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How to Boundary-Set and Cope with Elderly Family Member Turning Abusive

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This isn't a new problem but it's new to us, and I need pointers. My elderly father has begun to more and more frequently express his anger and other negative feelings in inappropriate ways, and help is needed for best practices in boundary-setting and coping in a situation where we can't simply DTFMA. My father is in his early eighties. He has emotional and mental issues which have begun to badly affect his relationship with his family. He characterizes an yelling, angry outburst -- which happens whenever he is ashamed, angry, etc. -- as merely an expression of annoyance. (That is not an age-related issue, as it's always been this way.)

As he is aging, I believe he feels more shame over various things (memory loss, infirmities, etc.), but he is expressing them in a abusive way. In disagreements, he won't engage in calm problem-solving but merely coldly withdraws himself from the situation, even with his immediate family.

He is not physically abusive. He might be called verbally abusive but in many ways is not: he seems to express shame, confusion and other negative emotions solely through explosive, angry outbursts he then immediately characterizes as not-an-outburst. But he is also frequently loving and there is no doubt he cares, as expressed through many different ways. We are not talking about the kind of personality of the sociopath abuser, who does loving things to make sure he can continue to abuse.

He is almost certainly not willing to go through a cognitive exam, and thus far will not be counseled by either his minister or a therapist. He does have a primary care physician. It occurs to me as I write this that the problem might potentially be neurological, based on his medical history, and I'll bring that up to my mother.

Were I reading this from someone else, my initial reaction would be very binary: cut this person out of your life. The problem is that's just not going to happen. No one around him is going to willingly leave him.

When someone like this must remain in your life:

First, if the goal is to keep some sort of calm sanity and love, where do you lay the boundaries down (on which lines, which behaviors)? What things is it reasonable to say "I will not let this be violated"? And how do you communicate them to someone in this sort of situation?

Second, what other advice do you have for coping with or adjusting to this kind of a situation?

For both of the above, I ask for answers both for me as an adult child who visits and communicates with him, but also for how I might advise my mother. Advice, or books, or linkage are all welcomed.

(Despite all of the above, he is not a monster. Please do not see him that way. He is a good dad and I am trying to finally just give up on anything that might cure, and instead find protective routines where we can all co-exist as peacefully as possible, since restoration won't be possible.)

What is the best way to get my elderly friend in the UK access to Skype?

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I have an elderly friend living in the UK who needs access to Skype video conferencing, but he has difficulty typing, poor vision, and it would be hard for him to learn anything complicated. Is there a device for seniors I can get him? I see there are a number of tablet type devices designed for seniors, but the only one I see in the UK is KOMP, which does not have Skype.

Any suggestions? He specifically needs Skype, and can't use a proprietary calling network. He doesn't need any of the other things that a tablet can do. A device that only does video calls would be fine.

Meloxicam (Metacam) and your older dog

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Have you used Metacam for joint / arthritis pain in your older dog? I have questions about the length of treatment. (Only interested in answers for dogs, and do already know it can be dangerous for cats.) My main question is whether it is typical to have breaks between treatment periods, or if ongoing daily dosing is ever common.

We've been using Metacam at the suggestion of our Vet, and the results have been pretty great. We've gone from our dog having nearly no appetite, barely able to walk, and seemingly in drastic decline, to eating regularly, able to walk (not like a spring lamb, but she actually runs around during walks, and can now stay mostly upright when perambulating about the house), and, if not like her younger self, at least having a decent quality of life. She's between 13 and 16 years old, healthy weight (now that she's not losing weight due to not eating), and her blood tests before this Rx came back fine. She also has a dose of Neurontin (Gabapentin) daily, but when she was only on Neurontin she was not doing well, and we were wondering how long we had left with her.

We've finished the first bottle of Metacam (oral suspension), and our Vet had suggested breaking for 10 days before starting again. We'll be keeping a sharp eye on her, but I don't want to "power through" a break if she begins to decline again, if it's not necessary. I'm not objecting to our Vet's recommendation (she's been "let's see what works / helps," not "you must follow this exact dosage pattern") — I just want to know if daily Metacam at the lowest effective dosage without breaks is ever normal. Don't worry, we won't go rogue with treating our dog; we'll work out the approach with our Vet.

