Joint POA wants to put depressed mother in a care home

My Grandma’s depression has just been a downward slide for the last year, and I don’t see any more ways to help. She is completely healthy (physically, no dementia) but just feels so, so lonely and nothing anyone does seems to touch it. Nothing seem to be helping, she just seems to keep getting worse and worse.

As a result of the depression, she’s basically stopped eating. She does have some confounding stomach issues too which don’t help, but the main issue is that she just ‘can’t be bothered’ to eat. In the last month she’s ended up at the hospital/having the paramedics out twice because of not eating. It’s a vicious cycle in which she doesn’t eat, so becomes more depressed and anxious, and so doesn’t want to eat. Both I and her doctor have explained this to her several times but she just doesn’t care – she doesn’t want to eat, and ‘doesn’t understand’ why she feels terrible all the time.

For the last fifteen years, my Grandma has told me “Kill me before I ever have to go into a care home”, “Never let me end up in one of those places”, “I would rather die than have to go into a home”. She had to put her mother in a nursing home due to dementia and the experience left us both traumatised and fearful towards the quality of life in care homes. Now with this depression she’s started saying ‘Just put me in a home’. I’ve resisted it because of her previously expressed wishes, and the knowledge that the environment and restrictions placed upon her in a care home would likely make her depression and loneliness much worse.

Now my uncle is pushing the idea of putting her in a home, specifically so that “the rest of us can get on with her lives and stop indulging her feeling sorry for herself”. My uncle still holds resentment for Grandma as she was the one to leave his dad in the divorce 45 years ago. My Grandad also suffered from depression for over ten years, in addition to a myriad of health issues, and my uncle did absolutely everything in his power to prevent my Grandad going into a care home.

I don’t know what to do. It feels like two against one, where I’m the last man standing by her former wishes. The not eating situation is also making me reconsider my stance, but it’s just infuriating because it feels like a self-inflicted issue and no physical basis for her to have to go into a situation that will likely make the depression worse. My view is that almost all of the things currently in place to manage her depression (visiting her friends, day trips out with them, regular exercise, going to her favourite shops, seeing her therapist) will all be limited or extinguished by her being placed in care. Knowing her character, I truly believe the restrictions to her independence would make her miserable.

I feel like I’m fighting an uphill battle here and I don’t know if it’s right any more. I don’t know what to do.

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Hi @Riri2730

This is such a difficult situation, but first things first: from what you’re saying, your Grandma has mental capacity, so she has the right to make a decision that is different from before. It does show how depressed she is, and she may feel that going into a care home will accelerate her demise, going by her previous experience.

Equally, she might benefit from it. There’d be a lot of people around and she might actually gain from the contact with more people.

It might be worth discussing it with her to see why she wants to move to a care home?

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@Riri2730 I guess it depends on if the right kind of Care Home could be found? Some will have activities and work hard to give residents ‘quality of life’. Years ago I took one of my cats to Nursing Homes as a ‘Pets as Therapy’ cat and the two homes I visited were fantastic but I would guess very expensive even back then. But she would have company at meal times and maybe this would encourage her to eat and interact? I agree that talking to her and trying to ‘coax’ out her feelings as to why NOW she wants to go into a Care Home.

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There is a lot to consider. Firstly, does she NEED to live in a care home? Given her eating disorder, it might, or might not, help. Who is going to pay? Does she own or rent her home? Does anyone else live with her?

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Hey, thanks for replying.

I would argue that no, physically, she doesn’t need to live in a care home. She is still physically capable of looking after herself (cooking, cleaning, getting around etc), she just ‘doesn’t feel like’ eating. She lives alone, and I live in a difference city as I can’t get any work nearby. She owns her home, but not outright as her (scumbag) ex-husband remortgaged it to fuel his gambling addiction. There’s an agreement in place with the bank that the remaining mortgage balance will be repaid to them when the house is sold. Her savings are almost non-existent and the house would probably only sell for a maximum of £100k (with ~£50k to bank for mortgage), so options for care homes would be limited due to cost.

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In that case, why not talk to her about respite care, to see if it is what she really wants? Social Services may arrange this after an assessment.

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Yeah, I think that might be the next step and have just started looking into homes offering this service today. Thanks for the support and advice :slight_smile:

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Hey, thanks for replying.

She certainly does have mental capacity, although her ability to understand complex or long-term problems is noticeably limited by the depression.

Her reasons for wanting to go into a care home tend to be along the lines of not knowing how else to feel better and grasping at something that might fix it for her. Her depression is manifesting in a way that’s similar to a drowning person looking for someone to save them, and being disappointed/ horribly upset when someone else doesn’t (/can’t) fix everything and make her feel better. She seems to have started viewing care homes as something new that might fix things for her.

I appreciate you suggesting and pointing out the potential benefits of it, as I’d be the first to admit I have a very negative view of homes (particularly in terms of mental health), and am struggling to see benefits this path could provide.

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@Riri2730…hi, I agree with @Charlesh47 that gran going into a carehome may not be a bad thing despite her previously not wanting to. They would have lots of social activities and people around and she may find that she enjoys being in that environment. My husband is in a carehome and it’s really nice there, the staff seem very friendly and there are lots of things happening each day.

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@Riri2730 I’m so sorry for your situation. My dad was in a care home for the last two,years of his life, but he had Alzheimer’s, so despite promising I would never do it to him, he thrived in there,put on weight and was cared for with compassion.This was something my mother had not been able to do, so I did what was best for him.

Now my mum is physically frail,but mentally sharp.I promised her too that I would never put her in a home but she has now come to the conclusion that this may be best for her. I think she gets very lonely when I am not there and is aware that I am constantly on call. Enabling her to stay at home has been more draining on the rest of the family than any of us imagined.

I have taken the first steps by visiting a lovely care home close by and then taking her to see it. She has agreed to a week’s respite in October when I am actually going to try to have a holiday and I will see how that goes. I think Mum gets tired just coping at home, so I am hoping she will see the benefits of having someone else cooking and cleaning for her, doing her washing etc. I know I will! I am hoping that 24 hour company and supervision will appeal to her, once she has tried it for a bit.

Keep in touch and let us know how you get on. Softly softly would be my advice. Sending hugs :people_hugging:

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It’s really important to find out who will pay before visiting possible homes.