Patient here. I’m the one who has stopped fighting what can’t be stopped.
My plan was to move to my daughter’s next month but I’ve reconsidered. I’m moving to assisted living (as it’s called in US) instead. Let me tell you why. Maybe I can help you see both sides of my decision, and that might help you when the time comes.
Its not really safe for me to live alone anymore, and it’s constantly more frustrating as my hands get more difficult to use, my speech fades in volume and my brain can’t keep up. Everything gets harder every day.
My daughter and her husband asked me to live with them now that things are getting noticeably more difficult and I gratefully accepted. I would be safer, have to prepare foods less, and generally have someone to check in with me as they go about their day. But as I thought about it I became less enthusiastic. I don’t want them to face the increasing personal awful needs I’ll have. They can’t see down the road like I can (like most advanced people on here can). I mentioned wiping my butt for me in the future and they said they’ll get other people to do that, but if I’m in need tonight and the next helper doesn’t come til morning it will not be avoidable.
I don’t want them to feed me. Or bathe me. Or help me to the toilet. Or deal with my increasing angry outbursts. I don’t want to die in my daughter’s house.
So I’ve found a good assisted living place near them that will do all those things plus cook, push my wheelchair for me, do my laundry, clean my studio “apartment” weekly, make my bed every day (which is really a great way to check in on me every day), give me medications on schedule, be onsite in case of emergency and much more. They’ll increase services as I progress.
It’s near my daughter’s home, luckily. So she can visit as a friend, largely able to avoid handling my personal needs, which has become a priority for me.
I visited my mother several hours a day over the 7 months she lingered after a major stroke in a nursing facility. She was a “sundowner” who got up and caused general mayhem every night. She knocked the head nurse to the floor and walked around even when safely strapped in the wheelchair. They put an alarm bracelet on her ankle that sounded if she got near the front door.
I find now that those are my strongest memories when I think of mom, who was so involved in my entire life, and I don’t want that for my daughter. I can see she already misses parts of me that are fading. I do, too.
Here’s the really surprising thing I found out when I did the math and got a daily rate: the assisted living facility cost is equal to only 4-5 hours of home care a day. From that perspective it’s an easy choice for me. The funds I’d use to pay come from money I’d hoped to pass on to my daughter… but I’ve decided this is a bigger gift than the money itself. I still have an insurance policy that will pay them a nice sum and they’ll get whatever cash is left, plus a small retirement account. We’ve discussed it and she can finally see that I’m not running away from a life with her.
Part of what makes this an easier choice is that I don’t think I have more than six months to a year left. I won’t accept a feeding tube so I assume aspiration pneumonia will come calling. I’m prone to urinary infections and won’t choose to treat them. I’m completely at peace with that.
I look forward to spending time with her on my terms long as I can.
How about you?
— Kyle