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I've read all the responses again and again. People are restrained for their safety in different ways and not just in personal homes but in facilities too. Either that or they are medicated to be controlled.

Be realistic people. Some of our loved ones are more challenging than others. None of us can keep going 24/7. Sometimes we can't even think.

I'd rather see you locking your Mom in her room than let her wander out to the hallway and fall down the stairs. That would be a real tragedy. My Dad fractured a rib falling on one step, can't imagine falling from sixteen.

The choice to keep your Mom at your home is yours however you need help. Reach out to the Alzheimer's Association. The have volunteers that will watch her for an hour or two so you can rest. Some doctor's have caseworkers who also may have volunteers. AARP, United Way, keep searching. Ask around, you may b able to find someone who already works but needs a few hrs taking care of someone. Companions are cheaper than providers.

Put a shut off valve on your stove and a lock on the fridge. Hide the knives. Add child locks on the cabinets and keep things out of reach. Buy those garter like straps for the sheets, they do help. My Dad had the same issue with bed sheets.

Do all you can to keep her safe. Keep insisting that she wear the pull ups. It took a while for my Dad to give in.

I know you're tired and no one can blame you when you can't care for her anymore. Our parents are aging but so are we. They need to walk in your shoes.

Your Mom is lucky to have you but we all get to a point when one person (caregiver) just isn't enough anymore.

FYI- I have both parents at home. Both have been challenging in their own way.

You are not alone! Prayers and Love.
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Misseverything Aug 2019
Thank you so much..My prayers are with u too. What IS funny to me I call my ex mother in law who lives close by whom I'm very close and she is my mom's dear friend. She drives over and tells my mom to get up get dressed and put on her poise pull ups and then pulls her dress up and shows her ..her underwear. it's hysterical Then my mom will wash up and get dressed.. my mother-in-law in law is 90. !!!! And a breath of carnations!!
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Miss everything, does 'The family' who don't believe in nursing homes include you too?

I had lunch with a wonderful caring work college the other day & we were discussing our aging parents. She declared she would NEVER put her Mum in a nursing home. I asked her: Could you quit your job & care for her 24/7 ? (Umm no, I need to work). Could you function on disturbed sleep? (No). Could you leave your young children with her if cooking was unsafe? (Absolutely not). Could you afford in-home care at her place? (No). Are there other relatives that could do that? (Pretty sure no).

She sighed & said well I suppose when I said I'd NEVER do jt, I suppose I meant I'd never WANT to - but the reality may be I'd HAVE to. For the care of her, but also for me & my own family situation.

Please consider.
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disgustedtoo Aug 2019
R E A L I T Y sinks in slowly sometimes!!!

While I understand NH conjures as nasty image, they are not like they used to be AND they are not for everyone, only those who need skilled nursing care (I believe some have MC units, but unclear on whether that is for ANY MC patient or only MC patients who also need skilled nursing care, We haven't had to consider NH... yet.)

Perhaps all the immediate nay-sayers should take some tours of their local NHs and see for themselves (not all are created equal, so there will be the good, the bad and the mediocre, just as other facilities will.)
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Just a thought- facilities that have memory care wings (or areas) are locked. Residents who wander are not able to get through the door. It’s for their own safety and well being. (The alternative would be to have a staff member following them around 24-7 to make sure they stayed safe by staying out of the street or staying off the steps)
you have locked the door to protect mom from starting fires, falling down the steps, and getting into trouble. This is done out of protection, not abuse. You are certainly allowed to put a deadbolt on the door to your home- one that can be installed very high on the door. However, some places might consider it A felony imprisonment, when clearly your heart is in the right place in wanting to protect her! Understand it’s a last resort. But quite frankly, who would know? Believe me, if mom got out of the house and was ringing doorbells at 2am, people would know! But....in your own home? Maybe you could put a gate “locked” at the top of the steps? Or a half-door? This way she’s not “locked in” her room... but she’s using a “child safety” gate.
We put kids in cages for God’s sake, and call them playpens!!!!

