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Mom has mild dementia, and had a stroke in January. She and Dad were in Independent living at the time. After stroke, the medical team highly encouraged AL, as Mom (90) now needs more help. Dad (91) is very independent and reluctantly moved in to AL so they could stay together. They have been there for 8 months and Mom won’t let anyone help her, only Dad and I. She is very immobile and calls on him for every little thing. It’s constant. They wear lanyards to push for assistance and never use them. When I go visit I do dishes, make the bed, take out trash, etc. Mind you, they are paying over $9k a month!!!!! I’m at wits end. Dad is so sick of the situation that he comes to my house during the day, to get out of there. I live 10 minutes from their facility. He hangs out here all day then goes back to have dinner and sleep with her. She cries when he leaves. I have talked to the director of the faculty and she said even when they tried an every 2 hour help schedule, she/they refused it, insisting Dad could help her get dressed, go to bathroom, etc. It’s just not working, and it’s costing a LOT of money. IF they were using the services we’re paying for, it would be worth it. But they are not! They rarely even eat the food there! Dad eats at our house, or gets fast food on his way back to her.I can’t reason with them and am at a loss in what to do next. Any input or suggestions are welcomed!!!! Thank you!

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blisss2022: Discontinue enabling.
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Reply to Llamalover47
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Brandee again, I just read that Dad is still driving and very functional. Can he afford an inexpensive efficiency apartment close to the A/L where Mom is? So he could go to the efficiency apartment during the day and come back to sleep with Mom at night? An efficiency apartment would be way cheaper than getting Dad in I/L. Is there a senior center nearby that
Dad can drive to to meet new people, have activities, and also meals with pulled together seniors?

Consider also getting a male therapist for Dad so he has a guy he can talk to apart from you. Dad is highly functional, has been married for for decades, and his life has been upended due to his wife's health.

Big picture Dad needs to back way off and work on hobbies etc.
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Brandee here again.

I'm sure there is a lounge or rec area that Dad can hang out during the day on his own so that he can get a break from the demands. Encourage that.

Does the A/L also have I/L connected with it? Dad needs to be doing the I/L activities if so. Speakers, local travel, local stuff etc.
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Could you possibly ask your dad if he would help by employing a little subterfuge?

For instance, “Dad, I think the only way to get mom over this hump is if I stay out of reach for a while, and you stay with her every day but tell her your hip is hurting or something. Whenever Mom needs help, you should push her lanyard button for her.”

That way dad stays out of your hair and mom learns to rely on the staff.

I think this stage your mom is in is temporary but she might need a little help from both your dad and you to get through it.
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Reply to Peasuep
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Understand CNA's in Assisted Living facility are overworked. If they are told by a resident that a spouse or the family will do a task then they will move onto the next resident and help them out. CNA's are taught to respect a the family and a married couple. If one resident tells the CNA her spouse will do the task they will move on and help the next resident.

You need to have a talk with Dad and Dad needs to back off everything that he is doing.

Stop picking Dad up in fact I would not visit for a week and resort to once a week visits for awhile.

Let them function on their own.
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Reply to brandee
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We tried AL for my dad and step-mom. Dad was barely admitted because of his low dementia test score, but they let him in thinking my step-mom could counter balance it. They were resistant especially dad in a rude combative way, and her in a passive aggressive way. It got to the point they "evicted" him and he went to memory care and she is in an assisted living. The care for my dad is like night and day between AL and MC. They are used to dementia and can handle the refusals, the rudeness, etc. We have it set up where he cannot just call me anytime. They have a way of deflecting and changing the subject. My step sister takes care of my step-mom's situation. Step mom is cooperative with staff but is still at the point where she gets bored and so my step-sister and others go every day. My dad's at the point he doesn't remember anyway so my brother and I make it there 3-4 times a week between the two of us. It is set up like a house, with bedrooms, kitchen, living room. Staff is there and interacting all the time. It is wonderful. Some of the spouses/family visit every day. But I've noticed some still do their hobbies, like go on their one week hunting trips for example. Some people no one visits due to circumstances in their lives. But they seem "happy".
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Reply to JR2555
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If Dad is sufficiently "sick of this," he needs to set limits on the things he will do for her. She will be angry and resist, Dad probably prefers to accommodate his wife to avoid confontation, but house keeping and your mother's care are more than a 91-year-old man should be taking on. As waytomisery mentions, it is not helping resolve the problem for you to step up to fill in housekeeping and chores your mother won't let AL housekeeping do.

