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Elderly parents

Trying not to panic - routine help required

35 replies

Tintackedsea · 24/08/2025 21:57

I’m trying not to panic. I would appreciate help thinking up a good routine. Apologies for the length. I’ve tried to split it up.

Background:
My dad was my mother’s primary carer. I did all their cooking, shopping, healthcare appointments and admin and some of the cleaning. He helped her with everything else and was with her most of the time. Dad got cancer and I (along with my siblings) nursed him at home until he passed away last week. My siblings have returned to their homes (100s of miles away). They are supportive from afar but my brother works off shore and is about to become a dad and my sister has preschool children and lives two flights away. They used up all their leave to help with dad.

Her Situation:
She has had Alzheimer’s for a few years and needs support getting washed, dressed, all meals. She needs someone to help her to bed and to stay overnight because she’s terrified of the dark. She is usually continent and reasonably cheerful. She ok-ish during the day and enjoys being given wee jobs like dusting to do but needs supervision. From about 5pm she stops knowing who anyone is, where she lives, what’s happening. Her mood darkens and she can be cross and fearful. She has declined significantly since dad became ill and more so since he died.

My situation:
I live next door. I have three primary children and a stressful ft job. I’m currently off work on bereavement leave but will need to return soon. My husband is supportive but also works.

Carers:
She has carers 3x 15 minutes. They come at 10.30, 5.30 and 7.30. She’s afraid of the evening carers and very resentful of them being there. If I can hold her off from getting dressed the morning carers will help with washing and dressing but it’s quite late to start the day. She likes the morning ladies. I’ve approached a private carer but not heard back. The council carers tell me there’s not much out there.

Friends and family:
She has a good friend who comes to take her out an afternoon a week which she loves as long as it’s not to any dementia related event or place. Other people with memory issues upset her. At dad’s funeral various family offered to sit with her sometimes.

Future:
There are no places in the local care homes and anecdotal reports suggest that isn’t going to change plus it’s over £2k a week. Social work aren’t returning my calls. We live very rurally. It is likely that I will care for her until she becomes physically ill/dies.

Questions:
How do I set up a routine that allows us to manage?
Are there templates or planning tools I can use?
What should I get the carers to do? These times are not useful for her current routine and I don’t know what to use them for.
What tips do you have for helping me help her?
How do I get her to accept care?
What can I get my siblings to do?
How do I manage my own mental health because currently I feel overwhelmed and ill?
Are there benefits I or she can access?

OP posts:
Somuchtodotoolittletimetodoit · 24/08/2025 22:31

I’m so sorry you’re going through this OP. I agree that SS will step in if they see it is a crisis. My father has dementia and mum is full time carer. She was hospitalised in April with heart problems and despite ss not wanting anything to do with us previously, they were amazing when things fell apart for us and we couldn’t have got through that time without them. Make sure they know you’re not able to cope. That will be the trigger for help - there are no medals for bravery in this situation. Good luck x

Octavia64 · 24/08/2025 22:31

Well, there is a fairly clear clash between her needs and the support available.

if your siblings have used up all their leave and in addition live/work a long way away then there will be limited amounts they can do.

caring for someone with Alzheimer’s is a pretty 24/7 job so even if you want to do it, you can’t because you have three kids and a full time job.

if she or you have money then you can get private carers although they are much harder to come by in rural areas.

if you can’t afford private carers then I’d suggest getting onto Social services to try to up the visits to 4 a day.

again, if you or she has the money then you can look at care homes. If you don’t have the money and you feel a care home would be the right place (and honestly it does sound like she is at that stage) then you’ll need to get social services to assess her.

P00hsticks · 24/08/2025 22:23

RentalWoesNotFun · 24/08/2025 22:14

I don’t know about elderly care medication so forgive these potentially stupid questions:

Does her medication wear off at 5pm or something?

Could she be put to bed with a sleeping pill to get her through the night so she doesn’t have to be awake and scared? Or accompanied overnight.

@RentalWoesNotFun 'Sundowning' is a phenomenon which is often experienced by those with Alzheimers, where they become inceasingly confused and agitated towards the end of the day - it's not medication wearing off.

vdbfamily · 24/08/2025 22:21

Sounds really tricky. How much space do you have at home? Could she actually live with you so not alone at night. You could then either sell her property or rent it out and use the money to fund having a carer with her covering all the hours that you or other friends are not around. If it was someone with a car they could go out for drives/ coffee and cake etc .
This may not work if she cannot recall she has moved as she might get distressed with other people living in her home.
Are Your houses physically joined together? Could you create a door through so she does not feel alone.
It will be hard to continue to manage this as the dementia process progresses and there is likely to be a noticeable steep decline with your dad gone as he would have covered a lot of her deficit for a while now. Does she have enough funds to afford a live in carer as that is probably the ideal but most people cannot afford it.

PermanentTemporary · 24/08/2025 22:20

There is such a thing as crisis care. This is a crisis. Keep calling social services. And keep calling your siblings. Share the mental load.

If there is one certain thing in this, it is that there will be spaces in care homes in the future. In the meantime, they might want to place her further away. Could she be near one of your siblings?

SkaneTos · 24/08/2025 22:16

My condolences for the loss of your father.

About the situation of your mother, perhaps there are available places in care homes further away? It seems like she needs a lot of care.

RentalWoesNotFun · 24/08/2025 22:14

I don’t know about elderly care medication so forgive these potentially stupid questions:

Does her medication wear off at 5pm or something?

Could she be put to bed with a sleeping pill to get her through the night so she doesn’t have to be awake and scared? Or accompanied overnight.

NecklessMumster · 24/08/2025 22:12

Keep ringing social services. Use the phrase 'carer breakdown' ( for yourself) and say that it's an unsafe situation and you need an urgent care package review, a Care Act Assessment. 15 min visits are much too short. If the carers were arranged via the council they have an obligation to review the care package. It's not just up to you to work out a good routine, they should be helping you ( this used to be my job). Social services are massively overstretched so if they think ' oh, the daughter is managing things' they'll prioritise others. There might be other dementia services in your area that they should be telling you about. Getting worse at tea time is called 'sundowning' and is quite common. In the meantime take up any offers of help from friends etc ..pin them down to days/times.

Dearover · 24/08/2025 22:05

I'm so sorry. This sounds incredibly challenging for you, just as you are also dealing with your own grief.

Have you & your siblings visited all the local care homes and asked to go onto the waiting list for any you like.

I'm with my own mum who proudly told me she got dad up to help with her tablets at 5am this morning. A 10.30 visit wouldn't work for her either. What time does your mum usually want to get going in the morning? Again, keep requesting visits at times which suit you & your mum until slots become available.

myplace · 24/08/2025 22:01

Sending supportive thoughts and will try for practical ideas in the norming. I sorry for your loss and hope you get to sleep tonight at least.

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