Who Should Care for Grandma?

Just a quick thought... A nursing or pre-med student may not be the best choice... As a former nursing student, my life was so hectic with rushing to clinicals, classes, studying and exams I would have not been able to devote adequate time to helping out grandma. As it was, my child got the short end of the stick with 'no we can't do that tonight, mom has to study' .

Call your local commission on aging. They are an awsome resource for finding rides, home helpers and respite care. The OP mentioned grandma was hospitalized? Can you ask her nurse or doctor for a social services consult or discharge planning?
 
SIL has no responsibility to do anything. She should be praised continuously for helping with any little grocery list. The daughter should manage the caregiving and assure that her mom is being provided for, but she can only do what her mom will let her.

I doubt a woman who can't take care of herself should have 5 pets. Can she clean up after the animals adequately?
 
I suggest that instead of arguing about who should provide care for Grandma (a very vague concept), you should get together -- with Grandma's help -- and make a list of specific things that she can no longer handle on her own. Thinking of my own grandmother, that list might include:

Vaccuming and other heavy cleaning, though laundry and light cooking are not a problem
Picking up meds from the drug store
Buying groceries each week
Driving to the doctor's office
Picking up books from the library
Taking trash cans to the curb every Tuesday
Making sure she has a ride to church every Sunday
Yard work
Helping her pay bills -- meaning physically writing them out/addressing envelopes

Then consider how you all together can manage these things.

For example, perhaps you could agree that Wednesday will be "Grandma's errand day". She'll be responsible for making a list of the things she needs bought /picked up, and she's responsible for getting it to a family member by Tuesday night . . . and you rotate so that someone does her errands every Wednesday. Or agree upon a month: You manage all her needs in January, and I'll be responsible for February. The far-away relative can't be included in this rotation, of course, so perhaps she'd pay for the drug store to deliver meds to Grandma's house instead.

If cooking is an issue, look into Meals on Wheels. They bring my grandmother a BIG lunch every weekday, which benefits her in more ways than nutrition. It also means that someone is in that house everyday to check on her briefly. This one thing makes a monumental difference in my grandmother's life, and it's free.

Also, look into what other services are available to seniors in your area. We have a van that comes around for the elderly /handicapped. It provides rides to the doctor, to Walmart, and more. It's free.

Cleaning, laundry, and yard work might be something that you should "hire out".

You're not working, and your sister's a college student. Would either of you benefit by moving in with Grandma? It might be socially awkward, but living rent-free could be a big budget boost for you.
 
I doubt a woman who can't take care of herself should have 5 pets. Can she clean up after the animals adequately?
I agree with this, but I wouldn't want to be the one who suggests to an elderly woman living alone that she should get rid of them. I'd hint a bit and see if she herself would suggest, "I'm having trouble caring for all these animals. I'd like you to find homes for all except my favorite cat."
 

I understand why your grandma wants to maintain the status quo - it's what she knows, it's comfortable - but she doesn't have the money to pay for the assistance she needs. You can't make demands and expect others to fill in the gaps. And she is demanding that the family aid her as needed since she refuses to make any changes to her living situation and cannot pay for aides.

Some may think my viewpoint is callous. It may be a touch harsh, but I think it's realistic.
 
WHO WILL TAKE GRANDMA?

Who will take grandma? Who will it be?
All of us WANT her, - I'm sure you'll agree!
Let's call a meeting, - let's gather the clan,
Let's get it settled as soon as we can.

In such a big family there's certainly one
Willing to give her a place in the sun!
Strange how we thought that she'd never wear out,
But see how she walks, it's arthritis, no doubt,

Her eyesight is faded, her memory's dim,
She's apt to insist on the silliest whim,
When people get older they become such a care!
She must have a home, but the question is where?

Remember the days when she used to be spry?
Baked her own cookies and made her own pie?
Helped us with lessons and tended our seams,
Kissed away troubles and mended our dreams?

Wonderful Grandma! We all loved her so!
Isn't it dreadful she's no place to go?
One little corner is all she would need,
A shoulder to cry on, her Bible to read,

A chair by the window with sun coming through,
Some pretty spring flowers still covered with dew,
Who'll warm her with love so she won't mind the cold?
Oh, who will take Grandmother now that she's old?

