Follow
Share

My mom was living independently and had some health issues, falls and hospitalization. After rehab she is now living in an assisted living facility. We were hoping she could transition to independent living, but she will not do anything for herself. Will not get out of bed except for meals that are delivered to her room, won't go to the dining room and will not participate in anything. It has only been a week. When we visit she just stays in bed, no tv, no radio, no computer, nothing. She is obviously depressed, and I don't know how to help her. She won't walk with us, we offer to join her in the dining room for her meals, she is not interested in anything.

This question has been closed for answers. Ask a New Question.
Find Care & Housing
Well - I'm 74, living in the UK, my husband died in 2019. Most of my family live nearby (within 10 miles) - I have 5 children, (at least) 8 grandchildren, and (at least) 3 great grandchildren.
I live on my own after my husband died of Altzheimers in Sept 2019. However I still have his ashes here, on his armchair, so I have his presence always - this is really important to me. I guess grief takes a toll which is likely to be unquantified by other people for years.
Maybe the lady in question is suffering from grief?

I would certainly find it extremely difficult to 'settle down' in a care home which I have not chosen, after being ejected from my own home? Especially if I had no say about what happened to my property and effects - which happens quite often, here in the UK, and in the USA.
More information needed about this lady, I feel!!!!
Helpful Answer (2)
Report

This soooo resonates with me, and i imagine so very hard to see, navigate, & accept for you. Feeling helpless is so hard.

We are a short ways away from 86 yr old mom going to AL, and anticipate this exact thing to happen. Every day it kills me inside, but there are no other care options now. She was recently dx with dementia, on top of concerning cardiac problems. Currently in a rehab facility (post hospitalization for cardiac), her diagnoses make returning home an unsafe option.

Truly, my heart goes out to you...and me, in a short time. Please know that your post, which I'm now following, is helping me and others.
Helpful Answer (0)
Report

Please get her an appointment with a psychiatrist for an evaluation and treatment,
Helpful Answer (2)
Report

ytekas: She needs to be seen by her physician, who can write her a prescription for depression medication. Do not delay.
Helpful Answer (2)
Report

Moves are difficult for seniors, and a move to the more structured environment of a senior facility is even more difficult, especially for someone who is used to living independently. It will take time for your mother to adjust. Ask your mother's case manager at the facility their advice on how to get her adjusted to her new living situation. Ask if they can bring in a therapist to speak with and counsel your mother. If possible, try to visit her often during these first weeks, unless her case manager advises against it. Try not to feel guilty about her unhappiness. She is not able to live on her own any more. This may be a reason for her depression, just knowing that her health is declining and she can't be as free-wheeling as she used to be. If you think it would help, take her out for excursions - shopping or going to a restaurant, or to do something she likes. All the best to you and your mother.
Helpful Answer (4)
Report

When getting old while going through multiple trama-like changes, one may lost ability and interest to adapt new enviornment, even feel scrared. Just wondering if family members could ask AL people to instroduce one or two "friends" initially, visit and talk to mom, eat with her, etc. to make this transition easier, creating more welcoming friendly atmosphere?
Helpful Answer (2)
Report

Perhaps a short stay at a Psychiatric hospital might help her transition or at least a Zoom meeting on "Doctor on demand." https://doctorondemand.com/what-we-treat/mental-health/. Mental Health Through this website. Once she finds balance, she should start making decisions about what she wants and what she can afford. Do a search for psychiatric hospital or call your doctor for a referral.
Helpful Answer (0)
Report

I’m there with my wife. She seems in good spirits but will not do anything to strengthen her body. Just withering away. It is difficult to watch. I wonder what she thinks about her future.
Helpful Answer (2)
Report
dkiely33 Dec 2022
Don't wonder - ask her. Try to have these conversations before it is too late.
(1)
Report
Please consider researching 'transitional trauma' because it may provide you with some insight into the time it takes for an elder to adjust to new living environments and your LO has had a few transitions and some very heavy losses in a fairly short period of time. Give her a bit more time; it may take 3-5 months adjustment time.

In the interim, while you let her know how deeply she is loved, also give her opportunity and openings to talk about her losses. She may not want to at all, but if she's the 'huggy type' just hold her, hold her hand, and tell her that even if she doesn't want to talk about it, you do understand that she's dealing with deep life losses and you're there if she wants to talk about it.

What helps my mom is to give her news on the kids, their school accomplishments, reading and math progress, bringing pictures they've drawn and showing pics of them on the phone. Reading materials help like magazines, etc.

