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I have a few questions? Has sister NO income of her own ? Have you checked into Medicaid ? I don’t think you are responsible for her debt. Have you contacted the Alzheimer’s Association? They are a wealth of information .
I have been dealing with my significant others dementia for about 6 years now. He has multiple health issues added to the Moderate Neurodegenerative Disease multiple types that was diagnosed over 2 years ago . There was a while that we had visiting nurses in when I was laid up with knee surgery . One of the nurses was chastised me for not doing something SHE thought I should be doing for him . I asker her if She had ever been caretaker for someone with dementia , 24/7 for multiple years ( keeping the edge out of my voice.) She never said another word about what SHE thought I should be doing. If people have never done what we do , they don’t have a clue. After the first 3 years into this, I found a wonderful CareTakers meeting that meets on line 2x a month, went on a mild antidepressant and talk to a therapist once a month . It has helped me tremendously. I know much more about the disease. I know what coming down the line . I know now how important it is to also take care of my self. I know I am not alone and listened to how other caretakers work thru different issues. He slips farther away daily and it’s now time to consider look into memory care to keep him safe and me sane. I do have a durable POA and am able to make both medical and financial decisions for him. I have a few people who get paid to come in on Saturdays and Sunday’s for a few hours. A have few friend that will sit here while in at the doctors or dentist. I am using his $ for this. There is some $ in his savings account to cover some time in memory care and before that is gone I will check into Medicaid. We have been together for over 33 years but never married. There is help out there , try to find the time to check it out . Also check with your local Council on Aging. There is a place in heaven for us, my prayers are with you ..
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I am not going to judge or personally criticize the OP question. And, unfortunately, I am not going to read through 32 answers for other advice but have an opinion from myself.

Did your sister work for at least 10 years in the past? If your sister did and cannot return to work, try applying for her SSDI, or Social Security Disability benefits. This is a safety net income for those completely unable to return to any type of work because of severe medical or mental conditions. If awarded, the wait time is two years for Medicare to start. Meanwhile, use Obamacare in her residential area to fill the healthcare gap. And, you are Not responsible for Any of Her Expenses! She needs her own income to hire herself aids to work in the home or facility. When funds are exhausted, apply for Medicaid 3 months before her funds run iut.
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I am sorry for what you are going through. It seems that most caregivers end up being the sole caregiver while everyone else watches and makes comments.

If you do end up wanting solid advice, as well as a place where you can vent without judgment, consider joining the Alzheimer's Dementia Caregiver's FB Support Group:
https://www.facebook.com/groups/dementiacaregiversupportgroup/?ref=share&mibextid=NSMWBT

You will actually get great tips from people who ARE currently caregivers, and who all know what it is like to deal with this disease.
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It sounds like you are doing it all and it sounds like it really is awful. Is your sister eligible for Medicaid so you can get some help? Don’t be a martyr.

Your other sister chose not to help for whatever her reasons are. She clearly made her decision. She is not obligated to help so don’t blame her. You are choosing to do this and it is a beautiful thing you are doing.

Ignore the pontifications of sanctimonious judgmental a-holes who cloak themselves in their piety like the one you described in your post. That person is a jerk.
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A 63 year old woman who is in a wheel chair, vomits all day, and has dementia (ailments documented by a plethora of drs that she sees) should be eligible for SSI funds with Medicaid (for those who didn't work at all or not enough quarters) or traditional Social Security (for those who worked) with Medicare, or Social Security Disability (at any age with disability based on medical needs) with Medicare, Medicare starts at age 65 if you had worked or it would start 2 years after disability payments were approved. The only thing that I can think of that would hamper SSI, SS, Medicaid or Medicare would be citizenship issues. You might want to talk to an atty who specializes in SSA applications. (You didn't say where the 'funds' were coming from, so not clear if you are paying for her dr appts or if she has some sort of money herself).

As for others offering opinions, that's a common problem for caregivers versus the non-caregivers/not participating folks. You have to be prepared to let it go in one ear and out the other - or- come up with a quick reply. Such as, I'm sure there are lots of ways to do this better, but what I really need right now is a little help. Can you help by coming to sit with her 1 day a week so I can get out of the house....come and stay for a weekend so I can get away? They either help or learn to shut up.
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You know what they say.....an opinion is like an a$$hole...everybody's got one.

It is annoying to hear everyone's unsolicited advice or backseat driving as I call it. I will say this though....as the caregiver, we are so vested emotionally that we may not see an obvious solution to things. The other side of that coin is that someone from the outside doesn't always understand that there is a reason for our actions. Just try and let it roll off your back because unless you're doing the caregiving, you just don't understand. Especially ignore the woman who says you're going to hell for taking car of your sister on the sabbath. If you had a baby would you not be able to take care of it on the sabbath? Ridiculous ramblings from this woman....

I do have a question....you mention "vomit" in almost every paragraph of your posting. What is with all of the vomit? Why is she vomiting?

Also, everyone is going to want to know what is going on financially. I was shocked when I went to an elder lawyer to find out that there are ways to make my mom qualify for help. I strongly urge you to do so if you haven't already. Even a little bit of help/relief is better than nothing at all.
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"One woman told me I’d rot in hell for cleaning up vomit and poop on the sabbath, like every other day."
Religion has done so much damage to so many people. This person threatening you is disoriented.
I went to church and learned that it does not matter what day you choose to rest.
I also learned that the most important thing about God and religion is that they're supposed to be set up to help people in need.
For someone to be threatening you is wildly abusive and to not be offering any help or directing you to any source of help is being hypocritical.
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Ignore them
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You are an angel. They don't know anything. They'd like to be helpful as long as it doesn't cost anything, or make them think too hard. The problem is, you have thrown everything against this wall, and nothing sticks. And nothing will ever stick. So, you are without any protection against this supposedly well-meaning crap. If there is any way your or her finances can help get you a couple of hours off daily, you need to find it, because you can't go on this way. Otherwise, you will have to let Medicaid take over and find her housing elsewhere, where you can visit daily.
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