Omg I almost posted this on one of the song threads by accident…
My mother was widowed fairly young, and lived about an hour and a half from me. She was still working, with no end in sight, and bad things were happening at her house and neighborhood that required that I drive down to evaluate or fix them, often after working overnight and having to be back the next night. Very stressful - and dangerous driving that way. We made the decision to build an in-law apt on to our house for her, and she lived out her remaining life with us, which was about 25 years. It took a lot - and roughly two years, while I was still in my 20s - to go through her house and possessions and do repairs, get it ready for sale, work with realtors, etc., but once it was done and she came up to live with us, life got easier (despite it taking an additional six months to build the structure, so she was living in the room next to ours while we were trying to start our family
). My DH is a saint (he‘d actually grown up with his grandmother living in his house, and was the one to suggest this plan in the first place) and we took the good along with the bad (mostly good, but it does inevitably affect home life). Again, though, it was a lot easier having her with than it was having her an hour and a half away. And she was still relatively young and healthy, but needy. (Before he died, my father had asked me to promise I’d take care of my mother if anything happened to him, which it did, and I kept my promise.)
She willingly stopped driving at 88, just as I was devising a plan to get her to stop anyway. Just handed me her keys one day. I’d told her I was worried she was going to mow down a family at the supermarket some day seeing as her car was regularly coming home with new dents and scratches (which she denied were her fault) after grocery shopping (really the only place she went, but she went often). Thankfully she had a good heart and didn’t want to hurt anybody. So that was good but added a new burden on me - taking her shopping or shopping for her, which really wasn’t too bad. I saved some of her lists that she made - you could see in her handwriting that neurological changes were taking place even though she did not have dementia and could still cook meals and clean, shower herself, do laundry, etc. She arranged rides to doctor’s appts through our senior center so she didn’t have to bother us. That was great until she slipped on ice getting out of a volunteer’s car one day and thereafter she preferred that one of us take her (thankfully the kids were old enough to drive and DD had a lot of fun outings with her where she’d take DD out to lunch afterward or, in a wheelchair, go to the mall and tell DD to go pick something out at Victoria‘s Secret, etc.).
All of it was very manageable until she hit early 90s and a lot of little things kept happening, though she was still fully independent and cooking, cleaning, etc. She had a bad fall one day at home and wound up getting a pacemaker at 93. Some abnormal bleeding necessitated a lot of testing and she was diagnosed with cancer but surgery took care of it. (All her choice.) Still doing well, then one day she fractured her hip just sitting down on the toilet. DD heard it crack. (Bones aren’t meant to live 90+ yrs!) Orthopedist told her if she didn’t have it repaired, she’d never walk again. Her reply: “Well I want to walk again!’. (They actually asked her, too, if she wanted to make it easy on me and go to a local hospital for surgery. Her reply: “That butcher shop? No, I want to go where she works, I like it there!”
) So off we went in an ambulance to the ER, and she had surgery the next day. Hip-wise, she did amazingly well. Doctors on follow up were amazed how well she was walking. Unfortunately she developed delerium from the anesthesia and pain medications, despite their using “elderly protocols”, and that continued well into rehab. All told, two months for hip fracture. Unfortunately during that time, we became concerned about some new lesions that had popped up in odd places. We’d had them checked out, but were told they were cysts. Well, they weren’t. So while still recovering from the hip repair, she was diagnosed with metastatic cancer after the lesions were finally biopsied. Ugh.
So the last 13 months were pretty excruciating. I managed all her care, with her input. She still had the capabilities of making decisions, and even our PCP remarked how good her mentation continued to be. She was really devastated when she found out her cancer had spread. Emotionally, it was hard for all of us. She wasn’t ready to go. She elected to do some palliative radiation in two areas. That involved a LOT of appointments to both Boston and more local centers. As well as a decline at home that required more and more help with physical care. (Thankfully we had the foresight to build the in-law to handicapped specifications.) I had to apply for an intermittent FMLA. Fortunately both my DD and I are nurses (DD was in nursing school at the time, her work with Mom helping her learn innumerable skills), and we also had DH and DS who helped. The decision to start hospice was tough. Not just for her, but for me. (I elected to do home hospice because that seemed easier for me, rather than traveling to a facility every day and potentially having to negotiate with people about her care. Rehab had been absolutely awful and she came home with two massive nosocomial infections, too.)