She may have severe vitamin and mineral deficiencies and proving a good liquid for daily intake may help (I keep Mom supplied with Passion 4 Life, a 30 ml daily dose. Also extra vita D and magnesium. Most key are good probiotics - that gut-brain axis - for depression. We use Mega Spore Probiotics (started low per package directions). You could also have her checked for a UTI which can take elders down and change cognition dramatically.

Hang in there with her, even if it's just sitting by her with the TV or radio on or a book to pass the time.

Best -
Helpful Answer (1)
Report

What an enormous roller-coaster your mom has been on! She was living independently. She had falls, hospitalization, and rehab, and has not returned to her home but is in AL. To be honest, I'd be worried about her cognition if she wasn't depressed.

I would tend to say: give her time to adapt, while monitoring her physical and emotional health very closely. Make sure she's getting the right nutrition and hydration. Make sure she's taking any vitamins and Rx her physician recommends. Make sure her new AL home is as inviting and comfortable as possible.
Look for small changes that indicate she's adjusting: getting out of bed, talking and laughing with you, doing something she loves in her own apartment, meeting a neighbor, joining meals.... It will take time.

My mother moved to a big, beautiful home to be near to me in her mid80s. The move was entirely her choice, and she was living in a community she knew very well. She was within walking distance of me, and I saw her daily. It STILL took her MONTHS to really adjust to the move. It was her FINAL move. This was where she would grow VERY old, or not old enough. The reality of the end of life hit her hard.
I knew she had turned a corner many months later when she agreed to let me plant a tree. Prior to that she'd just say, "I don't need a tree. I won't see it grow." She can now see that tree out of her 2nd floor bedroom window and talks about how big and beautiful it is.

Consult with staff and her doctor, too as you watch her adapt. The professionals know the expected stages and how to help her re-engage in life.
Helpful Answer (3)
Report

My mom stayed in bed for a little more than a week. In the second week she started to get curious and started to participate. You may want to give it a few more days. Mom finally went to an activity of ball toss and absolutely loved it. She never would not got to the dining room but the activities she loved,
Helpful Answer (4)
Report

As I replied to Cover, ALs are not designed to care for a person 24/7. Your Mom refusing to come out of her room and staying in bed most of the day makes the aides job harder. ALs expect their residents to come down to the dining hall. They expect them to socialize and join activities. Thats the purpose of an AL. No, they can't force them but why be in an AL if your not going to take advantage of what they offer. You are paying for it big time.

Does Mom realize that the AL is a step towards her becoming independent again? A hospital and Rehab stay could have contributed to the depression. Or, is she manipulative.

My MIL went into the hospital with a UTI that caused her Dementia like symptoms. She was put on IV antibiotics and sent to Rehab. She would not do the work even when told if she did, she would be released. I think in her mind by not doing she would also be released. Difference, doing the Rehab meant going back to her home, not doing meant an AL or LTC.
Helpful Answer (1)
Report

Yes. Leave her be. She has decided what she wants to do (or not do). This is funny in a way. The elder loses the choice to be in one of these places, so the rest of the decisions in their lives should be made by someone else?

What is there so important to be in the dining room as an example? Many of the residents don't go out, what is there really to talk about?
Helpful Answer (1)
Report
AnnReid Dec 2022
Fascinating answer. You are remarkably consistent.
(2)
Report
See 1 more reply
Yes to definitely address her depression right away, and yes to getting the staff involved in "rousing" her to go do things. Been there, done that with my MIL under slightly different circumstances. We made a very large poster hand-written by my husband (so his Mom would recognize his handwriting) which said, "Mom, please do what the staff is asking you to do. It will help you! xoxo Your Son". And the staff was given permission to point to it whenever she was being encouraged to get up and out.
Helpful Answer (7)
Report

How was she doing in rehab? Did the depression just come on when she entered assisted living? Bring in a wheelchair and tell her nicely to get into and take her for "walk". She needs to get out of bed and out of her room. Bring her to meals or hire someone to do so since no one can expect you to be there 3 times a day.

Good luck.
Helpful Answer (4)
Report

Get her PCP involved immediately to discuss the depression and to write her a prescription for anti depression medication. The AL should also encourage her to get to the dining room for meals and discourage room service. My mom's AL allowed up to 9 meals a month to be delivered, and then charged $6 per meal afterward to discourage residents from holing up in their rooms. The Activity Director also knocked on the residents doors daily to make sure they participated in the activity programs going on.

Good luck to you
Helpful Answer (10)
Report
Cover999 Dec 2022
Maybe some people want to be left alone. Isn't it supposed to be their choice if they want to participate or not.? For many the decision to be in AL or NH was made for them, shouldn't they be able to have a choice in at least one aspect?
(2)
Report
See 2 more replies
This question has been closed for answers. Ask a New Question.
Ask a Question
Subscribe to
Our Newsletter