(Our dog has not shown any adverse reactions to the Metacam such as vomiting, diarrhea, etc., and her appetite has improved, not declined.)

Should I euthanize my dog?

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I'm at a cross road. My dog who is 14.5 years old was diagnosed with cancer that had spread to her lungs in January. I made a decision at that point to not go through any medication or chemo and just to keep her comfortable and free from pain. She hasn't shown any signs of pain, she still eats with a little coaxing (broth or meat in her food), she's always hungry, she still seems to be happy to see me, but she has slowly deteriorated in weight and is coughing more at night. I brought her in for another check up yesterday for xray comparison and blood work. The Xrays showed that the tumor has taken over both lungs, and in other areas - the mass has grown exponentially since January and she has lost 10 lbs while still eating. The mass is pressing her esophagus up a bit, causing her to cough, and you can see that is has pushed her abdomen. My vet, who usually does not say things of this nature, advised me that now would be the kindest time for me to euthanize before she starts to deteriorate anymore and suffer because of the mass in her lungs and how fast she is losing weight. I don't want to see her get to the stage of being in pain or suffering, and part of me thinks that with her starting to cough more and gasp a bit, and her weight loss that now would be the best time because of the speed of growth this may take over quickly. I have a four year old that I have started to prepare but at the same time it pains me to think of walking her into the vet like this to say goodbye. Part of me thinks its right, but part of me feels so guilty. Anyone had any experience or suggestions?

Hiring a driver for elderly parent

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Have you hired a driver for an elderly parent or other relative? See below for details. My elderly dad is struggling with a variety of chronic illnesses. He is not allowed to drive. Complicating factors: He is difficult to understand on the phone and finds it hard (to impossible, depending on the day) to understand others on the phone. But my dude needs transportation for shopping, doc visits, etc. At irregular times. More or less on demand (although during office hours is fine). The transportation services available to him through the VA, etc. are too difficult to arrange and the services too narrow and inflexible to be useful.

My dad needs to deal with the same driver or group of drivers over time. He cannot use an app or the Internet, and he will refuse to call a taxi. But I might be able to convince him to let me hire a private person or a company (not that I have found a local company). Or maybe even a local college student or students.

So A. Have you done this? B. What was your experience like? C. How do I deal with taxes, etc. if I find someone?

This situation sucks for my dad, so I much appreciate any collective experience and wisdom y'all are able to share.

Medical Alert Watch?

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My 91 year old mother-in-law lives alone (California) and is in great shape considering her age, but we are very worried about falls. She has had different medical alert devices (phone and wearable/around the neck), but will never carry them with her - she currently has a Great Call Jitterbug phone. She says if we can find a watch that is a standalone device and does not require any other components she will use it, otherwise she just prefers to take her chances and not worry about it. I read this recent post - LINK - but am still confused. It sound like maybe there is a cellular version of the Apple Watch that would not require an iPhone?

Thank you very much in advance for any help; especially specific product names we can research further. Please assume that despite her age she is fine living alone. We really just want to find something that she is comfortable wearing, so she will use it. The only watch type device she found herself was a two component design the required a second device(?) to be carried or nearby.

I think my elderly mother has to go into assisted living...

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I'm going through a lot right now: new job, moving to a new city, AND my 74 year-old mother has been hospitalized since last week. From talks with her doctors and nurses, it really seems like she'll be ending up in some sort of assisted living facility. I'm moving in a WEEK and my head is spinning, I don't know where to begin. In particular, I'm worried about the money aspect of it all. First of all, we're located in Alberta, Canada.

honestly, my mother probably SHOULD be in an assisted living facility (or supported living, as Alberta Health Services calls them). She's been unwell (particularly mentally) for a long time. I would say that my mother, due to years of neglecting her health, is an OLD 74. She's not a senior who goes out and does stuff, she's pretty much become a recluse, doesn't visit with people, doesn't do her errands, barely does housekeeping/chores, etc.

Everything has been so sudden, though, that I don't know what decisions I should make. Knowing that she's also safe and in a facility would allow me to live my life without worrying about her so much... but there are sooooo many things I'm worried about, but two in particular stick out. The hospital is going to have a geriatric physician conduct a capacity test on her, if she passes (which I doubt) I guess she'll be able to make her decisions and this is all a waste of time, but if she doesn't... I'm her next of kin and become her decision maker. Part of me, would honestly consider let her stay in the house, under the condition that she gets homecare, BUT ugh that would probably be a bad choice.

