To help my mother,but three days in and her blood pressure is now 171 over 90. For the last year or two my father has asked me to consider moving back in to help take care of my 90 year old mother. After much consideration I did. Now three days in and we took her to the doctor and her blood pressure has risen to 171 over 90. I feel like maybe I upset her routine,because she is so used to just having my dad around. I don't want to cause her any undo stress,but my dad is in need of my help. I feel torn.
Well, "Families living close is and should be a given" is not a given in America like evidently it is in Europe from your experience.
For years following my mother divorcing my dad, he moved to and lived in a city in MD while we lived in a small town in NC. After I finished high school, I went off to college in another place and ended up going to graduate school in a different state before getting my first job and since have moved all over the place until recently when my wife and I both ended up on disability.
I was fortunate and my mom was fortunate that I lived closed enough by that I could tend to her situation as her durable and medical POA while she lived at home with my step-dad, went to an assisted living and then ended up in a nursing home. I see from your profile that you are caring for someone with Alzheimer's who is living in a nursing home. How are they doing.
My dad developed Alzheimer's within the last couple of years. Earlier, he changed his POA from me to my step-sister who lives right there in a nearby town from me because I'm so far away and he figured I'd end up with my hands full with mom which was the case. Like my mother, he has long term care insurance, a very nice pension and enough money to cover the additional costs involved in him living at home with 3 caregivers per day per week. He's 89 and now has Parkinson's, but has lived longer than anyone on his side of the family ever has. My mother died two years ago at age 82, and her mother died back in 1997 at 96.
I"m only 57 and both of our boys have finished college. One stayed in state and the other one went out of state. It appears that both will end up in graduate school doing the same kind of in state and out of state thing. This is due to the kind of education for what they each wants to do is required to get there. I doubt that either one will live back here where my wife and I do. One of them may even end up living out of state. In today's economy, those who can be flexible about moving can very often find work if they are qualified.
I have 57 first cousins on my dad's side of the family. They all come from large families ranging from 8-13. Some of them were able to stay within a rather wide radius of where they grew up, but some moved away. Now their children are finding it necessary to move away as well. This all makes it harder to have a yearly family reunion like we once had and the cousins are not as close as we once were, but that is our ever changing society that we live in.
So, welcome to America! I would not claim that life is perfect here. Far from it. Given the personality disorders of some people in my family, we could not have survived one of those multi-generational houses of which your wrote.
I get the impression from your description of life in Europe as meaning no one ever goes anywhere, but lives and works in the same town that they were born in. Otherwise, how could you have multi-generational houses? Where I live is a very rural county and thus we have many people whose roots here go back many generations and even some of their grandchildren in elementary and middle school have never been outside of the county until they go on a class field trip to the state capital or some other city.
Take care.
This is not a Europe vs. America issue. Americans have many different kinds of solutions, as this site attests. Europeans do, too. I just saw a program about an AL facility in Holland that is like a village. It is a really cool place where residents feel like they are in the real world with all of the freedoms that they had in the past. (Note: they are NOT with their families.) It is really super. And for 150 residents, they only need 250 employees to run the place!!! (Yes, true!) You can check it out here: en.wikipedia/wiki/Hogewey
So, all manner of options on both continents.
I should have provided an example from France or Norway. I did try my best with an example from Holland..
There are other nations that if we dug far enough into their past, we could claim they are not very nice people either, but that's blaming a present group of people for what a past and usually a small part of a past generation did. We do enough of that to ourselves in different parts of American society.
I think Salisbury's main point is that not all of Europe is like DHilB describes her experience to be and thus the problems of caregiving is not an America vs Europe issue.
And those 80 somethings you talk about are certainly old enough to know what was going on, granted they were kids, but they lived through that time.
I am history buff, and while the US has done some bad things, Germany will always stand out as being the worst. And the apathy of the German people who while they may not have actually participated turned a blind eye to what was going on isn't forgotten.
Like I said, you couldn't have picked a worse example.
And if you think that not helping your parents is something to be proud of I feel sorry for you.
