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Check into palliative/hospice care. I understand the wanting to keep him home with you. Palliative can assist you to a point and they can asses your dad at the house. They will recommend items and then you can go from there.
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So sorry this is happening to you, it is truly heartbreaking to watch someone you love fall apart like this. I’m experiencing the same thing with my dad. I’m at my parents helping out for a month and his level of decline is shocking. Depressing and heartbreaking.

I think it is time to look into a nursing facility.
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ROBERT123123 Jan 2023
Wrong !!!!!!! You are going to lose him faster.
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I'm in the same boat...
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Shelley727: Perhaps your father requires residence in a managed care facility. His inability to recognize 'home' may give you that opportunity if you will. With a brain hemorrhage and two T.I.A.s/small strokes as well as lung cancer, he requires a team of individuals caring for him.
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The moment you decide to put him in a nursing home that is when you will lose him the fastest. I lost my grandmother like that. You cannot trust anyone out there. Do not be fooled by the " smiles on the staff ". They are there for the paychecks they get, not for your father. Get help at home and keep him at home. No senior likes to live the end of his life in a nursing home. They do not like it. Do not try to convince him. ok? Get help from a life insurance policy under long term. That is where they give you someone to help you 24/7. Keep him hydrated at home with his family and stay with him. Make sure he sleeps. Read my posts.
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tothebeach23 Feb 2023
Just because you had a bad experience, it does not mean everyone will. My aunt was in a nursing home/rehab facility for years, and got very good care. She told me herself she liked it there. Please be careful about counseling people to wear themselves out for someone they can no longer care for. Sometimes the needs become too much.
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My Dad is getting to the same point your Dad is and I'm struggling too. I live away from my family with my father and it is so hard. I also feel guilty about wanting my life back. Everyone keeps telling me that it is okay to still do things for myself but I have a very hard time.
My only advice is to not beat yourself up. If it is too hard to bear it is okay to get the help. That is what people keep telling me. I'm sorry you are struggling. It is so very hard to watch our fathers not be the dads they once were. It is crushing me, so I know your pain. Think about what your dad would want for you.
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You are not being selfish! You and your other loved ones have provided as much loving care as is humanly possible. Perhaps arrange a family care conference with his medical team and if pissible, involve your local Aging Dept. See if your State has a Brain Injury Waiver program which may have funds for in home help so you can get some much needed respite. And if he does need to be placed, you will have the energy to stay in his life as his loving daughter and not totally depleted caregiver. Dad loved you enough to do whatever he could to keep you safe and protected when you were vulnerable growing up...you are now at a place where you are doing that that for him when he needs you to reach out for help. Sending prayers to you all.
Ps I agree about Robert.. he seems to enjoy preying upon peoples fears and struggles with his own twisted agenda and a captive audience.
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The fact that you are asking indicates that it is time.

I would research facilities first and then decide whether or not you want to place him. Since your mother is still married to him, whatever happens will affect her financially as well as emotionally.

When you research facilities, also ask whether they provide in-home care. In my state, many do, which can help provide a transition from in-home care to managed care at a later time. Because you are familiar with the company, if you decide to place him, the transition for you and your Mom will be easier.

You are not being selfish. You owe it to yourself to have a say in your future. There is not much press about how the family is affected by strokes. Having the stroke is the easy part; life after the stroke is very, very hard for everyone involved.

Also, I would see if you can get a 2nd opinion on his prognosis. It is possible that the stroke has done enough damage to cause dementia like behavior. Also, he could have had more strokes since the original ones, and you just didn't know.

Start planning for the future by knowing your options.
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Robert,

I am truly sorry for the tragedy that you have experienced in your life. Everyone has their own stories to share.

We can learn from each other. Try to hear what others are saying. Everyone has a right to feel as they do. No one is brainwashed. These are our experiences. Please respect them.

Please don’t be bitter. It will only chase others away and you will gain nothing but misery feeling alone in your sorrow.

Go ahead and express your pain if you like. We all need a shoulder to lean on sometimes, but could you please try to be more tolerant of others opinions.

I wish you well in your journey.
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Home to him could be a place he lived many years ago that he remembers. My Step Father went through this. Long term memory is better than short term memory with Dementia. It sounds like his short term memory is gone. If he can afford it, I would get him placed right away. If he doesn’t bring in much money, you could apply for Medicaid. This all takes about 90 days (or more) once the paper work is submitted. Some people pass before the application process is completed. Hospice would be a good resource now, along with a part time Aid trained with dementia patients. I know how hard this is. You could get burnt out quickly. When he sleeps, take some breaks.
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Food for thought-

Years ago, my mother's elderly sister (90) was sick and in the nursing home. She had been through pneumonia and was very unwell. My mother was visiting her and her sister's mind was still good. She told my mom, "I want to go home. I'm ready to go home."

My mother said "You need to eat and try to get stronger and hopefully we will get you back home." Her sister said "NO! I'm ready to go home to my heavenly father."

She died 2 days later.

