Mom and Dad relocated to KS from Chicago area 7 years ago after 40+ years in the house I grew up in (ages 82 and 81 respectively) I am 57 and have been on my own and happily married to the same man since the age of 20. Their new home is just across the street from me. Dad passed away 2 years ago due to complications of Parkinson's. Mom is now 89 and physically healthy for a woman of her age!
Mom was officially diagnosed with dementia shortly after dad passed (dad saw it all coming) and insists on staying in her home, which thankfully she can afford. We have employed caregivers to come and keep her company and to assist with household tasks/shopping. Mom says she is lonely still and wants to be at my house as soon as caregivers leave for the night. With COIVD this has escalated. Every time I leave my house (I only go grocery shopping or to run errands for my husband who is a self employed construction worker) I get "the call". "Where are you going?" "Will you be sleeping at home tonight?" "If you're doing something fun, I'll come with". We include mom in every outdoor activity with our close friends which occurs almost once a week here at our place. We don't take her shopping or to other's homes.
Let me back up a bit; I traveled for a living up to 6 months per year, until COVID. Mom had a massive heart attack one night 7 months after dad passed. I just happened to be home at the time. One helicopter flight, surgery and 3 nights in the hospital later, she's fine. I totally understand her fears/anxiety, but she was never a call every day/week/or even month kind of mom so as an independent self employed empty nester living so far from my parents for so long, I struggle with this new neediness.
We've made all sorts of suggestions, including overnight caregivers and get the "I don't want a stranger sleeping in my house" answer every time. Remember, she's the one who doesn't want to live in a nursing home or assisted living. She doesn't seem to want to even try to engage with caregivers. She only wants me and my husband to fill her loneliness. God heal my selfishness!
I will eventually go back to traveling and my husband has already been down this road with his mother who passed the same year as Dad and I don't want the burden him with the added stress once I start traveling again. What can I do once I'm gone for weeks at a time? Siblings live in CA and OH and both have jobs they cannot just walk away from to come stay with Mom while I do my job. If I could afford to stay home, I would. I'm sure we'll need to increase caregiver hours from just 4 hours a day to possibly 8 but will that really satisfy her needs?
Meanwhile what are some suggestions/insights to deal with my new role and how to kindly tell mom that we need at least some evenings to ourselves for our own personal and marital preservation?
I know that I need more understanding and compassion for her situation. As someone who's been self-employed in sales for almost 20 years my superpower is being the health advocate/coordinator, not the nurse.....help?
Your mother's brain is broken and she needs more constant attention than just daytime aides can give.
Find a good Asssited Living Community, one that also has Memory Care for when mom progresses. Get mom on the wait list.
When the vaccine comes on line, get mom in there for a month of respite. I can almost guarantee you that she will thrive there.
You are thinking this all out just great. You have and can enumerate all the things, and you understand them. Putting them together is leading eventually to one conclusion I think.
You will find some on Forum who thing that your life should now be, in your Mom's remaining years, taking her into your home and devoting yourself to her remaining years. You will find some on Forum who believe that this is not only NOT the best answer for some of us, but that we are not CAPABLE of making that sacrifice (count me into that line).
Only you can make the decisions going forward. You can try to limit your Mother in her expectations and needs; I suspect, even if that works for a while, it will not over time.
You have tried to do this so RIGHT, with Mom just across the street. My heart goes out to you. But I do trust you will make your own decision, no matter the difficulty involved....the decision that is best (if not perfect) for you.
Maybe your mother needs to be talked to in a way that she'll understand. She was married for a long time herself, so maybe she'll remember about couples needing some evening to themselves with no one there. If she isn't engaging with her caregivers, try talking to them. It could be that they're not a good fit for her. Then make yourself clear, that you cannot and won't be responsible for giving her a social life. If she's still in good health get her involved with the senior center in your area or even adult day care a few times a week. Then be insistent on an overnight caregiver if she's afraid to stay alone. I know it sounds harsh, but there has to be boundaries.
For now, you can start looking at some AL (MC) places, as eventually it might not be safe for her to remain in her own home. If she's healthy enough and currently only needs 4 hours of "help", she's okay, but that can change rather quickly with dementia, so it's best to start preparing.
Meanwhile, if you have to go out, is there any way to move the car to a location out of her sight and then get to it in a way she can't see you? Clearly she's "watching" or at least hears the car or garage door. If she does know you're going out and calls, try to make your destination something totally unpalatable to her. Dropping the car for repairs, getting a colonoscopy, etc.
