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How to get Dad in a nursing home|
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Junior Member |
Hi all! I am at a loss here.
My dad is 81 years old and in poor health. His health problems include severe macular degeneration, heart disease, aneurysm in stomach, prostate cancer and high blood pressure. He has had four heart attacks, two strokes, pneumonia eight times and a broken hip. He also had a triple bypass about 20 years ago and surgery on the broken hip that he had in June 2004. Amazingly enough, he still lives at home. My mother, who is 72 years old, has been caring for him. She tried to do this for a year, but since then, her health has declined quickly. She used to be very spry and mostly healthy, but due to the demands of taking care of my dad and an automobile wreck in November 2004, she is now getting sick more and more and has a litany of medical problems herself now. Last Fall, we tried to get my dad in a nursing home, however, he is dead set against this. I initially felt guilty for trying to make him go into one, but I see now the toll it is taking on my mom and how dangerous it is for him to be home. In the Fall, my mom had to call 911 several times. At one point, he wouldn't get out of bed or eat or drink anything. So, she called 911 and they hopitalized him in my parents' small-town hospital. During this stay, my dad mentioned in front of a nurse that he wanted to commit suicide by starting his car in his garage. (My sister killed herself this way in February 2005.) This prompted the nurse and doctor to work together to get my dad placed in the psychiatric ward of a neighboring town's hospital for 1 week. Unfortunately, he fell there and broke his wrist and shoulder. They were able to convinve my dad to sign something that got him transfered to the small town nursing home while his broken bones healed. However, he refused to stay after the pins were taken out of his arm, and he was released to go home. Mom and I pleaded with my dad at length to get him to stay. However, he is very stubborn. I myself wouldn't want to be in a nursing home, so I understand. However, I also understand that he thrived in the nursing home where he was getting better nutrition and around-the-clock care. He says he does not care about the emotional toll that his being at home takes on my mother or myself. He said he doesn't need any of us and that he can live on his own. Of course, this is not possible. We also pleaded with his doctor, his psychiatrist and the nursing home social worker to work with us in getting my dad to stay at the nursing home. While they agreed that dad can't live at home, they say there is nothing they can do to make him stay. Now, I am very concerned that something bad is going to happen to dad, mom or both of them. Dad still threatens suicide. He has also been verbally abusive to my mom. He even threatened her with a hammer one day and said that someone ought to "do her in." He blames her for my sister's suicide and for putting him in "that place" last Fall. I have told mom to lock her door at night (they sleep in separate rooms) and to keep a journal of all the things that happen. Today, he even took off with his walker to walk to the gas station and ended up having to be driven home by the volunteer fire department because he couldn't walk back home. Does anyone have any suggestions about what we can do? My parents live in a small town, so they don't have the resources that they would have in a larger community. Mom and I spoke with a great elder care attorney in Kansas City (where I live), however, he said that dad could not be declared incompetent. And because of that, we can't force him into the nursing home. Help! I have a feeling in the pit of my stomach that something really terrible could happen soon! |
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Senior Member |
Welcome in Jaylene! Amy hasnt been around for a while, whats goin on in your neck of the sweetie? Maybe we can give you some suggestions. ********************************************** Well, butter my butt and call me a biscuit. |
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Junior Member |
Jaylene Downer |
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Senior Member |
Man you know it! Angel I feel ya there! Throughout these past few months if have second guessed myself so many times Im about to pull out my hair then a couple of days before the doc appt I decided to just say everything to the doc and dam the consequences. And then she spoke! I dont need to say another word she just said a mouthful and vindicated me in doing so. Now I dont know what is going on but she took a turn yesterday...Paranoia levels are extremely high yesterday and today.... shes sneaking around and listening to PC's that are coming in. I hope he prescribes something soon for her cause this is getting outta hand here, And sleep, shes up and down for the past 2 nights all night so while the lack of caffeine for a while may have calmed her down it was only temporary. But Im thinking if she was still on caffeine products it would probably be worse than it is now so I will stick to it for the time being. No sense making a situation worse needlessly if shes over the withdrawls. Ya know what I mean?! ********************************************** Well, butter my butt and call me a biscuit. |
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Senior Member |
Bunny I hear ya!! I know that feeling of "thank God she showed the weirdness in front of someone important!" Sometimes the granny will act so dang normal i start doubting my own mind!! And when she does something abnormal (even though its normal as far as the disease goes) then I just want to screammm.....SEEEEEEEEEEE!!!!????!!??? ITS NOT JUST MEEEE!!!!!!! lol "Procrastinate now!! Don't put it off!---- Ellen Degeneres |
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Senior Member |
Gotcha on the feet holdin thing!
