My aging (in place) parents

The only way you can age in place with advanced bad health/dementia is to have a trusted full time live in caretaker to watch over you and take care of things.

Gene Hackman would probably still be living if he had such care. And he could have afforded it.
 
Pablo - my prayers are with you and your family. My brother an I are about 15 years behind you guys. Fortunately my parent's house is new and single level and built specifically for their old age. But I'm still terrified of the future. Can't imagine life without my Dad.
Some ideas:

- Place cameras all around their house, and inside if they are fine with that. We had an aunt who passed away at 103, at 97 (when she stopped driving) I installed cameras everywhere, inside and outside. We had at least 8 family members with viewing access from all over the US, everyone loved it. We could even see the floor in the bathroom from one of the angles so we would know if she was OK in there.

- Get USPS informed delivery for your parents mail. You should know what is coming into the mailbox. Scams? New bills?

- Get involved in their finances. Set all bills on autopay via your email. Unless they are still independent and are used to doing it themselves, it still won't hurt having online access to all accounts.

- Air Tags. Place air tags in their car, key chain, and wallet (https://rollingsquare.com/products/aircard). It's nice to verify that an unanswered phone is because they stepped out of the house.

- If they have a smartphone, connect to their account so you can track them on google Maps or Apple Find My.

I know it's kind of big brother-ish, but when you need to find a parent or are able to thwart some bad scenario in advance, you will be glad you took precautions.
 
The only way you can age in place with advanced bad health/dementia is to have a trusted full time live in caretaker to watch over you and take care of things.

Gene Hackman would probably still be living if he had such care. And he could have afforded it.
His wife was his caretaker. Gene likely had no idea mentally that she was sick and afflicted with a malady that ended her life pretty quickly.

Even if Gene kept all his upstairs faculties in-tack, he never would have guessed she would die prior to him...... her being around 30 years younger and in overall good health until the infected mice arrived there.
 
I find myself rapidly facing an aging parent crisis, myself. My dad has been sick in bed with what seems like inflammatory pain in his back and legs for a few weeks, and both of my parents "don't trust the town doc as far as they can throw him." They think it's similar to an episode he had last year that affected his hands and arms which I believe was due to an untreated urinary tract infection. They both are around 80 and have their full (and highly opinionated) faculties, but I think I'm going to have to make a trek back to Montana to basically force them to get him medical treatment. This might require uncomfortable things like an ambulance ride down to the tiny hospital/clinic in their little town and maybe a transfer to a real hospital in a distant town, but it's clear they need a big push.
 
Was going to post some tome on this thread discussing my fears of entering my eighties and discovered that I had already posted last summer. So much for memory. Since then I've turned eighty, one of my cousins fell out of bed and broke his thigh-- broken bones, stroke or the combo of the two are my two big fears. Texted his brother about his condition and was told to call him since his extremities are completely numb and he can no longer text or use a computer. Didn't read this entire thread, think my original thoughts were on page two but I think dementia will set in when I can no longer use a smart phone. Remember the movie "Still Alice" a little over a decade ago. Early dementia. She went to the neurologist who said "You use an I-phone, that'll buy you several months." My already crappy hearing got a lot worse when I got Covid for the third time at the end of January. Got an OTC Amazon hearing for $400. Wonderful **** device. Bluetooth means I can shoot my podcasts straight into my noggin. I really think technology is going to help a lot of us geezers out, if we can stand the 100% tariff markups.
 
This is my story of my June with my aging parents. They live is So Cal, nice house at some point, near 1/2 acre.

My parents vowed to stay and age in their own home. Vehemently, ignorantly, forcefully and dreamily. It IS what they wanted.

This is not a financial story, as they were very smart with money.

They are now 90 and 92, and have been deteriorating. Dad has some brain plaque, mom has brain atrophy. Father has forms of sundowning and most of the off label psych drugs make it worse. Scary worse. All in the dementia family.

