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She is nursing home care level! Take her to the ER saying you think she has a urinary infection due to increased confusion and then refuse to take her home. We did that with my mom due to confusion then we told them we can not care for her at home. She spent 4 days in the hospital and then was accepted in Long Term Care. Her doctor told us to do this and it worked..a nursing home will use her money until it is gone and then switch to medicaid help.
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SKILLED NURSING HOME!
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You will need to spend down your Moms money by paying for in home private care. Find one or several aides to come and help you. Word of mouth, supermarket postings, local churches, private agencies, this site - there ARE people who are experienced in elder care and looking for work. It's impossible for you to do it all by yourself. Even a few hours of respite will help you enormously.

Contact a well regarded Medicaid attorney who can guide you through the requirements and the process to apply for Medicaid services.

Contrary to what you may believe right now, this site is invaluable for support, advice, information, leads and tips in caring for your Mom. Take one step at a time, and you will be surprised at the progress you will make. We will be here cheering you on. Keep us posted - I wish you the best.
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You and I have a similar story.My 86yrold father came to stay will me in Oct 2019 after a fall.

He fell recently and broke his hip which required a partial hip replacement,rehab,and now he's living at an assisted living facility.

Due to him not being able to walk currently I could not take care of him any longer.As I like you was doing so on my own.

My dad suffered a stroke in 2015 that left him with some left sided mobility issues but was able to reside at his apartment until Oct 2019.

Due to my dad reluctance to ask for help during the night he has had several falls since coming to stay with me.

He had staples to his head on one occasion and as I mentioned prior a broken hip.

Luckily,I was able to find an AL facility with the skills needed to care for my dad including a hoyer lift and two person assistance.

I went to several facilities and thankfully my dad didn't have to go to a NH which he couldn't afford.

He too is neither rich nor low income so he must pay out of pocket until his assets are low to qualify for Medicaid programs.

You should look into a similar facility for your mom,contact your local AOA,and research applying for Medicaid in your state.Best of luck to you.
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I feel terrible for you and your mother. Have you talked with a doctor re what resources are available to you? Where I live, Ontario, Canada, we have Community Care Access Centre and Local Health Integration Network. Perhaps you could contact Social Services. You need to have a family meeting and tell them that your health and your mom's is at risk because you can longer provide all of her care. Even if they don't live nearby they can contribute financially. Use funds from your mom and family to get some help. When you hire someone you need to have an agreement beforehand as to what you expect them to do. If they're not doing the agreed upon duties contact their supervisor if they're with an agency. You need to get firm and insist that your family help you. If they live nearby tell them that you need them to come on a regular basis and help with Mom's care. What about the family pooling money together for a nursing home? Does your Mom have a Power of Attorney in place so you know who will make important decisions? Best of luck to you. I hope your family steps up and helps you. That's the least they can do!
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Hello. I feel your pain. It is overwhelming. I am a doctor, and caring for my own mother with Dementia and Parkinson's is tiring. Much less for someone who is untrained.

You are doing a lot, and I know you lovr your mother too.
Do not be afraid to ask for help. Try to hire a trained nurse as a caretaker.
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Hello, first of all, you are doing a lot. But I want to commend you about how calmly and detailed you are approaching this. Staying calm and collected is very important.

I’m in a similar situation, however my moms not paralyzed thankfully. I can relate to some of what you’re saying. I understand the financial piece, no one there much etc. People always have a quick answer, come on just do this etc.

You have to get help in one way or another. Either someone to help with cooking or other tasks. There are a lot of agencies or you can pay for care to assist and they can be affordable. It would be worth it to pay the $18-$30 an hour to have someone come in and help with these tasks for your mom and provide you support and relief. In fact you really have to. Whatever you have to cut out, if it’s cable, cutting back on some extra food…

You didn’t mention all the doctors appointments etc. that you are setting up. So all these things take time.

Don’t worry about getting into trouble. Unless you’re really hurting your mom, and you’re not, You’re making every effort to care for her and no one is coming after you.
check around for local agencies that will come in to your house. And even if you can’t do 24 seven at least get them for some hours of the day. You didn’t say if you were working or not come which can add a whole bunch of complications. But with FMLA you can get some time off work.

Also it sounds basic but I have to get myself ready for the day first before I care for me mom, get organized, etc. or my day gets crazy.

I’m on several Facebook pages for caring for the elderly parents. There are a lot of people on there, a great place to vent and get good advice. if you’re not on Facebook, try to get on these groups they’re very helpful.
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Tell the facility that she can not come home to you and that she will then be without care. They will find her a placement. Make social services do their job.

