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Medical Forum / Diseases and Disorders / Alzheimer's / April 2004

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Caregiver for Mom, wondering

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Lesanne - 27 Mar 2004 15:26 GMT
I was here quite a while back, when I first began staying at home with my
Mom, who is 90, with dementia "probably" alzheimers.  I have been with her
here at home since early 2000 I think, maybe 1999.  Anyway, she was unable
to fix herself lunch or drive her car any more when I decided to "retire"
from my job as a middle school nurse, and just take care of her.  The first
year or two were very easy, as she was still functioning pretty well, and we
were able to go on trips.  Then my DD her "partner?" and my new GD moved
here from Ca. and we made a deal.  I would sit for her daughter (fun!)while
she went to college classes (a long time dream of mine that she do that) and
she would come over and sit with Mom on weekends.  Well Guess who is sitting
for GD, and guess who else is getting worse and worse, and guess who is not
helping on weekends much.  Of course I love my GD, and she is interesting to
her great grandma, so that is good, but I am getting way burned out.  I am
an R.N., so not surprised by anything that happens, but lately I have been
trying to find out how one goes about getting some help in here, and if
medicare covers any of it.  I was Mommas long term care insurance.  Anyone
know about help?

Lesanne in South Texas
Evelyn Ruut - 27 Mar 2004 17:22 GMT
> I was here quite a while back, when I first began staying at home with my
> Mom, who is 90, with dementia "probably" alzheimers.  I have been with her
[quoted text clipped - 15 lines]
>
> Lesanne in South Texas

Dear Lesanne,

I truly sympathize with your predicament.   I have been caring for my mother
in law for the last three years, with LOTS of help from daycare and from my
husband and I STILL get burned out.   This is a very difficult job and it is
emotionally draining as well as socially restricting, and on top of all of
it, there is no delineation of when you are on YOUR time and when you are a
caregiver.

I am convinced that is how professional caregivers in nursing homes cope.
They are able to go home and be themselves again every evening, have a
social life, sleep undisturbed and know who THEY are again if it is only for
a few hours every day.

Home caregivers are on duty 24 hours a day even if their loved one is at a
daycare center they are coming home at a certain time and must be fed and
put to bed.... likewise they must be ready to go out at a certain time,
dressed, bathed and everything else.   All too often we ourselves become the
least important link in the chain of day to day life.

To top it all off, this happens at a time in our lives when we ourselves are
slowing down, wanting to reflect, take life a little easier ourselves, but
the demands of caregiving are relentless and always the one cared for MUST
be first in consideration.

You need to get tougher, and insist on some decompression time.   I realize
that going to school full time and a mother too, has got to be very
demanding on your daughter.... maybe just as demanding as being a babysitter
all week and a caregiver 24 hours a day, is.

Somehow you have to find a way to get certain regular days off.   If only to
go to the beauty parlor, shop, or take a walk in the park.    For us this
came in the form of a wonderful neighbor who has been our "granny-sitter"
and our little times away from the constricting grind have been our
lifesavers.   Of course we paid her and we paid her well.

You and your daughter have to have a sit down talk, and work this out like a
family.   (Read her this post maybe).    I think that there is nothing
better than having a loving grandma to baby sit for the grandchild while mom
goes to school, but there are other issues going on here and some sort of
accommodation has to be made to cover for great grandma's condition and the
powerful pressures it puts on you.

Can you afford as a mom and daughter to put together a couple of dollars to
pay someone to give you a break?   Have you spoken to the Alzheimers
association locally?   Are there amenities available like daycare or meals
on wheels?   Is there an "office for the aging" or other agency in your
county that could give you some support?     Is there a possibility of
getting a private person to come in a couple of hours each weekend (that
your daughter and you could chip in together for) to get you some time off ?

Seems to me that if you are taking care of the grandbaby during the week for
nothing, and you have to pay someone to get a break, that some of that
expense ought to trickle down to your daughter too, since she is benefitting
enormously from your help.

Everybody is getting a good deal in this arrangement but you.

Signature

Evelyn

(To reply to me personally, remove sox)

Trish Knight - 28 Mar 2004 13:52 GMT
> > I was here quite a while back, when I first began staying at home with my
> > Mom, who is 90, with dementia "probably" alzheimers.  I have been with her
[quoted text clipped - 80 lines]
>
> Everybody is getting a good deal in this arrangement but you.

