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My mom won't get help with caring for my Grandmother, but…


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My Grandmother is 90 years old and has Alzheimer's dementia.  I don't know what stage, I just know she's been like this, progressively getting worse, for about six years.  Six years ago she was still living alone but forgetting things and needing someone to stop by often.  Within a year my mother realized she needed to move in with my Grandma, after several dangerous incidents (putting things in the oven and forgetting them, not taking meds, etc).

So, at this point my Grandma needs constant supervision (she wanders and has fallen and hurt herself), is incontinent, the whole nine yards.  My mother lives with her and is her 24/7 caregiver.  THAT is the crux of the problem and the point of my post.

My mother's brother is rather selfish and useless, and for the first few years did nothing at all to help.  My mother has been able to convince (guilt) him to help out some, and he will come and stay for a max of 3 or 4 months each year to assist, then returns to doing whatever it is he does.  Then again, my mother is a very difficult person to get along with, and when he's around she battles with him constantly regarding how he cares for my Grandma.  I don't condone him not helping, because it is HIS mother too... but I understand him not wanting to be around my mom!  That sounds bad but if you knew her... she is very domineering, hyper critical, and everything must be done HER way.   Then again, he would just as soon put her in a home and be done with it, and my mother is adamantly against this (which I agree with her on)...

So how do I fit into all this?  I am in my mid 30s, a full time student in my second year of college (I got a late start) with a part time job and three children.  Not to mention, I am a single mom. Oh, and broke to boot, I don't get child support and am constantly financially struggling. .  I have a sibling who is unavailable and not around... and I live about an hour away from my mom/grandma.  My mother is very burned out and stressed out and takes it out on me every chance she gets.  She expects me to relieve her when she needs to do things without my Grandmother.   Every argument with her ends witha comment about how I don't realize how hard it is for her to do this alone.

She is so wrong... I am painfully aware of her frustrations and struggles..... but I cannot make her understand that I'm not just "selfish".  When I was a baby she cared for a terminally ill relative, and brings that up a lot, how she did all that even with young kids... but she forgets, she had an older child as well who was at least some help with me, and a supportive husband, and money enough to not worry about anything at all.  Oh yeah, and a nanny part time, and a housekeeper when she wanted it!  None of those apply to me.  My schedule is insane, I have my own type of stress and worry, and the biggest issue out of all of this is that my mom has the MONEY to hire someone to help out.    I am going nonstop from morning until midnight or later, and by the time the weekends come I can only stop briefly to catch my breath then catch up on studying and grocery shopping and laundry and whatever the kids need signed for school and so forth.  But in my mom's eyes, she is the only one in the world with stress and a busy schedule, and the rest of the world is just sitting on their butt reading the comics while she toils away (she has ALWAYS been like that, very much a martyr)...:::sigh::::

My grandmother has a good income, my mom has a "decent" income, my uncle has a very good retirement income... between my mom and grandma alone, excluding my uncle, they have at least triple what I am living on and supporting 3 kids (one with developmental problems), and paying a mortgage with.  My grandmother's house is paid for, there are no credit card bills or car payments... the only expenses are basic utilities and property taxes.   My grandmother has good medical insurance, very little costs there also.   I think it is perfectly reasonable to expect my mom to pay someone to give her a break... for her, for my Grandma, for everyone's benefit.   For that matter I feel as though my Uncle should cough up some money since he chooses to be absent much of the time, but I can't make that happen.

My mother refuses to hire someone.  She says she shouldn't "have' to pay a stranger, when there is family available.  She talks about possibly paying someone then makes excuses and doesn't do it.  She says there's no money for that (absolutely not true).  She's really a bit of a tightwad, honestly... we aren't talking about all day care 5 days a week.  As I keep trying to tell her, just having someone come 2 weekends a month would give her a GREAT deal of relief and slow down this burnout but she won't do it.   She says she can't just hire "some stranger" but I suggested to her that she hire the person to be there WHILE SHE IS THERE, at first, and over time this person will cease being a stranger.  I understand her fears, it's the same fears we have of leaving our children with sitters, but multiplied because of the specific issues with Alzheimer's, but if a home is out of the question then isn't it something you have to deal with (hiring people) at least occasionally??