You might also want to find a lawyer in elder care and pay for their advice. I know an hour of 2 is expensive, but the advise you will get will be invaluable. Just make sure the lawyer is local to where your mom is.
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RedVanAnnie Sep 2021
What facility? I thought the mother was already in the poster's home.
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Update?
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There are some good suggestions, ideas and guidance here. Everyone seems to be in sync with the "just say no" plan. I think ultimately what everyone is saying is that you deserve a life too. It's not that you "can't" take care of her..because you already have, and for quite a long time. You've been managing, even if feeling unsure of yourself. But emotionally and even physically no one should ever have this type of burden laid almost solely upon them....(you love your Mom so she's not the burden but her care is). Ultimately no one can make her care decision going forward except for you, but I think we all hope that you don't let "Guilt" make the decision for you. You are a truly loving daughter under circumstances that most don't ever have to face, and you've proven that for the last years in taking care of her when many, if not most, would not have done so. Whatever you decide, I pray God will help you and your mother to find some peace within the storm.
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Elder law attorneys are very expensive. You have to find a nursing home, use your mother’s money to pay what she can and apply for Medicaid to pay the rest. Call your local Agency on Aging.
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"I am going to try to do it for a little longer I guess.

Mom deserves it. She doesn't want to be in a nursing home yet."

So what happened? Is she home? Did you cave in and agree to continue taking care of her? I so hope that you did NOT...
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I have noticed that these days health care workers tend to be bullish. We allow them because we do not know what else to do. Everywhere we see ads telling us to see doctor, ask doctor, call doctor, etc. This conditions us into thinking we are not capable of thinking and deciding for ourselves.
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Shikkaba Sep 2021
This isn't to say that you aren't capable of figuring things out. They say this as doctors have gone through years of education in order to be able to consult in these things.

Ads have to say "consult your doctor" in order to prevent against liability as they are not allowed to say something will work 100% as they don't know you, and you could be allergic to something. Also, you could be taking something that will counteract whatever this ad is advertising.
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You are stressed, in over your head, understandably. What I notice here is everyone is telling you that you have options and would not be risking being at fault; it's just an untenable situation, happens all the time. When my dying mom was becoming more difficult to care for I asked the State aging agency what is done if elder will not agree, is difficult, doesn't allow options, and they told me she is placed Wherever there is room. That was hard/scary to hear but actually made things easier, things began to fall into place as to decisions. Find elder advocates to help you navigate. You love your mother and want what's best for her, which means safety and proper care for her and a Healthy Daughter (you.) All the Best; been there.
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You need to see Elder law Atty, & tour some skilled nursing facilities nearby. If you can get in touch with her PCP, talk to him about writing prescription for nursing care. Certainly there’s gotta be facilities nearby she can go to. Don’t keep her home..you’ll be too overwhelmed. There were more choices than the one that offered only group home. Hugs 🤗
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I believe you when you say nursing and physical therapy are pretty useless and do nothing.
I've been in homecare for a very long time and have cared for patients in your mother's condition. I certainly didn't start out working alone in the home with patients that need the level of care your mom does. You doing her care with absolutely no training or experience all on your own can be a safety hazard to you both. I would also like to tell you that I've never used a lift to change a diaper in my life. I can't even imagine how a lift would even be of any use in such a situation unless it's to transfer the patient.

You really only have two choices here for your mother.

Either you can bring in VERY experienced CNA caregivers 24/7 to take care of her. You will have to hire them privately because the really good and experienced caregivers like myself, don't work for care agencies because the pay isn't good enough. We're always privately employed and this can be quite expensive. The good news about hiring privately is that you can negotiate the pay with the caregiver directly. This is not possible when an agency is involved.

Or you can put her in a nursing home. Considering her conditions, a nursing home is probably your best bet.

Your mother's income and assets will have to be spent to pay for her care whatever you choose. If it's a nursing home, then her monthly income will have to be paid to them, along with whatever cash assets she has in the bank, and her home will have to be listed for sale.
You cannot get into trouble for not being able to adequately care for her. This should be discussed with one of the social workers at the rehab she is in. They have them and you need to speak to one. Explain that you cannot care for her. They will help to find her nursing home placement.
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Please work with the rehab facility to have them help you find an appropriate place for your mom. She really needs much too much care for you to do alone. With all the areas in which she has gotten worse in recently, it would be a huge mistake to take this on. If she were to markedly improve, you can always revisit this. But at this moment in time, it's just not a good idea.

