My 77 narcissistic bipolar mother has been A self medicating RX addict all her adult life. Was very easy to get in the 80’s and 90’s. Now addicted to oxycodone for cellulitis pain which she was given in rehab for 3 mos.
She was discharged from rehab since Medicare coverage ended with RX for oxy. She was deemed unsafe to live alone. (Some dementia)
I moved her across country to a beautiful clean AL with kind and compassionate staff!! It’s true!
She typically self isolated in her apt even (before Covid lockdown) she does not get dressed. She is hoarding leftover meals. She has had a hoarding disorder for approximately 30 yrs. She throws the meds across the room when aides come in to administer them. She was prescribed Depakote for a previous “episode” in June.
Director called me today to say she needs to be placed somewhere else where they can “manage” her medication rather than “remind” her of her medications.
She takes Oxycodone (pain), Trazodone (sleep) at 10 pm, Seroquel (Bipolar) and Depakote.(mood stabilizer)
Does this mean NH?
She will have to give up her SS and pension and go to Medicaid NH bed since she has no assets.
So sad to me she had an opportunity to thrive and socialize and make friends in the AL and enjoy living. But her untreated depression (she says she is not depressed) and personality results in her bad behaviors.
She has abused my siblings and I as children and our entire lives. I am totally burned out. My sister is estranged from her for past 10 yrs.
My 2 younger brothers have both passed much too young.
I am going try to turn her over to a SW and pay my attention to my own family who deserves it. This is easier said than done. But there is no reasoning with her.
I guess the AL apt will go to someone next in line who deserves it.
If you are POA and do not wish to be responsible for her any more you could talk to the Social Worker about the process of having a Court Appointed Guardian take over. This would mean that you no longer have any say about where she is or what is happening to her.
The issue would be imho just how easily this can be done.
And this may be complicated. If where she is has an actual Social Worker, that’s where I’d start. Often ALs if they are mainly about residents who are pretty good on their ADLs so it’s minimalistic care by staff, won’t have a SW staff. If that’s what your up against, I’d suggest you contact your Area (Council) on Aging office (there will be one as all states have them, it’s part of your regional governmental planning system) to see how to do a court appointed state guardian for her. She’s going to need to be shown to be incapable of doing for herself. Her drug dependency can actually come in handy to prove this. Where she is now would imho likely need to be willing to do some sort of statement as to her being drug dependent and presenting an issue / threat for the residents , staff at the facility due to her dependency...... if your her dpoa and ok in this, they hopefully will do it.
If they have just recently told you that she needs to move, it will have to be dealt with. I imagine that they will give you a bit of time but if things don’t move quick enough, what is likely to happen is a “30 Day Notice”.
If that’s done, then if zero happens within 30, the AL can get creative. The usual is to call EMS as she has seemed to have had something of concern..... perhaps a TIA as TIAs can be ahem!.... very very subjective in presentation. So EMS called, mom whisked off to ER via EMS and then maybe a observation or hospitalization done but whichever one happens, the AL will not take her back. The reasoning will be is that she needs a higher level of care than they (the AL) can provide. So moms essentially stuck in the ER/hospital and the discharge planner at the hospital will need to find placement for her UNLESS YOU COME & TAKE HER. Discharge planner will try to get you or other family or even a family friend to come and take her.
If you cannot seem to get traction in getting guardianship, you might have this as the backup plan. It’s loads more stressful, but it’s stress no matter whichever path is taken. Good luck & let us know how it goes, ok.
You moved her across country to what state- - and it is it the same state in which you reside ???
Do you have Durable Power of Attorney, Healthcare POA and all the necessary HIPAA releases ???
If those documents were in place before her dementia, and you can also have a doctor's determination to back you up, you can usually deal with placement on your own. NEVER "bring her home" !!!
The exception to that would be if your mom put up a substantial fuss, as mandated reporters, the AL would likely feel required to report the problem to Adult Protective Services. APS could actually force a court hearing on behalf of your mom, where the judge would assign a court-appointed lawyer to represent your mom's interests.
It's true that a public Guardian can take charge, but then you don't have to be allowed any input of any kind - - so you have to decide ahead of time how that may or may not bother you. Picture this: you may feel it's a simple matter to walk away, but it IS your mom. If a guardian is involved and you don't like where she's placed or what you see about her treatment (not even talking about what she tells you or complains about, but what you SEE yourself), you won't be able to do much, and if you complain too often, the guardian can even cut off your contact with your mom. Most of them are overloaded and have a low tolerance for people who interfere with what they're trying to do by law.
I was responsible for my aunt, my mother's younger sister, for 6-1/2 years. Because she had alcohol dementia, she was mean and cantankerous, but she had no children and I was her favorite niece. I would sit her down for heart-to-heart talks and implore her to listen to the logic of what I was saying: that if she continued her behavior, "they" would put her under a state guardianship and I would no longer be able to speak for her or help her out - - that "they" would take that power away from me.
We had many talks such as that, and it reached a point where all I had to say was, "Remember how we talked about your behavior. If you want me to keep helping you, you can't do that." There was a difference in our cases however, when I brought her down from Northern California to Southern, she went directly into MC. Over time, she actually became more cooperative, and I was able to take her out to her medical appointments, to dinner and to the movies. Since she liked doing those two things, it gave me more to remind her of what we wouldn't be able to do if she kept up negative behaviors.
Nursing homes have care requirements for admission and being difficult does not create a need for a NH. Nothing said leads me to believe that she would qualify for a NH.
i agree with Isthisreally real that she doesn’t seem to meet criteria for NH placement. Also no one can force a patient to take medication against their will..anywhere they are placed.
Best wishes to you.
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