All that last summer we’d managed as a family team. At this point she required complete care. Come September, DS and DD had to go back to school (college), DH worked, and I found myself alone at home trying to get Mom washed up, dressed, moved to her chair in the living room, cooking meals, giving meds, doing treatments, watching to make sure she didn’t try to get up by herself, etc. It was a lot. And I was still working, too. One day she didn’t feel well, but I really wanted her to get up out of bed and into her chair (so to avoid the hazards of immobility). In helping her walk, she started to fall. Her head was headed for a glass top, so I pushed her out of the way, and she instead hit the wall, then went down.
As she lay on the floor bleeding and moaning, I felt terrible, and had to decide whether to call the fire dept to help me get her up, or call DH. I called DH who left work, and DD happened to come home early, so we were able to roll her onto a sheet and pick her up and get her into her chair. That was the day I had to admit she needed a hospital bed. She’d slept in her beautiful bed since she was 22 yrs old so that was really hard for me. We got the hospital bed, and every week I think we added something else, including a lift so we could get her up onto the commode, a geri chair so we could roll her into other rooms, including for watching trick or treaters one night, as we always did together, and all kinds of other equipment. Another time I’d left for work when the family called me back, she was choking. We had to call 911 for suction equipment, and I was able to suction her throat, thereafter getting our own suction machine, etc. As an acute care nurse the hospice docs and I didn’t always see eye to eye, they tend to give morphine for everything, but I knew how to fix things without that, so we used it sparingly. She passed shortly before Covid hit. Which worked out timing wise, because I don’t know how DD and I would’ve done it coming home from taking care of pts in the Covid ICU and trying to take care of Mom, too, given the riskiness of transmission at that time. (We literally stripped coming in the door, threw our clothes in the wash and hopped in the shower right away - in Mom’s house.) So she made it a little easier on us that way.
I have no regrets at all. As she was dying she was seeing “beautiful” and “fantastic” things in front of her, and talking to someone I couldn’t see around my waist level, so she was at peace. I was glad we’d gotten to do that for her. She’d helped with our kids when they were little, and we did for her what we could, too, so we helped eachother out.
I just want to say, reading back what I wrote, it seems rather serene, doesn’t it? Well it wasn’t a lot of the time!!
She could also be ornery and difficult at times, yelling at us or holding on to the wall when we were trying to get her into the shower stall, or giving her enemas. She had fresh names for all of us when she was mad. She told me to go f myself more than once, lol. She fell out of her chair numerous times trying to get up by herself when asked not to. DD probably had it the worst one day she had to watch that she didn’t fall and was studying in the next room for a test. We’d gotten a table to put in front of her so she couldn’t get up by herself and she literally screamed all day. Poor DD was frazzled. She called DH some choice names, too, if he tried to lighten the mood and she didn’t find it funny. DS was her golden child so insults to him were pretty rare, but he probably had to do the least for her, too. It warmed my heart to wake up from an afternoon nap myself and find DH had already fed her dinner and given her her meds for me sometimes. I was pretty beat then, and for a long time afterward, and couldn’t really take a lot of time to really grieve given that I was thrown right into caring for intubated, gravely ill Covid patients and life became an absolute living nightmare for a while. I miss Mom, but I miss the healthy Mom. I don’t miss having a hospital room off my living room or having to care for people 24/7/365. It’s crazy but I still haven’t completely cleaned out her house yet. It will come in time.
I don’t know if that story is helpful or what, but I just want to commiserate that, no matter how we help care for aging parents, it can be really difficult. I believe it is a job worth doing, though. My best advice is to just do the best you can, and understand that feelings that we all have in these situations are normal feelings. Try not to feel guilty about it. We’re all human. It helped me to remember all the things that others had done for me, and it’s my way of paying it forward. I do believe in love and kindness, and that they are important in life. Maybe especially when it’s really difficult. Try to have patience, the way they had it with us when we were little. Know that in their own way, they appreciate your efforts. A few days before my mother passed, when she was pretty out of it, she had a moment of clarity where she looked me right in the eye and said, “Thank You”. I knew what she meant.
I had a really nice dream of her recently where I laid my head on her chest and told her I missed her. She said she missed me, too. It was peaceful, and none of the hard stuff was present. Just peace. Good luck to all who find themselves in this situation.