What? Nobody wants her? Oh, yes, there is ONE
Willing to give her a place in the sun,
Where she won't have to worry or wonder or doubt,
And she won't be OUR problem to bother about,

Pretty soon now, God will give her a bed,
But who'll dry our tears when dear Grandma is dead?
 
WHO WILL TAKE GRANDMA?

Who will take grandma? Who will it be?
All of us WANT her, - I'm sure you'll agree!
Let's call a meeting, - let's gather the clan,
Let's get it settled as soon as we can.

In such a big family there's certainly one
Willing to give her a place in the sun!
Strange how we thought that she'd never wear out,
But see how she walks, it's arthritis, no doubt,

Her eyesight is faded, her memory's dim,
She's apt to insist on the silliest whim,
When people get older they become such a care!
She must have a home, but the question is where?

Remember the days when she used to be spry?
Baked her own cookies and made her own pie?
Helped us with lessons and tended our seams,
Kissed away troubles and mended our dreams?

Wonderful Grandma! We all loved her so!
Isn't it dreadful she's no place to go?
One little corner is all she would need,
A shoulder to cry on, her Bible to read,

A chair by the window with sun coming through,
Some pretty spring flowers still covered with dew,
Who'll warm her with love so she won't mind the cold?
Oh, who will take Grandmother now that she's old?

What? Nobody wants her? Oh, yes, there is ONE
Willing to give her a place in the sun,
Where she won't have to worry or wonder or doubt,
And she won't be OUR problem to bother about,

Pretty soon now, God will give her a bed,
But who'll dry our tears when dear Grandma is dead?

Should the OP pack her bags because you want to send her on a "guilt" trip? lol.
 
/
Should the OP pack her bags because you want to send her on a "guilt" trip? lol.

I was thinking the same thing. That has to be the LEAST helpful post on this thread, and certainly the most self-righteous.:rolleyes1
 
I have not read all of the replies so sorry if this has been suggested. Why not draw up a chart of all the things that nee doing. Ex. checking in on grandma with days of the week, grocery shopping, repairs,...Then have all of the involved parties write in their names where they are willing to help. You might be surprised that you can come close to filling it in. You could agree to re-do the list every six months in case somebody is worried that it won't go well. Make sure that all are aware that what is not chosen may have to be hired out. Perhaps if it is done like this even your SIL will be able to do some simple things such as groceries two days a week and one doctors visit a week. It might make it less complicated and it will help everybody to see how much really needs doing. Don't judge, just ask people to try their best to do something. For example if I know I have certain days off or I am at the market on certain days I might look at the schedule and realize, hey I can do that.
 
This is a tough one. And you sound upset and frustrated and it sounds like you feel you are unfairly shouldering the brunt of care.

Fo my husband and I, we were the ones that offered so we just accept that and don't expect too much from the other inlaws. When we got married, DH asked me to move in with his Grandma who was 90. I said OK...and stayed there 3 years until I had enough and had to move out. (My MIL had moved in a couple of years after I did and I was living with both my MIL and GMIL and that finally drove me nuts). His father (her son) moved back to care for her then. If he hadn't, we would have seen if another family member would take her in or try alternative arrangements. or maybe i would have stayed put...i don;t know. She was pretty healthy and independent at the time and I felt reasonably comfortable leaving her on her own.

Anyway, I only lived on my own for a couple of years or so. During that time, MIL moved in with her daughter in another city for 2 years. She then moved back in with me because her health weakened and she wanted to be closer to her doctors. plus, I was a SAHM and everyone else worked so I was "available".

We've had many rocky moments (especially since she is still here 6 yrs later) and yes, we bear the brunt of her care. My FIL lives nearby (GMIL died several years ago) and DH takes him grocery shopping once a week and runs his errands and everything.

DH has 2 brothers and 1 sister. One brother works part time and is mostly home and helps out when needed. At various times, his brother and wife have chipped in more. His other brother lives in another city and pretty much has never done anything to help in the care of my MIL, FIL, or GMIL. His sister alose lives in a different city and does visit regularly. MIL did stay with her for 2 yrs but other than that, his sister really has done little.

