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If a fast-moving fire hit the house in which I am with my mother 24/7, I doubt very much I could get her out in time. I'd have to get her into the chair, set up the ramp (assuming these weren't in the part of the house on fire), maneuver across multiple thresholds. We have strategies for these things during the day, but in the middle of the night in a house filled with smoke? Yeah right.
I'd die trying to get us out, but that would pretty much be the end for both of us.  This final scene would be pretty gruesome, but you know, we've both had a good run.

I also find the discussion ageist. Maybe a bit sexist, too.
(Imagine the movie Rear Window except now Jimmie Stewart is legally required to have a full-time babysitter. Blech.)

People in this thread are gathered around a campfire telling scary stories. Every one of us posting here will be dead of something or other before long, and many of these deaths will be drawn-out horrors in places that are happy to cash in on run-amok safetyism. 

You know what else isn't safe? Cycling. Horrific stuff happens to cyclists all of the time. Maybe we should get all of these people assessed for mental impairment and have them institutionalized.

There is no perfect safety.
We are all going to die, some more horribly than others.
Deal with it, people. And stop indulging your own death denial by stripping older people of their civil liberties.
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sooohappy Jan 9, 2024
I agree with you 1,000,000%.
👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻
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If Mom knows when and how to use her emergency button then she is probably OK. Does she wander at night? And does she get up to use the bathroom or a bedside commode, or wear a disposable undergarment for overnight accidents? We left my mom alone overnight because once she was in bed she stayed there, asleep, until woken in the morning.

If your mother stays in bed all night you need to make sure she has good working smoke detectors and any other alarm you feel is appropriate for her home, as well as wearing her call button to bed. Until you are her legal guardians or she lives with one of you, you are not liable for what happens in her home.
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Beatty Jan 9, 2024
Best answer. Follow this.
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Forget the legal question. Do you love your mother. Are you willing to take care of her. Change her diapers and clean her bed and feed her like she did for you when you were a baby. Do you feel an obligation to return the favor? If not does she have the money to hire it done? I can tell you most people prefer to stay in their own surroundings. Look deep inside yourself and decide what kind of person you are.
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NeedHelpWithMom Jan 9, 2024
Ouch! Please don’t equate hands on caregiving to love. I loved my mother and I did do the hands on care for over a decade.

People who hire someone to do the hands on care or place a parent in a facility are equally capable of loving their parents. They are smart enough to know that it is important to love themselves too.

I only wish that I had found this forum sooner because I could have known this for myself. Being a primary caregiver is very difficult.
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I posted earlier but want to add something.

OP states that mom doesn’t want help overnight. Why is everyone allowing her to call the shots? Call an agency or private caregiver and hire someone.

I can’t understand why people are afraid to hire additional help. Saying that ‘mom or dad’ don’t want it, isn’t a valid reason not to hire someone.

What can a feeble elderly parent possibly do if a caregiver shows up to deter them from staying?

My husband’s grandfather fired his housekeeper and caregivers on a daily basis. They were instructed to ignore his rants. They did an excellent job and guess what? He got used to them being there and appreciated their help. Even if they don’t appreciate the help. So what! Everyone needs a break! They will surely survive having a caregiver overnight.

Pay the hired staff more than the going rate in this situation. Trust in their ability to handle it. Don’t micromanage the situation, then sit back and allow them to do their job.
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Tiredniece23 Jan 10, 2024
But what if the elder refuses to pay? It should be coming out of their pocket, after all.
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One for ‘Sample’. My two babies were in child care, for short hours part time, almost from birth. Unusual reasons, but it worked. Loving child care workers adored having such tiny babies, and certainly ‘changed their diapers and cleaned their bed and fed them’. The obligations were clear, and so was the love.

I have ABSOLUTELY NO WILLINGNESS to find those workers and deal with their bodily functions decades later. I too can 'look deep inside myself'. I have decided ‘what kind of person’ I am, and is someone with some common sense.
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MargaretMcKen Jan 10, 2024
PS Thinking about this reminded me of going up in the lift near the CC Center with my first baby in a basket bassinet. A 3 year old in the lift looked into the basket, and said to her mum “that’s Jenny”. It was a startling lesson to me that Jenny’s existence was separate, and I didn’t count!
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Although I am not sure of the legal ramifications and your Mom's safety, how about installing a camera so you can see her overnight? I know some people that have done this and it works well for them along with a medical alert system in place for emergencies. If your Mom is of sound mind and can call for help if needed this may work for you. Of course I am not an expert, I'm just thinking this may be a temporary solution?? Best of luck to you and your sister. Caring for elderly and disabled parents is not easy!
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BurntCaregiver Jan 11, 2024
@Surviving

The woman is bedridden. She cannot transfer herself from the bed to the wheelchair.