,
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Reply to RedVanAnnie
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Incredibly selfish people. After what I go through to care for my mother, hearing about loving children with the means to help their parents, and it is refused.
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Reply to VegasGuy
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My mom refused care and meals. I was very frustrated. Then I put myself in her shoes and realized that her brain is broken and she is fearful, anxious, private, needs help and is afraid of accepting help. So, I had a friend who was willing to visit mom and help her. The consistency of one person who understands mom and moves at her pace was the best investment. She would come weekly and wash mom’s hair and fix it. Of course that required a shower and lotions to keep her skin supple. That spa time decreased mom’s anxiousness and privacy issues. I had the friend come with me the first time and introduced her to mom. We had a nice talk and since I had told the friend about mom, she invited to an event that she was interested in. Lunch came and we walked to the lunch room to just “check it out”. Mom sat at a table with a delightful group of women and a leader who made sure her table had service! Lol. I excused myself and mom and the friend walked back after the meal. This has been 4 years. I was plain disgusted in the extra money I was paying to have them care for mom and when she declined, I didn’t get a call or notification. Mom says no as a knee jerk reaction. Sometimes she understands what she is saying no to and just doesn’t want to be bothers and other times she really is just saying no because she is confused at the moment. I canceled all of the “care” that was being charged and used the funds to give mom personal care with the friend. I don’t think I would like different people helping me with my shower and personal care and some are too quick to make it a relaxing experience. I used to work in a Nursing home/AL. Don’t discount your mom’s situation, she is adjusting and adjustments are hard or even impossible. Mom is in a bubble of bliss now with her own person. It is better than the depression and ups/down of too many people in her personal space. I know we are fortunate but I know that the answers to our prayers for mom have been answered with the right person and the funds.
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Reply to Tandemfun4us
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Your Mother's appears to be highly anxious.
? Fear of strangers
? Shadowing behaviour

? Denial
By keeping Dad doing the care tasks, especially if directed all day, if may FEEL to Mom like SHE is in control. That she is still independant.. although she is not.

My LO'S Doctor explained there was a high rate (forget the %) of people with brain injury (this includes stroke) that lacked insight. Medical term: Anosognosia.

Denial seems to be a psychological defence. But this lack of insight differs slightly. It is due to damage in the brain. Personality changes, mood changes, empathy & reasoning effected & many other fuctions can be damanged.

In your Mom's case, does Mom understand how much she is asking from your Dad? Show empathy for his situatuon? If not, consider she CANNOT.

Stroke took much of my Mother's empathy & reasoning ability.

My Father & I are looking at a single room for my Mom in MC due to the very situation you have described. He is also still independant. It is heartbreaking to think they must be separated but the blunt fact is they have different needs.

Same location but onr in IL shotjer in MC is what I am thinking will work best. Then Dad can visit Mom, but not her aide.

Your Mother can & will get used to other non-Dad caregivers.
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Reply to Beatty
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Ok, why are you doing what you know should be done by the staff?
If it is mom that will not accept help then the beds can be done, trash taken out when they are not there.
If mom needs help moving and dad needs help to move her then He should press that little button and get the help that he needs. Stop letting mom run the show.
Stop bringing dad to your house for dinner.
Honestly is sounds like mom should be in Memory Care and dad can go back to Independent Living.
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Reply to Grandma1954
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Sorry your parents are being so stinking difficult! I believe that this can work but you AND dad are going to have to make some big changes.

