How do you know when 'it's time' - elderly parents

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  • trailingspouse
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    The PoA is only financial - will look into setting up a Health one.

    Yes, Dad still drives - he has chosen to no longer drive in the dark, and he pretty much only drives to places he is familiar with. But I do worry that the time when he shouldn't be driving is fast approaching, and that will make a huge difference to their quality of life. Mum has never driven, so probably wouldn't notice if he was making mistakes.

    He has always been good with the financial side of things (he was a bank manager before he retired), and they are comfortably off. They have been in their house for 40+ years - it's a manageable size and I think it would probably be best for them to stay there as long as possible.

    They have a laptop - we bought it for them a couple of Christmas's ago. It's extremely underused...

    I like the idea of getting a calendar - Christmas is coming!! Mum seems to be more 'on the ball' than Dad, and is beginning to realise that she can no longer just rely on him to organise everything (they've always had a pretty traditional relationship).

    Lots of things to think about.
    No longer a spouse, or trailing, but MSE won't allow me to change my username...
  • barbiedoll
    barbiedoll Posts: 5,326 Forumite
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    We always get a large calendar from Moonpig each year for our mum, we use family photos (which she loves) and my sister fills in all the family/friend birthdays before she gives it to her. My mum, thankfully, doesn't have any memory problems (apart from going through all of our names before she gets to the right one!) my sister is just helpful like that.

    Do your parents have a mobile phone? Most GP's and hospitals have a text reminder system set up. You can always ask for you phone number to be used, you can then ring mum or dad to remind them if that works better.

    Do you have any siblings? If so, don't take this all on yourself, delegate if you can!
    "I may be many things but not being indiscreet isn't one of them"
  • troubleinparadise
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    sillygoose wrote: »
    This is solid advice (been there!)
    Are they financially secure? is the house manageable?

    around this stage we took the opportunity to downsize my parents home to something more manageable than the big family home they no longer needed. This also released a lot of capital so they could enjoy life bit more, pay for a cleaner & tradesmen for things they could no longer do. It was also an opportunity to move nearer family which was handy later on.

    That only works if they are in agreement. You can’t make someone with capacity do something just because you think they should, however pragmatic it may seem to you. I have seen that done, and it creates terrible unhappiness all round.
  • sillygoose
    sillygoose Posts: 4,794 Forumite
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    That only works if they are in agreement. You can’t make someone with capacity do something just because you think they should, however pragmatic it may seem to you. I have seen that done, and it creates terrible unhappiness all round.

    Of course, in the 'we' I meant my parents and the 'children' in agreement. They were very much up for it.

    Its best to at least discuss it sooner rather than later, the older we get often the less we like change but the more we need some.
    European for 3 weeks in August, the rest of the year only British and proud.
  • Primrose
    Primrose Posts: 10,621 Forumite
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    Do encourage them to keep going with domestic admin and organisation as long as possible. They need to feel in control and having the need to retain their cognitive powers is obviously good for them too
    I put together a memory notebook for my parents to keep beside the phone as I lived two hours away. Any queries/ needs they had Would be written down in that so when I ohone every day they could just refer to the memory book.

    This worked well u TIL my dad,s dementia started getting worse and he would tear out the relevant page, put it “in a safe place” and not remember where he had put it! It,s odd things like this which make you realise that however well you tryand plan, the unexpected will often crop up to ambush your well laid preparations.

    Are they are the stage where installing one of those Call Button systems for alerting somebody they need help would be a useful backup. .
  • Savvy_Sue
    Savvy_Sue Posts: 46,030 Forumite
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    cjdavies wrote: »
    Should he still be driving? I'm not having a go, I'm curious if they are allowed.
    It's allowed until someone says 'no' or until DVLA call for an assessment. Whenever FIL was in hospital I used to make sure that someone checked he was OK to keep driving - and I was glad to hear that the OP's dad no longer drives at night or to unfamiliar places!

    On one occasion, when I was doing the discreet checkup over FIL's driving, a nurse explained that often people with mild dementia would be fine, until confronted with something different. Roadworks, a diversion, being directed to the wrong side of the carriageway - absolutely thrown. And that's when accidents happen.

    Like the OP, MIL never drove, and latterly FIL never drove without MIL beside him, but there were still some tense moments.
    Primrose wrote: »
    I put together a memory notebook for my parents to keep beside the phone as I lived two hours away. Any queries/ needs they had Would be written down in that so when I ohone every day they could just refer to the memory book.