A) Her house. If she's put into an assisted living facility, what am I supposed to do about her house. Would it be okay if I don't sell it IMMEDIATELY? I'm moving out of our current city for just under 1-year. I was planning on driving in visiting my mother every 2 weeks anyway, so I would have been staying at the house. This is something I would probably still be doing to a) visit her and b) see friends/hobbies, etc., so I'd be staying in the house when I visit. I can ask a friend or two to check on the house when I'm out of town. My mom's neighbour leaves the country during the winter-time, so I can ask him how he does it (or just figure out what other snowbirds do).

This home is my childhood home and there's A LOT of my stuff there too, because I'm moving to a town for just 1-year i'm only renting a room, so I cannot bring everything with me anyway. When I'm back in town after 1-year, I think I could begin to go through the house, sort everything, organize any needed repairs/upgrades, and then look into selling it. Eventually, it would have to be sold (I'm sure) to cover her costs in assisted living. I just feel like I have no time to process this and I can't imagine IMMEDIATELY selling the house. The thought of also selling the house as-is and getting a really poor price for it, when we could do moderate repairs/renovations and "increase" the value also kind of worries me.

2) Her money. Assisted living is sooooo expensive. She has CPP/OAS (about $1270 combined (she gets her CPP pre-taxed for some reason), an ok amount of savings+ RIF (about $400K-ish), her home could probably be sold for maybe around $315K with some repairs (who knows, the housing market right now isn't that hot). With that in mind she does have an ok amount of money, not rich or wealthy by any means.

I can't even BEGIN to figure out the costs of supportive living, or what kind of facility they'd refer her to (public or private). It sounds like a room could cost her anywhere from $2500 to $8000 a month! On the low end with her pension and savings she could do pretty well. In the middle if the facility cost around $4000/mo w/ her pension she could live there for about 11 years (longer if she sells the house). However, at a higher end... WTF... with her pension included, she'd have enough for maaaaybe 5 years? And then 3 more with the sale of her house? What the HELL would she do if she ran out of money!? Who knows where I'd be in 8 years career wise, or life-wise. I'm freaking out. There's no organized place I can go to research these costs. It would probably be cheaper to get a shared room, I suppose, so that's one option.

I know that in the US in certain states Medicaid will pay for a senior to live in a facility if they've spent their assets. That's not something that happens in Canada. I guess if all of her money is spent on care for her... she could get the Guaranteed Income Supplement (GIS) in addition to her CPP/OAS, but then what? It doesn't sound like there are facilities for low-income seniors, or if there are I have NO IDEA where to find info about them. Who knows if these facilities will even exist in Alberta due to the shitshow that's going on with the provincial budget for the next 4 years. This might sound awful, but what if assisted living perks her up and she likes it and she gets healthier... I'm sure she'll live for longer, if that's the case, but how would she pay for it all?
What if I have no money to support her?

This has been all I'm thinking about since she's been in the hospital. I've been barely able to even plan for MY OWN move and my new job or anything, because everything is so uncertain.

I know no one can predict the future, but holy shit, how can I plan for this and not lose my mind?

Looking for professional organizer/decluttering help in Silicon Valley

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My mom says she will hire a professional organizer for her house if I find a reputable one for her. The level of clutter is not creating an unsanitary environment (no pets, dishes are washed, etc.) but the accumulation of paper and books worries me and my brother and I have to keep on her to not let her piles of paper spread to the floor and create a slipping hazard as it's been in the past. I'm looking for an organizer who ideally specializes in elderly clientele. There's a mild hoarding mindset in place here (I had an argument with her on Christmas about recycling the tower of cardboard drink holders, for instance) along with some compulsive spending issues that seem common to people her age (early 80s) judging from my friends' comments about their parents.

I mainly need an exceptionally trustworthy person who understands that this isn't just an issue of going in and tossing things. There are financial documents in piles along with out of date magazine articles and email printouts. Any recommendations?

