Parents Caring for Parents Support Thread (Part 2)

Random updates:

As of yesterday, my father has been moved off of hospice and on to home care. This will allow him to receive in-home PT and OT. The short-term goal is to get him strong enough to stand with assistance (right now, he has no quad strength at all and has to be lifted and held up, an impossible task for my mother, obviously). A longer goal would be to get him into a sub-acute rehab facility so he could walk again. I’m not sure we’ll get there, but it is worth trying.

As expected, his attitude about living, and mental clarity in general, has fluctuated, but I would say overall the trend is heading in the right direction. My mother told me that Saturday was the best day she’s had with him in ages. He was clear-headed and kind in a way that he hasn’t been in at least a year. Yesterday he was very depressed and negative and waffling a bit about whether it was worth it to try to get better, but he is not refusing to eat (though, his sense of taste is messed up and everything tastes very unpalatable, so he’s not eating much at any given meal. He’s trying, though).

We are replacing the 24/7 aide. He has been a great help, and is very competent, but his English is almost non-existent, and at this point, I think my father needs some mental stimulation as much as he needs the physical care. He has always been an extrovert and gets some energy from being around people. He is still unable to read and not much of a tv watcher - he really needs someone to talk to. While my mother is there, it is not enough. After 61 years, there’s not always a lot to talk about. So, she found someone that a friend of a friend used. He is a 62 year old man, very kind and chatty and seems game to talk about anything from history, politics, current events, books….basically all of the things my father enjoys talking about. So, I think the change will be a good one. As a bonus, he is also significantly less expensive than using the aide through an agency.

I had my daughter come and give him a haircut yesterday to help him look a little like his old self. I’m going to talk to my mom about making some changes that signal an attempt at getting better, rather than dying. I want her to get a portable commode. Right now, he’s in a diaper. I think it would do a lot for his dignity and overall outlook about getting better to feel like he’s has some agency over this. I also want her to rent a ramp for the steps to the house. While he can be wheeled out on to the back deck, he can’t be transported out of the house. No wonder he’s feeling like his life is very diminished right now. If he could stand, he could be moved from wheelchair to the car - I think even just a car ride to see the outside world again would do wonders for him.

On a final note, yesterday the visiting nurse pointed out the mottling on my father’s knees as a sign that his body may be starting to shut down (though his oxygen levels and blood pressure both have been great). So, all of this may be for naught, but it still feels better to be trying to improve the situation.

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This post is such an example of how you are flexing as needed and also doing all that you can to make him comfortable, with good care and with a concern for quality of life. You are being the best advocate you can for and with him.

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My MIL gave up on life, then she broke her pelvis last July. It took about two weeks, but the lightbulb turned on for her … she would be bedridden if she didn’t get stronger, and only she could do the hard work necessary to get stronger. She didn’t want to be bedridden, so she started working on gaining strength. She can stand for a short time in order to transfer from her wheelchair to the toilet or recliner or bed. She can walk around using her rollator for a period of time - it’s difficult for her, but she will do it. PT has been a godsend, and it’s been coordinated through hospice (not all hospices will do this, but we found one that does). She can even get into the car, which was impossible before. She won’t be dancing around her room, but being somewhat able to assist in transferring has been a huge thing for her.

As for the mottling, yes, it can signify that end of life is near. But it can also signify that blood is pooling. My MIL receives OT for pooling in her legs, and she wears compression socks. We can’t believe how much better the mottling (and swelling) in her legs is. Just food for thought, in case your dad might have the same issue.

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An essay that spoke to me about the end.

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I spoke to a friend yesterday. Their plan, no children, was to retire and move to another state once his wife’s parents died. They live in a huge house with high property tax and would move to a lower COL location. His father in law, who lives in a nearby nursing home (VA I think), will turn 101 this week. So now as he passes retirement age, he continues to work to pay for his house.

