My wife has Ataxia, a rare, progressive, incurable neurological disease. It has progressed to the point that she has lost the ability to even support her weight if I hug her to provide the balance. Because of this I cannot use a walker or wheelchair to move her around the house because of the difficulty of the transfers. Since this latest degradation in her health I have been using a Hoyer lift with a sling to move her where she needs to be. She has also lost the dexterity to clean herself in the bathroom. This is something that I always said would be my red line, something that I just cannot do. But because I love her so much I have forced myself to have the fortitude to do the cleaning after she uses the toilet. I have been caregiving for her for a little over 2 years now but she has been this way since September of last year. I cannot leave my house now for anything unless someone sits with her because if the house would catch fire she would die in her chair just 3 feet from the front door. She had spinal surgery 2 months ago for 2 bulging disks and the doctor put her in a nursing home for rehab. After one week she began calling me in the middle of the night crying for me to come take her home. It finally got so bad that even though insurance ok'd her to stay and the therapists and myself all thought she needed to stay for the therapy it was decided that because of her emotional state that she would come home. Our insurance has been wonderful and we have had home nursing, home therapy and home social workers ever since she returned home. These services are for her medical problems, not for home care...feeding, bathing, bathrooming ect. These are not covered. I do all of the caregiving of that type. The home nurses, therapists and social workers have been coming to our house almost daily now for 6 weeks. 4 days ago the social worker and 2 of the nurses separately asked me in private how am I able to do what I'm doing both physically and emotionally. I told them I can't hardly do it any longer, especially emotionally. So all 3 of them, at different times, told her I need to be relieved of all of my responsibilities because of the toll it's taking on me. I had been hinting at this occasionally to her but she seemed to not listen. She finally said to our oldest daughter that she thinks she may need to move in with her sister, who is a retired nurse and who offered to take my wife in in the past, because of my state. But I am pretty sure that once she leaves our house that she will never return. I wonder if her sister, even with her training, is up to the job, but she wants to try. I'm ready to give it a try but when I look at my wife and try to imagine her never coming home again, waking up in our bed alone every morning, I lose my nerve to suggest she talk to her sister. We've been married over 46 years now and I know this would probably be best for us both but the finality of it just crushes me. I know some of you folks out there have dealt with this already and I need your experience and wisdom to help me get over the emotional hump. Thank you so much for any advice you can give me. I forgot to add that she has said many times that she will never go into a nursing home if it means never getting out again. So I have that emotional baggage to deal with too. My 2 daughters, one of who is a doctor, says their mom is not being fair to me and I should do it anyway with their full support. I am torn.
HOWEVER, the "I'll never go into a nursing home" statement was no doubt made back when it wasn't a necessity. It is now an absolute necessity, and I'll tell you why
A nursing home's staff will be far better able to care for your beloved wife than you can. It isn't a criticism on you, but rather a fact that they have multiple people to do what you cannot do alone. If she's moved to a nursing home, you will be freed up to just love on her without all the extra stress.
I don't want to scare you either, but you remind me of my dad. He was completely healthy and was my mother's caregiver from 2014 to 2018. He came from a broken home with multiple divorces, and he was determined to honor his marriage vows in sickness and in health, and he took loving care of her -- until he was diagnosed with inoperable liver cancer in October 2018 and died six weeks later.
I'm now in charge of my mother's care, and she lives in a memory care facility and is doing extremely well at nearly 91 years old. I cannot tell you how many people have told me that it's often the caregiving spouse who dies first. A trust and estate attorney told me that 70-80% of his clients have the healthy spouse die first. I heard that one before my dad got sick, and he was diagnosed a week later.
Honoring your wife means caring for her the best way possible, not necessarily the best way YOU can. You will be seeing to her care. You are not abandoning her if you put her in a place where she'll receive the care she needs -- you are doing exactly what you vowed to do.
If her sister is serious about taking her in to care for her, I'd do a trial run by her coming to your house and doing it all without help for a week. Then, she can say if she still thinks she can do it. People say a lot of things offering to help, but, they don't have any idea of what they are talking about.
I hope you can find the answers you need. Why not have the professionals do an assessment for the care she really needs and encourage wife to accept it?
