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legally, it’s your Mother’s right to make her own bad decisions so long she’s not a threat to herself or others. Medically, she has a right to make own decisions unless two licensed physicians cRibg for her at least 10 years test her and sign a certification is isn’t able to handle her own affairs. But that does NOT give you right to handle her decisions. Then you must take thst letter to Court and get a conservatorship. That’s the law if she refused to leave.

Thibg is, let her stay. My Mum has dimentia. She lives alone and doctors let’s her per signing she is legally able. It’s a modern world. Dimentia and Alzheimer’s do not mean a person suffering from thide must leave their home or have a conservatorship.

Your hassle of her being in her own home are less then if she was in assisted or memory care at at your own home. You will have same amount of duties if not more if she leaves her home. People misunderstand this. Removing from her home isn’t necessarily needed just because you fell it is. You don’t see her daily. Clearly she’s feeding and dressing herself and able to answer phone for you to speak with her to confirm convince her to leave her home.

it is her right to die in her home or wait to live in it until doctors and the court say she cannot. Moderate Dementia Broken hips, cancer is what my Mum has. She legally can still drive yet she chose not to and is fine in her home. It is only once severe dimentia or Alzheimer’s is existing.

It is NOT safer in institutional residential care. My mother in law fell geode with personal assistants right next to her. They can’t stop fails only reduce them and be immediately there to administer aid and call paramedics when one falls.

Point is it is not always safer, easier, better or legal to remove your mother. It’s her right to stay unless you get a conservative or convince her. Elder attorneys say is a senior citizen’s rights, even with dimentia Alzheimer’s that no doctor had tekrn rifhts away with certified and you don’t have conservatorship.

So be patient. She will either see she needs to leave one day or doctors will tell you she must. Elderly still have rights to stay in home even id adult children disagree so long as they are not a threat to themselves or others and can do five tasks I’d daily living. That’s the law.

It is hard news to take when you care about your parent. But it is their right to die in their home or be their as long as above qualifications Re met. Remember, you will want to remain in your home also for as long as possible. It’s just familiar and with good memories. Do you want to removed prematurely? Nope. So be patient. A situation will occur that shows she is unsafe and that will decide it. Sometimes a fall isn’t enough to remove a person since they rehabilitate well.

good luck. Sorry for honest information you and many may disagree with. But it’s the law.
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SamiandPickles Jan 2023
I am well aware of the law and her rights and I respect her right. I just don't think she is safe at home is my concern. First of all it's my grandmother not my mother, please don't chastise me when you didn't even read my question carefully enough to get that straight.

I was looking for advice on how to manage this from a far. Some of the answers have been somewhat rude and accusatory of why we even let my grandma go home by herself when she was discharged.

I don't like that you think I want her moved because this is a 'hassle' to me. This has destroyed both myself and my mother's lives. I don't know how after the snippet that is my additional information you assume she is feeding herself and dressing herself. Most days she doesn't eat, she has lost significant weight and most of what she does eat are cookies and ice cream.

This forum should provide some comfort and maybe ideas people haven't thought of before or presented in a way they haven't thought of before. Your answer especially "Sorry for honest information you and many may disagree with. But it’s the law." is just mean. You make it seem like I want to take my grandma's rights away. Quite the opposite. But I am also aware that I am terrified that something happens to her and no one knows until it's far too late.
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No you are not alone.

I too am in 'The Club'. The 'Awaiting the Crises Club' to effect a move from solo to supported living.

A Social Worker explained the process. Advised to;
- Focus on what I can control (not what cannot).
- To inform the medical team of situation where I could (when a crises happens).
- Begin researching suitable living options & locations. Eg near LO's home or near mine.
- In summary: to be an Advocate for their care - for a NEW plan, rather than step in to prop things up that are no longer working.

To be 'ready to roll'.
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SamiandPickles Jan 2023
Beatty thank you so much for your response!! I'm sure everyone here is trying to be helpful but too much felt accusatory when hindsight is 20/20. For more context my mother is in her 60s and disabled, I am in my 30s and have chronic illness so half the time we barely feel like we can care for ourselves.