I 110% agree with others - you much immediately stop doing and all things in their AL apartment that the staff is supposed to be doing. Just kindly and gently REFUSE. Like "oh, no I won't be doing that anymore. I'll get someone to help you."
Mom can whine and cry all she wants. She'll adjust. She doesn't have to like it and she won't. That's ok. You and dad are not liking how things are going right now so why is she the one driving the bus??? I feel like I'm giving advice for how to deal with my toddler grandchildren. "I know you don't want to brush your teeth but they do need to be brushed. Do you want to do it or do I need to do it?"

Your dad needs to stop running away and stand up to his wife. Maybe the two of you work together and team up to help her see the light. He needs to let the staff do what they are paying them to do. Things that he should not be doing. They need to start going down to the dining room for all their meals. They need to start going to activities. Again, mom will be mad but that short term pain of her anger will hopefully be short lived and then you and dad will have much better lives after she gets over it, at least to some degree. When I moved my mom to AL, she was soooooo mad and upset. So much crying, etc. But she adjusted pretty quickly and life goes on. She never loved it but that was not the point. It was for my sanity! And it was good for her but it's a rough time of life where she's just not very happy. But she's taken care of and safe.

And tell your brother to stop being an instigator. Your parents are NOT moving in with you. Maybe you can get that through his head and see if he'll support you in helping your parents (or at least your dad) see the light.

You can also talk to the staff and tell them that you are enacting these changes. I had to talk to the staff at my mom's AL about putting away her clean laundry for one example. They would ask her if they should put it away and my people pleasing mom would tell them oh, no I'll do it. Ha! She NEVER did and I had to demand (nicely) that they just do it and not ask. Even if she told them not to, they were to say something like oh this is my job to do this for you.

All right time to get a new plan in action. You can do it!
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Reply to againx100
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Let. Them. Fail.

Stop running to their rescue.
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Reply to Southernwaver
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blisss2022 Sep 15, 2024
I hear you. Loud and clear.
thank you 💕
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Time for you to have a "Come to Jesus" meeting with Dad...big time!
Stop doing their housework for them! You should come in and call the Front desk and complain why housework is not done! DO NOT DO IT.

Sounds like Mom needs MC, Dad in AL. Your Mom is stubborn and needs to lighten up on Dad, and Dad needs to stay there and not take up so much of your own time and get Mom taken care of by professionals he's paying for! She is a stroke victim, which is too much caregiving for him to handle. TOO BAD, he can still make sure it gets handled, period. They are screwing themselves out of services they pay for!

MAKE IT CLEAR you have your own house and family to handle! Have husband by your side when making this clear to Dad. I would also make it clear they cannot move in with you either, period. So Dad needs to handle it, period.
That's WHY they live there, isn't it? They were not safe living alone at home?

You must be firm about not being their maid service, or having to entertain Dad constantly, because he's acting so irresponsible! How does he get around anyway? Is he driving?

Tell Dad this routine is not working and it has to stop. You need to sit Dad down and get him doing what he should be doing! He needs to supervise Mom's help, and call staff as needed if she won't. He needs to stop babying Mom, and tell her they are paying BIG for SERVICES. To graciously accept them. Dad needs to step up and get Mom on track. Then stay in his own place, and not come take up your spare time all day because he's annoyed. He can get a hobby, or do what is offered at AL, not take all your spare time! It's obvious he hurts Mom's feelings when he leaves.

Dad has got to step up and supervise his wife's needs, not run from them! He doesn't have to do the "hands on" care tasks, but can insist Mom allow the people they pay to do their jobs, period. Mom needs to know the drama/crying will make him leave. It wont help keep Dad staying around. Yet, Dad has obligations to his wife, and not to fall into the "No drama, I'll do it instead" crap. Then why pay people who don't do their jobs? When the drama starts, he says, "I'll get housekeeping up here while we go get breakfast, I'm not going to be the maid here when I pay for the service, Dear!" or similar ways to calm Mom down. They've been married long enough for him to be an expert in handling Mom's drama. Dad can also ask her Dr. about calming meds to help her adjust?