Big decision here. I really don't think your SIL realizes that her sister is a 24/7 job. My daughter is a Nurse. After spending the day caring for residents in the nursing home she worked, the last thing she wanted to do was care for someone else. And usually the work you are doing is done by aides.
Like the idea of maybe SIL coming to ur house and giving you some respite time. Her doing most of the work. I will assume that she is in the same age group. She may find all the lifting, etc is too much for her. She will see whats involved daily and may see where its time to place your wife.
We had a man in church that's wife had water on the brain (theirs a name for it, just can't remember. It caused Dementia like problems. He had to eventually place her. He had lunch with her every day. Spent the afternoon with her and kept her busy. He left when dinner was served. You could do the same thing. Be there for her but have your downtime too.
If you go this direction, you may want to talk to Medicaid if you feel you will ever need it. They may allow you to split what assets you have. Wife's split would be spent down with you being somewhat financially secure. You will be considered a Community Spouse.
A suggestion to get the willing retired nurse sister issue out of your way: is there room in your home for your sister in law to come and stay with you for, say, ten days or so?
What I think you will both find is that even with two of you on duty it's going to be a stretch; and that even with you there to guide and prompt her, it's going to dawn on SIL that this is simply not a one person job. Not sustainably. And for her to have a trial of being your wife's caregiver, with the implicit promise involved in that, would feel like a cruel betrayal when your wife still has to move into residential care later.
Another advantage would be that SIL's support in your home would give you just enough rest and thinking space to be able to gain perspective. You'll be able to think in practical terms of what is really best for your wife's welfare, taking everything into account. Trying to make plans when you are physically, mentally and emotionally exhausted - then looking back on those plans and judging yourself harshly, only because you're now detached from the reality of 24/7 caregiving - is not fair.
Finality... well, change, certainly. But it isn't as if you're planning to abandon her. What facilities have you looked at? What accommodation do they make for married couples? You may be able to find a place that is far more supportive of your relationship, and more imaginative in what they can offer, than you're expecting.
You would still be her husband 24hrs a day.
You would still be caring 24hrs a day.
You would just be sharing the physical caring load with trained staff.
Best wishes to you.
I think you need to ask yourself how long you can realistically keep this up?
What would happen if you, yourself, had an emergency?
Would there be someone close by to step up and care for your sweet wife?
As much as we always want to be there for our loved ones, sometimes the best option is to take a step back and look at the bigger picture!
My Uncle never shared with me how bad my Aunts dementia was.
So when he passed before her, her care was left to no one in particular. Because I love her, I couldn't just leave her. Not everyone is willing to step up.
You and you alone know what your limitations are. Please consider them carefully.
For what it's worth my advice is to not let it go till it's too much for you to handle.
God bless you and your wife !!
At some point, you're going to have to wave the white flag here and have her placed in a Skilled Nursing Facility. I question the prudence of having her live with her sister, retired nurse or not. Since her sister is human, she is going to face the same exact problems you are facing and burn out in short order. NOBODY should be expected to care for another person who's suffering from THIS level of need. No ONE person, I should say as a correction. She requires a team who's devoted to her care 24/7, and who works in 3 shifts to accommodate her needs. Everyone seems to know and understand that except her.
Sit down for a heart to heart conversation about the facts of this situation. Sometimes love forces us to do things we don't necessarily want to do, but what is the best care plan for the loved one. I work as a receptionist in a Memory Care home for residents with dementia & Alzheimer's. Many spouses have had NO other choice but to place their husbands or wives there because their care became just too much to bear alone at home. So, they come to visit a lot, sometimes twice a day, to spend time with their spouse. I can see how torn they are at times, but they know in their hearts it's the best place for their loved one to be, where they're properly cared for 24/7. You can do the same once your wife is placed, if you'd like, and go back to being the husband instead of the caregiver.
It's not easy; none of this is easy. But think of yourself too, because this is not just about your wife. There are TWO of you involved here, and what's left of your life is going to be totally ruined if you have to spend it caring for your wife 24/7, which is what's required. We're not here on earth to be martyrs; we're just here to do the best we can and know when to cry uncle.
Wishing you the best of luck moving forward.