Dad not going home: how to be kind

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So my dad’s second stroke, in early December, wasn’t nearly as bad as it could have been. But he was already dying of congestive heart failure and is on oxygen constantly. How do I tell him that he won’t get to go home? My poor dad is now stuck in the one place he never ever wanted to end up, a nursing home. His home was not safe for him before and it’s absolutely unmanageable now. A physician has written a letter explaining that he can no longer make decisions for himself. I have his power of attorney form. His landlord is eager to sell the property where he was living until recently.

When I visit him he is filled with talk, often unintelligible, about what he wants me to do with his cars or his other things In anticipation of his return. But he’s not going to return because I am not going to allow him to return. No medical professional believes that is a good idea. He is nearly 90 and so frail he would simply end up in the hospital again, possibly in much worse shape.

Have you faced this situation? How did you respond? How did your parent or loved one respond? My dad has told one friend he may be stuck there. And that’s true. But I haven’t said those words yet. I know it’s important for people to have hope but my dad was miserable when he was living at home. The fact that he’s miserable in this new place is in no way surprising. But it breaks my heart anyway. I’m super sad about this and really wrestling with how to talk to him about it. I would be grateful for any wisdom or experience you can share about any aspect of this situation.

Why grandma doesn’t want to play as much anymore

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I’m looking for resources to help me help my nine-year-old understand how aging is affecting her grandparents. As my daughter’s grandparents age, I’m wondering about how best to help her understand the changes they are going through. I can tell her that some of them may not seem to be listening to her because their hearing is not as good as hers; I can explain that some of them no longer enjoy going out for a walk because they tire easily. However, I have a harder time explaining why some of them converse only by retelling a handful of stories about their own lives; why some of them have strong body odor; why some of them forget things that are important to my daughter, even if my daughter tells them repeatedly (her age, what grade she’s in at school); or why some of them have difficulty following a story, movies, or books.

I’ve tried making general comments about how people’s bodies and brains change as they grow older, and how that can affect how they move and act, but I’ve kept these explanations vague. The only sources of information I’ve found about the behaviors we’ve noticed are targeted to adults and caretakers. I am looking for resources about growing old that are geared toward children.

80 year old dad and partner are in florida alone. How can we help?

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I'm not close with my Dad for many reasons but he is living with his partner in florida and has not taken coronavirus on board that much, I think he belives this will last a month or 2. He's just watching whats happening and has written to his complex manager about how they'll help with groceries. She responded that people are relying on their family. He doesn't have any nearby. Beyond setting him up on Amazon Prime, is there anything else I MUST do? I am in germany. I have 3 other siblings but they aren't near him and he hasn't cultivated his relationships that well. I don't mind helping this person but I am far away... my other thoughts were meals on wheels?

Monitoring my mother's health from a distance

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What's the best way to monitor my mother's health from a distance during COVID-19? She's 74, has some health issues (high blood pressure), lives alone, etc. and just told me over the phone today that she has a sore throat and a "dry cough." So, naturally, I'm starting to panic, but maybe I'm overreacting. When talking to her over the phone/facetime, she seems... ok. She's had the sore throat/cough for a few days. No other symptoms she says (fever, difficulty breathing, etc.), but I'm not sure if she's just downplaying them or if she's really doesn't have those symptoms. How do I check in with her to see how her symptoms are and if they get worse... what do I do?

I took our province's online based on her symptoms self-assessment and it says not to call in to get tested. Just stay home.

I'm kind of worried because I flew to visit her just over two weeks ago. I feel fine, but did I catch something in the airport and pass it on to her? That's what I'm worrying about. She doesn't come into contact with a lot of people, she's pretty much a shut in. Which, for once, is slightly relieving. From my estimation she only talks to the garbage man, mail carrier, grocery delivery person, and, two of her neighbours. It's probably unlikely that she has covid19, but I'm concerned about what to do if she does. If her symptoms get worse, what do I do an when do I act? I'm about a 4.5 hour drive from her.

Lifter recliner chair for the elderly. But awash in options...

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My mom is no longer able to get in and out of bed on her own and wants one of those big Lazyboy-like recliner chairs that can power lift the person up into a near-vertical position when necessary. Didn't realize there were five thousand brands out there (once I started searching through Amazon). So I thought I'd ask the hive if by chance anyone here has any recommendations. Thank you!

In the age of COVID distancing, how to support someone who's dying?

