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She1934 gave you an excellent answer. In  my situation, my wife is not violent but does have dementia and it's progressing. We too have a blended family. Her two adult sons do nothing but criticize my efforts and yet offer zero help, even when asked. My best guess is that they are feeling guilt at their lack of effort, but not enough so they will help. One even stated that he was "in a good place right now and wanted to keep it that way." The other has told me that "he wasn't going to be his mother's nursemaid." I now only involve them by letting them know if there is a major emergency. Other than that I don't want to open myself up for further criticism. My own adult children and even one grandchild have been wonderful and helpful and understanding. Once or twice a year I plan a get-away for myself and either have someone in my family stay with my wife or place her in a respite center, which is somewhat costly, but worth the peace of mind. (I get criticized by her sons too for taking the occasional break.) You can't hope to take care of the ill person unless you take care of yourself. Ignore the flak as best you can, and just do what you know is best.
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Harpcat Oct 2018
Good for you! Sounds like you have good boundaries!
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You mentioned the tendency toward violence, which would make him a difficult or even impossible placement for a nursing home because once they become violent they will be put on the psych floor, and if the behavior is not corrected they will evict him. If you called 911 due to violence, chances are the police would also have to come so they can Baker Act him for psychiatric evaluation. You must keep yourself safe, and that includes hide all the scissors, knives and forks where he cannot find them.

Is he taking his medications..or spitting them out when nobody is looking. Or refusing to take them. There are injections such as long-term haldol they can give if he is refusing medications but a psychiatrist would have to prescribe that.

I don't see how rehab can help if he has outbursts of violence which would put staff and other patients in danger.

The doctors would have to rule out a physical cause for violence such as underlying infection.
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I agree with the others here. The family doesn't know and doesn't understand. 3 years ago I asked my stepdaughter for a few hours of respite from caring for my husband who was going through cancer treatment at the time.
She came for a few hours and I went for a hike.
After I was on the trail for an hour, I got a text asking me to come back. She was not 'able to handle' helping her father change his wound dressing, it 'grossed' her out.

When I got home I simply got to business and took care of things. She commented "I don't know how you do it." And never came back to help again.

Now he has Dementia and she comes to visit for a couple of hours every 5 or 6 months. However I have asked her to come and stay for 3 days this winter.

No one can walk in your shoes.
You need to take care of you.
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She1934,

With all you have to worry about I suggest you don’t waste your time and energy on trying to convince the family that you’re doing the right thing.

Be secure in the facts that you have been an excellent caregiver, you’ve gone over and above to keep them informed and be secure in your decisions.

If there is going to be flack from the family they will have this issue or another to create chaos.

It seems that many families do this sort of thing because they’re having trouble accepting reality, Imo. It’s easier to make you the bad guy, than it is to see their dad diminished.

Be strong and don’t let them make your job harder. Let them step up and DO whatever it is they think you should be doing or just don’t let their opinions affect you.

Good luck,

charlotte
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Do not seek their approval for his placement. They have no standing to weigh in and no conception of what cost to your health his care has been.

You are and have been a caring a devoted caregiver. He needs full time care from young , trained and rested professionals. He needs for his medications to be titrated. In short, he needs to be someplace other than home with you.

Try not to be devastated by their reaction. You don't need their approval to do the right thing.
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If you click on "Violent Behavior" topic just above, you will find more discussions that may include how to avoid and decrease the chances of violence directed at you. There are techniques a caregiver can use.

Turning on some music, trying not to be over-solicitous, walking outside-allowing dH to regain his self-control, calm himself, or just go to sleep may help himself.

I realize your question was about how to get family members to understand.
You should not waste your time, emotions, and efforts on that useless pursuit. imo.

Take care of yourself.
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It sounds as though this is very recent. You have lived through all the worst times, while the rest of the family hasn’t – not one of them has been punched in the jaw themselves. I am sure that the decision was hard for you. It must be hard for them too, and the need for it is not as clear to them as it is to you.

You are very hurt, but if you can, just cool it for a few weeks. Don’t back off, but give them time to get to where you are at. If it stays possible for the relationships to improve, it is in the best interests of you, your husband, and his children. In the longer term, these relationships could and should be supporting both of you.
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What does oldest daughter suggest? Since she’s a home health care adviser...let me guess...home health care? Perhaps she would like to spend a week or so (including nights) at your house taking primary care of her dad. Perhaps you could suggest it so she could “evaluate” him personally. If there’s 100 excuses why that’s not possible...then you have your answer.
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sudalu Oct 2018
Excellent response, rocketjcat.
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No one really knows what you go through on a daily basis. Once he became violent he needed more care than u can give him. He could have broke your jaw. The doctors have found he needs more care than you can give. I would think about it being a temporary thing. A NH may be the best thing for him at this point. You were very nice in including daughter in the conversations. If his family doesn't like it, then one of them can take him to live with them. But then, u may not be allowed to see him.

Your husband made you POA for a reason. The decisions are yours alone. I would not give his family any more info since they acted this way. His ex is not entitled to any.
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There will be answers for you.
I may be too cynical, but from my own experience, I truly believe that "No good deed goes unpunished" especially when caregiving.

It is understandable that you feel devastated, this is your husband, and you are not the enemy. You are trying hard in an untenable circumstance. It is not okay to live with physical violence. Your husband's care is beyond what you can provide (or any one person for that matter) at this time,

You say the decision had been made......who made the decision?

You do not have to give up any rights to make decisions for your husband just because you have asked for help from husband's side of the family. imo.

Maybe sharing less with them will help. You need a loyal support base, not criticism, imo.

You are NOT the enemy. You are his wife. With that role comes the responsibility to also take good care of yourself.
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