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My mom is 81 years old and she has late stage Parkinson’s disease. Within the last three years she has had gout in her knee, multiple UTIs, shingles, and endometrial cancer, surgically cured.
I spent an entire year + setting up a care plan for her, including food delivery, house cleaning, filing a claim with her long-term insurance so she could have paid at home care. I researched her Medicare benefit and did all of the screening and hiring of health care agencies, etc.
She has gotten rid of every single bit of help that I have set up for her. She lives at home with her partner who is 80 years old and he is tired of taking care of her. He does the bare minimum for her and helps her to the bathroom and dresses her. But he cannot do that anymore. He is exhausted and elderly himself.
I’ve been going in circles with her for three years over her need to get help in her home. She’s incredibly resistant to having anyone in her home. She sometimes says she would be open to having someone come for one hour a week, which is simply not enough in my opinion. Also, her partner does not want a stranger in the home. I’m beginning to believe that they will never have a helper in her life quality is extremely low because she would not accept help.
She has made it very clear 100x’s over that she will never ever go into assisted-living or skilled nursing home for help.
What the heck am I supposed to do here? What would you do?

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Back off and leave her to it. An event will happen that forces change, it always does. Meanwhile stop trying to reason with her and stop giving her the illusion of independence by providing all the various helps. It may sound cold but it’s what’s required to have her accept help. I’m sorry you’re in this place and wish you peace
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DonnaF777 May 29, 2026
Amen. Yes!!!
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Kimba, welcome to the forum!

A lot of us have faced this issue. It's not something that YOU can do anything about Unfortunately, you need to wait until "the crisis" occurs-- mom takes a fall, partner dies or leaves, mom has a health emergency that lands her in the hospital.

The hospital can refuse to discharge her home without home care.

You'll need to inform the discharge planner that she has NO help at home (elders often lie about this).

Under no circumstances take her into your home to provide care yourself. "I can't possibly do that" is a phrase I learned to say often.

Good luck!

(((Hugs)))
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MG8522 May 24, 2026
I learned about that while visiting someone in the hospital. The patient in the other bed was assuring the discharge planner that his wonderful neighbors would take him to his cancer treatments. Fortunately the neighbors were in the hallway listening and told the discharge planner that they were also elderly with their own health issues and couldn’t take on his. (The man wasn’t deliberately lying, he genuinely believed they would.)
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What does her partner want and who has power of attorney? If you and partners are allies and one of you have POA, you might be able to place her against her will. I assume she can’t just stand up and walk out by herself? But if neither are agreeable, I would step back and stop helping her at all. Say you can’t help her if she won’t accept x hours a day from a caregiver or moves into AL. And then wait for the call when disaster strikes…and it will.
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More info is needed, like are you her PoA? If so, is it durable? Does your Mom have any cognitive impairment? Has she ever been tested or does she have any Lewy Body dementia? If so, this may explain the irrational resistance and lack of empathy for exhausting both you and her partner.

As long as they both want only you as their solution, the only way to drive home the point about accepting altenative care is for you to back completely away from any hands-on help. You tell the both of them that you will be stepping back permanently and that if they need anything in regards to cooking, cleaning, hygiene, mobility, etc. they will need to call someone else, like Care.com or other local agencies. Before you make this announcement make sure all their valuables are secured and that their sensitive information and documents are locked away.

But then you have to do exactly what you told them. When (not if) they call you just keep referring them to the agencies. Also tell them that if they don't do that you will report them to APS. Be patient, because this will cause one or both of them to give in. Don't go in there to rescue them until they have gone a full 2 weeks with allowing the aids in their home. I'm hoping they can afford it...?

At some point your Mom will be a candidate for LTC. In a facility, Medicaid will cover that (plus her SS income) when she qualifies. She can go in to a good, reputable facility on private pay and then when she is close to running out of money you help her apply for Medicaid. Make sure you do some homework now so that you aren't blindsided by their criteria and the 5-yr look back period. 24/7 in-home care will exceed the cost of many facilities -- especially if she needs any kind of medically skilled help.