memory care facilities are a fortune. I was recently quoted over $10,000 a month! Unless you have some type if care that mom qualifies for, it’s not possible. (Unless you’re independently wealthy?)
next possible solution- MEDS! Get on the phone with her doc and tell him what she’s doing all night. Get some Ambien or sleep aid to make sure she’s sound asleep and comfortable. (And in the meantime, do the same for yourself)
i just signed papers for a home health aide for my dad because I cannot do this anymore by myself. At $33 an hour, we can only afford 9 hours a week. It will be a most blessed 9 hours of rest! If you have the means to get some help, it is money well spent.
Good luck!
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jd6122 Aug 2019
Ambien has been known to cause serious problems with some people such as sleep walking and many dangerous behaviors. It is not a quick fix to be taken lightly.
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I do agree one person cannot handle this job alone. One gets burnt out. Also you do need added help. Put an ad in a local paper, ex: I put an ad in the Christian Chronicle years ago and hired someone that way. Pray as well! I found another caregiver down the street! I would suggest putting those white childproof doorknob covers on her door on the inside of her door where it is not a lock but a deterrant until you are able to start the day fresh with her. I was reading about that from a "caregivers guide to understanding dementia." She also really needs to be wearing depends/incontinence products. I remember the first time I used them for lady I cared for and she didn't want to face she needed them but eventually was willing. A Doctor visit may help in convincing her as well. If you are finished with this job you can also just hire people to come and work... private pay or if she is out of her own money, call a social worker in your area to discuss getting her on a program for home care. You can use agencys as well but a bit more expensive. Dealing with stairs is not so easy but installing a rod iron gate may be an option vs. a child gate that can knock over easy. Selling the house and getting a rambler could be another option. In all cases connection with God is essential for both you and your mom. I use to have Christian radio and TV on quite a bit. TBN (Trinity Broadcasting Network) and Daystar are good options. Bible on tape and other teaching tapes were most beneficial to everyone. This is a transition time of life for your mom especially and the Word of God makes a huge difference in preparing for it. Jesus saves and delivers to all who believe and receives Him. May God bless you and your mom.
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Misseverything: Cooking food without realizing it's on fire and burning is enough to remove her from the home! She will have to be placed in a facility as this is no longer safe. Good grief! I'm sorry, but this is a dangerous situation.
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gdaughter Aug 2019
What a shortsighted answer. Are there dangers? Yes. But environments can be modified to make them safer. Locks on the kitchen door, switching to electric ranges, putting kill switches in...getting some in home help...
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What does it mean: My family does not like convalescent homes?  I can't put her there".  Who is "my family" and why do they think that they have the right to make you feel guilty for not wanting to die yourself taking care of your mother?  And why is your aunt telling you to lock your mother in until morning? If she is an RN, she should lose her license for telling you to do that. Surely, if she is working, she is telling her coworkers the situation (minus the part about her telling you to lock your mother in at night). You may have the authorities investigating because of her "big mouth".

You say nothing about your mother's assets?  Could it be that "my family" is afraid that if your mother has money and has to spend down in order to get into a Medicaid bed, there will be less if any money for them when she dies?  Believe me, I have seen everything and I know that the people you call "my family" don't give a darn about you or your mother. You will know that this is true by doing this:  Ask them to take care your mother to give you some time to de-stress.  If they say no, tell them that you don't have the money to pay for a sitter so if they don't want your mother to go to AL or Memory Care, they will have to pay the sitters because you are paying for your mother's room, board and all utilities. These people "will ride you hard and put you up wet". You may have to get some counseling to help you stand up to these people.  I promise you that if you die first, your mother will be in a facility the next day. I cannot believe that if your mother was in her right mind, she would want to see her daughter's health destroyed.
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rovana Aug 2019
Great answer!!  Please keep posting on this forum.
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You have no other choice but to hire a caregiver for a 12-hour shift to stay with her at night while you sleep. Either that or put her in a nursing home where they have staff the alternate shifts. If the family doesn’t like it than they can do a night shift & come care for her while you rest.

Believe me, I was there. Something’s gotta give or you’ll end up sick, burned out or dead.

Stick to your ground & don’t back down.

