I have been told by an attorney that if I seek guardianship for my 91-year-old mother that it will be extremely costly. My mother so far is not willing to move to an independent living facility and she has totally rejected the offer I gave her to let me take care of her if she will come and live with me. I can’t just leave her alone at her age and there is nobody to take care of her so any suggestions as to a way to resolve this without seeking an attorney to implement guardianship would be appreciated.
I don't doubt that your mom shouldn't live alone. People become very bad judges of that as they age. But, if she's of sound mind, you have very few tools at your disposal, but you should be using them. Stop trying to get her to see reason. Instead, explain what you will do (because that's what you can control). Tell her you will get her an emergency pendant (which she can decide to wear or not) and that you will research and tour local Independent Living communities to see which are suitable and within her budget. Explain that she will eventually fall or have some other mishap and that you don't want to make a hurried decision when she's in the hospital. That might help wake her up.
and developed a superbug wound from the hospital, and died of that. I told her for years it was dangerous for someone in their 90's to live by herself, and she too refused assisted living and paid the price with her life.
You are talking about a legal mess if you do not get dPOA and estate planning done. Your legal costs will be even more astronomical. She also will need a Will (also to establish a Trustee) and a LIVING Will done (advanced directives), and preplanned funeral completed. I'm telling you if you don't do these things you have no idea how difficult and expensive death can be.
If she is not willing to be reasonable about these things I would question her competency.
I would see if she would agree to having a few cameras installed in her home so you can check in and make sure she's ok anytime 24 7.
Also, if she can afford it, see if she would agree to having a Caregiver come in a couple hrs a day.
Your profile says: "My mother and I live together in a gated 55+ community."
Your question states: "...she has totally rejected the offer I gave her to let me take care of her if she will come and live with me."
So which is it? Does this mean you both live in the same community, but in separate units?
You mother is about the same age as my mother was when I first saw signs of dementia (knew nothing about it at the time!) Although most can function "okay" during the initial stages, it won't last, no matter how much you pray.
One problem with dementia is there is no firm time line. Changes could happen gradually and take a long time, or it could progress more quickly. We just don't know - there's no crystal ball, so we have to be on top of it and be VERY observant!
Guardianship is expensive and time consuming. It will take time to be seen and get through the whole process. IF approved, you have to report to the court system per their instructions, I would imagine at least yearly.
As others noted, the courts do try to preserve as much independence for the person as possible. They will order doctor(s) to examine her. If she objects, they will order another atty to represent her ($$$.) They might reject the request, they might approve partial, they might approve full guardianship. The only really good part about getting guardianship is generally it does give you much more control over the person (esp where they will live.) But is that what we all really want?
We had all the other legal documents already done prior to dementia. We had to revisit a little when she was in the early stages, but no change to the DPOA or MPOA. Despite what others might say, neither of these gives you the right to dictate where they live. These are to help make financial and medical decisions, stepping in as if you WERE that person, doing what they would have done, when dementia wasn't in play (except for those who were blowing through all their assets! Make sensible decisions!!)
Anyway, mom's plans had included moving to AL when she felt she needed it. Once dementia took center stage, nope. No AL. No moving in with either of my brothers. You'd think AL was some kind of dungeon, the way she talked! We had tried bringing in aides, 1hr/day to increase if/when needed. Less than 2 months went by and she refused to let them in. Staying alone in her place was not an option.
So, the EC atty told me we had to go guardianship. The facility we had chosen would NOT accept a committal. We had to wing it - come up with a plausible reason why she would HAVE to move, that she would accept. YB didn't like my suggestion, so he drafted a phony letter from Elder Services at the local hospital. She had injured her leg and developed cellulitis. The letter said either the place we choose or they would pick one. She went with bros, but was MAD!
Moral of that story (real!) is make sure any places you are considering for mom would accept a committal - otherwise, that's an expensive way to do nothing! We did NOT do guardianship. Mom's been in MC 4 years this month. She's now 97. She has regressed in time. She forgot her condo 9 months after moving and focused on her mother and previous residence, both long gone.
IF you can bring in aides, slowly to let her get used to them, go that route for now. Do be looking for a place, in the event the aides don't work out. Come up with plausible reasons for a move, something she might accept (renovations, infestations, financial, whatever works), whether it's to your place or a facility. Consider guardianship, but as a last resort only. Hopefully you already have POAs in place (if not, find a way to get it done!) If she only has SS income, apply to be rep payee (POA doesn't work for federal entities.) Protect her assets. Spend enough time with her so that you can be aware of changes when they happen, not months after the fact! You will still likely need the atty, but it will cost less.
If you are concerned that mom can not make wise decisions for herself, a doctor can declare her "mentally incompetent". You can talk to her doctor about how to get the courts to appoint a guardian for her. He/she will be their advocate and make sure she gets her needs met - usually in a long term care facility.
Getting a Caregiver might be an option if she does not want to move in with you or she does not want to go to "Independent Living" I have to question you on that. If you don't think she should live alone why would you want her in Independent Living. The requirements in most Independent Living is that staff can not do anything to help a resident of Independent Living. Now Assisted Living they can help a resident with various ADL's. (the more help the more the cost usually)
What care does she need?
If she needs no help then she should do fine at home.
At that point you wait for the catastrophic event that will require hospitalization THEN the discussion for Assisted Living after rehab. If the event is such that it causes her death that was her choice and she will have died independent, at home probably the way she wants it to happen. (boy that sounds cold and heartless as I reread this)
The Facilitator of the Support Group that I have gone to for over 9 years is a VERY spry 96+ and I can tell you she could run circles around half the people I know. My Grandmother was 96 when she died and I can only hope that I could be half as wonderful as she was! She also was independent and she lived with us because SHE kinda took care of us after my Mom died.
It was only when he was unable to stand that it was no longer safe to remain at home.
Peace, can you recruit neighbors to just keep an eye open for problems and call you? If she gets Meals on Wheels, can you do the same thing? They don't have to provide on site care, just watch out for potential issues.
Personally, I give her a lot of credit for maintaining her independence.
I think pursuing guardianship would as noted be costly, but it could also destroy your relationship with her. I would develop alternate plans to put in action if the time comes that she is comfortable with another placement, but don't mention it and put her on the defensive.
Sometimes it takes a rude awakening before considering alternate options.
Be certain you are not enabling your mother, now. Step away. Give her the emergency numbers and tell her she is on her own, since she will not accept care. This is a problem that will come to a head either sooner or later. If you enable your Mom in staying home then it will take some time, but eventually she will end in the ER severely injured with a Social Worker calling a judge and in the snap of a finger getting you temporary emergency guardianship. Just like that. By phone, in seconds.
I am so sorry; I know you will feel you are abandoning. If you wish to check on her, do so, but do not assist her. She is claiming she does not need help. Let her test out the truth of that.
The one thing I would caution you not to do is to take her into your home. That will never end until your Mom passes, and will be a misery to you both. Meanwhile set into place those things she WILL allow, certain DPOA and POA for health care. I wish you the best of luck. Yours isn't the only story of seniors in denial who will not be moved. Hope you'll update us.
Others, like my relative, are living an *illusion* of independance. 'Living alone, dependently' was how one Social Worker put it.
What are your reasons you feel your Mother should move from her current home?