What are the social workers supposed to do in this situation? Health care POA is not enacted unless a patient is deemed incapacitated. Your father was of sound mind, and wanted to go home. Social workers cannot force someone to go to rehab (or assisted living/LTC). Do you expect that since your dad was making a bad decision for himself, the hospital should have housed him indefinitely, even after he was medically stable and did not require hospitalization (and Medicare would no longer pay - your dad would get the bill). I’m just really curious what steps you thought should have been taken. I’m not saying the situation doesn’t suck and that there shouldn’t be more supports for elderly remaining in their homes. But ultimately it IS the family’s responsibility to make things work somehow. |
This. The alternatives you envision do not magically solve the problems.. Your parents can have care 24 hours a day and still suffer a fall. People in assisted living and nursing homes fall. It’s a tough time for sure, but all you can do is make your peace with other people’s decisions on how they want to live their last few years (for many, being home is still worth it, even if they might eke out a little more time with more care) and decide what you can give and try to hold that line. |
Not the person you are responding to, but next time she is hospitalized you need to figure out your boundaries and make them clear and unapologetic with the social worker. They try to guilt and shame to make their job easier, but if you cannot take another second of this, you need to be an advocate for yourself and her and get her properly placed. I used to be infuriated when I vented on here and people told me I was making a choice. It took me years of losing my mind and insane stress on my family to realize I had chosen not to have firmer boundaries. Even if you are an only child there is only so much you can do before you are losing your job and your sanity. |
Also what they can AFFORD. I sometimes wonder if it is industry PR relentlessly pushing CCRCs on here. It is not realistic for many. |
Guilt and shame the social worker to do WHAT exactly?? It’s is the family’s responsibility to care for their loved one, not the social worker/hospital, who cannot invent resources that do not exist. Here is what a social worker CAN do: place a patient in an appropriate rehab (and occasionally LTC/nursing home), or discharge home with home therapies, oxygen, visiting nurse, etc. and information about how to access available community resources like adult daycare/Meals on wheels, private duty caregivers, etc. (since only Medicaid covers the cost of caregivers, and only after a long waitlist). Social workers CANNOT place patients who have capacity against their will or pay for private duty caregivers when a patient/family cannot afford them or decide to house a patient indefinitely in the hospital because their homes are unsafe and family is not available to step in. Sometimes there are no easy solutions. |
Just to add - family members absolutely have the right to set their own boundaries, for their own well-being. They cannot be expected to erase the consequences of the parents making terrible decisions; it’s simply not possible or sustainable. |
So live with your choice? No one is obligated to take a shitty underpaid job because you can’t walk away. |
The solution is to let them live with the consequences of their choice. Often this means a horrible painful miserable death alone - at home though! |
Multi-generational family is the only good solution I see.
But, to decide to become a multi-gen family, to allocate duties and resources in an equitable fashion, for everyone to agree and comply for communal good when still young and healthy - all of this requires a level of being functional that is rare. |
It works when elders actually help their adult children with child rearing and chores while able and then the adult children feel grateful to return the favor and care for them. Too often many of us practically raised ourselves and were expected to serve the needs of our parents in childhood. Our parents made it clear they were not helping when we had our kids and then suddenly they expect to have us drop everything for them while we still have our kids. Yes it's beautiful when everyone thinks they have a giving role before they take, but sadly there are a lot of people who are just takers. |