I’m routing for ya!
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Misseverything Aug 2019
Thank you and GOD bless you. You lift me up with your post. My girlfriend Jilly across the street has a live in all day and night caregivers for her dad he's 97 and cannot walk I envy her she gets to work. I just cannot afford it. But seriously I'm thinking of at least 2 days a week help with bath and watching Mom while I go to church on Sundays.
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Gosh, so sorry for your suffering friend. I'm not knowledgeable in this, but 'mema953' is in the same boat, so I respect her reply, (agreeing with your method of locking her door at night). It's not abusive if it keeps her safe & probably redirects her mind (to go back to bed). I support your choice: it keeps you ALL safer. Please don't tell anyone else though, cuz it may get you in trouble & get mom removed from house. Best wishes, God sees your heart to love her.
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Misseverything Aug 2019
GOD bless you and thank you. The Lord knows I'm trying my best.
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This is a nightmare for you and for your Mum. You need urgent help and your Mum needs 24/7 care. Where can you access this care in your area? Social services? You must tell the professional carers that you can't continue this level of care. Never mind the people who have various views and opinions on residential care.

I am am totally surprised that a nurse told you it is ok to lock your Mum in her room. It is certainly not ok. Maybe her sister could help you? Locking someone in a room is elder abuse.

I cared for my late husband for years so am aware of the demands of caring. They are relentless. Please look for help as soon as possible.
Sincerely,

aisling
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Misseverything Aug 2019
Hello to you I don't consider it elder abuse if I'm here the whole time at nite down the hall with her. Checking on her. Listening to her. What could be abusive is to be sleeping and ignore her and let her walk down the stairs stroll the hallway's and cook in the kitchen with her dementia setting the house on fire or blowing us up. I'm with her. I would never leave this house with my mom locked in her room. Never.
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You are at the point that says you can no longer manage your mother. Desperation has brought you to this point and it is not the right decision for either one of you. As someone said, this is elder abuse even though you are doing it because you are trying to keep her safe. Sleeping in the room is an option, but I have done that and it leaves you restless and tired. So that is not a long-term solution either.
If having a home health aide for the night shift is not an option, then you need to look for a memory care facility.
That is was I had to do. 24 hour specialized care. It will give you peace of mind. If you become stressed and run your body down, what good will you be for your family. I know what you are going through.
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Misseverything Aug 2019
Hello to you oddly enough I really do have peace of mind between 12 and 8. GOD knows I do. If she calls my name or knocks on our bathroom door I'm there for her I give her snacks and check on her. Especially if I know shes awake. And Its good to know shes not downstairs.
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Get a monitor to put in her room so you can monitor what she is doing
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rovana Aug 2019
But the urgent need is for OP to get a decent night's sleep.  Sleep deprivation is a torture method after all and will finally result in death.
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So why not have her evaluated and get a doctor's order to place her in a facility?  She'll be cared for and you can get some sleep and rest.  Do you have other family members (siblings)?  Have them rotate care for her.  I've been caring for my mother by myself for 3 1/2 years, have had her in facilities for 3 1/2 years, have no family support, and it is private pay.  Yes, it is hard, but you can't buck the law and expect to win.  Get the doctor to write you something for stress, and get with a support group.  Get educated about what is out there and how others can help you.  If your family doesn't like this idea of placement, TELLTHEM TO COME TAKE HER OVER THEMSELVES.
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Find any possible reason to take her to the hospital and get her admitted. Tell the triage nurse "She's ravenous and thirsty all the time" will get her admitted so that they can check her blood work. That will get her out of your house long enough for you to accept that you cannot take her back upon discharge.

Locking her in is not a long-term solution.

When the case manager talks to you about discharging her, just say "You cannot discharge her to my home. I cannot care for her any longer and it would not be safe." The hospital will keep her until they find her a bed in a long-term care facility.
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anonymous683453 Aug 2019
Great answer. I had to do this recently. I thought he could go from hospital back to rehab or nursing home, but he died in the hospital. Recovery Wasn't meant to be.

