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Your Mom has dementia. Use this to your advantage. The staff deals with these kind of issues all day long. She may need medication for combative behaviors, but if she's still mobile & it's a GOOD AL facility, they will help with the transition. From my experience, make sure you are the only contact for them & do not have your brother listed on any HIPPA forms or emergency contact information-stating who can take her out of the facility, AND she needs NO money, credit cards, checks or access to these things in AL-you don't want her to! Be her advocate upon move in & in the future. The abuse will stop from her-as it did with my Mother-just stand your ground & stand up to her too! Always watch the AL staff & how things are handled. They promise the world , but don't always deliver it! It is NOT easy, but if you are choosing this route for her, at least keep yourself aware of what's happening around her, because she is not & will not be able to tell you. Get to the know the staff taking care of her, nurses & aides. The higher ups are concerned with the bottom line, not hands on care. My Mother is 92, demented, incontinent & it's been a little over 2 years since she moved to AL & it's never been easy-like your Mother-mine was never easy-ever! But, I will have no regrets when she's gone. Keep educating yourself! Good Luck! You are NOT alone!
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One of the things that I found most useful was having four different doctors ALL tell her personally that she could no longer live alone. She would quote them. "Well, when four doctors tell you that you can't live alone......" She listened to them when she wouldn't listen to me.
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vhspivey Sep 2019
Terri, my mom was just diagnosed a month ago. Not that the symptoms started then but we KNOW NOW, what's been happening over the last 6 months. We just got a power of attorney in place for her finances, medical, and the house. Its still a stugggle with her letting go of checking her banking. And not cooking while she is home alone while I work has been 😪
I come home 2 days ago with 2 pots going on the stove top, her in her recliner...Yesterday, my sister talking to her on the phone, reiterating to her SHE CANT COOK WHILE HOME ALONE. Mom told my sister, that Dr don't realize she's not as bad as they trying to say. And she was in the kitchen the whole time while the pots were cooking.....I said to her, Mom I come home, and you were in your recliner while the pots were cooking. My sister heard what I said, and ask Mom....do we need to get a sitter? Mom said.."No, No, No, I won't cook again while home alone."
I text my sister,.." I've heard this a few times before".....😪
I just had to VENT.....,
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I’ve got a suggestion and a story. Suggestion: Develop yourself a full day appointment for the day you need to make the move. Tell your mother that you need to sort out her care for the day. First choice, lunch and the day at the AL. If that doesn’t work, second choice is at your house with a carer – needs to be at your house because you have to provide lunch for the carer, and a lovely meal for both of you will be in the slow cooker. When she leaves, she goes to AL, not ‘home’, and everything is there in place. You work your butt off all day without her. Take photos or a video of ‘home’ next day with everything looking a terrible mess – she shouldn’t have a lovely picture left in her mind of it being perfect for her to walk back into. A few days later you can show her the photo of the ruins.

Story: In 1952 my mother left my appalling father, with me aged 5 and sisters aged 2 and 8. Years later she told me how she organised it in advance. She put stickers on the back of all furniture that was to go (eg the children’s beds), and sorted the drawer storage to separate his and hers. If he would have picked that things were in a different place, she put his at one end of the drawer and hers at the other end. She bought replacements for things that couldn’t easily ‘disappear’ and had them ready in the new place. She had some empty boxes out of sight at the back of a shed. When he had left for work, she did a whirlwind sort, ready for the moving van coming at lunch time. It went smoothly. I can actually remember sitting in the back of the moving van, with the bottom flap up so we couldn’t fall out and the top flap up so we could breathe, and looking at the road disappearing behind us – clearly pre OHS! About 10 years later, my future BIL went to work at the same place, and when talking about his girlfriend he was greeted with ‘Not George XXX’s daughter?!” (unusual surname). Appalling father was long gone, but his memory stayed green with people who he had told the next day that his wife had left him and ‘The worst thing is, she took the marmalade”.

You still have a few days to organise things, and some of this might spark some ideas for you. Stop worrying, and get practical! Yours, Margaret
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My mother was resistant to move for years due to change in general and the effort, work and emotion involved with the move. We hired a professional senior moving service. They helped her decide what she needed most in the downsizing. When the time came, we took Mom out of her apartment and the movers packed, moved everything and set it up as planned. She walked into her new apartment at the senior building with everything set up, all of her things arranged comfortably and attractively including pictures on the walls, clothing hung up, dishes in cabinets, etc. It was worth every penny.

