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Elderly parents

MIL constantly falling - we are at our wits end

189 replies

FeralNun · 22/11/2024 15:13

This is mainly a rant, I’ll admit that freely!

MIL widowed this year, has multiple health issues, and is extremely frail. She cannot move safely without a walker, although she thinks she can. Her frequent falls have escalated recently - 4 falls in 5 weeks (that we know of). Hospitalised twice for these falls, and then on Sunday, the paramedics glued her head back together and left her at home. I don’t blame them tbh.

Yesterday she fell again, and this time she’s broken her wrist. So now there is no way she can manage until it’s out of plaster and healed. The lovely nurse is talking about a rehabilitation place in the meantime.

Home is simply no longer viable. She’s got everything / every aid you can imagine l, the alarms, lifeline, the lot. But at the end of the day there are stairs and no downstairs loo.

She won’t be told. She would rather watch DH worry himself to a shadow and drive a 500 mile round trip each time she falls over. He’s had a year of this now, including caring for his dying father 24/7 for 2 months because he was too stubborn for a hospice or carers.

I honestly think my poor DH will die first at this rate.

Ideas/experiences/general advice welcome!

Thank you.

OP posts:
PotterHead1985 · 22/11/2024 16:14

BlueLegume · 22/11/2024 15:59

@FeralNun no problem just thought it would save you doing it. All great information but our mother is doggedly refusing any external support….lots of ‘I don’t want that’. She is happy enough us having to run ourselves ragged though as she seems to get a perverse buzz from it. Always been the same frankly. Your Mum’s set up sounds great but ours is averse to being around ‘old people’.

Edited

Ah yes, the doesn't want to be around 'old people'. I get that all the time. Coupled with the stubbornness. And then when she gets 'told off' (not quite told off, but when I'm trying to explain why I need to weigh her, have her take this med etc) she sits there staring down and staying quiet, like a child getting scolded

Semiramide · 22/11/2024 16:11

Can you perhaps explain to her that, sooner or later one of her falls will result in a broken hip. Given her frailty, a broken hip will result in her never walking again unaided - quite possibly she will never walk again full-stop.

At which point she will end up in care/in a nursing home. At that point she will have very little options or say in what happens to her.

Right now she has capacity, choices, ways of coping without being totally dependent on strangers to look after her. But at the end of the day it is her choice.

(My mother broke her hip, ended up in a wheelchair, in a nursing home. Her last 16 months were utterly miserable. It's scary.)

FeralNun · 22/11/2024 16:02

BlueLegume · 22/11/2024 15:59

@FeralNun no problem just thought it would save you doing it. All great information but our mother is doggedly refusing any external support….lots of ‘I don’t want that’. She is happy enough us having to run ourselves ragged though as she seems to get a perverse buzz from it. Always been the same frankly. Your Mum’s set up sounds great but ours is averse to being around ‘old people’.

Edited

Oh absolutely this! She’s replaced her DH with mine, essentially.

Mum’s set up is great and what’s more she thought about it, planned it and accepted reality. I mean she’s a complete nightmare generally but I can’t fault her there!!

OP posts:
FeralNun · 22/11/2024 16:01

kaela100 · 22/11/2024 15:56

Can you get her a wearable tech that will call 999 every single time she if she falls?

In my area if an elderly person who lives alone is admitted to a hospital 3 x due to a fall it automatically triggers a care home referral. But some areas will trigger it after call 1.

Thanks for this - she’s got the wearable tech (when she puts the bugger on!) which connects to a line to assess and call the ambulance. And DH!
No automatic referral, might be something to check out..

OP posts:
BlueLegume · 22/11/2024 15:59

@FeralNun no problem just thought it would save you doing it. All great information but our mother is doggedly refusing any external support….lots of ‘I don’t want that’. She is happy enough us having to run ourselves ragged though as she seems to get a perverse buzz from it. Always been the same frankly. Your Mum’s set up sounds great but ours is averse to being around ‘old people’.

FeralNun · 22/11/2024 15:59

Thank you, @AnnaMagnani I really hope I can get DH to that place.

He’s not only worried sick, he’s getting angry. I hope that is actually the start of a healthier response..

OP posts:
kaela100 · 22/11/2024 15:56

Can you get her a wearable tech that will call 999 every single time she if she falls?

In my area if an elderly person who lives alone is admitted to a hospital 3 x due to a fall it automatically triggers a care home referral. But some areas will trigger it after call 1.

FeralNun · 22/11/2024 15:56

Thank you, @BlueLegume That is so helpful!