I told doctor and social worker he couldn't be discharged to come back home because I was not capable of caring for him any longer. Very sad, and I will miss him forever. He didn't want to go to a nursing home, and it turned out he didn't have to.
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I have a similar problem. My Husband has Dementia . He sleep walks and gets aggressive when I try to put him back in the room. He urinates on his adult diapers and on the bed and floor. So I know what you are going through. My daughter put up cameras in the bedroom and kitchen living room and corridor , the cameras will make a small sound letting me know what he is doing, Yes at night I close the door cause he gets aggressive, and I need my rest also. so there is no harm in what you do. God Bless you! it is hard when you have to do it on your own most of the time. and we do not qualify for any help from the government my arms hurt and my elbow etc But I thank God for the strength he gives me. Stay Strong.
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My suggestion is sleep in her room with her. Please do not lock the door with her in the room alone. This is dangerous, not safe, and you may not hear her. Use a bed alarm and get some side rails. I placed a commode and a dining room chair next to my mother's bed. I used side rails in the past, but I sleep in my mother's room now for her safety. She has 24 hour care and she is never left alone. She might need a medication adjustment. Your mother needs 24 hour supervision!! She can't be left alone. It is easy for family members to dictate their wishes without lifting a finger. Have a family meeting and discuss your concerns and ask for help. Memory care facility might be the best choice under these circumstances. You seem to have the responsibility of caring for your mom, but it is too much for you alone. You need to make a sound decision. You need do what is best for your mother. I hope you make the right decision and wish you the best.
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I would start looking around for a nursing home or get medication to make her sleep. At this point they have no quality of life so giving her a tranquilizer or sleeping pill isn’t going to hurt. If your family doesn’t want her in a nursing home, let them take care of her. I’m sure she is probably on social security. They will pay someone to come out about 15 hours a week. They do that for my friends mom. It can be a relative too. They paid my sister-in-law to take care of her dad. Well for 15 hours even though she was there at least 50 hours a week. Your son should be able to watch her more than a couple of hours a week if he is living there. Just don’t feel guilty if you do put her in a nursing home. My MIL was in one for 10 years and was well taken care of. They can live a long time. She was 89 but had advanced Alzheimer’s for at least 10 years. Don’t feel guilty. I couldn’t handle it for one week let alone what you caregivers Do day in and day out.
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disgustedtoo Aug 2019
A week??? I said no from the moment I realized what mom's issue was. Not even one day! I had offered in the past to let mom and dad move in - add a mini-apartment or something on, but it was also against my better judgement. I know what she is like and would not be able to live with her!

The actual test was a trip to SC many years ago, long before dementia - just the drive down and back was HELL! She was sort of okay while there, bashing my brother and his wife when they were not with us, probably me when I wasn't with them! I thought issue was mainly when the parents were together (dad stayed home), but it is HER. She can be a real miserable piss-ant, most of the time! Add to that my house is needing repairs, which are on hold, there is no walk-in shower/bath, access in/out requires a full set of stairs, which she can't manage and I can't support her weight (she now refuses to walk and needs help getting up/down and even dressing!)

In a week I would be dead! Most likely from her falling on me...
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Is your mother on medication? My mom did that, but she would be in another world, seeing people sitting in the car outside. She would be trying to go to the barn to help her dad. We switched her doctor, and he immediately picked up on my mom's issues. Her previous MD chose to ignore it just saying is comes with age. After the new MD started slowing with meds... this middle of the night wanderings stopped You may want to explore her meds with a physician. We kept mom at home as her care givers for over 8 years. She just moved into a long term nursing facility in memory care.
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Why is she in your home? Can you not afford care? Someplace she will be safe ? And they know what and how to keep her focused as long as possible? If she had a heart attack would you keep her at home? Dementia is an illness and needs professional care just like heart disease or cancer.
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worriedinCali Aug 2019
She’s in the OPs home because the family doesn’t believe in nursing homes.
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When the doctor's suggestion to my mom was to put crazy locks on the doors to keep my dad from wandering at night (and effectively trapping them inside the house without quick escape), we knew it was time for memory care. That is no way to live - rationally, safely, etc.

BTW, some of the residents in my dad's memory care have lived there for over 10 years, and one lady turned 101 this week. How long can a family live this way?
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I get it! I have my 81 yrs old mother who has severe dementia . When my sisters and I decided it was time for mom to live with one of us, I was the only one to step forward. Once I did I layed down some ground rules , Since they both live out of state and will not be helping. I told them they can visit anytime, but they have no say as to her care. I will be doing whats necessary for all involved. They didn't help pay for the alarm system in my house to prepare for my mom or any other expenses. I researched a lot prior and was able to get with the state dept of aging and they helped so much. I have been able to get my mom in The Pace Program, which is a memory care program. They come pick her up 3 days a week from 8 am to 4 pm. This gives me time to breathe and more patience for my mom. . Look into your state programs if she has assets pay them down. But never feel guilty about doing the best for you all in your household. You said you have a son at home so you know this effects everyone . It sounds to me that your at a time when assisted living to become an option or at the very least nursing to start coming in and stay with her at night so you dont have to lock her in her room, making you feel bad. Also ask her doctor for meds to help her sleep. I love my mom with all my heart but my goal is to keep her home as long as possible, but I also recognize the time will come for me to allow people more trained than me to take over and I dont intend to feel guilty because I'll know I did my best and thats all you can do. Dont give into what the family wants unless they are prepared to share the responsibility . Stand your ground because you will be no good for your mom or your family if your exhausted. Find your State agency of for the aging.
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A bed alarm is what they used at my moms memory care for those that wandered. Memory care was my moms choice 4 years ago  when she could make a choice , my mother passed last month but was very well cared for in a cottage setting  and in the end hospice came to visit.
Tell the family to take her for a while they will feel differently
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Have you tried over the counter sleep aid like Melatonin or can you get a doctor supplied sleeping pill? Something that may help her sleep.