On June 3, my father, 92 was in the kitchen by the refrigerator without his walker. The story goes, phone rang (junk call as usual), he went for phone and fell. Severely fracturing his femur near the hip. I did not have access to his medical records until recently and only saw the X-rays June 18th. The bone splinters were quite extreme. June 4th was his surgery for the repair. I will state up front the ortho surgeon did an absolutely amazing job, visually stunning before and after with 4 incisions.


This incident set forth a series of events that taxed our entire family. My surviving sibling, my brother, was already suffering some burnout from caring for them, including ulcers. I immediately cancelled a previously scheduled vacation trip, flew down using the credit from that trip, plus an extra $100 or so. I scheduled a couple weeks. This was not long enough.

June 5 - Upon arrival I found some level of chaos. My brother had engaged a caregiver company and arrangements were being set it place.to care for my mom while dad was in hospital. Tired from travel. Parents house, dusty, set up camp in nasty back room. Just make a hole in the junk to sleep in. Crash out.


June 6-7 - Dad at hospital. Pretty much out of it, skinnier than skinny. Mom at home worried sick, doesn't remember where dad is. Start making appointments for mom, so skinny. Think concentration camp skinny. I am not exaggerating. They have not been eating, forgetting to eat and eating like people on seriously limited diets. Arrange for mom to get doc evaluation June 10


June 8 10-10:30PM Dad's home hospital bed, lift, chair, walker are delivered. Then dad is brought home rather late Sat night. Discharge papers.


June 9 Dad sleeps, mom worries, no idea what happens from minute to minute. Seems a little sick


June 10 Take mom to GP/IM doc. Gives cognitive ability test. Not good. Need blood test. Mom has runny nose. No fever.


June 11 Setting up caregivers, 24/7 one for each. 8 hour shifts. 6AM, 2PM and 10PM. Negotiate fee structure.

They have enough money for 2 caregivers, 24 hours per day, 365 days. Basically approaching $600,000 per year, not counting any other expenses.


June 12 Take mom for blood draw, Quest


June 13 Dad first nurse visit Mom has cough


June 14 Dad First PT dad has cough


June 15 I move to brother's house. Dust and lousy air in parents house getting to me


June 16 Parents sick Positive Covid test. I'm positive COVID as well. Move back to house, feel OK, thoroughly clean room, wash linens, do wash. Get rid of junk. Isolating in room. Sewer backs up.

June 17 Cancel mom's dietitian appointment

Mom falls, minor hip fracture.

The rest of the month deal with every issue under the sun, get POA. medical permissions, etc

Brother and I tour places for them. Find a good place, a house set up. Nice and professional. Put deposit down.

Move them there while drugged.

About once a week they erupt. Ugggh.

All involved say they will get used to it.

Listen only to this, if nothing else: Don't try to age out in a house and property. It's not just you in that decision.
We did same with my Mom. She has never been happier in her assisted living apartment. YET. Sister who has power of attorney is hell bent on seeing Mom back in her home (alone!) because all she cares about is ANY amount of money left once Mom passes. Includes wanting/planningcan't wait to sell the house ASAP.
Sister does not even need ANY of that money. Her and husband have so much more than they can ever use. They are retired and 100% debt free (own two homes + mobile home like the celebrities & music stars travel in too!) He inherited an actual tiny small town (much undeveloped land included) in the country from his parents which he sold instantly. But they still seem to be miserable with all the $$$$ they already have. Their kids are also loaded with great jobs and owning several businesses so it is not even as if ANY of them NEED any more. Plenty is never enough for some. I would agree to leave mom in the appartment with all her friends etc... but sister only cares about how much the checks are for rent each month which she writes from mom's accounts anyway. I say it is Mom's money so she should be able to use it as she wants too especially if she can and enjoys the benefits. I am not looking for any of it. If there is any left we can deal with inheritance then. Not now or planning for it at all times.
 
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