There is a book called "Final Gifts." It is very eye-opening about things people say when they are in their final days.

If it were my father, with all you described, I'd have him evaluated for hospice care. And if he qualified for it, I'd put him on that path.

Too often, we keep dragging our loved ones to doctors and rehabs, over and over, because WE are not ready to be sad. I get it. Losing a parent hurts. I just lost my father-in-law.

They get so tired. I've heard many a nurse tell of having an elderly patient who just wants to STOP it all, but keeps having tests and medical procedures because their family wants them to.
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NeedHelpWithMom Jan 2023
Xena,

I absolutely love what you wrote! My mother wanted to join my father in the afterlife. She was so very tired of suffering in this world.

Your post is spot on!
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It sounds like he need(ed) to be placed long before now.
It is up to you / your spouse / family to decide and this is emotionally and psychologically difficult.

However, you have already drained yourself / your family.
It is a matter of how much more you choose to be exhausted, drained, overwhelmed. Only you can make this decision.

Yes, he will feel / be fearful. Do not let this deter you from doing what you know you need to do. This isn't a 'guilt' thing / it is doing what is in his best interest, which is also in your best interest for him.

Yes. You feel sad. This is a very sad situation. Still, you need to feel through it all and do what you need to do - for all concerned.

I send you a hug. I know this is very difficult. Gena
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is he on an anti-anxiety pill such as trazadone. My husband was the same and I take care of him with dementia for 3 years and could not do it without it and an anti depressant, lexapro. People with dementia or Alzheimer’s are usually depressed as well as anxious. It made a big difference and he is much calmer and that is the goal which is what they will do when in a nursing home to keep him calm. These are diseases with no cure and we are just keeping him comfortable, safe and give him the best quality of life as possible within our means at home. I would suggest to have a geriatrics doctor specialized in dementia and Alzheimer’s that that help guide you to do this. I have one for my husband and it makes a big difference. Best of luck.
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First of all do some things to help yourselves. Use mom/dad's money to pay for in home help - cleaning, cooking, laundry, etc - anything to lighten the load for all of you. Then, if you don't already have it, ask the dr to order in-home physical and occupational therapy to get others involved in some kind of continued rehabbing for him.

If he no longer recognizes any of you, a move to a NH type facility may not be a big change for him. However, there may be just enough spark left that he still is aware of his current surroundings and moving him could create a faster decline. Then there is your mom and how she might feel about moving him.

It is heartbreaking to hear someone say they want to go home when they're at home, so deflect.....ok we can go home when you get a little stronger. Getting you (the caregivers) some help may recharge everyone's batteries.
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Trust your feelings. It is fine for him to go where trained staff knows how to care for his medical issues.
it will be hard emotionally if you do or don’t. But you can’t hurt yourselves emotionally trying to do what is beyond your ability. You tried. You cared
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If he doesn't recognize his home or you (his daughter) any more, it may not make much difference where he is. Does he recognize your mother (his wife)? Caregiving can become too much for the caregivers, and I can imagine that your mother may also be exhausted with the task and the emotional toll. Please don't feel guity about placing him in memory care/assisted living/nursing home. He will have skilled staff caring for him, and you can visit often and help your mother oversee his care. They will know what equipment is available to keep him safe. He will have 24/7 caregivers and probably a registered nurse on staff. When people with dementia talk about "going home" think about it as being symbolic of going back to the time when they were independent and able to care for themselves. Of course this can never happen. That is the sadness of it all. With dementia residents, I think Memory Care facilities are usually the best, until they get to the point where they can do nothing for themselves and can't get out of bed at all. Try to find a facility close to you so that you can visit often. All the best to you and your family.
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When my sister and I got to the place where we both had almost no life of our own, and we would have rather died than go on, we made the move. Mom has been in a private care home for 3 1/2 months now. The transition ended up being a lot easier than we thought it would be. If they don't recognize that they have been there for a long time, it doesn't matter where they are. To our surprise, she doesn't ask to go home like she did in the NH or at her own home. Might as well get your life back when it really doesn't matter to their well-being anyway. Mom does not care where she is. She is so far gone in her dementia that she does not care about anything except eating and staring at the TV. My visits to her mean nothing, and contrary to what Robert1231234 says, you CAN get good care in a facility.
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So sorry about your situation. Most people would not want to be a burden . Your Dad would most likely want you to live your life . It’s time to place him in a care facility or at least get outside help to come into the home, even part time is a step in the right direction . He’s not going to get better no matter what . But taking care of him is taking a huge toll on you and your family .
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My experience: I have a full time job and I knew I could not handle taking care of my daddy. So I found a nursing home close by and was able to visit him daily. This freed me to work, rest and do the things I needed to do for myself to keep me sane. Just know that caregiving is a full time job and if you are already working one and then add caregiving - that is two full time jobs and that is very hard to do! If you cannot find a nursing home near you try a group home. I had to transfer my daddy to one and it was more personal and the staff treated me like family and I treated them as family it was a great situation for me. Hugs to you and yours
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