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Hey all. New here. I've been my mother’s primary care giver for going on 15 months. She moved in with my wife and I last summer and at first all was OK. In Aril of 2023, it became obvious that I would need to stop working to care for her. She was hospitalized twice in February of 2023 for explosive diarrhea which caused dehydration and again in early October for 14 days total. Her diagnosis consists of:


Severe Aortic Stenosis


COPD/Emphysema


Kidney Failure


Liver failure


Diverticulosis/Diverticulitis


PAD


Vascular Dementia


.... you get the idea.


Moreover, she smokes a pack a day and has no desire to quit. Yes, I get cigarettes for her because it is one of the only things she enjoys. She is 100% prohibited from smoking in the house but the stink follows everywhere she goes.



I honestly believed she would want to move into an assisted living facility after her last hospitalization but was repulsed by the idea of being somewhere besides here. She has the means to stay in a facility but says she’s perfectly happy to stay here.



She is a very kind, pleasant woman who wouldn't hurt a fly, but seems completely indifferent to what it takes to provide her care. I get a lot of "thank you", she tells me what a great son I am etc., as do my siblings, your typical "thoughts and prayers" which in a practical sense are completely useless. I do my best to maintain an "it's all good" facade, but I am 100% burned out to the point I am resentful toward my mother and family. My sister tries, but she lives an hour away and works as a schoolteacher, my brother is two hours away and can't help much. My wife in an absolute angel, but I know she is growing wary.


I did make an appointment with an assisted living facility for a tour and will be bringing my mother with me... at least that's the plan. She remembers next to nothing so I'm not sure how it's going to work out. I remind her a few times a day about the visit and her mind swings back and forth on the prospect of moving out.


How do you handle caregiver burnout other than comfort keepers or the like?



I've tried them but found it pointless as after two hours, I go back to the same things.

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I am gob-smacked that anyone with a paying job and a parent who has funds would think that quitting their job was "the only thing to do."
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MeDolly Oct 2023
I agree this type of mindset makes zero sense to me but it is an everyday occurrence here.

Then they wonder why they have no life and cannot handle the situation.
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You handle it by acknowledging it and making a decision for change. You don’t give your mother the option of staying in your house. You say that she needs more care than you can provide and she is going to move to AL (or whatever level of care she needs). You say that because you retired you are running out of money and you intend to find another job. You try to find an AL with a pleasant place for her to sit outside while she smokes. Then you go ahead with the plans.
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anonymous1732518 Oct 2023
🙂. Some places may try to change smoking rules.
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Of course you're resentful towards your mother. I mean you had to quit your job to take care of her. Plus her care is WAY above your paygrade.
While I'm sure your intentions were good at the beginning of all this, reality has now set in and it's time to make a change as caregiving in the home only works if it works for all involved, and obviously it's no longer working for you.
So continue to make appointments at the assisted living facilities that you like and know that you don't have to take your mother with you. When you find one that you like, you let her know then that she'll be moving there as her care is just too much for you now.
I mean I would NEVER want my son cleaning me up after I had diarreaha. NO son should have to do that.
You've tried it and now you realize it's more than you can handle, so only you(and your siblings)can take the bull by the horn and make the necessary changes to get your mother the 24/7 care she requires in the appropriate facility, and so you can get back to just being her son and advocate, and not her butt wiper and burned out caregiver.
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Resentment can mean you are giving too much.
It is a message.
Listen to it.
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Bobrob Oct 2023
This is a great point.
.. Thank you
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What are "comfort keepers"??

Tell mom she has to move out bc her care is too much for you to manage and you MUST get back to work now. Period.

I don't know if Assisted Living will accept her with dementia and all the rest of her health issues. She will need to be evaluated first. Plus, you'll need to find an AL that has an outdoor smoking section for residents.

