We can't find any information that deals with placing a parent in dementia assisted living and how to handle the transition. We we're able to discuss this in advance because Dad never wanted to live if he couldn't take care of himself (normal extremely independent Dad). Now he feels out of control and abandoned. He tries to give people money to buy his way out. He just wants to go home.
Any advice out there? This is killing my sister and me.
I was sorry to hear that your father’s girlfriend and his attorney have turned your father against you. I am wondering if there have been any further developments in your situation that you’d like to share. (Also, want to say that my comment that your dad might do well at home with care from gf was an indication that I hadn’t read your earlier posts as carefully as I should have before responding. Your comments about your father doing so well because of the consistent care he was receiving were important, though they appear to have been lost on his attorney and gf.)
Also, want to say to others who may have been following this story that not all guardianship/conservatorship cases are difficult or complex…some are very straightforward. At times this is the only way to go.
Finally, thanks very much, Carol, for your condolences…it was as peaceful a passing as possible. Though I miss Dad very much, it is a comfort to me to know that he is finally in a place where he feels totally accepted…a state of being that he was never able to fully enter during his 90-years on this earth. --Janie
Our condolences to you regarding your father's poor health. Many of us have been in your shoes. We'll be thinking of you.
Take care,
Carol
Unfortunately, I am also dealing with my father’s imminent death at the moment so this will probably be the only thing I’ll be able to post for awhile (though I think I am doing this now because it’s nice to take a break from the sorrow). I am a new member to this wonderful group and believe that another member advised you to look for archived posts on guardianship. That’s a good idea. Hopefully, other members who have taken a journey through “guardianshipland” can advise you as well.
First, let me say that I am a bit surprised that your attorney is saying that, as the petitioner, you would have to pay for the guardianship/conservatorship proceedings (I’ll use G/C from now on). In most states, payment comes out of the alleged incapacitated person's estate, unless they are indigent (in which case, if you’re lucky, your State Office of Guardianship will cover the cost of the proceedings [my state does so, for example (conservatorship is not considered to be an issue when the alleged incapacitated individual is indigent; though conflict related to Rep Payeeship or VA fiduciary benefits, etc., etc., very often arise]). If you look on the web, there are many sites that are set up to allow individuals to vent and take action against the corrupt “guardianship system.” IMHO, many of these sites look at this issue simplistically and in a biased fashion. Let me, quickly, describe some of the issues as they relate to your father.
An estate can be, and too often is, completely wiped out by guardianship proceedings when there is disagreement about the individual’s competence or, when, more than one individual is vying to become G/C. To understand a bit more about how “competence” is viewed by the legal system and how complex this issue is, I’d suggest that you go onto the American Bar Association’s website, go to the ABA’s Commission on Law and Aging section, and download (free) the handbooks that they’ve written regarding G/C (there’s a different one for judges, lawyers, and psychologists).
If your father’s lawyer is ethical, and your father demonstrated even the slightest signs of dementia when he was revoking his POA and/or changing his will, he would not have proceeded without obtaining an evaluation by a competent neuropsychologist or other qualified health professional who had done a thorough examination and testing of your father and obtained a thorough history (competence cannot be determined out of context). When your own attorney advised you that it might be difficult to obtain guardianship for your father because he is high functioning, he was speaking to the issue of “areas of competence.” Probate Court judges are supposed to bend over backwards to preserve the civil rights of an alleged incapacitated individual and, in many states, they will write orders that give a guardian authority over some areas of a person’s life, but not others (a limited guardianship). This is a good thing, but it often means that you’ll have to keep returning to court to request additional authority as your father’s condition deteriorates. Because our judiciary is so overtaxed, judges will often appoint a “plenary” or full guardianship simply to avoid such an eventuality. That’s not a good reason to take away virtually all of someone’s civil rights; however, there are times when, as a court visitor, I do recommend full, rather than, limited guardianship. One of these is when it appears that there are individuals in the elder’s life who are trying to exploit them financially and are exerting undue influence over them in order to do so. If I am clear that this is happening, I will strongly recommend that the court give a family member who has integrity or, if none exists, a professional guardian, full authority to act.
Unfortunately, even if the judge agrees that there is a problem and appoints a guardian, the guardian may have to spend an inordinate amount of time contending with an attorney whom the elder has “hired” (generally an attorney who was hired by the person that’s taking advantage of the elder) who may fight to remain in place and bilk his/her estate out of tens of thousands of dollars in order, “ostensibly,” to protect the elder's rights. If Adult Protective Services were better funded and had many more, and much better trained, staff who did not believe that an elder’s civil rights were more important then their safety and protection from exploitation, I would not have to make such a recommendation. People could, instead, simply would be completed and take steps to protect the elder. In the situations that I’ve been involved in, APS been less than helpful in this regard and this has been the experience of many others across the country so I know it is not limited to New Mexico.
