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Put Mom in a SNF after a hospital stay for deconditioning and ongoing illnesses. She’s mid 80s I’m early 50s and can’t care for her on my own, and she REFUSES to pay for private care.


Her roommate screams all night in pain, it’s only been the first night of staying there, and she’s told me she won’t tolerate one more minute. I told her that I spoke to admissions and they will get her moved but the wheels are slow.


She wants to go to another facility but I know she will make it just as bad as this experience is. She’s experiencing a lack of control and doesn’t have her daughter running down the hall every time she rings the bell.


I suspect that on Monday things will be in full swing, the weekend is not the greatest time to be admitted I suppose, but any advice on this or insights would be appreciated. She can’t care for herself any longer and only wants me to do it. I still work full time and have a family of my own and the dynamic between us will not work.

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A night with a roommate screaming would make me insane.

I’ve always had to sleep with earplugs. Is your mom physically able to use them, till she gets a room change?

If not, maybe headphones like one wears to mow the lawn?

When in the hospital, I’ve been even had my family bring a white noise machine to drown out hospital sounds.

Best wishes to you and your mom.
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MajorLeague May 2021
Indeed, there’s no question, but it seems like the roommate would scream and holler only when mom was in the room and when mom was out, the roommate stopped and was quiet- or so the nurse told me this morning when mom got moved. It sounds like things are easier today so I’ll hope for a nice roommate for her. And some peace in my life for me...
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Are you your mother's PoA? Does your mom have a diagnosis of cognitive or memory impairment or has been assessed that she can't complete her ADLs and therefore can't live along (not only your assessment but that of doctors or social workers)?

I'm asking because if no one is her PoA and she doesn't have that sort of diagnosis, then she technically can check herself out (if she figures this out). So you will need to make sure that her medical team knows she can't go back into your private home, even though that's where she came from.

If she is in rehab then yes, it can be a less-than-optimal experience. My MIL was in a crummy, small one and she too complained of screaming at night (by the staff!) however, please be aware she may be experiencing a delusion. Maybe. But do follow-up on her complaint.

You can't care for her the way she romaticizes. She will need to pay for it and then will probably need Medicaid (and you can apply for her). I'm hoping she has all her legal protections in place (PoA, Living Will, Last Will, etc). If she doesn't please see if you can get her to understand she needs to do this or managing her care will become more difficult. She needs a financial PoA for sure as the banks are not very flexible. I wish you success in helping her and peace in your heart that there's no other viable care option.
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MajorLeague May 2021
I am mother’s POA and trust me every legal avenue is set in stone for her. She does not have any dementia related problems, she is an extremely angry, stubborn, “I want it my way,” type of person.
She lives in her own home but expects me to do it all so she can stay there. She has an increasing case of self neglect, the list goes on. She wanted to go into the SNF rehab, specifically this one, but her phone calls are increasingly demanding of me to get it all changed.
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Where did she live before now? My advice to you would be to get her out of skilled nursing and into an assisted living community with an aging in place model that allows her to receive additional supports as she ages. Talk to her primary care doctor to arrange for a transfer out of the SNF to AL. My mom is at SNF now for health issue and I am working on getting her back to her AL with additional supports, as she will need more as she ages with her myriad of issues; she is 90. Physical therapy and daily activities, decent food, proper medicine pass—all necessary, but not necessarily consistent—is indeed a constant struggle. I am an only child who finds all of this all-consuming. I have a family and a job too. I understand how frustrating, maddening and sad all of this is. Hang in there. There are also care coordinators who can help you too at the hospital she left to change course. This pandemic has made it especially tough on seniors and their caretakers.
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I assume that you mean that mom is in rehab at a SNF.

Weekend admissions are very hard. Usually no therapy, everyone else seems to know the routine and you feel like the new kid at school. She's scared and anxious.

Be patient. "Yes, mom; they will change your room". "Yes mom, I'll look into that". Are there others who can visit or call? Friends, family?

Find out if there is a geriatric psychiatrist who visits. Get her/him on board to treat what sounds like anxiety and depression.

My brothers and I all worked full time and would not have been able to care for mom in the manner she needed even if we hadn't. Don't let anyone make you feel guilty about the fact that your mom is in a supervised placement with medical oversight.
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MajorLeague May 2021
I am the only one, my other siblings are out of state but have called her. I’ve told her a couple of times now that checking in on a friday was not ideal. The “usual” staff members are off for the weekend and I expect tomorrow, (Monday) they are going to start up with her, hard. PT and OT have been ordered. She’s already asked me to look at another rehab because this one so far has been so bad, and I asked her what if the next one is worse? “Oh well we’ll just have to see and if that doesn’t work out, I’ll leave.” “Who’s going to take care of you at home?” I asked her, and she had no answer.
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