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I'm looking for practical ways to support and connect with my father-in-law, who is dying of cancer, and (even more so) his wife, my mother-in-law, who is his full-time caregiver. We are doing daily phone calls. What else can we be doing? Father-in-law seems likely to only have a few weeks left. The hospital sent him home with palliative medication. She is a trained nurse, but obviously a bit overwhelmed with the situation.

They live in New Zealand. We live in Australia. We can't physically go to be with them. Even her brother and her other son, both of whom were staying with her to help out when this all kicked off, went home to their houses in cities just a few hours drive away, they thought temporarily, and now are no longer permitted to travel to her, even if they self-isolate otherwise. (NZ is being strict about travel between cities).

Someone from her church is bringing groceries (and leaving them on the doorstep). They are financially well off and don't need support in that way.

Even if I could think of things to order online that might brighten her day (flowers, other gifts), I believe NZ has also shut down all non-essential online shopping. NZ Post is also not supposed to be delivering parcels that are not essentials (defined as food and medicine) so I suppose I'm not even supposed to be sending care packages or anything from Australia.

The only other thing I could think of was writing physical letters. She doesn't use email (or the internet at all), but real mail might be cheering. I assume letters would get through, although I know it's kind of violating the spirit of "essential mail only".

Are there other practical things I could do or arrange to help out? We feel so helpless.

Resources to help an elderly person understand social distancing etc.

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A friend has to care for an elderly relative who may have been exposed to covid and is having trouble understanding what is going on at the moment. Can you point to resources (e.g. video) that might help to explain and reinforce social distancing, need for added hygiene etc.? (I think I saw a link to a video suggested for this very purpose right here on metafilter. I have searched but can't turn anything up so apologies if this is a double.)

Help me convince my elderly mother to get surgery

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My 80-year old mother needs a hip replacement. She has seen multiple doctors and had imaging done and the consensus is she has a bad hip and it needs to be replaced. She was initially opposed to it because of fear and mistrust of doctors, but due to the pain she relented to her doctor’s recommendation to speak to a surgeon. Her walking and balance have worsened dramatically in the past eight months. Her doctor says it’s a matter of a short time before she has a fall and is bed-ridden. Then her chance of death within the year is 50%.

The surgery date has been set for September 10th and now that she knows it’s happening she suddenly wants to call it off. She can’t think straight from fear.

Can anything be done to get her to change her mind?

How do I best help my elderly, depressed, and alcoholic mother?

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My mom just got out of her third alcohol-related hospitalization in the last five years and is currently in respite care while we figure out the best path forward, but we don't know what that looks like yet. More details inside. My mom is 72 and was hospitalized for 3 and a half weeks while going through alcohol withdrawal last month. While she was there, she was so delirious that she had to be restrained and put into a special enclosed bed. They ran some tests on her, including a brain MRI and a neurological workup, ruled out Wernicke-Korsakoff's, and concluded that she has sort of underlying "multifactorial alcohol and vascular encephalopathy/dementia". She recovered enough to be discharged, and went to a skilled nursing facility for another three weeks to recuperate. Now she's at another facility receiving respite care while I—her only child and only family member—figure out what to do. I live about an hour and half away from her.

My mom has had two other serious alcohol withdrawals in 2015 and 2019, both which also sent her to the hospital. The 2019 one was so bad that she didn't return home for four months, and it looked like she would have to enter some form of memory care. Thankfully, she made a significant recovery, but the experience left her at a new kind of baseline functioning that's somewhat lower than before. I've had the chance to spend a lot of time with her over the past couple of years, and over that time I've seen her beginning to develop dementia due to both her age and alcohol abuse. I think her dementia is still in the mild to moderate stages, but before this most recent hospitalization, one of the most noticeable signs was her having a lot of difficulty problem-solving, learning new things, and managing her finances. For example, she didn't really understand how her IRA worked—I basically would have to explain everything over again from scratch every time I went to see her. Stuff like that just doesn't 'stick' for her anymore.

Moreover, my mom also nearly got cleaned out by an online tech support scam a few months before her hospitalization in 2019—that was back when she had a desktop computer, which she gave the scammers full access to, along with her bank and investment accounts open in browser windows. The only thing that saved her is that immediately after, she told me about this great deal that she found on tech support software. I had her call her banks to issue an chargeback and freeze her accounts. We got rid of her desktop and got her an iPad, but she's had an incredible amount of trouble learning how to use it, even before her second hospitalization in 2019. She doesn't 'get' Touch ID, nor can she remember her passcode (it's my birthdate!) so she ended up writing it on a piece of paper which she taped to the back of her iPad. She can't really use apps besides Mail, Safari, and her bank app, either, even though I've tried to teach her so many times.