She can be 100x clear about her stance, but so can you. Stop being their only solution and show them you mean it. I wish you peace in your heart as you help them see it.
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Sadly you're going to have to let them fail on their own. And you're going to have to quit stepping up to help them in any way before they will come to the realization that in fact they need way more help than they ever realized.
So just let mom know that you'll be stepping away from trying to get her any care and that you yourself won't be doing anything going forward, as you're going to honor her wishes to do this all on her own.
And then just sit back and wait until she comes to her senses(if she has any left that is.)
Often children have to wait until an emergency or negative incident happens with their parents before they finally admit that they need help.
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Reply to funkygrandma59
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There's not a lot you can do except explain to your mother and her partner what the reality of the situation is. You can try to get conservatorship/guardianship over your mother and have her placrd in facility care, but that can be a long, hard, and expensive process. That reality is either they both get compliant and cooperative with the hired caregivers, housekeeping, the meal deliveries/shopping, and everything else you've done for really both of them, or they wait for a crisis to happen because you are stepping back and will not help them anymore. Then the state puts her in a nursing home against her will and everyone else's.

I was a homecare worker for 25 years before going into the business. Please tell your mother what I have told countless care-resistant, stubborn seniors exactly like her over the years.

~Nothing gets a senior a one-way ticket to a nursing home faster than being stubborn.

Please show her this post. Make sure she knows that APS does in fact come and place people in care facilities against their will if they are unsafe at home and not receiving the care they need to remain safe at home.

Good luck.
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DonnaF777 May 29, 2026
Yes
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Make it very clear to her 100x over that by being stupidly resistant to having home help, she is setting her own self up for going into assisted living or a skilled nursing home. Period.

That would actually be the best for all of you. Also make it clear that after the inevitable accident that will happen, she isn't coming into your home so you can be her care slave. You've done the best you could, and enough is enough. Tell her you'll visit her often in the facility and bring her cookies. Then go home and stop helping altogether. Maybe go on a trip so you can't run over to do her laundry.

Elder brats certainly do make things hard for their families - but you don't have to take it anymore. I hereby declare you free at last and at liberty to enjoy your life and the power of saying "NO!" from here on in.
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DonnaF777 May 29, 2026
Amen girl...amen! Elder brats! They put their families through a living hell. And some of these Elder brats have never really taken care of anybody. What happens is they've ignored their kids until they realize that they can't take care of themselves any longer so then they guilt trip their kids into taking care of them. This is exactly what my ex has done! I'm having to deal with this with a family right now. Dad divorced mom from overseas, told them in letter he is not wanting anything more to do with her or kids. Now, guess who needs total care? Daughter is POA, the one he ignored for many years.

Daughter is a saint but he got money which can make all the difference in the world.
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Do you have POA. Is she starting to show signs of Dementia? If she has been diagnosed with Dementia, she can no longer make decisions for herself. Next time she is hospitalized, tell the Social Worker that she is an unsafe discharge. Her partner cannot care for her the way she should be and she refuses aides.

There will come a time when its no longer what she wants but what she needs. Her Parkinsons will worsen. You may want to tell her the State could take over her care and she will have no say where she is placed. One of our members has a saying "the quickest way to a nursing home is to be stubborn".
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Reply to JoAnn29
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I have read a few of the other answers and they are spot on with regard to there not being any specific action, you personally can take at this time that will change the situation.
Is very difficult and unfortunate, but you are not going to change your mom’s personality.
She is not being rational.

repeat the next phrase to yourself as often as possible:

” you cannot rationalize within an irrational person.“

you have done everything you could possibly do at this point.

as horrible as it sounds and feels you can only wait for things to take their natural course.

A crisis will occur. Your mom will end up in the hospital.
THE HOSPITAL CANNOT DISCHARGE HER TO AN UNSAFE SITUATION.

she will need to be discharged to a rehab facility inside of a nursing home.

It can be presented as possibly being temporary.

Once she is there, she will either make enough progress to go home safely or she will not.

Best of luck and a big virtual hug.
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iameli May 29, 2026
I guess you can always try to explain to her what will happen if she has a fall or other health crisis. Probably will not listen, that is her choice as long as she is mentally competent.
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It's time to step back and stop helping. Her choices will eventually come to a head and require an ER visit. Repeat UNSAFE DISCHARGE to everyone there when they offer home assistance (you already know how that will work out). They must find a safe place for her, no matter how much she protests.
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