    This worked well u TIL my dad,s dementia started getting worse and he would tear out the relevant page, put it “in a safe place” and not remember where he had put it! It,s odd things like this which make you realise that however well you tryand plan, the unexpected will often crop up to ambush your well laid preparations.
    This. MIL cannot really leave FIL for long, because even if she leaves a note explaining where she has gone, and what time she will be back, and where his lunch is if she's out for a meal, he will forget that there is a note, and not find it. Or if he finds it and reads it, he does not retain the information, so she returns and he has been very worried about her, nearly phoning the police.

    Unfortunately, MIL has rejected all the strategies we employed with my parents to keep them independent. A gardener and a cleaner - no, she can manage the cleaning, and although FIL can no longer do anything in his beloved garden my BIL has had to take it over. Someone coming in to give her a break, so that she can go out without worrying - no, she does not think FIL would want other people in the house, he would want to know what they were doing there and where she was. Social activities, memory cafes - no, that kind of thing has never appealed to FIL. And so on.

    One thing, if you have siblings, I tried to make sure that whenever any of us visited we let the others know what we'd found, what we'd done, whether there was anything they wanted done, what suggestions I'd made. Even though not all of us were in a position to visit regularly, it seemed sensible.
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  • trailingspouse
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    Some great thoughts.

    'Fiercely independent' is a good description. Also 'set in their ways' (Dad more than Mum)...

    I'm the only child (my own kids are adults, but a) live much further away and b) I don't want to burden them - their turn will come!)

    One thing they have allowed us to help with is DIY around the house - Dad was never interested (would rather work overtime and pay someone else), but my OH is pretty handy. Whenever we're there we ask if there are any small jobs needing done (and, luckily, we happen to have the toolbox in the boot of the car...).

    They don't do anything that involves other people - no clubs, groups, anything like that. They go out quite a lot - walking (not the distances they used to do, but still out in the fresh air), lunch (they have a small number of places that they like to eat and no interest in trying somewhere new), cups of tea. They get the bus into the city regularly. This is OK at the moment, but when one of them is left alone they're going to really struggle, I think.

    So - on my 'to do' list -
    - set up Health and Welfare POA
    - visit more often
    - suggest options if they look like they need help
    - help them to continue to do what they already do, rather than trying to take over
    - buy them a calendar for Christmas
    - would like them both to have their hearing tested (some serious resistance to this...)

    We're off on holiday tomorrow, so I'll buy them something nice as a souvenir and that can be my excuse for my first visit...
    No longer a spouse, or trailing, but MSE won't allow me to change my username...
  • IAmWales
    IAmWales Posts: 2,024 Forumite
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    - set up Health and Welfare POA

    Talk about whether they would like this to happen. I'm sure that's what you meant, but it needs to be their decision.
    - would like them both to have their hearing tested (some serious resistance to this...)

    If they don't want it, I wouldn't even raise the issue. There's being helpful and there's being pushy, and if you push too much then they'll resent it. Many older people are more than happy to live with poor hearing, especially if both are as bad, it just means they have the tv that much louder!
    - visit more often

    This, a hundred times! There's no doubting that you care very much but visiting only every few months is not on. So much can happen in that time, as you've already found, if you were there far *far* more often any issues can be addressed as they occur, not after the event.

    Wishing your parents well xx
  • Savvy_Sue
    Savvy_Sue Posts: 46,030 Forumite
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    - would like them both to have their hearing tested (some serious resistance to this...)
    It may or may not help, but you can do a quick hearing test either online or over the phone. https://www.actiononhearingloss.org.uk/hearing-health/check-your-hearing/

    The results are crude, but at least it means you can either say "not a problem" or " there is a problem, and we could try to sort it out".

    Although you may never make any headway with this: I don't know why hearing aids won't be countenanced when people are often quite happy to wear glasses!
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  • Fireflyaway
    Fireflyaway Posts: 2,766 Forumite
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    I'd say keep in regular contact and visit regularly and you should naturally pick up on changes. Having worked with older people, a very common thing was for them was to not want to ' cause hassle' or ' be a burden' etc. Elderly folk would often state how their son / daughter is busy at work and lives far away etc so they would avoid mentioning when they needed help. With that in mind, I'd just reiterate how its really important they tell you if they need help as it will give you peace of mind. Its true that independence is really important. My plan is to implement small changes for my parents as and when they need it. Rather than wait till there are multiple or serious issues. So I might take them to M+S to get a weeks supply of ready meals they can cook whenever they choose rather than having to wait for a meal delivery. Get a cleaner to do just the heavy / hard housework rather than all of it etc. The main thing is their safety. If they start to wonder off / leave the oven on, that's different. I suppose the main thing is to not force help on them but be guided by what they need / want in a way that's acceptable to them.
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