Lesanne, Evelyn is exactly right.  I'm not even a caregiver for anyone right
now - but the demands of my job are 7 days a week, and I'm about to burn out.
I don't want that, so I am exploring every option, thinking nothing is too big
or too little to look at.  I have to have some help....period.  Stay in touch.

Trish
Lesanne - 28 Mar 2004 14:29 GMT
Thanks Trish.  I hate to change stuff, but heck, this is going it's own way
without me :)

> > > I was here quite a while back, when I first began staying at home with my
> > > Mom, who is 90, with dementia "probably" alzheimers.  I have been with her
[quoted text clipped - 87 lines]
>
> Trish
Dennis P. Harris - 29 Mar 2004 02:22 GMT
> Then my DD her "partner?" and my new GD moved
> here from Ca. and we made a deal.  I would sit for her daughter (fun!)while
> she went to college classes (a long time dream of mine that she do that) and
> she would come over and sit with Mom on weekends.  Well Guess who is sitting
> for GD, and guess who else is getting worse and worse, and guess who is not
> helping on weekends much.  

As Dear Abby always says, folks will only take advantage of you
if you let them do it.  It's time to tell daughter that she MUST
uphold her end of the deal or no babysitting.

As far as help goes, knowing that you're in Texas, where Bush
already did what he's trying to do elsewhere by getting rid of
any services for poor people, I don't know what your state allows
on Medicaid waivers.  Some states will allow a disabledd family
member on Medicaid to hire a family member for caretaking,
because it's cheaper than paying for a nursing home bed.

See http://www.dhs.state.tx.us/programs/texascares/index.html for
information on what appear to be rather meager state programs.
"Texas Cares" indeed --- sounds like more Karl Rove newspeak,
lies, and doubletalk to me.
Lesanne - 29 Mar 2004 14:27 GMT
Momma has no medicaid.  Only medicare.
And her biggest asset is a retirement check that comes in monthly from my
fathers teacher retirement, survivorship.  We are living on that.

> > Then my DD her "partner?" and my new GD moved
> > here from Ca. and we made a deal.  I would sit for her daughter (fun!)while
[quoted text clipped - 18 lines]
> "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> lies, and doubletalk to me.
Gwen Love - 29 Mar 2004 22:21 GMT
Lesanne, have you checked to see if she would be eligible for Medicaid?  My
mother was, and later my father was.
Gwen

Signature

==========================================================
Forgiveness does not change the past, but it does enlarge the future.
-  Paul Boese
==========================================================

| Momma has no medicaid.  Only medicare.
| And her biggest asset is a retirement check that comes in monthly from my
[quoted text clipped - 26 lines]
| > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
| > lies, and doubletalk to me.
Lesanne - 30 Mar 2004 00:47 GMT
Yes, she is not eligible.  Because the retirement check is quite a lovely
one.  We are very lucky there, but not so lucky as to be able to transfer
what she has, and make her eligible...

> Lesanne, have you checked to see if she would be eligible for Medicaid?  My
> mother was, and later my father was.
[quoted text clipped - 32 lines]
> | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> | > lies, and doubletalk to me.
Evelyn Ruut - 30 Mar 2004 01:58 GMT
> Yes, she is not eligible.  Because the retirement check is quite a lovely
> one.  We are very lucky there, but not so lucky as to be able to transfer
> what she has, and make her eligible...

Lesanne,

Our attorney was worth his weight in gold..... literally.   He is a judge,
and a specialist in elder law.   He has been a source of great help to us in
maneuvering around the complicated laws that cover these things, and his
advice was worth every penny.   I don't know if you have consulted an
attorney in elder law, but it would be very smart of you to do so.
Signature

Evelyn

(To reply to me personally, remove sox)

> > Lesanne, have you checked to see if she would be eligible for Medicaid?
> My
[quoted text clipped - 34 lines]
> > | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> > | > lies, and doubletalk to me.
Lesanne - 30 Mar 2004 15:18 GMT
I have not.  I wonder if there is one around here.  Do I call our regular
attorney and ask or what?

