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There is something called neuroplasticity and I think it is important to exercise our brains all the time. Keep the synapses firing and connecting even in old age. I had a talk with my mom about this just the other day. My dad suffered from vascular dementia, and mom is very overweight and not very active at all. She doesn't read of write much at all. I told her she needs to keep active, go to the book club, etc.. She replied that surely it is enough for her and her brain doesn't need anything and can rest. What I saw was in my head a 100kg woman that will have dementia and all that it involves, loss of movement, bowel, etc... I hope I am wrong. I am in grad school and almost 50, trying my best to keep my brain working. And to heat healthily, but who knows, luck of the draw sometimes, right?
https://www.youtube.com/watch?v=ELpfYCZa87g |
Someone who needs this level of care should be in a nursing home. Yes, you have responsibilities, but you are choosing a pretty high threshold of martyrdom for yourself. |
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I think as a society we need to do a better job acknowledging the realities of old age and educating people about them...similar to increasing emphasis on teaching parents about early childhood development.
DH and I are just starting on the end-of-life caregiving duties. FIL is clearly showing early signs of dementia, and, he being ornery to begin with, no one in DH's family seems to know what to do. I'm no expert, but MIL's reaction (to constantly grill him about every odd thing he says or thing he forgets in the hopes of getting him to acknowledge his dementia) seems particularly unhelpful. But, while this is the beginning of a long, and likely difficult, journey for us...I told DH that it's not like we are the first people to experience this. There is a lot of information about dementia and strategies for dealing with its onset. Just like classes on breastfeeding didn't make me any less sleep-deprived, this information isn't going to erase the challenges...but knowing what's expected and getting a jumpstart on developing strategies for dealing *is* helpful for reducing our own stress and anxiety levels. |
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I think my parents' generation are crazy in their determination to "age in place." At the first sign of cognitive decline, I want to be moved to a caring community of other olds and a bunch of caregivers with reasonable hours and wages and each other to lean on. I know a lot of homes are very bad - but that's partly because all the rich people are at home alone with their aide and their suffering children.
Give me a nice sunny day room with some activities and periodic entertainment and visits from therapy dogs. I don't want to be alone in my house with my child or a health aide who is suffering alone. |
If you are to the point where you can not change your own adult diaper then you need to be in assisted living. Period. End of story. No, I would never in a million years expect my adult children to care for me like that. |
+1,000,000 |
THIS. I predict the whole "age in place" movement is going to kill off a bunch of adult children who live near Mr and Mrs age in place. Even with supports and making changes in the home, I still think these people are better off in a facility where there are social activities and people trained to deal with them. Instead too often they become verbally abusive with the closest adult child, the demands are endless and any attempts to set boundaries are met with temper tantrums. I will never do this to my children. |
Again. And I will be completely clear. You cannot "place" people in a home. You have zero control. If they do not have dementia, no one can make them do anything. They have to qualify for assisted living. They have to have money to be in assisted care or skilled care. Skilked care is 13 k to 15 k a month. Assisted care is about half that. Refusing to accept a lot of accidents as incontinence is not lacking the ability to change a diaper. Refusing medical care is not dementia. Not cleaning the house or themselves carefully is not either. Falling due to whatever reason doesn't mean they are incapable of being without a nurse. It seems people are reading what they want to read. No one is a martyr...it is called a crisis for a reason. Old age isn't binary nor is it linear. There isn't full care in a nursing home vs. help in general. Elder failing is a slow, insipid process with answers that are not readily available for those who just find it difficult. |
The problem is that your parent is clearly failing (both mentally and physically) and you feel 100% responsible for enabling them to stay in a bad living situation. They aren't rationally choosing to piss and sh*t their own bed and furniture, not clean their home, keep their kitchen filthy, "forget" to take their medicine, etc. They need more help. They need assisted living. No, you can't force them to go into a facility if they are still capable of making decisions for themselves. What you can do is refuse to swoop over there every time your parent has an explosive bowel movement all over their couch. It is not your "job" to clean that up. Your parent doesn't "get" that it isn't your job because you are not making it clear that it isn't your job. Your parent wants to stay in their home because it is familiar, comfortable and safe territory to them. Totally understandable. Unfortunately, they are no longer capable of living independently. |
Nope. And you really didn't read the text involved in this thread: coordination of nurses and staff, rehab facility liasion, nursing home liasion for one parent, bringing the other parent to see the parent in facility, You see, one is in a facility and there ARE nurses...and it's still hard. Please read carefully. A word of advice: When it is on your shoulders you aren't going to be able to manage. Get it together, PP, because it's a ton more than you ever thought. Stop arguing and make plans for your family because it won't fit in your imagined box. |
DP here. To the PP above, have you dealt with this personally? Or, are you thinking that this is would "should" happen? |
My grandmother lived with us as she aged, as in our culture placing someone in a retirement community/assisted living/nursing facility/anywhere other than the home of your child is considered terribly cruel and abandonment. We (my parents mostly) helped her, took care of her, cooked for her, drove her to dr appointments etc. But frankly she was miserable. We were all gone all day - work, school - and she was either alone or with a home health care provider she didn't care for (she didn't ever like any of them!) When everyone was home, we (the kids) irritated her - too noisy playing, TV on, our friends coming in and out - basically she wanted a home that was quiet the majority of the time and we got on her nerves. She and my mom argued constantly because she could no longer do things around the house herself and my mom's housekeeping could never live up to her standards. I think she may have been a bit happier having her own space, surrounded by people her own age and seeing us once or twice per week. |
Yes I wouldn't want to burden a child. I want to be around other old people going through the same thing with care givers paid to be there, educated in how to do the actual care. I want to be one of those old people shuffling through the shops on their weekly bus trip with all the other old people in the retirement home. At least they will understand when I need to go slow and seem silly. |
| Atul Gawande, Being Mortal, is a good book on this topic |
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After reading this thread, I realize I had no idea of what awaits me with aging parents.
So far, we have not had to deal with anything because DH and I are both 49 and our parents are in their late 70's and have had no health problems. They are very active, like to take international trips, work out at the gym, go on hikes and do gardening. They all do lots of volunteer work too. My parents and in-laws have adequate financial resources, and are also very proud people. I don't anticipate them even wanting any help from us, but then again, after reading this thread, it sound like people change when they get older and demand things of their kids. I like the idea about writing down our wishes now, and then testing our cognitive abilities as we age. I refuse to be a burden on my children. I'd rather have assisted suicide than be dependent on anyone. I just need to make sure I know when it's my time to go -- that the key. After reading this thread, it's clear that it seems pretty traumatic to have elderly parents who need lots of care. I genuinely haven't had to deal with any of that yet. We love our parents and want to do whatever they need once they get into their 80's, but I so far cannot imagine them asking us for any help. |