Don't give mom a choice. 15 months is plenty of time for her to have enjoyed living with you. It's time to live elsewhere now.
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Bobrob Oct 2023
Comfort Keepers sends people to your house to hangout with the patient and help them around the house. Kind of like Visiting Angels.

It's a minimum fee of $100 for them to sit with your charge and chat or whatever for two hours.
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Ok, can somebody please explain to me how these elderly people can have 15 different life threatening illnesses, continue to drink and smoke, and still live to be 105?
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waytomisery Oct 2023
@olddude,
My grandfather was an alcoholic , and smoked 3-4 packs a day , had emphysema . He worked until he was 70. We used to wonder as well how he lived so long ( 85) and was still independent . Had only a few falls when drunk , but only got bruised . My father used to say the alcohol was PRESERVING HIM. 🙄

Grandpa got throat cancer . Doctor told him to quit drinking and smoking . Gramps gave up drinking cold turkey but not smoking . He continued smoking but cut back to 2 packs a day . I’ve wondered how long he would have lived if he never drank or smoked .
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OK, just my chime in here. My mom smoked like a fireplace and drank her wine every night. when she had to go to rehab,, it was non smoking. Did she still smoke? sure did, the staff or other residents all helped each other outside to the "smoking" area.. and as a retired RT I can assure it may just be the sidewalk, or an area where the STAFF smokes, and I assure you many of them do! Yes every place will say it's non smoking,, but I assure you there are areas so this does not need to be the "hill to die on" for placement. They want the money, and they are well aware that many people of a certain age are long time smokers. So do not let that stop you from looking for a nice place for Mom to move to. At her age she's going to die from something,, let her have her small pleasures where she finds them. I could not have stopped my Mom from smoking even if a straight jacket was involved.
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Sorry that your mom is not doing well. And that you quit your job.

Your mom is too much work. She has some pretty serious issues. I wonder if she'd qualify for hospice? My 80yo mom has dementia and I will switch her to hospice care as soon as her condition deteriorates enough for her to possibly qualify.

Her condition may or may not work in AL. My mom is in AL but needs to be a "level 2" cuz she needs more care than the baseline they offer.

Do you have POA? Is her dementia officially diagnosed? If you have POA is it activated so that you can act on your mom's behalf? My mom's was and I was able to sign all the paperwork for mom going into AL so that we basically showed up for an evaluation and then I brought her back in a few weeks to move in. I did not tell her ANYTHING until 2 days before the big move. There is nothing helpful in telling someone with dementia about future plans. Mom does not need to agree to move. You nicely tell her that she IS moving. She won't like it. She may argue, complain, cry, bargain, etc etc. Just stay calm and say that it's the safest option and that you need to go back to work.
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anonymous1732518 Oct 2023
Of course she may argue, complain, etc. many places can make a person do that
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Just wanted to add that you have been a wonderful son but it is time to acknowledge your limitations. I know you will feel guilty since your mother is a sweet person but she will get adjusted. You and your wife are not equipped to handle a person with all those issues. Thoughts and prayers don’t do the work.
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Whatever you do, don't quit your job to stay home and take care of mom. If she has the means to pay, a private caregiver is a must.

You will need your income to continue paying bills and working towards your own retirement. Jobs are hard to come by these days. I should know. I got caught up during the pandemic and was laid off from my job. I ended up back in this caregiving mess and I've been catching heck ever since. I would love to go back into an office. I retired because I allowed society into my way of thinking that I'm ready for it. I'm not. I'm willing to re-train for office work than to continue into this downward spiral of being a caregiver. This isn't for me.

Give yourself a break. Some caregivers have ended up in worse physical and mental shape due to all of the stress than the person being cared for. You get the stress from all ends, and people in authority seem to push more and more on you. The private caregivers will be the first step in releasing your mom. During this time, start preparing for placement as her health worsens, and she will need a higher level of care than your or any in home caregiver can provide.
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Southernwaver Oct 2023
That’s right. Her money is for her care. And his money is for his retirement.
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