Bottom line... not your fault they got old, not your job to babysit them, or clean up their AL place! You have your own life and house to maintain, your own things to do. Did they do everything for their elderly parents when they were younger? Probably were having a great time traveling, dining out, etc.
It is not fair to dump this all on you whatsoever.
Why don't YOU start crying, so Dad runs back to AL? That could work. :)
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blisss2022 Sep 15, 2024
Wow. Just….wow. I love you for being so clear and so specific. It’s just what I need to hear, absorb, and actualize.
I appreciate your perspective and advice and will take action! I need to show him my stress and tears to make it real.
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So this isn’t working for anyone! I’d try moving mom to more help, memory care, and dad to less help, independent living. She needs more help that isn’t him, he needs to be less depended upon and his freedom, and you need to squash the idea of your house being the answer. I realize this doesn’t help a long term couple continue to live together, but since they’re both unhappy and enmeshed unsustainably, this is the only solution I see
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blisss2022 Sep 15, 2024
Agreed 100%! Thank you!!!!
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We are considering every option other than moving them in with us. My husband is very firm on that!
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Dawn88 Sep 15, 2024
OH HELL NO. DO NOT DO THAT WHATSOEVER!!!

Tell your brother to stop suggesting it, because it is NOT AN OPTION.
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Your Mom may need Memory Care and Dad goes back living independently or in the AL. He can visit her when he wants to. She needs to get used to others doing for her. At 91 Dad should not have the stress of caring for her.

And you should not have to make the bed, wash dishes or take out trash. Housekeeping should be doing that. That is part of their room and board.
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blisss2022 Sep 15, 2024
Agreed 100%. Housekeeping tries, and Mom says “he can go that” and she sends them off. When she says she needs something and he pushes pendant for help, she gets mad or cries, and he tells me “it’s just not worth the drama so I just do it” 😞
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First of all who’s paying for this , you or your parents? because your parents should be paying for their own care .

How is Dad getting to your home ? Are you driving him back and forth ? Or does he drive ?

Stop doing the dishes and the other housework in the AL . You are enabling your parents . It’s ridiculous . Tell them there is staff to take care of these things , she is to let the staff help her as you can not anymore , you have your own chores at home. She is also to let staff help her with personal care , it’s too much for Dad, that’s why they are in AL .

Tell both of them they need to let staff in to help your mother . Stop catering to Dad as well , with meals and entertainment at your house . And why is Mom rarely eating the food there ? Are you bringing her food ?

Back off . They are not adjusting because you are doing too much .
Go away for two weeks on vacation , or tell them you are going away for 2 weeks and don’t visit them . Hopefully Dad doesn’t drive and have a house key to your house .
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Reply to waytomisery
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Geaton777 Sep 15, 2024
"...they are paying over $9k a month..."

It seems the parents are paying it.
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Actually, and I am surprised the AL hasn't said that your mom's care has now risen to the level of needs for MC. If you are paying 9,000 total for them both you have a huge bargain there. If you are paying for one, it's pretty expensive. I think your father will get relief only by putting mom in MC if offered in that same facility.
If you are exploring another option then do consider a sixpack as they call Board and Care. If it exists at all where you are it will be a minor miracle as they are getting rare as hen's teeth and regulations are an onerous burden to what is usually a large family home with as many as 6 extra rooms for Board and Care. They are often family run and the clients get to feel that they ARE family.

This is a tough one, and hard to solve and I surely do wish you good luck. MC can run as high as 20,000 monthly (ONE person) and that often means they are prohibitive in cost. So sorry you are going through this--ALL of you. It sounds like everyone is trying to do everything they can think of.
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