> > Yes, she is not eligible.  Because the retirement check is quite a lovely
> > one.  We are very lucky there, but not so lucky as to be able to transfer
[quoted text clipped - 48 lines]
> > > | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> > > | > lies, and doubletalk to me.
Evelyn Ruut - 30 Mar 2004 16:06 GMT
> I have not.  I wonder if there is one around here.  Do I call our regular
> attorney and ask or what?

You could, but then he might be tempted to try and advise you himself and
you might not get the best advantage out of it.

I looked in the yellow pages and found only one listed as an Elder Law
specialist.   Turns out he is a judge and does all sorts of other law work
as well, but I was very impressed with his knowledge of the law as regards
the elderly and their issues.

I would definitely ask your local alzheimers association if they can
recommend an Elder Law attorney.   Of all people, they would or should,
know.
Signature

Evelyn

(To reply to me personally, remove sox)

> > > Yes, she is not eligible.  Because the retirement check is quite a
> lovely
[quoted text clipped - 55 lines]
> > > > | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> > > > | > lies, and doubletalk to me.
Lesanne - 30 Mar 2004 19:51 GMT
Oh duh, good idea, why didn't I think of that :).  I have a number of a man
from Texas Dept of health that I was supposed to call for some advice, he
probably knows.....

> > I have not.  I wonder if there is one around here.  Do I call our regular
> > attorney and ask or what?
[quoted text clipped - 81 lines]
> > > > > | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> > > > > | > lies, and doubletalk to me.
Songbird - 30 Mar 2004 18:01 GMT
> I have not.  I wonder if there is one around here.  Do I call our regular
> attorney and ask or what?

I wouldn't. Many will tell you, "Oh, I can help you with that." Check out
the website at www.naela.org or call your state bar association (I think you
said you are in Texas -- that's www.texasbar.com or you can probably find
quickly through a Google search if elsewhere) and ask for a referral. If you
live in a small town, you may have to travel to the nearest larger place,
since this is a fairly new specialty. If you have a local Alzheimer's
support group, the coordinator may have a suggestion for you as well. Then,
if you know anyone who works as a legal secretary or paralegal, run those
names past him/her. You may get comments like "He knows his stuff, but he's
a real jerk" or "Great guy. Will take the time to listen to you and explain
ti twice if you need it." Which one would you rather hire? The bar won't
tell you that stuff.

I'm in the process of doing the same. I figure a few hundred dollars for a
couple of hours advice will be worth it in the current and future peace of
mind.

Songbird
Dennis P. Harris - 30 Mar 2004 04:43 GMT
> Momma has no medicaid.  Only medicare.
> And her biggest asset is a retirement check that comes in monthly from my
> fathers teacher retirement, survivorship.  We are living on that.

and if that income is low enough, she will qualify for medicaid.
check your state medicaid site to see if she qualifies.
KD - 30 Mar 2004 23:33 GMT
Regarding the fact that folks will only take advantage of you if you let
them do it - I have a better saying, that i use frequently.

No one can walk all over you without you lying down on the ground first!

KD

> > Then my DD her "partner?" and my new GD moved
> > here from Ca. and we made a deal.  I would sit for her daughter (fun!)while
[quoted text clipped - 18 lines]
> "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> lies, and doubletalk to me.
Gwen Love - 31 Mar 2004 02:43 GMT
KD, I hope you don't mind my "borrowing" that for my signature line.  I
love it.
Gwen

===========================================================
No one can walk all over you without you lying down on the ground first!
===========================================================

| Regarding the fact that folks will only take advantage of you if you let
| them do it - I have a better saying, that i use frequently.
[quoted text clipped - 29 lines]
| > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
| > lies, and doubletalk to me.
KD - 03 Apr 2004 01:37 GMT
Good golly, I don't mind at all! I think it's a great line, so please go on
and use it! Spread it around - because it's true. Don't lie down folks. Stay
standing tall, no matter how things seem.

KD

> KD, I hope you don't mind my "borrowing" that for my signature line.  I
> love it.
[quoted text clipped - 39 lines]
> | > "Texas Cares" indeed --- sounds like more Karl Rove newspeak,
> | > lies, and doubletalk to me.
 
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