As for moving Mom, you and your mother can do an overnight trip somewhere nice and close to home while this is set up. Can she stay with you after a nice dinner out and a movie? Then when you take her home the next day it is to her new apartment. If she has dementia and is confused, just remind her that she was there before and liked it and agreed to move in. If she is resistant, tell her that her home had a lot of things that needed to be repaired and it would be too stressful to be there with workers coming in and out anyway. Tell her if she is really uncomfortable there she can always move somewhere else, but she has to be here for X amount of time. If she keeps insisting that she wants to move out, tell her OK but she has to find a place that will take her. She won't be able to do that, but you don't have to say no to her and it will self resolve over time.
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This may not help the person who originally asked the question, but I was in this situation a couple of months ago with my dad; and I too was the only one making the decision, since my only brother has been uninvolved his entire adult life. Daddy was starting to fall at home, and I knew he didn't need to be alone anymore. He was lonely and still grieving my mom's death nearly two years ago, was not eating properly, and getting steadily worse with congestive heart failure; but he resisted leaving the only home he and my mom had ever lived in.

I asked him could I find him a temporary place to go, just to get off a knee that hurts and no longer supports him; and to become established on a heart-healthier diet after multiple trips to the hospital to have escess fluid drained off. I put it to him that I thought he would benefit from a month of care in a "place." He readily agreed. I was surprised, but I jumped right into finding that "place."

He did change his mind less than 24 hours later, but I told him I had already started the process with his "medical team." I called his doctor and shared things that he neglected to tell any of them when he was in the office, and they were very helpful. I was confident enough to explain to Daddy that his "medical team" had decided the best course for him was to go for a few days to an excellent rehab facility in town. Because I put it to him that way, and I never allowed him to believe it was anything but his "team" making the best decisions for him, he was fine with it all the way to the facility. He even made a little bit of progress, though he planed out after only a few days there. He requested an extension twice and wound up staying for 16 days.

While he was there, I began the process of figuring out how to keep him from returning home. There were multiple emails and texts and conversations from A Place for Mom and case workers at the rehab hospital, but his medical team did ultimately decide he needed a 30-day respite stay in an assisted living after his discharge, so the decision was made by his "team," and not by me. I just plunged ahead and found the place, and set it all up. He began to tell his therapists all about it and how his doctors thought it would be good for him.

He was very hesitant on move-in day, but my family and I had taken care of the move for him so that was all set up with his things when I took him there to stay.

In his heart he knows he can't go home. He can't walk anymore and must have the wheelchair. His home is not accessible, and he can't feed himself. That hasn't stopped him from complaining bitterly and from holing up in his room like a hermit the first three weeks he was there. He would call me the first few days when he should have called a nurse on the premises. He still calls as many as six times a day with random questions about whether or not I've had lunch and what did I have. But he's finally ventured out and has discovered the miracle of dominoes! And Bingo! He is even allowing us to discuss what to do with his house.

