My neighbor who im friendly with is a caregiver to a bedridden dementia patient (paid) and her charge doesn’t take any meds but has been bedridden for about 6 years and is 84 or 86 now. No signs of going out. |
Exactly, I don’t have a horse in this race as my parent is poor as a church mouse but I can’t believe how much money is wasted on elder care. |
People don’t live as long there. Also people are more realistic about dementia care: it’s just basic feeding and cleaning that’s provided, no other bells and whistles. |
My (second hand) experience is in CA. Here it’s usually 283 hrs o care per month at the max (some ppl get more with complicated cases but my neighbor gets 283). She is bedridden. Her caregiver feeds and changes her but otherwise there is no work except some bathing and repositioning. I am not saying it’s an easy job but it’s not a $15k per month job is what I’m saying. It’s harder when dementia patients roam around but usually there’s a fall and if no surgery then they are contained after. |
The funny things is that my neighbor caregiver tells her charge “hey drink up that water, you wanna die of dehydration or what?” And she drinks up. It’s scary how people cling to life. |
That’s what she is getting from the state, 283 hrs at about $20/hr. She seems content! Sleeps at night. Changes and feeds her charge during the day. She isn’t busy 24/7 and can go to stores etc. due to her charge being bedridden so she can’t elope. |
I am the very first PP. Since the lady is bedridden there’s changing and feeding every few hrs; there’s repositioning a few times a day and bathing/change of bedsheets every week I think. The caregiver can leave for a few hrs at a time. No need for anyone to sit with the patient 24/7 since she can’t elope. |
My plan is a winter hike in the woods with a bottle of vodka. I am only half kidding. |
What “people” will be resentful? And why? The parents are using their own money, that’s they saved over many years. One of my parents had dementia, one did not. They used most of their saved up money for their care, with a relatively small amount left at the end for my sibling and me. If it had run out, we would have taken care of them. They both worked blue collar jobs all their lives. They were extremely frugal so they could save and invest. Their care in old age was the purpose of those savings- why would any “people” be resentful of their money being used for their care? Especially when their own kids did not have to pay a penny for their care? |
Of their own money? |
DP here Or what they inherited from their parents. Their parents grew up in the depression and truly knew how to scrimp and save. |
I am also only half-kidding when I tell my kids that I’m going to go for a midnight swim. |
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For the last decade I’ve been working in home care, primarily with elders and many with Alzheimer’s and related dementias. I’m an educator and attorney by education and experience but fell into this work after family caregiving and then deciding I didn’t want to get back on the legal career hamster wheel.
I’ve met some lovely families and cared for some lovely people, but the primary takeaway for me has been a firm resolve to plan my exit from this existence before I become incapacitated, and to trust in a lifelong friend to assist me if somehow I don’t get out under my own power before my marbles are too scrambled. Our plan is for her to take me out in the woods in winter and leave me there - I’ll be written off as one of the many demented victims of their own eloping. The research I’ve done indicates that the Eskimos/Inuit practiced both senilicide and invalidicide primarily in times of crisis and limited resources. This is where we get the notion of them putting elders on an ice floe and setting them adrift in the freezing cold ocean, which was only one method at their disposal some were worse. But in general from what I’ve seen of death and know about the science of hypothermia, it wouldn’t be a horrible way to go compared to some others one could suffer. Get cold, fall asleep, stop breathing sounds better to me than a half dozen years or more a shell of my former self, incontinent and incoherent most of the time. The USA needs federal legislation legalizing medical aid in dying (MAID) and providing for a patient to contract for such medical care while still of sound mind and have it provided them when they have decompensated to unsound mind. This is a moral imperative when the government is slashing funding for entitlements and healthcare and thus obliterating options for the poor, working and middle classes to cope with the care for a decompensating loved one for years upon years. |
Rotating between houses is one of those ideas that sounds good in theory. We tried this and every transition resulted increased agitation and confusion for my parent. He didn't understand where he was, wandered around at night trying to find his room, and just generally did worse and worse with each move. This may work for some families but was a disaster for mine. |
For what it’s worth, the newest research has clearly established that lifestyle interventions in the early stages of Alzheimer’s can slow and even reverse cognitive deficits. These interventions are of the type that would also in most cases get the patient off the drugs that manage their hypertension, T2 diabetes, and many chronic illnesses rooted in inflammatory conditions in the body. Sleep well Eat whole foods, minimal red and processed meats - ditch UPFs, soda, alcohol etc. Exercise regularly Manage stress with meditation etc. Blah blah blah I know - turns out that healthy living is really best for the brain as well as the rest of the body. But the brain struggles to want to live a healthy lifestyle when taking pills and injections is so much easier. |