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Independent Living, Assisted Living: Is the Time Ever Right?

By jobythebay, published Apr 03, 2008
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Growing old stinks

"Shoot me before putting me in a nursing home." Many seniors tell their family members that they do not want to live in an assisted-living environment. Yet, those same seniors have prepared a durable power of attorney and an advance-care health directive giving their child(ren) the right and responsibility to make decisions for them. When should the attorney-in-fact decide to move a parent into a housing arrangement that provides some assistance with activities of daily living (i.e., assisted living)? What if the parent refuses? How does one evaluate how well the parent manages the activities of daily living (ADL), which include bathing, dressing, moving and feeding oneself? What is the role of the physician?

I have written the above. My mom is in This is my story. After several years of suggesting independent living and my mom cringing she has finally given in. I do not want to coerce her but the truth is that I think she will have a good time! She tends not to like people. I think as she gets older (78) isolation is very bad. Given her recent fall and her continued time in Whitehall of Boca Raton it is time - I think. I say I think because does a child ever really know when the time is unless the parent has Alzheimer's or cannot manage ADL? In those cases with a power of attorney then, yes, the children will be able to make the decisions. My mom;however, is lucid. I have to talk with her to discuss her options.

How did I decide?

Several factors went into the decision and as stated above although I have power of attorney unless my mom were not able to speak for herself she has the ultimate right to make her own decisions. So I is really we. We have many people including doctors, social workers and occupational and physical therapists telling my mom that moving north where I am most of the time and closer to her granddaughter and her husband is a wonderful choice. We've asked objective bystanders such as her roommate (Who wishes she had the money for independent living.) and her Certified Nurses Aides. There isn't one person who has said it was a bad idea.

Comments
Comments 1 - 10 of 10
 
 
Great information! I think this is one of the hardest things someone has to make for a family member or for oneself!

Posted on 04/11/2008 at 7:04:09 AM

 
This is a very good article -- gave me some points to ponder if that time comes for my Mom.

Posted on 04/09/2008 at 6:04:07 PM

 
Thanks, Barb. I figure if she really hates it she could move into a condo near me also and we'd have to hire a companion but if she needs someone more than just a few hours a day then she really will have to like wherever she ends up. This is really soooo hard!

Posted on 04/09/2008 at 5:04:12 PM

 
we went through this, God, could it be 10 years already, with my Mom and ended up having to put her in a rehabilitiaon/assisted living / nursing home facitity near me. I went to see her everyday and she hated the place...it really was a nice place and had all kinds of activities she could have been involved in but she just wasn't interested...when she recovered from her illness we then brought her back to her apt near my sister and had a nurse come every day. .by then I think she just lost her will to live and be independent...she had worked all her life and needed that, never was one to loll around and just couldn't handle it...I hope you are more successful and find the solution for your mom...I know how often you come down here so having her near you might be just the ticket...My thoughts are withyou and your mother...

Posted on 04/09/2008 at 2:04:06 PM

 
It's a tough decision. I have worked in facilities, like you have mentioned, and they are markedly better than most nursing homes. The residents are much happier. They like the sense of community--some even get boyfriends or girlfriends. They love having help if they need it. They love having that independence where they can still come and go as they please. I think your mother will be much safer, and happier, she will just need to take her time to settle in. My mother ended up in a nursing home only because her illness was beyond independent or assisted living, and in home care became useless because they did not perform. She is gone now, and if I had it to do all over, I would have suggested this type of facility much sooner. Good luck!

Posted on 04/09/2008 at 10:04:34 AM

 
I feel as if I'm making progress bit by bit. The condo is officially on the market. I have a place to store the furniture and for now an assisted living facility close by my home. They are in the process of building independent living apts so I hope eventually she can live in one. Thanks!

Posted on 04/08/2008 at 11:04:15 AM

 
I know this has been a long road for you Jo and being and only child, you must feel a lot of responsibility. I wrote about helping my Mom-in-law live independently but it takes more than just us to pull it off. We had my Mom live with us and it takes a huge toll on you. You have to make the choice you know in your gut is right :-)

Posted on 04/07/2008 at 8:04:40 PM

 
This is a tough one. I don't think it's safe; but, my neighbor was born in 1911. She lived alone with her little dog until she died of a heart attack three years ago. Her kids tried to get her to move into an independent or assisted living home; but, they failed. She wouldn't even move in with one of them and she didn't want anyone moving in with her. She felt safe and secure living alone. She walked her little dog every day up until the day before she died. Her grown kids and other relatives visited her almost every day and called her everyday. She enjoyed their visits, but, she insisted on living alone. Your mom is very lucky to have you to help her find what's best for her.

Posted on 04/06/2008 at 10:04:07 PM

 
This is a tough one. I have friends right now that are having a hard time with this. I am going to send this to her, so she has another input.

Posted on 04/03/2008 at 1:04:36 PM

 
There is so much to consider....but for most older people living alone is not safe. There are many alternatives...Your mom is fortunatel to have the resources and you to help her find what's best...good luck.

Posted on 04/03/2008 at 12:04:44 PM

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