OP posts:
FeralNun · 22/11/2024 15:54

Thank you all. We’ve done all the assessments and referrals. She’s had carers on previous discharges for other things whilst she got ‘better’, but basically she can wash and feed herself (when she hasn’t got a broken wrist!) so wouldn’t get them as a matter of course. We could pay privately, (fortunately funds aren’t an issue) but she refuses. And anyway the real problem is that the house just isn’t suitable. She’d do well in warden supported accommodation I think (which is what my mum has), but refuses point blank.

I think we’ll eventually persuade her (she gave in to having a walker after months of exhausting, life draining arguments), but it’s likely she’ll break something worse than a wrist in the meantime..

I’m not too concerned that she’ll be discharged without a plan tbh. The local authority/hospital trust are really quite good! Amazingly..

OP posts:
AnnaMagnani · 22/11/2024 15:49

I'll be honest with my DM I gave up.

Mine falls A LOT. She generally doesn't tell me, or if she does it's a week later.

I do not go chasing home 100s of miles away each time.

She does have a bed and bathroom downstairs. And a cleaner, a key safe and a pendant alarm.

But she is an adult with no cognitive impairment so eventually I just let her make her own choices instead of fighting her all the time.

We are both much happier for it.

BlueLegume · 22/11/2024 15:48

@FeralNun I contacted Age Uk some time ago at a ‘wits end’ moment and they sent me a prompt response. I will post it as it might be useful to you…..

Thank you for your email about arranging suitable care for your mother and the issues you are experiencing with this. It sounds like a difficult situation for you and I hope you will find some of the information below of interest in addressing it.

It is important to note that providing care for anyone, even a parent, must be a choice. There is no obligation on you to provide support for your mother. Any support she needs can come from other sources.

It is also important to say that as long as your mother has the mental capacity to make her own decisions about what care she wishes to receive she can, in almost all circumstances, decide to reject care.

You can read more about mental capacity and how it is assessed in section 3 of Factsheet 22: Arranging for someone to make decisions on your behalf.

If your mother would be willing to look into support that may be appropriate for her a starting point may be to request a care needs assessment from her local authority Adult Social Care Team. This assessment would look at her care needs and how they can best be met moving forward.

You can read more about how to request a care needs assessment in section 3 of Factsheet 41: How to get care and support. Section 4 of this factsheet discusses what the assessment will look at.

If your mother would be willing to have this assessment to see if she would like to accept any of the support the Adult Social Care Team may propose she, or you, can contact her local authority and request an assessment. You can search for contact details for her local authority using the link below.

Find your local authority

If you feel that your mother’s refusal of support may be putting her wellbeing at risk you can report this as a safeguarding concern to her Adult Social Care Team. They could then make enquiries to see if they felt that your mother’s refusal of support could be seen as self-neglect.

Self-neglect is a difficult area due to a person’s fundamental human right to private life. If someone chooses to live in a particular way, however worrying or upsetting that is, there are limited circumstances when the law can intervene. This consideration must be balanced with the right to safeguarding, which is also based on human rights protections.

You can read more about self-neglect in section 2 of Factsheet 78: Safeguarding older people from abuse and neglect. If you would like to discuss whether your mother might be self-neglecting you can read about how to raise this with her local authority in section 4 of this factsheet.

If you feel that approaching her local authority would not be appropriate at this time for your mother you may wish to see if there is other local support available. A local Age UK can sometimes provide some support services or be able to direct people to local sources of support. If you would like to see if there is a local team in your mother’s area and investigate what support may be available, you can search for a local Age UK using the link below.

Find a local Age UK

It sounds from your email that your mother’s situation is having a significant impact on you. If you would like support for you in your role of trying to support your mother you may wish to contact the charity Carers UK for support.

Carers UK provide information and advice about caring alongside practical and emotional support for carers. You can contact them using the details below.

Find your local council - GOV.UK

Find your local authority in England, Wales, Scotland and Northern Ireland

https://www.gov.uk/find-local-council

BlueLegume · 22/11/2024 15:45

@FeralNun welcome to the world of WitsEnders. Some great people on here and a safe space to vent. It keeps me sane knowing there are others in similar situations but that does not make it any easier. Flowers

username358 · 22/11/2024 15:44

Get her a camode for downstairs and see if you can arrange a bed for the sitting room if she can't get upstairs. Organise meals to be delivered and carers if she can't take care of her needs.

I would contact adult social services safeguarding and get a needs assessment. You might find Age UK helpline useful.

MissMoneyFairy · 22/11/2024 15:17

Oh dear, where is she now, if she's in hospital your dh needs to say she's unsafe at home if they plan to discharge her. I'd go for the rehab, does your dh have power of attorney. If she refused to go to hospital the paramedics can't force her. I'd call adult social services, the paramedics may of also done this.

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