I feel horrible though for having these sorts of thoughts about the entire situation.  I feel very guilty. I have a very hard time dealing with my Grandmother's condition. I feel, in some ways, as if the Grandmother I knew has gone forever.  I know it has to be doubly hard for my mom!  I always expected to some day have to care for my mother and I will live up to that responsibility when the time comes... but I think she's being unreasonable to expect that from me now, with my Grandma, when there are other options and she is just unwilling to take advantage of them.    For heaven's sake, when she talks about wanting me to come out and care for my Grandma for a weekend, my first thought is to wonder if I have gas money to get there!

If my mother was not able to care for my Grandma, and if there were no FUNDS for hiring help, it would be different, and my views would be different, but the way I see it, my mom is frustrated with other family members (mainly my Uncle) who are free of young children and have money and don't help and the only one to dump it all on is me. :(

So, I want to hear from caregivers.  What would your expectations be?   Would YOU hire help if money wasn't an issue? 


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Hello, Anonymous! Welcome to the site.

I'm so sorry to hear about your grandmother, and your mother! What a difficult situation you find yourself in, and I'm very sorry for it.

This really struck me as the crux of your post: She says she shouldn't "have' to pay a stranger, when there is family available.  But there is not family available. And that must be your response: "No, Mom, there ISN'T family available, unless you've magically made my day longer than 24 hours." Not that you have time, but if you could, you could even do some looking for agencies that provide such help, and say, "this is all the time I had. I will visit her whenever I can, but if caring for her is stressing you out this much, get help. This is all that I can give you right now, and I'm really done discussing it."

tough love, but sounds like it's necessary  here.

Good luck, and let us know how things are progressing. :)


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Anonymous, I agree exactly with LauraL on this one. As I was reading, the same phrase struck me that she pointed out: "when there is family available." But there is no family available. You are understandably tapped out, and your mom is tapped out, and for whatever reasons, your uncle is also not available any more than he already is.

 

Your mom, sadly, is operating under several untrue assumptions: 1) That only family can care well for someone with Alzheimer's. As you point out there are many types of caregivers (respite care on site, home care of various kinds, care facility) and many of these people have training and experience that is as good or, I daresay, sometimes better than a family's good intentions alone. 2) That you must support her choices. It's her choice to care for her mom at home 24/7, which is great -- but she can't expect to force or guilt you into being part of her plan if  your entire day is already fully accounted for.  3) That you should make your grandmother and her a higher priority than yourself and your own children. That's an unfair and unrealistic expectation, given the circumstances. 

 

You shouldn't feel horrible or guilty, you should pat yourself on the back for seeing the situation so clearly and caring so much about it. Then you should look into some local respite care options for your mom, hand her the contact info, and like LauraL says, insist that's the best you can do right now, period. Assure her that it can be a really great thing for everyone involved. Yes, it costs a little -- but what is the price of her sanity and health, and your sanity and health, and your children's welfare? Your own kids and your own future depend on you being realistic, which it sounds like you are. Good luck!


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Hi Anonymous!

First let me say that I am so sorry you are in this position. It really sucks to have to deal with this issue on top of everything else you are going through. I completely understand the situation you are in. I am caring for my 90 year old mother-in-law and I am quickly getting to the point of burnout with her. Luckily, my mother-in-law has the funds to where I can hire extra help to come in my home and give me a much needed break!

While I understand how hard this is on your mother, she is being ridiculous in her expectations of you helping and relieving her when it comes to caring for your grandmother. You need to tell her firmly that you have enough on your plate already and cannot possibly handle anymore. Tell her that while you sympathize with her, you also realize that she is the only one who can change her situation and that you believe the best way for her to do that is to hire someone to come in and give her some relief of taking care of her mother. Explain to her that it would not only be good for her, it would be good for your grandmother as well as it bring in "new friends" of your grandmother's. My mother-in-law loves having company and loves having her "new friends" come in to see her as she cannot really get out and see her old friends anymore. Your mother can interview different people and pick the one she likes best, but, should really think about someone who her mother likes best and would get along with the best.