And since your family doesn’t want you to place her in a home are they willing to help out? Someone sitting with her for a few hours early evening may be just enough to calm her and get her to sleep. Can they take turns so each person only has to come 2 or 3 times a month?

You need a support system! If you have siblings or friends or anyone who knows your situation and can help out. If your church goer don’t be afraid to put that out there. People may offer or know someone willing to help. My mantra is “do you know anyone interested in adult sitting”.

I’ve been caring for my mom for 8 years and have felt that “she’s going to kill me stress”. I have daughters that allow me to just get a quiet night in a hotel once a month to destress or have an evening out with friends. She doesn’t go out now and is on hospice. The aids that come help with bath can’t do extra time but they have friends that are looking for extra work. I am able to interview and hire them for a few hours on weekend. Any little bit of time to yourself helps, getting out of the house helps. When mom was more active I had to diaper her, put her in abdominal binder adult onesies and back zip pants to keep diaper on. Also used extra pad in diaper to keep from wetting furniture. (Buck and Buck for onesie)
I brought peri spray by the gallon and it helped with the adult urine odor.
Luckily she didn’t want to cook but go back to her house. Key lock dead bolts kept her in house.

Dont feel guilty about locking her in as long as room is free of things she can injure herself with, you are keeping her safe. I’ve had to come to grips with decisions people not in my situation don’t understand, but thought it through and realize that don’t understand and moved on.

Lastly my Primary Doctor is an excellent listener. She offers suggestions and some days just getting out the struggle helps.

Good of luck with your mom, or rather good problem solving, good decisions and as primary care giver your the boss so what you say goes until you come up with better options.
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Teresa914 Aug 2019
I think melatonin would be better than a sleeping pill. I just asked my doctor for something and she said she thought it wouldn't be a good idea because I live alone. It can make you unsteady on your feet. The OP s mother could fall and that would not be good. I take melatonin and that's what my doctor recommended. It helps me and doesn't make me feel doped up.
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Misseverything;

Your current situation is untenable. I did read through the first set of responses last night, but only skimmed the others. Some have pointed you to resources to seek help - hopefully you are taking notes on those.

Regarding the issue of locking her in her room, this is a temporary fix only (leaving out the legality or safety issues, you are already aware of them and can read others' comments.) You need a permanent resolution to these problems.

Without opening all possible replies to comments, I don't see any update or response from you. Please do update us about what you decide to do.

My questions are:
1) Is anyone currently POA? If so, is it you?
2) If no one is POA, it is probably too late for that now - will someone apply for guardianship?
3) Who are those you call "my family"? If they are so adamant that a "home" can't be considered, have THEY offered to take her in? If not, then they have NO say in whether she goes to a facility, you hire help or some other decision is made.

Due to safety issues (stairs, fire/other emergency if locked in, wandering, ruining food, etc) AND concerns about YOUR health, your mother either needs to be moved to MC or another family member's home OR you need to bring in outside help. Regardless of how ANYone else feels about keeping a LO at home, there are situations where is just doesn't make sense. Everyone is in danger in these situations. If it is you who objects to a MC place, please take time to check some out. They are not all the same and certainly not like the Nursing Homes of old (plus it doesn't sound like she is NH candidate, just MC AL.)