So this week I am feeling good! Hunny however...well you know that one he dont want to hear it! I think Im going to have to bite the bullet here and speak to him again as maybe he thinks when I get happy about something she did he takes the emotion behind it wrong he doesnt get that maybe the happiness is getting her diagnosed properly and medicated ...Im telling you takin care of a family member is alot different in some ways than taking care of a stranger. one word...eggshells...tread softly ********************************************** Well, butter my butt and call me a biscuit. |
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Senior Member |
BG, if da doc is aware that she needs a wheelchair for transportation, he/she can write an order for one. Medicare will pay for one every so many years... not sure how often...
They may also be eligible for free medical transportation services in your area if you cannot transport them... should not have to take 3 people, etc. Unfortunately, those transportation things leave a lot to be desired... I onlw some guidelines are different from area to area, but what medicare does and does not pay for is static. Sounds like the people in the doc's office are not very well-informed about coding and what's available to folks - Hold their feet to da fire!! "She ain't heavy; she's my mother." |
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Senior Member |
Hey MB I second this one who do you call in case this happens and you need help? I would like to have that number in my back pocket too as I am fighting over the fact MIL needs a wheelchair to be transported to the docs office!
********************************************** Well, butter my butt and call me a biscuit. |
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Experienced Member |
Really? I'm dealing with the same thing. Since we can get Dad loaded in the van and take him to the doctor - even though it takes 3 adults to lift him in - they don't consider him home bound. They also said that if we took him anywhere except the doctor, like church, visiting relatives, etc., that would exclude him from being considered homebound. Since he's on coumadin he needs blood drawn weekly, and I would love to be able to get visiting nurses instead of having to have friends and family take a day off work to help me transport him. Who should I talk to? Medicare? |
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Senior Member |
Amy, someone has misinformed you on that one. My mom lives with me and I drive, but she is considered homebound because SHE can't drive and get HERSELF around. Without those other folks taking him, your dad is homebound. The doc's office should know this; if they do not, they are cheating a lot of their patients out of needed care and benefits!! Home health is also ordered and paid for by Medicare when a person needs assistance - with bathing, medications, changing dressings, rehabbing, monitoring vital signs, etc. It is MOST especially used for exactly the circumstances your parents live in - elderly and need a LOTTA help! I don't know who told you your parents would not be eligible because your dad can still manage to get a ride to the c&w show every week, but they are fulla da brown stuff.
Sweetie, LIE to him, if necessary!! Tell him YOU paid for it; tell him an anonymous donor paid for the meals, whatever it takes!! You are correct that his judgement is not sound 'cause $3/meal is a deal!! I know that you and your mom are not in the habit of lying to your father, but you cannot allow someone with diminished capacity to run the show!! Do whatever you have to to get him the care he and your mom need while still retaining as much of their dignity as possible. Not always an easy tightrope to walk, but remember the goal!! Fighting with HIM to get himself help is a losing battle - there's nothing wrong with him! That's his story and he'll stick to it 'til the cows come home!! Ya gotta learn how to do an end run around him and avoid the arguments. Folks here have some pretty amazing techniques for getting things done without causing a volcanic eruption!! Good luck!! Sounds like your "legwork" is paying off - keep up the good work!! You are so great to see to all this for your parents, especially your overburdened mom!! I am especially glad that you are considering some support in dealing with your sister's suicide - this is one area that so many people agonize about privately for a lifetime and there is a LOT of help and support out there for people who have had this sad event touch their lives. Perhaps you will find some tools with which to ease and help heal your parents' grieving hearts as well. Good for you!!! "She ain't heavy; she's my mother." |
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Senior Member |
Sweetie I know this is a tough subject but you must not feel guilty over this. Not at all. She wouldnt want that trust me on this... you must believe in your heart and your mind that you had no responsibility in this. You could not have changed this at all. Only she could have done that. And your dad saying this out loud....Im sorry thats gotta hurt you and your mom. Call the suicide prevention hotline its most likely listed in your yellow pages for your area. These people are wonderful and helpful (my own mom used to work at the hotline) They can give you pointers, things to look for and ideas on how to deal with it and also if there is a group that gathers in your area. I hope this helps a bit.