Tell your mother that you have given her the best advice you know and that if she chooses not to follow it, that's her issue - not yours!! Let her know that you will no longer be receptive to listening to her going on and on while she rants about how hard her life is if she chooses not to heed your advice. Then, follow through. If she does this, come up with reasons to come off the phone. Do it everytime she starts and eventually she will get the message. Hard to do, I know...but, you can do it!! Hope all of this helps!


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Hi Anonymous,

This is going to sound overly simple, but it comes to mind when I read your post.  I once debated with my daughter's pediatrician about a tactic she suggested for getting her to sleep through the night.  (I know, I know...not caregiving/Alzheimer's related, but stick with me).  She said to me, very respectfully, "Well if you say you have a headache, I tell you to take Tylenol and you choose not too, you'll have to deal with the fact that you still have a headache."   I think your mom is refusing the Tylenol, so to speak.  Help, in the form of an in-home caregiver, is available to her and she's not taking it.  That's not your fault, nor is it your responsibility to remedy her issues related to it. 

I 100% get the notion of getting up and either working or caring for my family until midnight or later.  You're right - stopping that train because someone is refusing to help herself would be really hard, physically and emotionally, to do.

I'm wondering what kind of help your grandmother needs.  Would hiring someone she or your mom knows to keep her company for several hours a week help your mom?  Does she just need time away to regroup (which I can definitely understand) or does she need assistance actually giving care?  If it's just supervision and company grandma needs, maybe there's a neighbor or friend from church that could do it?

I wonder if there is a caregiver support group your mom can seek out.


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Hi everyone!

I didn't realize there were any responses, I only got notification for that last one! 

Thanks to all of you for your replies and understanding.  I feel better knowing others get what I am saying! 

As for my Grandma, she needs/requires constant supervision (because she wanders, or gets up and tries to let the cat in or whatever, but cannot walk without the walker, but refuses to use it), and she is incontinent, and needs help showering or bathing.   I am considering buying a product or two that I KNOW will help my mom (and I can't believe she doesn't have yet!) if I get the extra money.. mainly the  monitor / alarm that will alert my mom if my Grandmother gets up when she's not in the room, because this has happened more than once.  My Grandma can walk (slowly) with a walker, but she NEVER uses the walker if someone doesn't tell her to, so if she gets up and takes off across the room on her own, 9 times out of 10 she will fall.  I think that this sort of monitor is exactly what my mom needs.  Ditto something to let her know if she gets out of bed. 

Anyway, what my mom needs is time away to get stuff done.  Anything from grocery shopping, errands, or just free time.  My mom moved into my Grandma's house but was living in another place 30 minutes away that she had been trying to get ready to rent out.  It never was finished, so from time to time (on the rare occasions my Uncle is around) she will go over there and try and work on it.  I know it stresses her because the longer it takes, the longer it will be before it's an income source for her and she wants to get it done.  If she had hired help a couple weekends a month, then she could get a lot done.  Anyone she hired would have to be willing to deal with baths, incontinence, "night" diapers, and  getting my Grandma to take medications...  I know that kind of care isn't cheap but again, the money is THERE, why not use it to make everyone happy?

I think having a friend or neighbor help would work for her but only for short time periods (like running to the store).  She found someone to stay with her recently, when she had to drive "in to town" (where I live) to take her dog to the vet, and she's been complaining ever since about how much THAT cost. .... like I said... tight with money like you wouldn't believe.  There's a difference between frugal and foolish, IMO!