Sometimes I feel it's a bit unfair that we have to do pretty much everything for them. But at the end of the day, it's what we're willing to offer and it's between ourselves and my in laws and I try not to worry particularly much about what everyone else is doing. We just do what we feel is right for us and leave it at that. Thank goodness thus far, my inlaws have been mostly financially independent.

You say June contributes financially. That's really great and I think you should give her much more credit for that. Yes, she's the daughter...but you are the grandchildren and should be just as responsible for your grandmother's care...you're not children anymore.

What we did to help with MIL's care when I started working was hire someone to come to the house for 2 hours a day. She cleans house and keeps MIL company. We didn't get a nurse or support worker...just a reliable, trustworthy person and we pay minimum wage. For that prie, we don't get an amazing cleaner...but that's OK. we get someone who does the daily basics, can cook MIL's lunch and just be here so she doesn't feel so alone. We also get a housesitter when we go on vacations.

What about renting a room in your grandma's house to someone in exchange for helping her with errands, being there, etc? It's not a "normal" solution, but could be an effective one. I know at one point, my mom considered asking a niece to live with her for free room and board in exchange for companionship and assistance with errands.
 
WHO WILL TAKE GRANDMA?

Who will take grandma? Who will it be?
All of us WANT her, - I'm sure you'll agree!
Let's call a meeting, - let's gather the clan,
Let's get it settled as soon as we can.

In such a big family there's certainly one
Willing to give her a place in the sun!
Strange how we thought that she'd never wear out,
But see how she walks, it's arthritis, no doubt,

Her eyesight is faded, her memory's dim,
She's apt to insist on the silliest whim,
When people get older they become such a care!
She must have a home, but the question is where?

Remember the days when she used to be spry?
Baked her own cookies and made her own pie?
Helped us with lessons and tended our seams,
Kissed away troubles and mended our dreams?

Wonderful Grandma! We all loved her so!
Isn't it dreadful she's no place to go?
One little corner is all she would need,
A shoulder to cry on, her Bible to read,

A chair by the window with sun coming through,
Some pretty spring flowers still covered with dew,
Who'll warm her with love so she won't mind the cold?
Oh, who will take Grandmother now that she's old?

What? Nobody wants her? Oh, yes, there is ONE
Willing to give her a place in the sun,
Where she won't have to worry or wonder or doubt,
And she won't be OUR problem to bother about,

Pretty soon now, God will give her a bed,
But who'll dry our tears when dear Grandma is dead?

This sure isn't the mean, controlling, won't let you have a night light, forces you to eat the slop she cooks Grandmother that my kids will remember :sad2:.
 
This sure isn't the mean, controlling, won't let you have a night light, forces you to eat the slop she cooks Grandmother that my kids will remember :sad2:.

Thank you. That poem and possible guilt trip reminds me of my cousin's husband was foolish enough to run his mouth last year about my mom couldn't possibly be that bad(for the record she has Narcissistic Personality disorder, and her mind is clear as a bell so no dementia/Alzehiemers). They took her for Thanksgiving so I could get away and recharge my batteries, yes, that didnt go very well and haven't heard from them since.
 
I would move heaven and hell to take care of my grandmother again.

The ENTIRE family needs to put on their big girl/boy panties and help out. Her daughter, if she can not be there physcially should try to help out financially with private duty care to handle such things for G'ma as chores at home, dr appts and grocery shopping....also does g'ma have any money...keep in mind she can't take it with her, so while she may be holding onto it for a rainy day, it's raining now and she should dip into.
 
June does support Grandma in a lot of her finances and has power of attorney. Grandma has a tiny bit of income from social security, but she's outlived all she had saved for retirement.

My brother owns Grandma's house.....long story. June and Grandma pay him 'rent'. None of us want to or are willing to sell the house. My mother and grandmother designed it, and my father did a lot of the construction himself. It is next door to my brother's home, on some acreage, and in a pretty private setting, so we consider the two houses like one estate and don't want any non-family members living there. My brother is hoping that after grandma is gone, that me, my sister, or his wife's sister's and family will live there.