It sounds to me as if your father might be able to do pretty well at home with sufficient care and the girlfriend might be providing that; however, if she were handling this in an ethical or moral manner, she would not be engaged in any attempt to obtain funds, apart from those which are needed for his care, from your father’s estate (of course, I am assuming a lot here from the little information you have provided).
I need to take a break from this, but will try to come back later to write a bit more if you’d like. Before I stop, however, I will attach a few bits and pieces from a recent court visit report that I wrote in order to provide you and your sister with some validation and support as those who have the most authority to deal with this situation. Please feel free to quote from this in order to bolster your position, if needed; however, if you do so, please credit my source—“The Natural Authority of Families” by Michael Kendrick, CRUcial Times, Issue 6, July, 1996. (Even the initials are changed below.)
"The other most obvious cause of the conflict that has developed in Mr. B’s case relates to misperceptions on the part of the caregivers that were hired by Ms. C---, and, to some extent, on the part of Ms. C---, herself, regarding their differing roles in Mr. B’s life and who has authority to assume responsibility for his care.
………………..
Somewhere along the way, the intrusion of ongoing legal proceedings in this case appears to have warped understanding of what one normally does when an aging parent or other close relative becomes so frail and/or confused that they are no longer able to adequately meet their own needs. Unless it is absolutely necessary which, admittedly, at times it is, families do not seek a guardianship and conservatorship. Instead, they step in, either to take care of their loved one themselves, or to hire others to care for them, generally under their close supervision. When Judge M--- did not appoint a guardian for Mr. B---, his family was placed in just such a position. They needed to either care for him themselves, or hire and supervise, caregivers who could do so; again, under their close supervision.
……………………
…………a clear lack of recognition of the natural authority, indeed some would argue obligation, of families to care for their ailing members on the part of even those of S’s caregivers whose intentions have been well-meaning, has had unfortunate consequences for all involved in this case.
....................
It appears to have been lost on Ms. F---, and other caregivers, that families have authority to assume responsibility in the life of their loved ones because it is they who have known that individual the most fully over the longest period of time. Their authority arises from long-term observation of, and insight into the behavior and values of, their family member with whom they share a close, personal relationship. It is they, as well, when all is said and done, that will have to live with the consequences of misguided actions of caregivers and service agencies (a thought that was not lost on the Visitor, when Ms. F--- announced that she had taken S--- to the dog pound last week, where he adopted a puppy).
More importantly, it appears that, almost from the beginning of their employment as Mr. B’s caregivers, Ms. F--- and other caregivers, such as G--- A--- and D--- M---, strongly resisted the authority that Ms. C--- has, not as Mr. B’s conservator, but as the family member who has been most involved in his care over the past five years, to supervise their work. Actions that these women took to defy her authority—under the guise of meeting Mr. B’s needs and preserving his right to self-determination—were the factors which provoked Ms. C’s intense anger and distrust of these women."
I hope this has been helpful and not simply discouraging...JanieO
We don't know of any way to verify that while Dad was revoking our POA, that he probably named the girlfriend as his new POA and also probably changed his will to leave her the money. This is the money that was supposed to take care of Dad. Is there any way to make this determination without asking for it to be addressed in court during the trial?
Our attorney advised that even if we choose to pursue the guardianship, it's hard to go back and change back wills etc. Any experience out there?
Thanks, Bigsister
The feeling of being abandoned is common and sad. But their safety and the safety of others is primary. Eventually, they adjust. For some, it takes longer than others. And it's heartbreaking for the loving family.
Take care,
Carol
When my dad had his stroke 5 years ago, he provided for my mother in EVERY CAPACITY.... she never drove, had a worry, and without stepping in that arena for discussion, extremely selfish with the "all about me disease".
I'll never forget the day when the neuro-surgeon told my mother that because dad was on the anti-seizure medication he would not be able to drive six months AFTER he STOPPED the medication. The look on my mother's face will never leave me. She was horrified. It could have been about a year.
I found out after 6 months (out of hospital, rehab & now home), that she was letting him driver her on errands. I was now the horrified one. I tried, begged, pleaded, and yelled that she could not do as she wished this medication was serious. If dad were in an accident they could lose EVERYTHING dad worked so hard to provide her. She didn't care.
She kept going. All I could do was pray that if they hit anything with the car that it would be an inanimate object and not a person(s). Then one day I got a call from mom that dad had taken off without her knowledge and she had no clue he had left (as his Alzheimer's was starting to advance). She could not admit (even to this day he has it). It was at night so I drove around their subdivision looking for him, went to all his regular stops different routes to his regular stops and nothing. I was sick.