It's always seemed like there's something always going wrong, either with her iPad or with her bills or finances—there's some thing or another that she doesn't understand, which leads to her panicking and then demanding that I come drive up and fix it for her. This has led to me putting my foot down and asserting my boundaries (no, not being able to figure out how to delete an e-mail is not an issue that requires me to drop everything on my plate and cancel my meetings and drive up right this minute) which just stresses me out and makes me resentful towards her.

Lately, though, there have been some other concerning signs over this past year:

- she sometimes has problems telling dreams from reality (which is apparently another sign of dementia) which primarily manifests as her thinking that people have broken into her house and stolen things

- before this last hospitalization, she ended up going to the ER for a racing heartbeat (due to having had too much to drink the night before) and when she came back home, she saw an draft email that she had typed on her iPad and panicked, thinking that people had broken into her house and written the email

- she gets agitated when people park in front of her house to the point of leaving notes on their cars asking them to move—I told her that she was fighting a losing battle since the street is public, but she just got mad at me

- she stole cash from my wallet when I was staying at the house earlier this year, and when I called her out on it, she gave me three different reasons for why she did it

- I did her shopping during the early stages of COVID, so that she wouldn't have to go to the store, and tried to get her to come up with a shopping list, but it took major hemming and hawing, and for all that effort we usually ended up with something simple like "milk, bread, ice cream" and that was literally it. This is something which I think is a hallmark of her ongoing executive functioning issues.

- and so on.

Compounding all of this is that my mom is narcissistic, has major boundary issues, and was emotionally abusive to me growing up. She has alienated nearly all of her friends and the rest of her family save for me. I've begged her so many times over the last couple of years to think about planning for the future—say, if the time comes when she isn't able to live alone anymore, where would she want to live?—but she shut me down each time. Even when I visited her in the respite care facility yesterday, I told her, best-case, she would most likely have to have some kind of part-time caregiver to come around to the house a couple times a week, she refused to hear it. After everything that's happened, and her refusal to plan together for her future, I'm just so tired and frustrated—I've blown up significant relationships and put my PhD on hold to step in and handle things when my mom has hit rock bottom in the past, not to mention the background resentment that simmers with having to fix these minor issues that crop up (but are major to her) and I just can't do it anymore. I also have a relatively significant disability that requires time and headspace of its own to manage to boot. I've tried to explain to her very gently, multiple times, why I felt like the then-current state of affairs unfair to me and that something had to change... but she just never got it. I think my breaking point was when I asked her recently to think through with me, what we would do if I had to move away (say, for a job) and if she needed help with something—and she told me she would just disown me and find someone else to help if I moved away.

Anyway, I don't really have much to go on because my mom so adamantly refused to talk about these issues, but I'm very much leaning towards my mom going into some sort of assisted living facility. Her psychiatrist agrees with me that assisted living would be best for her. I think being able to socialize and just being around people would be good for her, since isolation is a pretty major trigger for her depression and alcoholism. I don't think my mom's at the point where she needs memory care or skilled nursing care—she can do all her activities of daily living with no issues, but it's the IADLs that she has trouble with. She is in relatively good physical health otherwise and able to walk pretty long distances She's at a respite care sorta facility right now, and while it's clean and safe, it's probably not a permanent solution for her. I've found some facilities that might be good candidates, so I guess at this point it's just a matter of reaching out to them and having them evaluate my mom. We're lucky in that my mom has enough assets and Social Security to be able to pay out-of-pocket for many facilities, so cost isn't *too* much of an issue.

So I guess, my questions are—1) how do I get my mom on board with this plan of going into assisted living, if that's even possible? 2) how do I make sure that she gets the right level of care—i.e., home care versus assisted living given her need for socialization and relatively good level of physical functioning? and 3) how can I feel secure in my decision when it's all said and done? If it helps any, we're in the SF Bay Area.