OP this makes it sound like June is helping Grandma pay the rent to your brother....I'm confused as to how your brother ended up owning the house. Did he pay grandma for the house and she has spent all that money already? :confused3

The reason I ask is because for many seniors I know, their house is their largest asset. They can sell it, move to a cheaper/smaller place and live off the proceeds, or tap into the equity in their home. It's unfortunate that your grandma cannot do that-it may severely limit her options/put a financial burden on you.

(I also wanted to say I'm sorry about your mom, and you sound like a good daughter and granddaughter :hug:)
 
Also is living with someone a possibility? Do they have the means/room to take Grandma in? What is the cause of all the hospitalizations and what level of care is required when she leaves? So many things factor in but honestly when it comes to caring for a loved one nobody should be "the one" and if the person requires care beyond their space/finances and ability assisted living or the like is honestly best and safest for all.

No one has the room to house another person and and five pets. Plus, then what do we do with grandma's house? My brother took on a large debt of paying for grandma's house in order to keep it in the family.

Grandma has something called Addison's Disease. It means her adrenal gland does not produce enough of the steroid horomones the body needs to function and deal with any kind of stressor - happy or sad. Since she does not the stress regulators most people have, any kind stimulation can make her sick. She avoids most social situations, and cannot spend too long around high-energy people, such as her great grandchildren.

So the reason grandma has been in the hospital lately is because she has been getting colds - and that sends her Addison's out of whack, so she has to go to the hospital in order to get her medications by IV.

Right now she has bowel obstruction and Addison's complicates any other medical issue since she lacks natural stress regulators.

So because of the Addison's, an assisted living facility might actually make her worse because of all the interaction with different people all the time.

Level of care she needs after hospitalization can change from hour to hour and day to day. Because of the Addison's, her energy levels can vary widely during the day.

For example, the other day, she was ready to run a few errands by herself. I spoke to her on the phone right before and offered to come with her and help, but she really wanted to go alone. Five minutes later, she calls me and tells me her car won't start so she isn't going. I again offered to come drive her, but the stress of being annoyed over the car not starting was enough to send her out of whack and back to bed the rest of the day.

Is it her failing health that's causing her to wind up in the hospital? Are there any signs of memory loss? If memory loss is present, I think that would be more of an urgent need to have some one there more often. More likely to leave a pot on the stove, leave doors unlocked, and such, which creates more of a safety hazard.

There is definitely memory loss and I worry about those kind of things.

I will not ask help from someone who sees giving it as an affront to their existence. I'd rather bleed to death in the gutter than demean myself that way. Perhaps instead of your family arguing over who gets stuck with the job of caring for grandma you should all remind yourselves just how blessed you are to still have grandma! I can't tell you what I'd give to have my mom or grandmother around. Every time I think of their loss I am grateful I still have my dad.

Last but most important, feel free to vent here all you like, but when you talk to grandma check your attitude at the door. I'm getting a lot resentment. Makes me glad I'm not your grandma. She's lost her daughter, her primary care giver, probably her closest friend and is now dealing with a body that's failing her. That's a very terrifying thing to go thru. She needs your love and compassion right now. If you let yourselves get caught up in this bickering and lose her, you'll spend a lifetime feeling guilty.

You sound like my grandma - she HATES asking for help. To the point that it's destructive to herself. She will struggle to open a jar and end up injuring herself before she will break down and ask for help. I try to be aware of what might need to be done, but I can't anticipate everything she needs.

I'm sorry you misconstrued my post as me being an ungrateful grand daugther. I am not. Estelle is the only grandparent I ever got to know as the other 3 all died before I was born. We are extremely close and like to do things together. I don't mind helping her out some.....but I need to worry about MY health and sanity as well, and I'm just coming off of constant care of my mother. The family learned way too late in that game that we have to take time for ourselves and not get so burned out that we resent the person we're caring for. I DO NOT want this to soil my relationship with my grandma because we have an amazing one.

