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Parents in their 70's dad has one leg and is not steady on walker. mom just had half colon removed. wheelchair cant fit in messy house  and when my dad asked me to come help with the garbage, it was over 50 lbs of his poop that had collected from his bedside commode! there is rotten and spoiled food, it doesn't seem there is running water, I offer to help and they tell me that their friend is coming to help "go through things".
now , when my dad was at the rehab center for his amputation. my mom fell twice and couldn't get up. the first time my dad called and I had to climb through a window. second time same as the first. still they will not give me a key . I am barely hangin on taking care of my wife and kids there is no room for them here. any suggestions?

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Oh you poor guy. You know of course that this is a huge multi level problem. My heart goes out to you. You and they need professional help. The short answer would be to establish ground rules on what it takes for you to be involved. Call the area on aging. You need serious backup. When they are in the hospital be very upfront with the social workers and let them know exactly what they would be returning to in their home. No. You can't take care of them. Their mental issues are too great. Don't climb in the window. Call the police. Call the fire department. You are enabling them by following their requests to manage their disease in this manner. I feel so bad for you and them. I know you have a huge emotional block to outing them but their very lives may depend on your breaking the family rules and calling on outside help. I know it must be huge for you to contemplate. Get help. I'm not qualified to advise you. Hopefully someone who has experience with hoarding will see your message. I can't imagine how hard this is. You are a good son to try to help. Somehow it has to stop
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Is dad still in rehab? If he is, you have access to a social worker there. Make an appointment and talk to him/her about your parents' living conditions and seek her advice on getting them placed somewhere.

If parents are back home, call your local Area Agency on Aging and seek their help. As above, no more climbing through windows. If there are falls/emergencies, call 911 and let professional help do their stuff.
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Wow.

Your parents shut everyone out because they are afraid that the world is against them; but you don't have to agree! To help yourself feel better about seeking outside intervention, remember that everyone - you, family friends and neighbours, any professionals on the scene - just wants your parents to be safe and happy. Right now your parents could hardly be further from that, so any help you can bring in has got to be an improvement. Nobody will be out to get them or meddle needlessly with them.

Don't try persuading or arguing with your parents about this, you'd be wasting your breath - just keep it in mind as a comfort for yourself.
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This is so sad. But as the others have said, it is a job for professionals.
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Dude how did dad know mom had fallen if he was in rehab? And then called you and had to enter through a window to help? If you do not have a key, get one. Or am I reading that wrong? Call Adult Protective Services to have youe folks evaluated. Get their documents in order.
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Call Protective Services and explain the situation. They will likely move them to long term care and help with the medicaid process. I know it is hard to "turn in" your parents but their safety and well being has to be a priority. Best of luck to you.
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The situation with your parents is beyond what can be handled by you on your own. Your dad's social worker, and APS should be able to help you out. Don't let them guilt you having you do all of the work.
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Call the city/county coee enforcement office. The home is no doubt in violation of numerous health/safety codes, as well as being a danger to others in the neighborhood. Online, lookbup hoarding, especially images. Having been in the home you can evaluate what level of hoarding they are at. You can also read about what the consequences are and how hard it is to dealvwith. Take pictures and show their doctors. Move quickly before they die in a pike of rubble. Now.
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Code enforcement.
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