Again, really bad example on your part, almost laughable if it didn't involve such horrific behavior.
We do have much multi-generational housing in the US for the Mexican and Oriental neighborhoods. This is something that I admire. However, I do admit that I have not met a Mexican person that was very old. It can be three generations that are like 20s, 40s, and 60s. That will probably change, of course, as the older generation ages.
I know a few Germans from Germany, very efficient and working with them is great as they do their jobs well. But as a people(and I know I am making a generalized statement) they're not warm, and very insular.
I live in Southern CA amongst a lot of Asians and Latinos, it is pretty much unheard of in those cultures to not take in elderly parents who need help.
And it is a fact that when the Germans who lived near the camps didn't do or say anything, they claimed ignorance. The truth is they didn't care or were afraid to speak up. Mostly the former.
And it wasn't that long ago, and shouldn't be forgotten.
Germans are not known for their warmth, so it's not surprising to hear someone say that all these elderly are left to fend for themselves.
It is cultural.
It's irrelevant what country Salisbury references to make her point...she has still made a key point. The changing situation with elder care in industrialized nations is not limited to the U.S. I've experienced a version of dhillbe's scenario. My mom's parents were from Europe and for the first two generations in the US, the old ways prevailed. The families all lived in two family homes, neighborhoods full of people from the old country, family sent food upstairs, kids to see grandparents downstairs. And while everyone's young, able and the parents are able to be independent, with a little assist like running errands, everyone thinks it's working. But families evolved and you have to go to the next stage - what does the family do when the parent needs 24/7 care? Back in the day, my grandparents and aunts and uncles passed from a health crisis, like a stroke, usually before age 80. Only one aunt needed 24/7 care, dementia, and she was kept at home to be care for by one person. Everyone in the family said how wonderful it was that she was home, her caregiver relative passed away four months after my aunt did. Which leads us to key point # 2 - the females in families are now working, some are single moms, some are divorced, some are widowed. Point # 3 is that we have parents living to 90's, with " kids" in their 60's and 70's doing the hands on.
We can debate whether cultural and societal changes have been positive, especially with regard to our ability to care for our families. But even in my family, the third and fourth generation are now having to accept that their parents need far more care than they can personally provide.
However, we have made history on this site--we have come very close to Godwin's Law: as an online discussion grows longer, the probability of a comparison involving Nazis or Hitler approaches — that is, if an online discussion (regardless of topic or scope) goes on long enough, sooner or later someone will compare someone or something to Hitler or Nazism. ;)
Regarding 2 or 3 family houses, we had a lot of those in update New York. The parents lived on the main level, and one grown child with their spouse/children lived on the 2nd floor, and if there was a 3rd floor, another grown child with their spouse. But back then a person could go to work for a company and be in that one city for their whole career. Thus those multi-family homes worked.
Now a days no one wants those 2-family houses, the kitchens are too small and [gasp] there is only one bathroom. Decades ago people use to walk to the neighborhood grocery store, the drug store, the movie theater, the bowling ally, walked to church and to school. Those stores, theaters, churches and schools now are either boarded up or demolished. My high school is now an assistant living facility.
Oh, and furthermore, my husband has four sisters in different parts of Germany. All of them are well into their 80s and have lots of health problems. NONE of them live with their children, do not live in the same house, none of that. Most of the children are spread all over the country.
I am just pointing out that Germans are not known for having empathy towards others, and tend to be very insular.
A lot of the Irish drink....LOL. But when it comes to family, you don't leave the old people on their own.
That's all.
It sounds like your bottom line concern is "But when it comes to family, you don't leave the old people on their own." which I take to mean that like yourself, one takes care of old people in their own instead of an assisted living or a nursing home which you evidently perceive as abandoning them. Am I correct so far that is where you are coming form?
If that is where you are coming form, that is fine. However, that is not where others are coming from and that difference does not mean they are any less loving.