I have to be careful what I talk about around her - I can't talk about a fight I'm having with my sister or things like that because of grandma's Addison's disease. I am naturally a pretty calm and low-key person so Grandma prefers me to be the one helping her over my sister. My sister is one of those people who talks a lot, talks loudly, and is always waiting to speak - never actually listening. This can be stressful on my grandma, so when Grandma needs is sick...I am usually the one to deal with it because it's easiest on her.

As for my SIL - my grandma, my aunt, me and my sister feel like she could have easily helped when my mom was sick more than she did.

My brother works full time, and in order to participate in caring for my mother, he had to take a lot of time off work. He complained about the drop in income, but the rest of us were sitting around thinking...well why can't Dawn work some to make up for it???? Why can't Dawn be the income maker while you care while you help care for your dying mother???
We never said that to him, or her....but to the rest of us, it seemed the logical thing to do.

I don't EXPECT SIL to help with Grandma....it's not her grandma....but I don't understand why she can't do something like get all of grandma's groceries when she is going to the store for her own.

We don't say anything to her because I don't think we should expect her to help....but at the same time it's frustrating when you know she has a 5 hour period of time in the middle of the day with little responsibility.

I mean, grandma's other next door neighbor, who is not related to her, offers to help her out more than my SIL. And that woman has a full time job.
 
your sil has kids right? how old are they? You say your g-ma can't be around them because they are hyper so she'd need to find a sitter for them while she helps unless her dh is home with them... how much does he work? is he home a lot?
 
Is it possible that you or your sister would consider taking the 'position', officially, as grandma's caregiver and have that be your job? Free room and board, and a small salary paid by sister, brother and aunt. If this is something either of you is willing to do, I suggest it only be done with a written agreement signed by all members of the family and it should spell everything out.

Also, one other thing to consider if funds are an issue to hire help to come in...if grandma owns her home a reverse mortgage or home equity or something like that might be a possibility. Perhaps you all can consult a financial advisor about that.

No, neither me nor my sister would consider that. I don't want to spoil my relationship with my grandma, and grandma doesn't want us younger people living with her. Also, both my sister and I own our houses.

The house doesn't even belong to the grandmother.

To those who keep recommending hiring a nursing student to help out, this woman doesn't require nursing care, but a girl Friday, perhaps, to help with errands, chores, and chauffering. Those are not tasks a nursing student would do to help them gain experience while in school.

I say Aunt June pitches in to hire some help, but I wouldn't expect her to drop her life and come back to care for her mother. Everyone else in town needs to split up the care equally, especially since there are two adults living right next door. Of course if any one of them doesn't love grandma or care what happens to her, I guess they don't need to be in the equation. You can't force people to help.

Yes, grandma definitely needs more of a Girl Friday. She is perfectly capable of taking the correct dose of her own medications - it's just things like she is unable to open a childproof bottle cap! We're getting that issue taken care of though. She is not at a point where she needs nursing care - she can shower, dress herself, take her meds, etc.

Because of her Addison's though, a lot of the problem is very low energy - so things like laundry and dishes pile up because she reserves what little energy she has for showering, making food, and taking care of the animals.

Wow, I got a completely different take on this. I read through this thinking what a mature set of grandchildren this woman has, to take on such a huge responsibility of caring for the elderly when they are only in their 20s.

Thank you, I am glad I didn't come across as a young brat to everyone!

broganmc, i think your attitude is somewhat harsh and judgemental towards the op. she's a young adult that has caregiver burnout, and i can completely understand her frustration. my own opinion is that they should be looking for some outside assistance to help, which apparently june is already on top of.

op, :hug:, you sound like a great girl who seems to want to honor your grandma and are obviously willing to sacrifice for it!

Thank you. Caregiver Burnout....that is a good phrase to describe what we all have.

June has said she can pay for $600 a month towards a helper. But now where do we find that? As mentioned earlier, we need a Girl Friday....not nursing care.

I suggest that instead of arguing about who should provide care for Grandma (a very vague concept), you should get together -- with Grandma's help -- and make a list of specific things that she can no longer handle on her own. Thinking of my own grandmother, that list might include:

Vaccuming and other heavy cleaning, though laundry and light cooking are not a problem
Picking up meds from the drug store
Buying groceries each week
Driving to the doctor's office
Picking up books from the library
Taking trash cans to the curb every Tuesday
Making sure she has a ride to church every Sunday
Yard work
Helping her pay bills -- meaning physically writing them out/addressing envelopes

Then consider how you all together can manage these things.