Meanwhile, until you can bring in help or move her to a safe place:
* For the incontinence, I didn't discuss the issue with mom. We took all her underwear and replaced them with pull-ups. The issue never came up when I have visited since then.
* Depending on the type of dementia, there are medications that can help. If it is just dementia (vascular, ALZ, not FTD or Lewy's), a very small dose of an anti-anxiety can take the edge off AND perhaps help her sleep through the night. I would discuss this with her doctor(s). Some people have mentioned Melatonin as well, but consult with her doctor(s) before trying to self-treat.
* Can you turn the gas off? It sounds like she is somehow able to turn the gas on without the controls?
* Anyone with a Microwave - press/hold the stop/cancel button for about 3 seconds - it will lock the control panel. Repeat to unlock (this also works on newer washers/dryers/stoves - I have to lock the washer/dryer as the cats might turn them on when they jump up and hit buttons.)

I personally do not like medications, however, sometimes they are a necessary evil and/or life-savers! Currently we only need these anti-anxiety meds for our mother if she gets a UTI, which can send her off the rails every afternoon and into the evening. One small dose and within 15 min or so, she calms down and will usually head for bed shortly after (at her usual bedtime.)

Summarizing - even during waking hours, this woman is a hazard to herself and you. She could fall down the stairs during the day, not just at night. She could decide to go outside for a walk when you aren't watching her every move every minute of the day (NO one can do that!) She could still take out food and leave it out, causing it to spoil.  There are just so many holes in this "plan" that is currently in place that I am surprised the boat hasn't sunk already. You *really* need help, both in caring for your mom AND in making the right decision for her future. I do hope you reach out to those who can provide help and ignore those who are adamantly against putting your mom in a "place." The alternative could be a graveyard (plus what happens to mom if something happens to you????)
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After I left home, my mother's father started getting very bad with dementia. The family tried moving him around from household to household, but that arguably made it worse, since he was always disoriented. Finally, they put him in facility and everyone was better off.

I empathize with your situation; it is asking more than anyone should be asked to give. There are ways to get her into a facility even if your financial means are limited. It would be best for you, and your mother, for her to get professional care.
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Even with knobs removed and adult can turn on the stove. That danger and the danger of a fall down the stairs does mandate more locks, I agree. But the "family's" determination against NH or MC doesn't fly -- unless there is a POA shutting it down. If someone other than OP has POA, Mom should go to him/her. Someone said you are in Los Angeles. I am in Los Angeles too (Granada Hills). We are thinking when the time comes for my MIL to go into a care facility, we would look at her home state of Idaho. The nursing homes in this area, Los Angeles, are just horrible. My dad was in one for a while. It was vile.
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I don't know if it is wrong to lock mom in her room at night as long as you are there in your room. It is for her safety. I partly took care of someone with Alzheimer's. We took his shoes away at night because he would go out wandering. At one point, he went out in his socks. Where did he go? Across the street to a 24 hour store to buy little cakes and pies! He had cravings at night for sugar. So I bought several of these and left them for him and that worked. He only ate them at night. You might leave little packaged treats in her room at night. Ask you Mom's doctor for sleeping pills if that is possible. She has to get into diapers! Take away other underwear. They go through phases but you never know what will be next. Really, she will have to go into care no matter what any one thinks or wants. What no one seems to accept is that one day she could seriously hurt herself and then everyone would feel terrible about it. You are 1 person. You need to sleep. You cannot be vigilant enough to prevent every thing.
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Simply stated, I vote for placement in a care facility. Other non-participating family don't get a vote. You are in the midst of a lose-lose situation unless you relocate her. Be strong!
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I really got upset and on edge when reading this, my husband has
dementia, but not at this point. Be good if other family members can
help also
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Dementia is a debilitating disease, and not just for the patient. She is a danger to herself and those around her. You say “the family” doesn’t like facilities- but where are they in the realm of helping take care of her? It will only get worse over time. It never gets better.

She would not qualify for a nursing home, but there are memory care facilities that she might with the help of Medicaid. Have you applied?

I would contact your local Aging and adult CPS and ask for assistance.

You say your mom doesn’t like pull-ups, but you need to make her wear them. This is an unsanitary situation. My mom didn’t like them at first, but some things you just have to out your foot down. You are the adult now and she is the child.

Have you spoken with any of her doctors regarding her mental situation and the danger she poses to herself and others? They may have some suggestions.

I hope you already have Power of Attorney.

I sympathize with your situation. I took care of my mom for 7 years totally on my own and her property and all her medical business while trying to hold down a job. Then I finally retired early when it became evident she couldn’t stay by herself.

I hope you find a peaceful solution.
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If financially able, hire an overnight caregiver. Seems like your best solution until other arrangements can be made.
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