Who is going to monitor these cameras all night long? What if there's a fire or someone breaks in? A camera is not going to help a bedridden person.

There's two choices here. Either she accepts an overnight caregiver in the house or she goes into a nursing home. There are no other feasible and realistic options here.
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You're worried about Legal Issues? There is no certainty in Life, more so
when you are old, dependent and frail. (me) No one is in your shoes. Just do what you can and respect her wishes when possible.
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brandee Jan 27, 2024
Agree with this response. Make sure Mom always has a phone next to her and numbers to call for police, fire and you.

We were in this situation. Dad did not want overnight caregivers. We respected his wishes.
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maybe you can talk her into trying it for a little while, she may end up liking having someone around. My mother objects to the idea of 24/7 help but we hire a friend of mine who is a nurse to help her for a few days each week. Since my friend lives near me, which is a two hour drive from my mother’s, she spends the night there as well. My mother is now disappointed when she has to go home. Personality does play a role however, I can’t imagine my mother ever wanting her other caregiver there over night. My mother still claims that she doesn’t need anyone except maybe to walk the dog and help her put on a compression sleeve but there are many things she claims she can do but she enjoys having other people do it once she’s had the help. Finding a good match is the hard part but if you can and you can get her to just try it for a while rather than telling her this is it from now on, she may decide on her own that it isn’t so bad.
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I find some of the answers here really weird. I know a lot of elderly people who live alone and aren't bed bound but wouldn't be able to escape their flats without help in case of a fire. Is everyone in this situation to be sent to a facility for their "safety"? Deprived of their liberty for maybes and might-happens? Disabled friends who live alone and couldn't escape without help don't have overnight carers: they have plans. Cognitive impairment is, of course, something else.
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AlvaDeer Jan 11, 2024
BertieBanks
I think the difference would be leaving someone mentally incompetent. That shouldn't be done.
If you are competent and bed ridden and a fire starts you call 911 like everyone else.
You must understand that someone unable to act or react to castrophic occurance because of dementia cannot safely be left alone?
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KaseyL: Imho, a bedridden elder should not be left alone at night, i.e. what happens when she requires toileting assistance at 3 A.M., for one? Logicality outweighs legality.
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KaseyL Jan 13, 2024
She wears adult diapers which get somewhat wet overnight but she is able to manuever onto a bedside commode if really needed (for a bowel movement). It just takes her a long time. It's pretty rare for her to need to do that though. The bedside commode is just in case.
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There are cognitive tests that doctor or trained provider can administer. MOCA is one.
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@BurntCaregiver
I am suggesting using a camera to monitor Mom overnight, which is better than leaving her alone. At least with a camera the daughters can monitor Mom overnight. Maybe she never wakes up. My Mother sleeps all night and never needs assistance overnight. I sleep at her place or an aide does because cognitively she cannot be alone. The lady here says her Mom is cognizant. I know a few people who do this to monitor parents and it works well for them and their situation. Just a suggestion. I understand she's bed bound but how many elderly folks live alone that are either bed bound or can barely get around independently? And how many are in nursing homes and are neglected? Caring for the elderly is not easy that I know for certain. I'm thankful to have this forum!
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Sorry that you are in this challenging situation. I read this of interest as I have had several friends family members left at home at night who have since passed on. I’ve read all the threads posted. Agree with offering these extended family members to share the burden of the night shift and come and stay with your mom. or ask them what their issue is with her being left alone and say thank you very much. If they ask again, say it’s taken care of and say nothing else. Until they’ve walked in your shoes it’s their own opinion. Rather a legal issue it appears that this is an ethical Legal issue. With ethical issues there is no right or wrong. Have the discussion with your mom regarding your concerns about being left alone at night, if she accepts the consequences, then that is her decision.
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About 20 years ago, I did care taking, for a blind women , crippled with arthritis, she was not a senior, but of sound mind. We left her alone, from 9p to 9a. it was paid by the state, and they did home checks. They wouldnt pay for more care and new she was left alone. Laws have changed and states are all different.

I think the camera idea is awesome, if not, I would make sure she can reach her phone and it's working good when someone leaves
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I'm wondering if there is a smoke alarm that can go off at her house and your house, so you could call 911, if your mom can't?
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Many elderly people are left alone in homes while their loved ones are working jobs.

Mom does not want overnight caregivers. She seems to be able to function during the overnight period. Make sure she has operational smoke alarms in the house and phone next to bed.
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