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Well, you can ask for volunteers, hire "Visiting Angels" to visit and give you support or suggest moving Grandpa to facilities in each relatives' location.

If you only hear "crickets," it's time to call Adult Protective services to evaluate him for appropriate placement.

Do your best in getting him help and then retire from this custodial job.
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Send a group email or chat to give them an update - maybe 2x a week. And end it with 'that's all I know right now - if you have any questions, ask here and when I can speak to someone AND get an answer, I'll let you know. If you need an answer before you hear from me, spend a day at the facility with him so you can talk to medical professionals when they come in',

Before you do the group conversation noted above, I think I'd send one to ask for their help in visitation...based on... he needs eyes on him during his stay to make sure everything is on the up and up at random times of the day. And, you can't do these visits yourself. Suggest a calendar that they can put their names on certain days they can plan to show up. Be very clear with your own schedule you cannot do this without their help. Additionally, they need to start working on a plan for when he is released - he may still be weak and in the need of some help day/night upon release. Tell them all that if they can't help by being there, you'll have to hire help (so be prepared for his money to be used/their contributions or moving him in with one of them until he is better)

If you get a bunch of naysayers as far as helping, do you know what his finances are? If money allows, go ahead and start lining up some in-home care to be with him as much as affordable when he is released. Don't discuss it with them unless you are going to have to depend on their contributions to pay for it.

Always be direct with what you need covered. Some folks will help if specific tasks are requested and some won't help at all.
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Ask each family member to volunteer to take responsibility for grandpa on a year long calendar. If they would prefer to pay for care from "Visiting Angels," then they make payments for their dates and schedule the care takers. If no one volunteers, ask Social Services (Adult Protective Services) to make arrangements for her.

If nothing works out, perhaps the family members can move Grandpa to their locales. After that, time to consult an Elder Law Attorney to get you the legal advice you need to set yourself free and get Grandpa safe and secure.
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I agree with another here.
Write / communicate your needs and commitment to the family - you need to clearly state your boundaries of what you will and will not (continue to) do - and include specifics of how this is affecting you/r health, physical and mental.
* If they do not want to physically be there to manage some of the needs, tell them you need to hire caregiver(s) and they need to contribute. Be clear on what you need / asking as many people simply do not know the cost of care (givers).

* Tell them this is as much their responsibility as it is yours. They need to step up or your grandpa - their father (?) uncle (?) etc will suffer the consequences. This ISN'T solely your responsibility.

* The family may not 'do anything pro-active' unless and until you do. You need to tell them this is a family responsibility, and due to distance, other arrangements can be made. In essence, the distance of the rest of the family is NOT a deterrent of them providing support (ie you getting help/caregivers).

Gena / Touch Matters
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Some posts say give the family a weekly status report. Been there. Refused.

My position: I’ll help where I can. But I am not your employee (or Grandpa’s employee). It’s not my job to send status reports or execute to do lists or be bossed around. If the family has an opinion, the family should get involved.
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grand1: You simply are stretched too thin. Seek respite by any means possible.
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If you are not POA, in reality, you shouldn't be doing what you are doing. Your 'responsibility' should be to visit him when you can - would be nice every other week for an hour or two - but to handle all of his personal and financial affairs, that should be the POA's duty. You say he is in rehab - what does the doctor at the facility say about the prognosis - 4 weeks? 8 week? And if he doesn't improve - is everyone on board as to what the next steps are because there are next steps that a POA would need to handle.

Tell the extended family that although you have done your best to help out, right now you have a 'medical' situation that will prevent you from helping him as much as you have. You don't have to tell them in detail that the medical condition is your needing a physical and mental break from it all. Notify the rehab facility that you are having to step away from helping out and give them the number of gran's family to contact. Tell gran that you won't be there for a couple weeks. I know that many suggest staying firm to your 'boundaries' but unfortunately, the extended family will not honor your boundaries unless you take drastic measures - like stepping away.

Feel bad for gran - yes, but, HE should have had a plan in place- and that is where the POA steps in.
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