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OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Jerry®
Date: August 18, 2024 08:35PM
I was with my mom today at her apartment in her retirement center. She's out of the hospital but not doing well mentally. She's scared and depressed because she says she feels really tired and crappy and is afraid that this is the end of her life. I tried to console her and tell her I'd be by every day to check on her, but she's not herself. I am torn. Can anyone advise me on what to do? I am distraught to say the least.

Sorry if I'm being overly dramatic......



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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: mattkime
Date: August 18, 2024 08:44PM
Talk to her doctors. Is she taking any medication that might be contributing to her depression?



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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Jerry®
Date: August 18, 2024 08:47PM
Quote
mattkime
Talk to her doctors. Is she taking any medication that might be contributing to her depression?

My older brother is her Medical POA and POA so i have limited access to that kind of information....i wish I knew more but my brother isnt being helpful to say the least.



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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: special
Date: August 18, 2024 09:04PM
Talk to your brother. We cannot solve your family issues.
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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: wowzer
Date: August 18, 2024 09:24PM
If she has multiple medical issues, depression is a known consequence. Another issue could be her friends; many elderly lose life long friends, which reduces their sense of community and freedom. Health restrictions compound psychiatric health. Geriatric psychiatrists may be some, but many include medications.



All I ever really needed to know, I learned from watching Star Trek.
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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Jerry®
Date: August 18, 2024 09:27PM
Quote
special
Talk to your brother. We cannot solve your family issues.

Sorry if you thought I was asking you to solve family issues.



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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: mattkime
Date: August 18, 2024 10:02PM
Quote
Jerry®
Quote
mattkime
Talk to her doctors. Is she taking any medication that might be contributing to her depression?

My older brother is her Medical POA and POA so i have limited access to that kind of information....i wish I knew more but my brother isnt being helpful to say the least.

I'm pretty sure you could get on the phone with her.



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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Diana
Date: August 18, 2024 10:54PM
Every family situation is different; I don't know the dynamics between your brother and you.

First: I am not a medical doctor. I have a doctorate, but I am not a MD so take what I say as a potential starting point; I am speaking from my experience, and my experience is just mine, not your's.

A couple of questions:

Who is the primary person helping your mom? You or your brother? If it is you, get your mom to verbally tell her doctors, the retirement center, etc that YOU are to be included as a person helping your mom to make the decisions. It is NOT that you WILL be making the decisions, but you are to be included (they can talk to you, they have your mom's permission!). You can also act as your mom's "memory", meaning that you might remember to ask things that your mom doesn't (or won't). I'm not saying that your mom's memory is bad, but it doesn't hurt to have someone else there (if possible). I know that sometimes it is just not possible, so don't beat yourself up about it.

Regarding the Medical Power of Attorney. You say your brother holds it; are you on it at all? I know when I had it drawn for my mom I was listed first, then my brother and finally my sister. I ask, because some medical providers are more willing to include you if you are listed on it. In any case, it applies when your mother has been judged as not being able to make her own decisions medically--you cannot use it to "force" anyone to do anything. It just doesn't work that way.

I'm glad that your mom is out of the hospital. How bad was the stroke? Were there any severe (or not so severe) consequences she suffered? Is she ambulatory?

Alert! I am not a psychiatrist either!! The following is my 2cents:

As others have said, depression is quite common in the elderly. Some of the depression may stem from the stroke. You stated previously that she suffers from depression, OCD, and anxiety, but doesn't want to take any meds for it because of how it makes her feel. This is an area that not many of us can help you with. On the one hand, you cannot be with her 24 hours a day to help relieve her depression and anxiety; on the other, you feel you need to be there 24 hours a day to help relieve her depression and anxiety! (My mom wanted me to be there all the time to keep her "entertained" and keep company; that's a fast way to become an enabler instead of a helper. Quite frankly, her issues weren't something that I could "fix.") Does she perk up with family visits? Does she have friends around who would be willing to check in on her on a more frequent basis for a while until her mood "stabilizes"? Would your mom be amenable to talking to a counselor about her issues? Basically, getting out of the house and being around people will help to some degree, both for depression and anxiety; making sure she is eating (and eating well) is another issue, as diet and depression have been linked. Any idea what her anxiety issues are, and how bad it may be and what may trigger it? You certainly want to help alleviate it, but it may be a function of "getting old and now she's been put in the nursing home" issue. When my mom fell and broke her hip, we were able to get her into a retirement village where she could get better care; she didn't want to be there (she called it the nursing home, even though she was living independently) and so that ratcheted up her anxiety. You mom may be in the same boat.

Finally, try to have a sit down with your brother. It will be difficult for both of you. You appear to be quite invested in your mom (absolutely nothing wrong with that!), and your brother appears to have taken a step or two back. In your case, it will be quite easy for you to get sucked into the situations that may unfold around your mom where the more you try to help, the less you actually get done. It is tiring, frustrating, and ultimately not good for you. Try to step back. Don't let your fears drive you in this journey. His reticence to talk to you may be simply because he is having a hard time with this too.

Good luck, and let us know how it goes.

Diana
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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Dennis S
Date: August 19, 2024 12:58AM
Try to make sure she eats well.
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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Marc Anthony
Date: August 19, 2024 04:57PM
I don’t know much about the history here. How long was she in the hospital, and was there an ICU stay? She probably needs mental and physical stimulation; you start to decondition after just a couple days in a hospital bed. If it hasn’t already been arranged, she likely needs a home health and PT consult. If the brother is the primary caregiver, you will need to coordinate with him or have your mom on the call when you speak to her primary doctor.

We all have to deal with declining health and our own mortality sooner or later. She may just need time to grieve a loss of function and/or independence, but, if she is nearing the end of life, ask if she’s ready to discuss her final needs and wishes with you. Listen. Be sure that you tell her you love her regularly. If she’s active in church, a clergy visit may be comforting to her. If she’s able, maybe take her outside for some sun to lift her spirits. Bringing is some music she likes or puzzles to keep her busy may also be stress relievers. My best wishes to you both.



Le poète doit vivre beaucoup, vivre dans tous les sens. - Verlaine
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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Jerry®
Date: August 20, 2024 06:47PM
thank you all for the support



Master Tinkerer Jerry®

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Re: OT: my mom isn't doing well mentally now out of the hospital - help
Posted by: Jerry®
Date: August 20, 2024 06:47PM
I'll keep you updated



Master Tinkerer Jerry®

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