Advice Needed on Travel from Ontario to See Elderly Mother in Missouri

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How can I safely travel from Ontario to Missouri this winter to help my 83-year old mother? The Air Canada flight I booked for December to February has been cancelled, leaving me unsure of my options. I am a dual Canadian and American citizen who hasn't seen her mother since early March due to fears about the safety of traveling and the closed land border. My mother and I talk almost every day on the phone, but she is struggling with the isolation she’s experiencing as she shelters in place at home. Even though she’s in good physical health and can care for herself, the loneliness and boredom have been extremely hard on her, and I am very concerned.
Anticipating the increased difficulty of the coming winter months for my mother, I booked an Air Canada flight to Missouri in mid-December and a return flight near the end of February, using up the last two units of a 10-flight pass. Unfortunately, I received notice of the cancellation of this flight last week, “due to the impacts of COVID-19, government travel advisories and/or health and safety concerns.”
I’m still very determined to spend two months of the winter in Missouri, but I’m in a quandary about how to proceed. My cancelled flight went directly to Kansas City from Toronto, but booking with another airline would require two flights with a layover in Chicago. I want to spend as little time as possible sitting around in airports, so I’m wondering if I should book a flight with Porter to Chicago and just rent a car and drive the rest of the way (about an 8-hour trip). Or should I hold out hope that Air Canada will schedule more flights in December? Alternatively, should I rent a car in Ontario and drive to Missouri (a 16-hour trip), hoping that I’ll be allowed across the border as a U.S. citizen travelling to see an immediate family member? If so, what kind of documentation would I need to prove I’m not visiting the States for a vacation?
Added to the travel dilemma is uncertainty over what the pandemic will look like two months from now, all of which has created a lot of stress. I welcome any advice from Ask MetaFilter members on how to safely travel from Canada to the States this winter.

How to monitor elderly parent's finances remotely?

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Is Mint/YNAB a good fit for elderly retirees, or better to have professional help? My elderly parent lives alone in his home, and while he's been paying bills and such I think he could use some oversight. He isn't the most reliable narrator these days, and I don't want him to screw up his finances. Challenge: I live a couple hours away.

I want to get him to scan incoming paperwork into Dropbox so we can see his inputs and outputs. But I wonder if something like Mint/YNAB would be more helpful.

He has only a few bank accounts, and an annuity, and a IRA, and fixed pension income. He owns his home, but wants to buy a smaller house nearby and have one of his kids live in the current house. I think he can swing the mortgage on his income. But this adds a bit of complexity and I think we should start formally budgeting for it, because he wants to help his grandkids with college and stuff.

Also I'm wondering if a financial/estate advisor would be a good idea to figure out how to properly allow his kid's family to live in his house rent-free, pay for a second home, and help him structure the estate left to the remaining children.

Advice on buying a home for an elderly parent would be helpful too, how to find a sympathetic realtor, dealing with Covid, etc. I'd rather him get an apartment or assisted living, but he hates the idea and there's not much in the area, not hardly any SFHs for rent either. Living in the same neighborhood in a smaller house seems the best option for now.

HELOC or secured loan to an elderly relative?

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My elderly relative requires expensive in-home care, owns her house, and I'm trying to figure out the best way to tap her home equity. She's got five-figure eldercare expenses each month. She owns her home outright, so is there any downside to using a HELOC to cover the expenses? (Other than running out of credit and having to pay interest on top of the eldercare expenses should she live that long.) Can the family chip in for the HELOC interest payments? Will her estate sell the house and repay the HELOC?

Another option: Can the rest of the family make secured loans to her against the house, with the expectation that her estate will repay the loans eventually? It looks the family would have to charge a minimum interest rate and file paperwork to avoid tax problems, so this might be more complicated and no better than a HELOC, right?

The third option is we chip cash in the form of gifts, but it won't totally cover her expenses, and it might lead to bad feelings if some people contribute more than others.

The fourth option is that one of us buys the house outright and gives her the cash, but then we have a second mortgage, and again it sounds like a homemade HELOC.

The family has looked at reverse mortgages but got squinked out. I don't know if they've looked at HELOCs. I'm trying to avoid the family freaking out and fighting and going broke trying to help when there's home equity sitting right there. Once COVID has passed we'll have more options for assisted living, but we need to keep the status quo for now. Help me sell them on a good idea that makes everyone happy!
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