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bamakc Asked February 18, 2024

My MIL with Alzheimer’s thinks she is at our home for a “visit”. How to tell her she’s not going back home?

We have known my MIL (who lives in tiny town 5hrs away from us) has dementia for a little over 2 yrs- She still lived on her own, cooked, went to church & 86 miles to closest larger city to Dr’s appointments…So we thought…6months ago we began getting numerous calls weekly & then daily from family members who live in same town-basically telling us to come get her & that she should not be driving!
She was/is obsessed with going to the Dr-so she began driving the 86miles a day even without an appt to see one of her doctors-Then she would be extremely nasty to anyone that worked at the offices-
Which baffles us-b/c she was the nicest, most generous, loving, selfless person you would ever meet-Now she has exhausted & alienated all family members & friends that would normally help her-
I went to stay with her for a week -observed these actions/behaviors
& fully agreed she should not be living alone-I packed her up to come to our home for a “visit” (unbeknownst to her just until we can figure out what to do with her)
We have 4 kids aging from 14-26 living at home currently & she is so negative we are all fighting to stay sane & upbeat despite the dark cloud she brings with her-
She has no money saved for long term care-She lives off of Soc Sec monthly & thats it…So we feel like we have no other choice than to keep her at our home-
She talks about going to her “own Doctors” no less than 500 times a day & that she wants to go to her house-even if she has to walk-
*** How do we tell her that she’s not going back home? (she still has enough wits about her to know pretty much whats going on)

NJmom201 Feb 27, 2024
Start the conversation with honesty and facts about the things that she is doing that are concerning you about her safety. Someone has to talk to her about giving you or another family member POA at once(insurance and financial institutions will not deal with relatives unless there is POA in place). Once that happens then that person can help her make medical and financial decisions or speak on her behalf.
Giver her a clear choice of going into a facility or staying with you and work on making it happen as best as you can.

1. See her doctor and ask her doctor to have a conversation with her about her condition and how it's time to have more support, more than likely she will listen to her doctor.
2. If she has medical insurance call them, they can often times provide assistance finding a long term care facility that is right for her, or options for care at home with home health aid, or adult day care, meal deliveries, etc.

good luck

AlvaDeer Feb 18, 2024
You tell her gently, honestly, forthrightly, and with kindness. You make it clear that there is no other option for her but a Medicaid bed in a nursing home.

As to the way in which she was moved with no forewarning, given that you describe her as having "pretty much her wits about her to know what's going on", I don't agree that it was well done.

I also think that you may not win in court if you attempt guardianship or to impose you will as POA upon this woman. The courts are loathe to take a citizen's rights from him or her.

As to your option of taking her into your own home I hope it works out for all, has been very carefully thought out, and that there is a good care contract with shared living expenses in it. Whether you put that money into a separate account for your MIL or not, that should be done, so she feels a part of your household. I hope also that it has been thoroughly discussed with your children. Especially for your youngest, who needs your care, I think again that this isn't such a good idea. However, only YOU can make choices for your own family and your own life.

I wish good luck to all. Don't expect there to be no tears. Is this loss for her not worth her grief, her tears and her mourning? Is it not worth it for you all?

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Dawn88 Feb 18, 2024
What about the family members who live in the same town? You are going to need help from them. Was your MIL renting or owns her home? Did someone disable her car yet? Have it towed and tell her it got stolen.

Most people don't have money saved for long term care.

You have an obvious stubborn senior who will only get worse. Why do you believe you are responsible? The longer she stays there with you, it becomes her home and very hard to get her out. You need permission from her Doctors to find out exactly what is going on.

Don't destroy your family life by thinking you have to keep her there. You need to coordinate with her Doctors for help in getting her off the road driving, and into into a facility. Act like you really want to meet her Doctor, but need a form signed.

Good thing she wants to see her Doctors often, instead of refusing to see them like most Seniors with dementia. That's half the battle.

Southernwaver Feb 18, 2024
Tell her that her house has a bed bug infestation and it has to be treated and then inspected by the health department before anyone can be let back in to the house. It’s out of your hands.

BarbBrooklyn Feb 18, 2024
Welcome, BAM!

Who diagnosed her dementia?

Have you set her up with a new doctor in your location to check if she's got a UTI, which can greatly exacerbate dementia symptoms? Urgent care can do this as well.

Is she on Medicaid? It sounds as though she needs to be in a facility and Medicaid will pay for Long Term Care if she qualifies both medically and financially.

Getting her to a geriatric psychiatrist for an evaluation for medication to help with agitation is something else to consider.

funkygrandma59 Feb 18, 2024
For now you can tell her that her house is having some work done to it to make things easier for her when she goes back, and then you just keep pushing back the completion date.
And you said that you "feel like we have no other choice than to keep her at" your home, but thank God you actually do have choices.
Now they may not be choices that she or you will like, but if you and your family want to keep your sanity, then it's time to be looking into assisted living facilities that take Medicaid for your MIL to move into. And make sure that the facility also has a memory care unit attached as she will eventually be moved there as her dementia progresses.
There is nothing easy about dealing with someone with any of the dementias, and there is no cure. Your MIL will only get worse, and it's not really fair to you or your family to have to deal with her hands on care. Instead let the folks that are trained in dealing with demented folks handle her care, so you and your family can just get back to being loving family members and not stressed out, sanity losing, overwhelmed caregivers.

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