While you mention something about her not being ready for a nursing home or wanting to go, that is really not the issue at hand. It's not up to her, it's up to YOU. You know you will be over your head. And that's OK. My mom has been living with me with much much less needs than your mom had before this most recent decline, and there is absolutely no chance I would even consider taking on half of what you are facing.
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Knowing your limits and abilities as you do, seeing to it that she's cared for in a proper facility is exactly the opposite of neglect. You ARE taking care of her by ensuring she's in a place with 24/7 care where she won't (fingers crossed) get worse care than what you could provide.

There's no way in h-ll that you or anyone else could give the same level of care to an complete invalid as a facility with the medical equipment and staff to perform 24/7 care. That's not a reflection on you -- it's 100% reality no matter who we're talking about.

Mom stays where she is until a suitable facility is found to care for her -- period, full stop, end of discussion. Don't be bullied into anything less for your mother, because you DO care about her.
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Not a friendly question? Nonsense! It would be good for you to browse around this site to see how often this question is asked. It happens all the time.

Keep saying no she cannot come home. She needs more care than I am able to provide. Keep saying she is an UNSAFE discharge. Keep saying N O
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I can't tell you how relieved I am to read that she isn't already in your house.

Do not give in. You're right, it *isn't* sane or safe for a person with your mother's level of need to be left to one untrained and terrified family member to handle. For the sake of both of you, the discharge planners need to come up with a better idea.

Keep in touch, it may be only virtual support but we are definitely on your side. Hugs.
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You WILL NOT be charged with neglect if you do not bring h er home.
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WithoutAClue Aug 2021
Thank you. That is good to know.
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NO....NO.....NO....
Do not allow them to release her to your home.
You must tell them that you can no longer care for her and that it would be an unsafe discharge.
If "push comes to shove" she can be made "ward of the state" and a State, Court appointed Guardian will be assigned to her and will manage her care. The "problem" with that is that you will have no say in where she is placed and what care she gets. but if that is your only option that is the way it has to be so that she will be cared for in a place that is equipped to care for her with people that are trained.
And no one will "tear you a new one" for reaching out and asking for help.
Unfortunately many people try to take on more than they can safely handle due to some "guilt" that someone heaps upon them.
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mstrbill Aug 2021
Agreed and better said than me
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You call the SW at the facility and tell them that when rehab ends, you want her admitted to the facility as a "Medicaid Pending" patient.

You will need to gather 5 years worth of bank statements and other financials for the Medicaid application.

If this facility does not accept Medicaid pending patients, ask for their help in finding one that does.
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Just say no. Unless you want to take her home. You do not have to care for her unless you want to
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BurntCaregiver Aug 2021
It's not a question of her wanting to take care of her mother. It isn't possible for her to.
WithoutAClue is literally WITHOUT A CLUE because she has no training or experience caring for any patients.
The mom needs to go to a nursing facility.
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Whoa! DO NOT LET THEM DISCHARGE TO YOU! You tell them, politely at first, you are unable to safely take care of her. If they start to try to coerce you, you need to be firm. That's it, end of discussion. Your mom needs to go to a nursing home under Medicaid pending. You need to make it clear that you are unable to be there all of the time and be responsible for her. Hopefully they haven't discharged her yet. If you do end up taking her home and it becomes overwhelming, you will need to have her transported to the hospital (call 911) at the first crisis. Keep repeating the process as necessary, eventually the social workers at the hospital will get the message and find an appropriate facility for her. Please keep us updated.
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BurntCaregiver Aug 2021
Definitely, don't let her be released into her care.
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If your mom is on Medicare call the Medicare hotline and report it as a Unsafe Discharge” first thing this morning. It will put an automatic hold on the discharge and a Medicare rep will contact you and you tell them all the above. This will at least allow you time to gather your thoughts and make some calls so you can find a safer choice and additional resources for your mom.
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It's ok to say no. Not sure if you are really ready to say no or not yet (that's ok!) But if the current duty of care for Mom lies with you it means you also have the duty to find alternative living arrangements for Mom. (I would expect it does as Mom lives with you so rehab will push to return to you).

Yes that can be overwhelming. So overwhelming it leads to giving up & no actual change.

A friend has employed a specialised Social Worker specialising in elder care to source an appropriate residential care home. Also an expert in elder financial matters, probably a lawyer too.