For example, perhaps you could agree that Wednesday will be "Grandma's errand day". She'll be responsible for making a list of the things she needs bought /picked up, and she's responsible for getting it to a family member by Tuesday night . . . and you rotate so that someone does her errands every Wednesday. Or agree upon a month: You manage all her needs in January, and I'll be responsible for February. The far-away relative can't be included in this rotation, of course, so perhaps she'd pay for the drug store to deliver meds to Grandma's house instead.

That's a good idea, thank you.

OP this makes it sound like June is helping Grandma pay the rent to your brother....I'm confused as to how your brother ended up owning the house. Did he pay grandma for the house and she has spent all that money already? :confused3

The reason I ask is because for many seniors I know, their house is their largest asset. They can sell it, move to a cheaper/smaller place and live off the proceeds, or tap into the equity in their home. It's unfortunate that your grandma cannot do that-it may severely limit her options/put a financial burden on you.

(I also wanted to say I'm sorry about your mom, and you sound like a good daughter and granddaughter :hug:)

Thank you.

The way Josh came to own Grandma's house is frankly somewhat a bit beyond my comprehension. The whole thing confuses all of us. But here's my best understanding:

My mother started buying investment properties about 11 years ago. My grandma 'sold' her house to my mom. My mother's owned it then, and in order to fund money for the down payments, she...I don't know the right term...remortgaged, second mortgaged, accessed the equity in the two houses????:confused3. Since my grandma made the contribution of funding down payments by selling mom her house, mom made the mortgage payment AND paid grandma $350 a month from the rental income. This worked great.....until my mother died. Me and my siblings inherited Grandma's house with over $100k in debt on it, plus Grandma's expectation that we continue to give her the $350 per month.

Well that didn't work because my mother had a high-paying job that paid the mortgage on grandma's house. My sister and I have no income, and my brother's income is no where near what my mom's was. We do not have enough rental income to cover grandma's mortgage, all of the rental properties mortgages, and have a 'buffer fund' for emergencies with the properties like needing a new HVAC system.

So Josh used his share of the life insurance money and took on the debt of grandma's house. My sister and I gave up our ownership of the property since it was just debt on our names that we have no way to pay. So that's why Josh owns the house and June and Grandma now pay him 'rent' towards it.
 
your sil has kids right? how old are they? You say your g-ma can't be around them because they are hyper so she'd need to find a sitter for them while she helps unless her dh is home with them... how much does he work? is he home a lot?

My brother and SIL has two kids, ages 10 and 7, so they are in school.

My brother works 35-40 hours a week. He is pretty much with his family when he's not working - whether that be at home, or whatever activity they have that weekend.

I suppose I feel resentment towards my SIL since she is right next door to Grandma and has a 5 hour window during the day without the kids. I'm not naive enough to think she doesn't have anything to do then.....but when I know she out doing things like kayaking on a local river with her friends, attending dance classes, and going to grocery store...it's hard to understand why she can't do something as simple as calling grandma and saying "Hey I'm going to grocery shop.....can I do yours too?".

But as I said....I don't expect her to do that. It's not her grandma. I don't say anything about it to her or my brother. But I still resent it.

She does care about grandma. Bro and SIL usually send grandma over some of whatever they cooked for dinner.

I know I also may not get a clear picture of exactly how much Brother and SIL do for grandma. Grandma complains to me about how little they do and says things like "Did you know I have neighbors over there?".......but then I find out they deliver her dinner a few nights a week. I think sometimes grandma just wants something to complain about and is having a hard time adjusting to my mom not being next door. My mom spoke to her several times a day and was very involved with her since me and siblings were all out of the house and my mother was living alone. So I suspect Grandma feels neglected by Bro and SIL compared to the attention she was getting from my mom.
 
Thank you to everyone who replied. I appreciate you taking the time to read my long post and give detailed responses!
 

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