I will take  all of your suggestions to heart.  I know there are a lot of times she is lashing out at me about other things and it really has nothing to do with the OTHER issues, the deeper one is her own frustration level, so maybe it will help to just give her info and be firm with her.  She is a beast to deal with... bad to say about your own mom but oh how I dread the day I have to live inthe same house with her again! LOL

I will mail her something about caregiver support groups if I can find any near her.  One of the issues is that they are kind of in a rural area.  I wouldn't dare bring it up to her in person though, it would surely start another tirade!

 

 


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PS, I am the original poster.  I didn't realize I posted anonymously the first time around! :)

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Hi Frustrated_Daughter! I'm glad we were able to give you some good advice. To come back and let us know how things are going!


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Dear Anonymous, I read your letter with interest because I sort of fit your mother's shoes. You are about the same age as my daughter, and my daughter helps me when she can, but ultimately it is my and my brother's job to take care of my mother and make some decisions for her. My mom just turned 90 and she is blessed to still be able to stay in her own home. She is in the early stages of dementia, but every visit reminds me of how fragile the situation is becoming. Mom is living alone and still functions fairly well physically, but the issues with her memory concern me more than anything. I live about 1 1/4 hours away and my husband and I go and visit Mom each weekend to cut her grass, purchase any groceries, and I clean what I can in a day's visit. Like I said earlier, my daughter can help us on occasion, but it not her job to care for my mother. I try very hard not to vent to her about what is or isn't getting done for my Mom, but she knows by just the tone of my voice that my weekly visits just don't cut it. I am unsure how long we can keep up with the many issues that come with Mom living in her own home, both physically and mentally. I immediately thought of my brother when you spoke of your uncle and his sporatic visits and help with your grandmother's needs. My brother lives about 10 minutes away from my Mom and he helps by taking care of mom's finances and doing some of her shopping. He also takes her to the doctor for regular appts. I have offered to take her to the doctor, but I usually get resistance and don't get involved. However, Mom tells us when she isn't feeling well, and when asked if she has shared that with my brother she says, "No, I don't like to bother him with little things since he is retired. I can appreciate that. My husband has retired recently and he made the choice to go help Mom with her yard and fixing things that need attention around the house. Mom was paying a man $20 a week to run a lawnmower over the middle of her yard, no weedeating, no raking or blowing the grass off the sidewalk, so we offered to do the yard. My brother doesn't want to help with the yard, but that is his decision. Yes, that is 'on us' and we will do it as long as we are able. My brother has power of attorney and I would just appreciate if he called her on a regular basis to see how she is doing. I call Mom every few days to check on her and to let her talk about things that are important to her. She has lost most of her friends since she has outlived them, but she still gets lonely. Mom asks for so little in life, that I feel guilty for not being able to spend more quality time with her. I plan to retire in the next few months and my prayer is that I can spend more time with my Mom and help her keep the house kept up and clean so she may stay in her home as long as possible. I think it is the daughter who generally helps her elderly parents and it is just the right thing to do. However, I hope your Mom can take your advice and get someone to help with caring for your grandmother. If money is not the issue, I don't understand why she wouldn't want to get away for a little bit and have some alone time. Family usually takes care of family, but you have enough on your plate without getting all the 'guilt' put on you. That isn't fair and your mom should be glad you are working hard to take care of your family, work, and go to school all by yourself. She would really be in a 'pickle' if she had to come to your aid and also care for her mother at the same time. Now that would be the 'sandwich generation' big time. I will pray for you and your family and hope that your mother looks at what may be better for 'her' mother and work toward getting her own 'life' back. If you have a free couple of hours to spare to stay with your grandmother to give your mother time for herself, perhaps she would appreciate the offer. She won't get anywhere by complaining and being a martyr, believe me. Good luck.


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Hi. I agree with everyone's comments. In addition, you might want to look at adult day care (even though I hate that term!) Your mother could drop your grandmother off in the morning and pick her up in the evening. It would give your grandmother the opportunity to socialize with others and have the support of people who are trained in helping others with this disease. It would also give your mother the whole day to do what she needs to do and it is a lot cheaper than in-home care. Check with your local Agency on Aging. They can tell you where they are in your area. Give your mom the options and then back away! Good luck!