Are they options for you?
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Your profile says mom is 67. How old are you? 40ish? You need to be living your life and preparing for your senior years.

You tell the facility that mom needs more care than you can safely provide. You REFUSE to bring her home. It is an UNSAFE discharge. They will find a place for her and assist you is the paperwork end of it.

Do you have her POA's?

You sell mom's home use the proceeds to pay for her care until she is eligible to apply for Medicaid.

Give the Area Agency on Aging a call they will help you to negotiate the system. Do not bring mom home because you are afraid of what will happen if you don't. Trying to provide the care mom needs and you are not able to provide is more likely to cause you stress and possibly trouble.

And who is they?
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WithoutAClue Aug 2021
HI, thank you for your reply, thank you everyone for all of your replies.

I will try to answer as many of your questions in this post, sorry I am new to this forum stuff.

OKay, so at this very moment they are pressuring me to have mom come home.

I am afraid that if I say she can't come here isn't that going to be viewed as neglect on my part?

I don't know what to do!

A nurse on the phone was calling me because I guess the oxygen people were trying to reach me to deliver her oxygen supplies and I had missed the call. She is telling me how easy it all is, but again, she is a nurse! I'm sure it isn't too complicated but again, this is in addition to providing mom with all of the care she needs, without being a nurse, and I am to do this full time without any compensation. I love my mother but is that right? (#freebritney - sorry I'm throwing that out there!)

Its funny because when I asked why she could not stay at the rehab a for a little longer, if her insurance had run out or what not, she said thar it's a rehab facility and she had reached her baseline and they could not do any further. Before she left she was not on oxygen. Before she left she did not have a UTI. Before rehab she did not have covid. AND YES SHE GOT COVID WHILE SHE WAS THERE!
She has recovered and is testing negative but still.
The rehab has completed their course and are returning her in worse shape than she went in. But I digress. I am venting now. My apologies.

I have cared for my mom since 2018.

Its a long story but her husband passed in2016 and her physical and mental health have taken a nosedive since.

Initially u moved in because she had PAD and was having difficulty getting around. I was unemployed at the time so it was no trouble for me and I quite liked the idea of moving back in with mom. I wasn't getting or expecting payment, but living at mom's house is nice, comfortable and she doesn't charge me anything. Helping mom isn't something I had to think about, and comes naturally.

But at that time we did not know that mom was suffering from dementia.

Mom was a drunker. A heavy drinker. Being my mom, and her (to my knowledge) having all of her faculties. I was in no position to challenge her drinking in any way.

So for a time I thought my mom was just intoxicated .

I knew nothing of alcohol related dementia or how alcohol relates to dementia at this time.

It wasn't until sometime in 2019 I thought / realized something was really not right with mom. But, unfortunately, I had no idea the detriment thar alcohol posed with dementia. I really didn't.

So when mom had her hospital and rehab stays for PAD (she had to have her right leg amputated below the knee at one point) and sobered up, I expected her to regain her mental acuity.

It was an a friend of mine who suffers from alcoholism who enlightened me about as she called it, "wet brain," and from there I educates myself on drinking and dementia.

So that's when we made sure that mom did not drink.

No one ever has actually addressed my mom's mental health. It's always noted in her paperwork that she has dementia. But no one diagnosed her, no one ever discussed it with Mr. No one ever said anything about her drinking.

Not even when they treated her for her duodenum inflammation and her fatty liver.

I am sorry, but my mom could still be drinking a case of wine to the head if it weren't for my alcoholic friend.


Anywo. This went off on a tangent.

I have taken care of my mom for this long. I am going to try to do it for a little longer I guess.

Mom deserves it. She doesn't want to be in a nursing home yet.

But I'll be damned if my caregiving is found to be inadequate or not enough.

When you wipe fecal matter out of your mother's labia every. single. day.

I don't do that without the intention of caring for her properly.

Again. I apologize... this is totally a mess and more of a rant or a diary entry.

Thank you all for your help.
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They probably sent Nurse Practitioners to her. They work for the NH doctor on staff, They do as you mentioned, but submit the bill to be paid. Did the rehab show you and tell you the care that she would need?

They should have set up at home care before discharge,
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gladimhere Aug 2021
Home Care would not be 24/7 care. It would only be PT or OT. Maybe an aid to assist with bathing, etc.
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Your profile indicates your mother is living with you.  

Who specifically is "they"?  A hospital?  Doctors?   A hospice facility?   I'm really not sure who is establishing all the requirements you address.
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