I love the 'ready to roll' part, I think that will be our new mantra!
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You say "We have had to take over all finances". I hope that this was legally done and that you understand the fiduciary legal duty you have under the law as regards this; POA or guardianship is required and meticulous record keeping. I am assuming you know that.
You also say the following: "I know we are likely waiting for the next incident and then she'll goi to a facility...."
EXACTLY. As soon as she is in hospital you should contact Social services to begin placement and discharge planning.
This is the best you can do, and to be frank this is almost impossible to do long distance. I sure wish you the best. Not everything has a good answer, and an uncooperative, failing senior has no good answers at all. Sounds you are doing the best you can. I sure wish you luck and hope you'll update us and share with us all you learn; you can be of great help to others. When I first came to Forum I learned that my anxiety and helplessness shared helped me enormously. I at least knew I wasn't alone.
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SamiandPickles Jan 2023
Thank you for responding. Yes this was done / is being done legally. My mother is her POA and we filed with appropriate people before we talk with them.

Just reading on this forum has been tremendously helpful; on here (along with some other googling and what not) I have learned what behavior is common and that we aren't experiencing anger from a loved one alone.
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You can take grandmom to her PCP but she needs a Neurologist to determine if she has Dementia and what type. IMO, grandmom should not be living on her own. You never know what someone with Dementia, even early stage, is going to do. I hope you or Mom have POA. If not, you may want to get guardianship. Its not what grandma wants now, its what she needs and she needs to be safe. Your too far away to guarantee that.
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I cared for my mom out of state as well. I found an independent home care agency that was fantastic. I used the lie of “ you always wanted a maid “ she did numerous times send them away, but she finally realized she was paying either way, and came around about it. Get a first alert. Teach her. My mom said she couldn’t afford it , told her she can’t afford to be without it. Told her of my neighbor across the street, fell outside her door and someone finally heard her at two in the morning… You will probably need to go out and get things put in place. Your neighbors will eventually not be able to help .. I had the never ending battle of theft accusations… that I know did not happen, and she knew she was lying about it.. cant change it. I used Amazon , and home delivery groceries.

if your moms finances will not sustain her in AL for the rest of her life , I would start looking now for one that will eventually take Medicaid. That was the biggest mistake I made. AL s that take Medicaid vary with a period of self pay . You have lots of choices of AL s that require 2 or 3 years of self pay. When I finally moved my mom near me, she had about 10 months of self pay and pickins was slim. I had an independent care advisor from a franchise called Carepatrol, who helped me find a place.. invaluable !
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After her last accident why was she released to live alone? At that point you should have told them she lived alone and it was an unsafe discharge. So now you just need to wait for the next emergency and tell them she can't go home alone.
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SamiandPickles Jan 2023
Thank you for your response. We honestly did not know what to do at the time. We fought with the facility to extend her so we could figure out what to do it the staff were so unhelpful that we had to give up and adjust our plans to pick her up and take her home. She refuses additional care and it took a lot to get the part time caretaker in place.

She fell and broke a hip in 2020 and this past time she was hit by a car in the parking lot. While we knew there were memory issues she was able to live somewhat independently. However the trauma of this accident ended up greatly negatively affecting her mental health.

I appreciate that we ‘should’ have done things differently but my mother and I also have our own issues and we’re dealing with the legal aspect of the accident at the same time.
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SamiandPickles, welcome to the forum. The vast majority of us who needed to care for or over-watch an elder have run into a similar situation. Usually what we have to do is wait for a medical emergency, 911, hospital, rehab, and then we place that love one into senior living.

We tell the love one the move to senior living is an extension of rehab, doctor's orders. If that elder wants to move back to their home, it is ok to use what is called a "therapeutic fib" such as the plumbing needs to be replace, etc. Something you feel that Grandmother would believe.

The hard part is now sitting and waiting for the next emergency.
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SamiandPickles Jan 2023
Thank you for responding. That’s essentially what we have resigned ourselves to. When we tell her about the walker and stuff we emphasize that one more emergency room visit will result in her no longer living alone. Her perception of reality is obviously greatly skewed.

When we’ve explained what doctors have said to her because she doesn’t remember she seems to accuse us of lying to her. Saying things like ‘well they didn’t say that!’ Or ‘well I don’t remember that.’ But unfortunately when the next thing happens we will be placing her somewhere permanently. I just wish we could convince her before.
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