I think all this is meant to encourage anyone else with a resistant loved one. If my daddy has left a home of over 60 years, 100 acres of land he has worked for all his life, etc, I have confidence others will also find a way to get a loved one into the care he or she needs. It took a lot of prayer and patience. And I felt like I was deceiving him most every step of the way, but I did it because I love him and want him to be safe and happy. Hang in there!
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Davenport Sep 2019
Very sweet of you to share your positive experience. : ) We're all hoping we can keep 90 yr. mom 'at home', using a patchwork of 4 hour and overnight shift with family and caretaker a week. But, if things don't go that way, I'm glad to know your experience. Blessings!
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Old Bob has a very valid point on "observation." I don't know if that would work for you or not, but it's worth a go.
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Ive dropped off three kids in three different states for college (they got jobs and stayed there) and that was no comparison to dropping off my dad at AL after HUGE resistance, he called it the dungeon, said people go there to die and I’ve never been so stressed or guilty feeling especially when he sobbed when it was time for me to leave him after move in.The way I finally worked is that I said that i could get in trouble with authorities if I left him alone at my house as he could barely walk and couldn’t get his own food or anything he said he didn’t care if we left him alone and said he’d be fine so I finally said he had to “try” AL until we could get things figured out or get someone hired to help. He knew I couldn’t physically care for him any more as he had to be lifted into shower etc. and requires a very high level of care. I did promise that if he hated AL after a month we would revisit what to do. I said he had to try it ,for me not for him . Well 7 mos later he’s still lonely at times(he’s 91 and has too many physical probs to partake in activities) but he feels secure in that someone is always there to help him, plus they allow pets and although he doesn’t have one he loves seeing them. It’s a huge plus to find AL that allows pets. It’s SO hard and I pray a lot but know you’re doing the right thing, I also fly solo and yes that’s even harder, good luck to you and there’s some good advice here!
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Hi All,
Some of you asked for a follow up on my situation, so here it goes. Warning, this will largely be a venting post. I officially moved my mom yesterday. Unfortunately I was never able to get her on-board with the move, so I had to trick her into going. I took her out to lunch and then took her to the AL. I was able to get some furniture out of her house without her noticing. I ordered a brand new bed and stocked the kitchenette and bathroom with treats etc. I did my best to make it as cozy as possible, but it still looked a bit stark with the limited furniture and nothing on the walls. I was hoping against hope that she would see the beginnings of what could be really nice and I could go collect the items from home she wanted. No luck.
She started shrieking the minute we got in the room. She screamed how much she hated me, called me an asshole multiple times, shoved me with her walker, started screaming "help" over and over and then just resorted to plain old screaming at the top of her lungs. I was really concerned at first because a staff member told me they couldn't keep her there against her will, but after a conversation with an attorney I was told my guardianship was enough to keep her there. I finally left the room and the staff took over and managed to get her calmed down. I basically sat in the hall for 3 hours balling. The staff were extremely gentle and compassionate with both my mom and I, and I am so grateful for that. I know it's my mom's dementia and fear that are causing her to behave this way, but it's so hard to be constantly pummeled with it.
My mom and I have always been tremendously close, but I have now had to assume the role of enemy number one. I know it's what needs to be done, and I know I am making the right choices. I have the support of her siblings and others who care about her, but I'm not sure I've ever done something so hard in my life. My heart hurts horribly and I'm so worried she will never settle in. Currently she is calling my phone every 5 minutes begging to come home. I am not answering the phone because I know it won't be productive for either of us. I have been checking in with the nursing staff for updates. They are not reporting any change in her mood, and she is going on hunger strike, which is not good since she is diabetic.
How have you all coped with this situation? I can best describe my current state as "on the verge of tears at all times." I am grateful to be at work today surrounded by people and distractions, but I am so scared there is no light at the end of this tunnel.
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JimL1953 Oct 2019
I am in a similar situation with my mother. In the last year she has fallen seven times with severe injury from three of the falls. She will not allow any outside help in the home except for one girl who is there four mornings for three hours. The rest falls in me. Last summer I spent every day from July fifth at either the hospital or rehab with her until Labor Day weekend. She agreed to 24 hour care and four days later kicked them out. The staff at the rehab have tried to reason with her as have both myself and my sister. She won’t listen. She says falling down is natural and could care less how it affects my life. For two years this has been my life.
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Roxy, there is light at the end of the tunnel but this is a rough patch that will take awhile. My mom was very similar to yours. She was still WITH IT somewhat, knew place, time etc. but her executive reasoning had been terrible for a couple years.

I moved her straight to assited living from the hospital after a bad fall. My fib was THIS IS JUST UNTIL YOU GET BETTER. But she figured that out in a few days and cried, threatened to get a lawyer and then I got the silent treatment for weeks.

It all made me feel like crap but this is a heart and head thing. Rational thought has to overcome the guilt.

I had bamboozeled dad into the place with her a few days later. He was swinging at aides and demanding his car keys but his dementia was such that he could be diverted pretty easily.

Block her calls, maybe even keep the phone from her. Pull back, no visits, just watch from afar. I would go and spy on my folks in the dining room just having a high time with their new friends.

My mom died 4 months later. She lightened up on me a little but never forgave me for putting her in that HORRIBLE PLACE. It’s been over a year now since she died. I’m better. Even having nice memories of mom from way back.

Youll make it through this.
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My dad moved to AL just over a month ago. I have been shopping for a place for a long time and after a hospitalization, he was told he could not go back home and we moved him right to one of the AL's I had picked out. He continues to ask to go back to his house all the time. I just ignore him and change the subject and tell him I can't do that - that the doctor's say 'no'. I have guardianship and as long as I am guardian, he is staying where he is. When I got there yesterday, he was talking to a gentleman in the lobby, introduced me to a lady on the elevator, told me about a resident meeting he went to, and was disappointed I was there because he was unable to go to his exercise class. But then, he starts in whining and whining about going home. We have a good friend of his on our side and he is helping get the message through. It is going to take a long time for him to accept this, if ever. Without the hospitalization, we would not have been able to move him. Hospital to AL via medical transport. I don't get upset that he constantly treats me like cr*p one minute and then praises me to everyone the next. Gotta figure it's the dementia talking.
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The screaming sounds horrible. I wonder if part of the ideal preparation for such a move could be a prescription for anxiety drugs or antidepressants or sedatives. Maybe start the drugs a month before the actual move, and then hopefully less anxiety and agitation on actual moving day? Has anyone done this?
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I hope you remember to find comfort in the fact that you have done the right thing even though it has been the painful and hard thing. I think some of the suggestions including letting mom know that the docs say this is what she has to do might help. It might surprise you that if you are really honest with your mom about how much it hurts you to be the one that had to tell her and make it happen, she just might start to soften. Cry with her, let her know you are so grateful that at least it is a really nice place. Bless you. I hope she adjusts sooner than later.
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