Have some discussion with the care-givers. Perhaps they are stymied as to how to get her "engaged." See if some brainstorming might help. If not, perhaps try some others. As for having strangers in the house, if these aides have been there for a while, they aren't exactly strangers. If you needed to hire overnight people, then yes, they would be strangers, so maybe get them on board for a few hours/day in addition to the 4 hours covered now. Perhaps she'll get used to them?
Although a facility is expensive, it is less than hiring 24/7 help in the home (exception *may* be if you could find a live in, but finding the right person could take some time!)
You do need your own space and time. You are also going to have to return to work at some point, so hopefully you can find the right combination of aides or the right place for her. You indicate dad passed 2 years ago, which was when she was dxed, but also that he saw it coming, so it's been more than 2 years since the onset. The very early stages can be missed by family or doctors who don't see the person often or for long, but your dad could see it, since he lived it!
My mother was also relatively healthy and was 90, maybe 91 when it became apparent to me she was having difficulty with memory. I had to learn a LOT and QUICKLY! She was okay to be at home for a little longer, but it was progressing. Sometimes it happens in stages, like stepping down and then being stable for a while. This is how she's been. The problem becomes when their reasoning and understanding doesn't work anymore. Thankfully her "bruised" leg (didn't seek help, didn't tell us!) which turned out to be cellulitis happened just prior to the move to MC (refused aides and wasn't going to move!) Her neighbor called to tell me and OB was arriving the next night, so his job was to take/send a pic and then get her butt to the ER!
Knowing that the situation can change so quickly, all of a sudden, when you're used to it being stable is important. 9 months after moving to MC (hounding YB every time he visited to take her back to her condo), she forgot the condo and starting focusing on her own mother (gone over 40 yrs at that time) AND the house we lived in prior to the condo (sold 25 yrs before the "change".) She's been more or less in that 40+ year ago life for quite a while now. This month makes 4 years in MC. She did have a stroke early Oct, but as far as I can tell it hasn't pushed her further back, just impacts her right side, swallowing, slurring. She has been losing weight now, so between dementia, hearing, stroke and finally weight loss, we have her on hospice.
My point talking about progression with my mother is you just don't know when she might move to the next stage and need more help. I would try working with the aides you have, maybe bring in some others, to find a good "fit" and see if the can engage her in activities. Games, puzzles, even folding laundry, to give her sense of purpose?
I don't envy you. My mother lived 1.5 hrs away, and I couldn't take her in, so next best was a nice place near where I live!
Feeling vulnerable, perhaps feeling that time is running out, she wants to be with people she loves. At the moment, that's you, right there, just across the street. Increasing the caregiver hours won't make a ha'porth of difference, no - she may very much appreciate them and enjoy their company but they're not family. They're not even *supposed* to love her.
The aim is to return her to a state of Normal Mom, who loves you all dearly but goes quite happily for months without a phone call. Not sure if that's possible, because there WILL have been major brain changes, but at least it sets out a goal.
You could consult an older age psychiatrist? Do you know of one with a good reputation? Could you talk fast enough to get mother in for an appointment?
I rambled a lot but I hope I was able to help you.
You have already heard that Assisted Living might be ideal for your mother right now. In the early stages of dementia, she can still adjust, make friends, take up the activities provided, and actually enjoy life. Perhaps you could ring around and see if any facilities near you can provide a short term respite care option, and try that (I’m sure you can find a good reason why it’s absolutely necessary for a month). Perhaps a facility might not offer it as a regular option, but might use it as a fill-in when there is a vacancy. Anything that provides something that doesn’t have to be in her home on her terms, could change the head set of both you and her.
Many people have found that what they intended to be supporting a parent’s independence, was in fact supporting their dependence. They couldn’t be ‘independent’ without the support, but still saw themselves as independent. At the same time, they got more and more demanding, and less and less willing to try other options. There are also many discussions about ‘enabling’ versus ‘disabling’, which is another trap in doing more and more while they do less and less. “Kindly telling her that you need at least some evenings to yourselves” is going to be a difficult boundary to broach and to enforce, and it isn’t going to resolve the basic issues.
It’s a very good idea to read around the issue and think of alternatives, before you commit yourselves to turning your own lives upside down.