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We kind of feel that our life is on hold while MIL is alive, but I really feel for the local sibling. MIL is in AL, but it still requires family work. She announced on her recent 99th birthday that she thought she was 100, so now she needs to live another year. I thought my SIL was going to faint. We all love her, but it’s difficult.

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MUCH more likely from lack of exercise.

Boy do I wish my dad would’ve had someone like that to talk to. We were lucky to have neighbors that would regularly visit and chat.

And a car ride would cheer my dad up to no end. Just driving around the neighborhood to see how everything looked was very therapeutic!

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This is good news indeed. i’m so glad you and your mom have had at least one good day with him, no matter what comes next.

if food tastes bad, try thinking about texture instead? sometimes that helps

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That can come from medications he’s taking. Might want to check it out.

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And taste buds change as we age, which is why the elderly develop a strong preference for sweets.

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He has refused all medication for weeks :face_with_peeking_eye: so I don’t think it is that. I think it is likely just related to the brain trauma of the surgery. My D24 had parosmia after having Covid some years ago. Everything tasted like rotting meat to her for nearly a year. The brain did eventually fix itself in her case. I am hopeful his will, too.

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I also want her to rent a ramp for the steps to the house. While he can be wheeled out on to the back deck, he can’t be transported out of the house.

We bought this ramp on Amazon when my mother was living with us. It was heavy but portable and storable. We could move it from the front door to the back door so she could sit outside on the lanai on nice days.

https://www.amazon.com/dp/B00ULAZPW2?th=1

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@patsmom, that’s a pretty reasonable price for a ramp—might be worthwhile having one in both front & back so it doesn’t have to be moved. Even just getting a handyman to build one might be worth inquiring about. My mom wasn’t in a wheelchair when she was going from one of our homes to another, so none of us had to get a ramp, just give her a lot of support over a step up or down. Realtors and neighbors are good sources for handyman referrals. Your office on aging of your department of health may also have info about handyman referrals who can make places more accessible.

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“More Americans Want to Age at Home. How One Couple Plans to Make It Work.
Contractors, remodelers and consultants are increasingly helping older Americans age in place”

WSJ piece posted on socials today; I can’t read it bc we no longer subscribe but I could read the comments!! Hooo did lots of family caregivers have words about the limits of remodeling as an age-in-place strategy. Also, the headline couple are already in their 80’s and only now making changes. Smh.

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Loving the comments to the article. As this thread proves, there are lots of real life examples of how things can evolve over time.

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I can read the article as I have Apple News plus but I can’t link to it

My favorite quote of the couple aging in place
“The main suite will be at the back of the house with picture windows looking out onto the woodlands. They added a sloping roof with a southern exposure where they will install solar panels for future buyers who want to charge electric cars.

To cover costs, they took out a $300,000 home equity line of credit.”

Excerpt From

“More Americans Want to Age at Home. How One Couple Plans to Make It Work.”

SMH :woman_facepalming:

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Yeah, that sounds like the average American retired homeowner….lol. :laughing:

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I have not read the article. OMG. For future buyers? Are they sure that their house is not going to be bulldozed by the future buyers? Good lord.

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Wow—$300,000 is a lot of money. I don’t know many seniors looking to spend that much on their home remodeling. H has finally realized that whomever ends up with our home will likely tear it down and build what they want. Heck the house is 70 years old and single-wall construction.

More of favorite nuggets from this article
“The couple looked into senior living, but it was too expensive. The average annual cost per person for assisted living in the Rochester area is $84,000, according to a 2025 Genworth Cost of Care Survey.

They considered building a single-story house on a nearby wooded lot, but it had wetlands. They approached their children and grandchildren, seeing if any wanted to move in with them, help maintain the house and inherit it when they died. None did.”

So they can’t afford to move to senior living but they are taking out a $300,000 home equity loan?

I do understand wanting to age in place but if you have to take out a substantial loan to do so, I’m not sure that makes a lot of sense!

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