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Elderly parents

Furious that Mom won’t accept carers

84 replies

NotTheMrMenAgain · 29/06/2024 12:51

Long story short - 3 years of treatment for 74 year old DM’s secondary cancer mets, now receiving palliative treatment. DF dead, she lives alone, only person to help her is me. Her mobility is very poor and will only get worse - zimmer at home and wheelchair to go out. Getting her in and out of the car becoming more difficult. She is on very strong painkillers which make her a bit confused - she often doesn’t know if it’s day or night, can’t remember if she’s eaten etc.

The cancer is eating her pelvis and once it fractures again there is nothing surgically they can do, so it will be game over, stuck in a bed until she dies.

She falls, frequently. 3 weeks ago she fell and was kept in hospital for 11 days, while they worked on her use of zimmer and physio etc. A few days after getting home she tried to walk across the room without using the zimmer or her sticks, so of course she fell. When I got there she told me she was using the zimmer, which was in a different room, then she said she’d been using 2 sticks - but they were nowhere near her. She tries to cruise around the house like a toddler, hanging onto furniture which moves, so she falls. I got upset and challenged her version events, she screamed at me that she wants to die anyway.

This past week she has fallen and been taken into hospital for 2 nights, was home for less than 24 hours when she fell again - nurses from a community team came to lift her but said she had to be admitted as she couldn’t remember falling and clearly wasn’t safe at home, which I completely agree with.

Just had a call from hospital social worker to say Mom is refusing a package of care because she doesn’t need any help - she has a neighbour that goes in once a week to do cleaning and I take her shopping once a week, so she’s fine.

I feel like screaming. She is clearly not coping and is not fine. I’ve been told by a friend who used to manage a care home that what mom needs is a nursing home, as she’s too far gone for a care home. One of the visiting nurses told me that even a full package of care wouldn’t be suitable as Mom will fall in between the carer visits. Meanwhile, in Mom’s deluded, she’s refused to have even a single carer visit per day.

People look at me like I should be able to sort this out. They say “Have a word with your mom” or “It’s time for a serious talk with her”, like that’s never crossed my mind for a bloody moment! I can’t talk to her. It’s like dealing with a petulant toddler - all “I want, I want” and no acceptance of the stark reality of the situation. It feels like this is a game to mom and she’s happy because she thinks she’s winning - her end goal is to be left alone in her house, but with me and various neighbours on call to help when she falls, which is unworkable and selfish.

I’m so angry and tired and sick of the whole situation. The past couple of weeks I’ve started to mentally and emotionally disengage, because it’s really dragging me down and affecting all other aspects of my life. I can’t cope with this hanging over my head all of the time, waiting for the next phone call.

I know she’s terminally ill and in pain and desperate to cling onto whatever she sees as her independence, but she’s not independent at all. She can’t go anywhere or do much without help. If she’d accept this her life would be so much better. There’s a very expensive, new nursing home locally which looks like a boutique hotel. She could be safe and looked after there, with fancy meals, activities and company for whatever is left of her life. But no, she’d rather spend it socially isolated, bored, lonely and wishing she were dead while lying in a puddle of her wee on the floor.

I can’t get my head around it and I can’t cope any more.

OP posts:
MumblesParty · 29/06/2024 13:32

You need to be firm with the social worker that she is not safe at home. It sounds as if she’d be back in hospital within a few days anyway.

Patsy7299 · 29/06/2024 13:29

say these words on repeat and don’t stop.
“unsafe discharge” “carer burnout” “relinquishing all duty of care for mum”. It’s hard and you’ll feel guilty but it’s the only way they will listen. Good luck and sending love x

stayathomegardener · 29/06/2024 13:04

To be honest her kind neighbour is a hinderance in this, you need to tell social services there is no support and you yourself have reached breaking point (they actually term this as carer breakdown) and should then put something in place.

Very hard for you to step back during this transition period though.

Paperthin · 29/06/2024 13:03

It does sound like she needs to be in a nursing home environment as even with carers she could be at risk in between visits anyway? Has no one mentioned residential nursing care so far?
OP this is a conversation you do need to have with the hospital and social work team - I have been here - it’s tough I know but unless you ask/suggest/advocate for your DM the hospital will keep on discharging her sadly.

SierraSapphire · 29/06/2024 13:02

Sympathies, my 91-year-old Mum isn't quite as bad as yours it sounds, but we have multiple emergency hospital visits and stays for her heart or whatever, but she refuses to get carers and I or DD when she's home from university have to bail her out. Even when I had cancer and I begged her to get help, she refused. I disengage too. She has capacity to make her own decisions with her own risks, and I can't be responsible for her bad decisions, we just have crisis after crisis but I cannot meet her every need. On the other hand it's shit disengaging because if she had carers to do some things, we could actually have a nice time together in her remaining, weeks, months, probably not years. I have friends who are not carers who say "Can't you just..." whatever, it's massively frustrating. Also "how's your mum?" - well she's fine but I'm going under!

it does sound though like it would be an unsafe discharge and it may be that they're not going to discharge your DM home anyway and you have the social worker on your side. You just have to keep telling staff you can't do it, some of them you feel are giving you the side eye, but others completely understand.

It's hard, but you just have to set your own boundaries as everybody else is going to push them. Decide what you are and are and aren't going to do. I won't do anything that could be done by anyone, but I will do things where she needs my specific medical knowledge or some of the financial stuff which understandably she doesn't want to handover to a carer. Then you just have to keep your boundaries and keep repeating them however hard it is, and recognise that it might be that something shit happens but actually you are not in control of that.

Sorry this is happening Flowers.

gamerchick · 29/06/2024 13:00

Tell the hospital that you're refusing to have her home and if they discharge her it will be an unsafe one. You'll need to force the issue.

Rosa · 29/06/2024 12:58

This is so hard - The hospital needs to listen to you as well - REfuse to have her home until she has this in place.Easier said than done but seeing as she has been in so many times recently they hav eto see the pattern. Teh neighbour is going on holiday and you have work comitments so something has to be put in place

Sugartreemumma · 29/06/2024 12:58

I'm so sorry that you are in this dreadful and very stressful situation.
There are no good options for you here and so you will have to default to the least worst option.
The least worst option is probably to step back and say you are unable to help anymore. Your mother will then have to accept carers.

Lamelie · 29/06/2024 12:57
Flowers I’m so sorry. She needs to go to the nursing home. Go to town with the social worker. What is the consequence of refusing the care package?