Best wishes, Margaret
You can't focus on your mother's 'wants' now but on her 'needs'. We all 'want' things, like to win the lottery. To stay in our own homes until we perish, too, regardless of whether that's a realistic idea or not. With dementia, it's likely an unrealistic idea your mother has put into her head, along with the idea that it's your job to entertain her day & night. And, with dementia, once they get an idea stuck in their head's, unfortunately, you can't get it out of there with a chisel. It's the nature OF dementia; stubborn pigheadedness and the inability to understand much of anything anymore. Sad but true.
So........this is going to become about what your mother Needs vs. what she Wants and how you are going to go about making sure she's properly taken care of. You can do that by hiring in-home help 24/7, when the time comes, IF she can afford that, or, by placing her in a Memory Care Assisted Living residence where care and help is available 24/7 at a less expensive rate.
She doesn't have to 'love' the caregivers that come in to help her, she just has to accept their help.
You have to tell your mom, repeatedly, that you are Not Available after 5 pm (or whatever time you determine) because you have other family obligations that need to be met. Period. No further explanations. With dementia, again, you are likely going to have to repeat this same phrase every single day for the rest of her life. No joke. Be strong, be adamant and be FIRM. Dementia or no dementia, they look for cracks to sneak in through and say AHA! I KNEW she didn't really mean it!!!! Then the gig is up.
You can have understanding & compassion for your mother's situation in ADDITION to preserving your own marriage, lifestyle, and job. This is a no-win situation, trust me, I know. Everyone loses. You lose, your husband loses, your mom loses. Dementia destroys everything it comes into contact with. It can get very ugly and very demanding and very unreasonable too.
I know from where I speak b/c my soon to be 94 y/o mother has moderate dementia & lives in a Memory Care Assisted Living home 4 miles away. She tells me daily that there is Nothing Wrong With Me & Everyone Here Knows It. She has no idea why she's living there, and on and on. Meanwhile, she has no idea what day it is or what's going on in general. She just knows how to complain and vehemently argue every single word I say to her. Like I said, everyone loses with dementia.
So have your ducks lined up. Have a Plan B in place for if/when things go downhill fast & the in home help isn't sufficient. It sometimes works out that way. Read up on dementia and watch Teepa Snow videos on YouTube. They're very helpful. Go to Alzheimers.org to see what you can expect in the future, and what the stages of dementia are. Go from there.
Wishing you the best of luck moving forward & preserving your own health & sanity in the process.
It that you mom needs more than 4 hours of human contact per day. Since she can call/text you and is not in danger in her home, it appears she does not need somebody to stay with her overnight - yet. It appears she is asking for more interactions with people who care for her. You may need to increase caregiver hours as well as increasing days with her - until COVID lifts. After COVID is gone, she may benefit from participating in an adult day program with home health care aides for some hours in the evening.
My circumstances are different but I feel the same way. Your story actually helped me to realize I'm not going crazy. I can feel like I'm being driven crazy sometimes.
I think Covid lock downs have created situations for the elderly where they're either more abandoned than before or they have more access to us than before because we're always around.
We all survived before covid when we were never around and if life ever returns to normal I expect so will these situations with our elderly family. In short, you are wise to be proactive, but things could just all work out when the time comes. Does that make sense?? If not, then I am going crazy after all lol!!
You have to be disiplined about this the minute you start giving in she has got you!
Would it be possible for her to have a pet? Not only does it help with loneliness but studies show it helps with our health.
once Covid is in the rear view mirror and you travel again, she would be able to go to a senior center to see folks and have activities, go to church or temple, etc.
You do not need to be her whole social world and do not feel guilty that you recognize that. As people age, their world narrows and gets smaller and this pandemic has made this even more so.
When she begins to need more care to the point it requires 24/7 that will be exorbitant. Much more than Assisted living or even LTC.
Grab that jar of coins and have Mom and aide roll them into tubes. This is great for dexterity and eye-hand coordination. Let the state quarters be conversation starters-Oh, this one is from Texas! Have you ever been there? If you went there, what would you see? (Cows, cowboys, oil wells,) Talk about a famous person from Texas. Remember, sometimes too many questions can be overwhelming, so initiate ideas.
Can the caregivers bring her out to drive around? Look at Christmas lights in the evening, drive through a neighborhood and count wreaths, or look for Christmas trees.