I'm Irish with 57 first cousins on my dad's side of the family which means each family had between 8-13 children. They did what the could for my aunts and uncles as they aged, but some found it necessary to place them in a nursing home. My dad's surviving sister came down with Alzhiemer's and her husband was able to look after her for years until it became too much and she went to assisted living where she died last summer.
My dad has Alzheimer's and Parkinson's, but thanks to his long term care policy, a good pension and a good amount in the bank, he is able to afford 3 caregivers 24/7 to stay at home which is where he wants to be and he is dong well with getting around with his walker. At some point this situation could easily change with him being 89. My family and I visit my dad as often as we can, but we live an 8 hour drive away. Knowing this years ago, my dad gave the POAs to my step-sister who lives in a nearby town and is doing an excellent job coordinating everything.
My mother with her vascular dementia was able to live at home for a while with my step-dad and a helper, but then things became too much and she went to assisted living where she fell and broker her hip. Her dementia was so bad by then that she could not stay focused in working with PT to start walking again.
Thus, she never walked again, although she thought she had and was able to, and stayed in a nursing home with her long term care insurance helping to pay for things plus her mother monies until she died in October of 2013 at age 82. My step-dad and I visited her often.
While dealing with all of this, I've also been dealing with being on disability and my wife being on disability while raising two boys who have just finished college and are heading for grad school, plus bought a house 10 years ago after renting for two years.
Speaking of school my grandfather grew up across the Ohio River from the coal minds in WV. He decided to stick it out in school unlike his drunk brothers and was thus the first family member to graduate from high school He went on to work for the Ohio Electricity Company and moved away. My dad while not the oldest, was the first to graduate from college thanks to the GI Bill. Generational change can happen, but it takes making choices.
Some people's situations here are such that they've found it necessary to place their loved one in assisted living or a nursing home because frankly everything just became too much for them as one human being. Not everyone's caregiving situation is exactly the same and thus does not call for the same approach.
I wish you were more open minded than you sound that people can have equally different approaches to something and still be loving persons.I hope you can see this.
Anyways stupid me move into mums help her, worse thing i ever did, my life is not what I wanted, she got sicker, it is just as I was there for her, she has got over her health battles she just turned 80.... Thing are getting sooo much better for her..... For me my life is a shambles, still single, no kids, I have nothing of my life I wanted, I told my mum, you are lucky you lived a life you wanted you got married you had 3 children and have a house for security.... I have none of those and when I started to do this, u and dad stopped me, cause u did nothing to help yourselves, I did everything to help you to get you back to where you are today... The answer I got back was, I'm sorry I have ruined your life but you had plenty of time in your life to get what u wanted, I needed you now to help me, as I had no one to help me.... Now its a case, I'm dammed if I do or I'm dammed if I don't.... And I regret now everyday for moving, I should have stayed where I was, and helped from there, at least i would have a bit more of a life, as of now I have none...
Persons at "retirement" age should not have to pool or drain resources away from the entity of the married couple to take care of a parent. Spouses so often are left out of the care loop because the parent's needs are so consuming. Legislation and a societal mind-set need updating.
Multi-generations in close households may work sometimes. However, it doesn't seem that an elder who needs their own help to the bathroom should be the person to oversee children with those needs (for an example). So, every generation living happily together is a nice, but rare way to achieve getting everyone taken care of every hour of every day. Someone in the age-group of 20's to 50's STILL has to be there to be the responsible work-horse.
My mom is 89 and my husband is 81. She has dementia but is physically in great shape and is in AL; he is brilliant and at home but has many physical problems resulting in such a frightening slow-down of body and mind that I can only focus on "one day at a time." I don't think about next month! Just for my husband alone I am kept in constant motion: to the lab, the clinic, to anywhere because he is no longer driving (although he never made the decision and we never discussed it!!!!!!!!!!!!!!!!!!!!!!!!!), which is another source of responsibility/stress. If I do not manage his meds, well, fahgedabboudit. And all of this is done without his hearing aid in (another thread, right?) so I am communicating as in the Early Stone Age about important/critical issues.
I have already written about the time needed for my mom's "business" issues in another thread, so, tell me, how would I pull this off if she were here, too?