Anonymous wrote:Your mother is 85 years old and doesn't have any family living near her. No one even lives in her state. OP, I think you are being short sighted. Most likely, soon, your mother is going to need more help than can be accomplished on the phone. She will need someone with her physically. Are you going to move to FL? Move her into your home? Physically she may not be able to travel if she is very ill. It may make you feel better now and feel more manageable if your brothers help, but it's not going to be enough when she needs physical help a few days a week and then all the time.
+ 1
My mother is 92, and her needs have increased dramatically since her mid-80's. The same goes for nearly all of her remaining friends in her age group. All of them have made choices to live near family before a crisis struck so that help would be near at hand as their needs grew. In my church community, there are several elderly folks in their mid-80s who have had no family living in state, and it has become a huge and unsustainable burden on their adult children to take major chunks of time off of work or to leave their families for long stretches when medical emergencies arose (both acute and chronic). In those cases, the elderly parents were very resistant to moving to assisted living or moving to a different state to be near family, until advancing medical needs truly left no choice, and then it was a hardship for the adult children to be trying to pack up and dispense with a household of memorabilia while also caring for the elderly parent in need.
Even just thinking in terms of driving a car: some people can still drive responsibly into their early 90s, but many or most cannot. What will your mom do when she can no longer safely drive herself to get food, etc.?
Also in terms of food preparation, food choices, chewing, swallowing: my mom has completely declined in all of these regards, and she is not a reliable reporter of what she has eaten if you ask her. The days run together and she thinks she has had meals when she hasn't. This was not a problem in her mid-80s. It is a huge fact of life now in her early 90s.
Personal care is another issue that has grown larger in the past year or so. She has a harder time wiping herself. She has a harder time getting to the bathroom in time. She cannot bathe herself any longer. She would wear the same outfit for a week at a time if I were not there to help her choose different clothes. She truly doesn't realize that she has put on the same blouse five days in a row or that she is reusing the same socks.
Even just things like pressing the wrong buttons on the remote control and being unable to get a picture on her TV: it takes me a moment to fix it for her but I cannot talk her through it on the phone. She is even starting to have a harder time dialing phone numbers. She wears a wrist band with a call button but doesn't think to or choose to use it when she falls and cannot get up and will instead just lie on the floor for the rest of the night.
My mother called me at 5 a.m. a few weeks ago to say that her heart didn't feel quite right. I came right over and sure enough, she was having a medical emergency and we got her right to the hospital. But my grandmother used to complain of "pains on her chest" for decades with no detectable issue. Being a phone call away from an elderly parent is not sufficient when they get into this age range. It makes a huge difference to have a family member close at hand. (My mother and I live a mile apart but she is staying with me for several weeks while recovering from her heart issue, and then we will have to re-evaluate if she is able to return to semi-independent living nearby or if she will continue to stay with me.)
For the past several years, a few times a year, my siblings and I take stock through detailed emails of what our mother's current needs are and if they can continue to be met with her living at home with increasing support (some from family and some from outside caregivers) or if we need to consider a live-in support structure. A lot can be covered by email when you've already established the premise that everyone is on Team Mama and everyone has a stake in her well-being and will help out to the extent that they are able. But in your case, just to put a big email out there to launch the conversation is not going to be the best strategy for getting the family pulling together as an invested team. As others have said, start the conversation by phone or at the next family gathering and then you can continue with periodic taking-stock emails after that.
But while taking stock of current needs, it makes much more sense to be proactive and realize that the years of independent living are quickly drawing to a close. Involve your mother in this family conversation as well (either all together or in a series of separate conversations with her). Make clear to her that none of you can guarantee that you can be with her at her home base for extended periods of time if/when her needs change. Put a plan in place that will make sense for the long term, and implement as much of it as you can now, before emergencies arise.