I told mom to stay by the phone I was going home to see if he could have headed to our house and to call the police. I no sooner walk in the door and mom calls. "He just got home and I'm so angry with him...." I rushed over to the house, encouraged mom NOT to yell at him he was probably scared. She was still furious, her control was waning.
I got to the house, he was pulled into the garage. Mom poked her head out the door and started yelling at him. I'm trying to calm her down and just smiled at dad saying, "Hey, I'm so glad I caught you. I was going to go with you... where did you go?" He smiled calmly at mom and told her he went out for a ride. He then turned his back to her and looked at me and said, "I don't remember where I was."
I knew at that point it was the end of an era. I had to explain to mom and try to convince her of what dad said. She still wanted no part of it.
Advance about say to 10 months ago. Things started where my mother was doing hospital runs for attention and I had to live with dad. I also had to work (newer job and could not take an LOA). So my mom wanted this couple who had been friends of theirs for 45+ years to help out. This couple volunteered and stayed during the day.
At first it wasn't bad, but I found out some things that are now leading me close to prosecuting this couple (whole other story). But when they were leaving one night I saw the wife get in the back seat and she started yelling from the car for her husband to get out there immediately. When he got behind the wheel, SHE TOLD HIM HOW TO DRIVE..... I found out from there she gave my mother the bright idea to tell dad when to hit the gas, hit the brake, when to turn and the list goes on. Again with horror I started piecing things together.
I tell you this to say one thing.... be objective, document, and do what you need to do so he does not hurt someone. Find creative ways to make him as comfortable or independent "feeling" as possible while preventing him.
The attorney... well, I won't even go there! Okay, I lied.... find an elder law attorney. Get help... you are going to need it and document all these discussions with this present "attorney".
Pray for your dad's covering. It is the best option you have. You may not be able to prevent things right now, but you can only do the best you can do shy of locking him up and that is really not recommended. I know many of us here will pray for you for a solution. It is scary as all day.... and I can't imagine your fear. Keep us posted and I'm sure many can offer other legal suggestions or actions to help you investigate.
Unless we can get an emergency temporary order from the court, based on information we submitted with the petition, we think his girlfriend will pick him up and take him home tomorrow. Then we don't know how the temporary guardian will deal with him 2 hrs away and if he'll show for his court appearance. Dad doesn't have any regard for authority as he's already driven his car after the state revoked his driver's license and the doctors that think he's not safe at home alone just don't know what they're talking about.
You are a tough cookie and you'll have to remain so. Keep us up to date on how it goes.
Carol
Unfortunately, he is clear enough to carry on and on and on about going home. There are several reasons why going home is not an option. He caused his last delirium by falling into his old routine of drinking, deciding to take supplements instead of his physician prescribed meds, and eating only noodles.
Soon, he'll be visited by the court appointed temp guardian to explain that we have petitioned for guardianship. He will contest this appointment and we'll have to go to court - this should be interesting. I wish we could have avoided having a judge tell Dad he is no longer competent to be his own person. I think he'll be devastated. I wish there was another way.
So my thing would be is to make something that looks real to him or give him an expired card to use (but notify the company first of how you are using it - so no legal problems).
We cannot change their perception of reality, but we can adjust. :)
Take care,
Carol
I find I have to argue about why I feel the way I do and justify my position, kind of like a daily debate. Because he's my Dad, I've known all along how he will respond to these situations, and to date, have been right on every count. Why, then, do I have to keep up the debate? It's exhausting. Found myself just wanting to pull the covers over my head this morning and not get up to face the challenges of today. Again, I'm sure everyone has had these feelings too. And it's so early in the process for me. Looking for one little positive among all the negatives that are surrounding me right now.
The sun is shining this morning - one for the positive side.
Love
Carol
When I signed the Power of Attorney, I promised that I would take care of Mom and/or Dad. We never guessed Dad's dementia would be the kind where he "thinks he's fine". So I've had to steel myself to the fact that I'm going to be the bad guy. Very hard for a Daddy's little girl who never told Dad he was or wasn't going to do anything. I think I'm going to have to petition for guardianship because our POA is revokable. Our Elder Law attorney said the medical one could be revoked if Dad has a good day and appears "of sound mind". The financial one is harder because he'd have to prove he could enter into a contract. Unfortunately, it's the medical one that covers keeping him in an assisted living facility and not going home. He still wants to get back to his life, doesn't understand why he can't, is calling his attorney to see how "they" can keep him against his will. At this point, he doesn't know that "they" are my sister and me.