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My mom is only able to walk with a walker, she has memory issues (no dementia-type diagnosis because she avoids doctors), and although she is able to care for herself, her inability to move quickly causes many issues. My parents are in their 80’s and my dad has been my mom’s caregiver so far, but it is beginning to take a toll on his health. He has finally admitted he can’t do it all himself any longer, but mom refuses in-home care. Any helpful advice/suggestions would be appreciated. Thank you!

If your mother is dependent on your father for her care, the decision to allow homecare isn't hers to make. It's your father's. He needs to tell her plainly that he cannot do everything the household requires and also take care of her as well, so he's bringing in homecare help. He needs to be very firm with her and may have to give her the ultimatum that so many family caregivers have to give a stubborn, care-resistant senior. Which is accept and work WITH help coming in or it will be permanent placement in a care facility (i.e. nursing home, assisted living, memory care).

I was a homecare worker for many years before going into business. I've had my share of stubborn, care-resistant seniors and everyone else's too. I want you to tell both your parents what I have told countless elderly care clients and their families.

~Nothing gets a senior a one-way ticket to a nursing home faster than being stubborn.

This is the truth.

Help your father set up homecare to come in. Here is how he should handle it. He should stay at the house the a few times when the aide is working their shift. After that, he should leave the house and go out for the duration of the caregiver's time in the home. Your mother will complain, and there will likely be tantrums for a while, but she will have to get used to homecare being in the house. She won't if your father is there.

Really, your father and the rest of the family will have to press the point on your mother that either she accepts and works with homecare or she will be put into a care facility.

In time she will accept the homecare aide and will probably think of her like family. This happens more often then you might think. She may even start taking your mother out to lunch or shopping and your father can join in too. A homecare aide who is a good fit to a care client can change their life and the lives of their family. You may have to try out a few people at first to find the right one.
I suggest if your parents can afford it, that you hire privately. Look at a few caregiver profiles on websites like care.com and others. I did private work for many years too. Hiring privately means the caregiver can cover a lot more ground than an agency aide, and you don't have any other interested parties like the state or visiting nursing companies, or APS making inquiries.

Homecare can work out very well. Everyone will have to stop letting your mother make the decisions about it though. Good luck and keep us posted.
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Reply to BurntCaregiver
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So I definitely understand this issue, and I’m sorry you’re going through this. Is there a chance your mom is religious? It may help if you frame it as someone stopping by from the church (you can even say they “need the money” because they’re between jobs/have kids/etc.). Your pastor/religious leader may know someone or an agency, so you can tell her you got a name through them.

I can say that my parent viewed it as one of those things that would start and never end. In my family, though, sometimes making things seem less medical and more like helping someone out. We’re here for you.
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Reply to LongWays
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Try the “it’s help for dad” route. Have him write down what he needs help with — laundry, meal prep, showering, whatever — but expect mom to make excuses and denials that SHE doesn’t need any of this. He hires the aide anyway. If you are lucky, your mom will gradually get used to the aide and see the benefit or at least tolerate the aide. OTOH, she may never adapt. Either way, focus on what will help your dad since he is open to it. Focus on what you CAN control. You can’t control her feelings or reactions.

My mom is 81 and can only walk with a walker— drags one leg, hasn’t seen a doctor in 30 years — and she lives alone. She is also very resistant to help in her home (other than my 3 visits per week) or to AL. In my case, it will take a crisis.

A friend of mine’s mother lives in AL and also has an aide on top of this, 8 hours per day. If the aide is in the same room, she’s “hovering.” If she’s in the next room, she’s “lazy and useless.”
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Reply to Suzy23
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So if dad stops helping her, remaining firm that he’s no longer safely capable, and no else comes to her rescue, what happens? Most likely she accepts help. If not, it’s the time her cognitive decline means her POA for healthcare decisions makes the call for her and gets help. The best would be assisted living for them both, if that’s not doable, hire a helper in the home. We found a wonderful one for my very resistant dad. He had a strong case of “don’t want anyone in my house” An excellent helper got him past that quickly and truly became invaluable. Don’t let her resistance drive this, dad deserves better
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Reply to Daughterof1930
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TEdwards, welcome to the forum. What is happening with your Mom happened with my Mom. She refused to have any "strangers" in the house, claiming that my Dad could help her if she needs help. Both were in their mid 90's. I even got them a brochure of one of nicest 55+ communities, and the place had condos with the same square footage as their house. Dad would have moved in a New York minute. Mom, nope, not interested.


Even after Mom had a fall (she refused to use a walker), I had caregivers come in to help, and all that Mom did was argue with Dad about the strangers in the house. The caregivers lasted only 3 days. Mom claimed that Dad could catch her should she start to fall. Reality was it would have taken Dad over a minute to just stand up from a sitting position.


What to do?.... we just waited for another ER emergency. Mom had another fall, but this time with major head trauma. I called back in the same caregivers to help Dad as Mom spent her final months in a nursing home. Ironically, one of the caregivers that Mom had chased out of the house, would drive Dad to the nursing home, and she helped feed Mom.


Dad eventually sold the house and moved to senior living, which he really loved but wished my Mom could have been with him. Dad was glad to get away from all the responsibilities of owning and maintaining a house.
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Reply to freqflyer
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If she refuses in-home care, the only other option is Assisted Living for both of them. Tell them both firmly that they have to go, bring them brochures, take them on tours of nice ones.

I gather that they think they're living independently but you help them a lot and they couldn't survive at home without your help? If that's the case, and you can't do it anymore (which you have to tell them firmly), they have no choice. By helping them, you're giving them a false sense of independence. That isn't kind on your part because they desperately need to be cared for 24/7 by professionals. Otherwise you're going to have a situation where one of them falls or has some other accident and the other won't be able to help, and then (worst case) they both die. In their home, as they wanted. But not peacefully. Actually, horribly.

ALs with continuing care are a wonderful solution to elder care. Many of them have onsite medical care 24/7, visits from podiatrists, psychologists, hospice when it's needed, transportation to appointments, outings, parties, games, entertainment and every other kind of thing to making aging pleasant. Mom and Dad can stay together unless one gets sicker and goes to the next step, and in that case, they're still on the same campus and can visit every day.

Don't be their enabler! Good luck in helping them to find the right place.
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Reply to Fawnby
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Can you help your father find some in-home help, and label her as help for HIM? Presumably he has had to take over some of the household work, laundry, meals, etc. that your mom usually did (assumption based on what was typical of their generation). If an aide were to come in regularly to help with these things under your father's direction, maybe your mother would become comfortable with her and she could discreetly start helping with your mother's needs (dressing, medications, working up to showering and bathroom help).
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Reply to MG8522
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