dirty house, incontinent and unable to keep herself clean, and not eating well because she can't do for herself.
She's your mom and you love her and she needs to know how it's breaking your hearts to see her suffer because she won't accept help.
I think your mom will consider help if you tell her this way.
(i haven't read through the other replies).
sorry to hear you (and your mother) are in this situation.
i'm in a similar situation -- LO (sound mind) screaming against any solution i come up with.
just like you, i want to balance respecting her wishes vs. taking safety action. (my solution? i try to find techniques to convince her, to try various solutions. i also back off sometimes, because i need to work on my life, and anyway she's against my solutions. HOWEVER, as is true for many of us, all emergencies/problems land on us. hence preventing problems is a very good idea ---- for them, and for us).
my proposed solution, for you OP:
say you have a "friend" who wants to help out.
actually the "friend" is hired help (make sure it's someone trustworthy/competent. some caregivers are thieves; some are negligent/uncaring. we went through bad ones, now we have fantastic caregivers).
your mother might accept help from a "friend".
your mother might be embarrassed to allow others see her in this way (incontinence, etc.).
it's really not easy, for anyone, to get older. some people have luck, and it's not that bad.
a side-comment here, which is not related to your question OP.
i'm so surprised at HOW MANY elderly people (sound mind) fight their adult children like crazy, regarding very wise, safety ideas.
maybe we (when we're older), will do the same.
------although i have another theory:
many of the elderly LOs (sound mind) screaming and fighting against our wise solutions, NEVER themselves took care of their elderly parents (maybe the parents died young; whatever reason).
i do believe actually, that many of us taking care of our elderly LOs, will not behave in the same way, when it's our turn.
in addition, we (through all our helping) have become EXPERTS in beds, mattresses, walkers ----- we could pass any quiz with FLYING COLORS.
strength and honor (a motto i like).
bundle of joy :)
You should probably go visit mom and see for yourself what your aunt is talking about and look into getting her placed. Of course your are stressed and anxious about the situation, who wouldn't be? If you are POA over mom, then YOU are the one who gets to make these decisions for her if she is incompetent to do so, which it sounds like she may be. Being incontinent, unable to cook and wash herself sounds like she's unsafe to live alone and 'what's best' for her is to have help. Be it in home help or to live in managed care, she needs help. At some point, respecting your mum's will to retain independence has to be overlooked when you KNOW she's unsafe! If/when she falls and gets rushed off to the hospital, it is very likely they will refuse to release her to live alone ANYWAY, and then the choice is taken out of her hands! If you go speak to her in those terms, perhaps she will agree to get the help she needs NOW, before the choice is taken away from her.
I see that you seem to have found someone to help your mom...........good news! I hope it all works out. Good luck!
She now has someone at home we are trying to make it work and I will visit soon
If Mum is competent, you can't do anything. If she isn't, then someone needs to take charge and make these decisions for her. If you hire caregivers, make sure they know they work for YOU, not Mum, and she can't fire them.
Unless her home is wheelchair-friendly, I'd be looking for placement, because she'll be in one very soon.
This is going to have an inevitable outcome either more or less disasterous. Meanwhile your Mom is not only limited for mobility, but it seems for mentation at least a bit, and with incontinence, which is a serious problem when you cannot keep up. I am assuming your Aunt is no longer young. Unfortunately she is, while helping and undoubtedly completely overwhelmed, enabling this. Were she to step away completely this would be one and done.
You Mom likely needs now to move into care. I doubt there could be in home care adequate for her staying in the home unless her financial status is fairly unlimited. You and Aunt need now to lay the law down to Mum together. Aunt needs to let her know she cannot go on as she is caregiving, and you need to let her know that she needs to be safe; you are far away and can't help.
I am so sorry it has come to this. And if Mum continues to refuse help I think that Aunt needs to back away and allow the incident that WILL happen TO happen so that Mum is in care and safe. We have seen this on Forum before. I am so sorry you are having problems getting your Mom to accept reality.
my mom didn’t want a caregiver. I lived out of state. On a visit, I contacted an independent caregiver company. They were super. Gave my mom minimal hours to start. Of course she sent the caregiver home. But I kept pushing, Told her they were coming over anyway. As time went on , my mom needed them more and more and finally saw the value. I also got her a home alert pendant. She said she couldn’t afford it, I told her she couldn’t afford not to have it.
you have to be frank and assertive. You should also start looking at the next step of where your mom will live, when she can’t live alone. It sounds like she’s not far from that… I wish you blessings, my m9m was difficult. If she had only been more reasonable, things would have been better for her…