********************************************** Well, butter my butt and call me a biscuit. |
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Junior Member |
Thanks to everyone for the wonderful suggestions and kind words. Just knowing this site exists and that I am not alone in this helps so much.
SnowyLynne, I was able to find several pages of phone numbers for the county my parents live in through the Counsel of Aging website. I believe there are some organizations there that may be helpful to us in the future. Since my first post, Mom has started getting daily meals delivered to their house for only $3 per meal. Unfortunately, Dad doesn't want anything to do with them because he said they can't afford them. (This is not true, and it is statements like this that convince me that he has lost his ability to reason.) At least Mom is getting the right nutrition at this point, but we still need to work on Dad. We had found out that Medicare would pay for home health visits, but Dad would have to be considered home bound. All his life, his hobby was to drive around. Now that he can't drive, he still gets people in the town as well as my mom and myself to take him places. There is also a country music show that he goes to every week that he refuses to miss. Because of these things, they won't consider him home bound. I'm going to see if there is somthing like the Baker Act in Kansas, but from what I can tell so far, there isn't. Mae, I'm sorry to hear what you had to go through with your husband. I told Mom last night about your suggestion to call 911 and that you had to do the same thing. I think I have convinced her to do this at the first sign of trouble. Yesterday, Dad had again threatened suicide. I told her that he is unstable if he is talking like this and anything can happen. I really do believe that she would call 911 now. Bunnys Grl, thank you so much for your kind words and suggestions on the loss of my sister. I am incredibly sorry that you had to go through something like this too. Only someone who has experienced this can truly understand the toll it takes, but we are not alone! I am going to check out that website, because I haven't taken the time in this past year to work on the feelings of guilt I have about the suicide. Maybe this will be a good start. Thanks again to everyone, and I will keep you posted. |
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Senior Member |
Ask about the Baker act.they have it in Fla.He can be forced to be re evaluated & placed somewhere.
Lynne |
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Senior Member |
Amy C. welcome in you deserve a great big hug for what you all are going through. I am so sorry for the loss of your sister, we had an event like this just recently ourselves and the range of emotions it causes can be overwhelming to some of us. Please know you are all in my thoughts. As for your Dad... Mae is absolutely right have 911 on speed dial and dont even hesitate or think for one moment that your wrong in calling for help. When a man is angry and the adreniline is going they can become very strong not even realizing the damage they can inflict on another. Please get your mom to realize this. Is their anyone that can stay with her? Please take care of yourself and think about calling a support group or visit this site for survivors....
http://www.survivorsofsuicide.com I hope this helps and please keep us posted we are here for you ********************************************** Well, butter my butt and call me a biscuit. |
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Senior Member |
Welcome, AmyC!! Sounds like a scary, tough situation! Your poor dad surely has been through a lot, as has your mom. I feel sure that they BOTH would qualify for home health visits, Meals On Wheels and other assistance of that nature. Depending on their insurance, and programs that may be available in your area, they might be eligible for even more. Talk with your local Counsel on Aging to learn about programs in your area, adult daycare and more.
So sorry for the loss of your sister... such a shame. Your father sounds like he has had a very tough time with that... it's always easier somehow to blame someone other than the person who takes their own life... Another solution might be assisted living, if he will cooperate, but that sounds like a long shot... Good luck and please keep us updated on how all of you are doing! "She ain't heavy; she's my mother." |
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Senior Member |
dad does not have to be incompitent, all you have to prove he is a threat to your mom.I had to do this for my husband when he had a psychotic eposode.You have to keep a close eye on him and the moment he becomes a threat or has anything in his hands that can be considerd a weapon, call 911
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Senior Member |
Amy C, the one thing you or mom can do , when dad threatens mother, call 911, tell them about dad and tell them mom is in fear for her life.They have to come, tell them to take him to a behavorial hospital to be evaluated.Once there you are asked if he will be coming home.This is one avenue to try.Do not allow his transference og his guilt to you and mom prevent you from doing what is necessary.Not easy to have to make these judgement calls, but he seems to be a danger to himself and those around him.
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The ElderCare Forum
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Residential Options
How to get Dad in a nursing home