Simple crafts can be enjoyed together. Write a poem and put it on a card. Can Mom teach the caregiver to knit or crochet?
Activities are endless and can keep Mom engaged with the aides, and not just watching TV. Then she won't be so lonely. Best of luck to you.
I'm sorry about your husband. The pandemic has made things extra hard this year and it's affecting everyone. It's possible your son is very distracted with his own challenges.
The bigger picture is you are bored living alone. Out of curiosity does your apartment complex normally have activities for seniors? Senior living complexes seem to be the best places to prevent isolation and foster new relationships. If your current place is not like this, maybe a move would be good for you?
Also have you applied with your local Area on Aging Agency? You can sign up for all kinds of things that would bring people around and open up opportunities for socialization.
I realize that we are still having this pandemic, but a vaccine seems to be on the horizon so hopefully some normalcy will resume and then you can explore some options for increased socialization.
There is just some people like that, it would be nice if it wasn’t my mother. Now that she almost 80 with Parkinson’s I stopped trying to tell her and just do it or she’ll swallow me whole.
Our parents sometimes see us as an extension of themselves, and think they know us better then anyone but it can be the opposite.
My mother I believe has an undiagnosed attachment disorder as I look back over her life. I just make sure I have good boundaries around her. I’ve noticed whatever I set up she undoes and sabotages then complains to keep me engaged
One way to reduce (I don't say to eliminate) talking with you is to simply not answer the phone when she calls at the times you mentioned, or perhaps turn off y your cell and call her back..."Oh, I must have left the phone at home; or I must have left the phone in the other room when you called me at home." Just do that consistently...Meanwhile continue to be happy as you said, with your "happy" life with your husband of 38 years and just not use your phone until set times of the day, three hours or so apart. In three hours an elderly loved one is not gonna starve to death if she falls.
Grace + Peace,
Bob
Please be kind to yourself- you are not selfish for wanting time to yourself. We need that as much as the air we breathe!
1) Speak to the caregivers and suggest how they might have a better personal relationship with Mom, i.e. show pictures of their family, talk about their life, ask her opinion of something
2) take Mom for a short ride to look at leaves, Christmas decorations, something new in the area. Stop to get a hot chocolate, ice cream or something to take home
3) invite Mom once a week for dinner and to watch a movie or favorite tv show (just her, no other friends)
My opinion is that Mom is scared and more aware of her own mortality. In many ways your lucky that Mom lives across the street. Perhaps, calling her in advance to let her know where your going, may help her anxiety.
Wishing you and Mom the best.
You might get her a dog for a companion.
You probably will also need to have someone 2-3 hrs in the morning and another 2-3 hrs in the evening.
Just figure out when she seems to be the loneliest and place a Caregiver or Sitter when needed.
You might also see if any Church members have an elderly love one that can get together with your mom for coffee, tea, play a game or just to watch a movie with.
Find some projects she is interested in like knitting, paint by #, coloring, ect to help pass her time away.
I really think an older dog that needs a home would be a good start.
Otherwise I would set a schedule on her wall calendar, for when you will stay with her into the evening, playing cards, watching tv, etc. with her understanding of that. However if this is not enough, because this is all you can do, tell her she needs to make the move to AL or have an evening companion. You need to be firm and realize she might never be happy with anything but 100%.
Right from the start, before they moved, I set boundaries. We both respect each other’s space and that has worked well.
Would your mom be happier in an assisted living facility where she would have ppl around her 24/7? If so, I wouldn’t wait long to move her. All the best as you seek the best for your loved one. Not easy!
She seems to still be good enough to talk to about this, so go visit just to have a 'we need to make a plan' conversation. Tell her your company is already talking about returning you to the road for work even though you don't know when that will be. Tell her that YOU need to find someone (or two) to start spending more time in her home while you are not working so you can see how things go first hand. Tell her that YOU worry about at her at home at night so you also want to get someone on board now so you know them and see how it works out before you return to work. You might put emphasis on how assisted living would be ideal because someone is handy any time day or night to help her out. Not to mention with you returning to work, it is going to be hard for YOU to manage everything. AL would give her people to talk to all day (and half the night if she wanted) and help if she needs it.
If you have an AL near you, take her over there to spend a few hours looking around and checking out activities. If you aren't the outgoing type, find someone who is who would go with you and approach the other residents to yak it up with them and engage mom at the same time. You never know. . .