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My mother-in-law is moving in with us and we are working on closing out her apartment. As part of this process, she has agreed to donate or throw away various pieces of furniture, nick-knacks, and cloths. I would not call her a horder, but she has some of those tendencies. We have already been in a heated argument when she asked was something of her's packed and we said she had agreed to let it go. Our last trip to pack her apartment is this weekend and we plan to take pictures of packed boxes as well as what is going to good-will or the trash. Any other thoughts are appreciated.

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Rubin, the longer you & Wf. wait to have Mil go into a facility the harder it will be for her to adjust to and participate in the rhythm of the place.

She will sadly be 1 of those many ladies who come into a facility only to spend their day slumped over in a chair staring vacantly & isolated.

An elders whose families more than had the opportunity for earlier placement but waited too too long then finally moved their elder when their care got beyond what they could do in their home. And now they are way too deep into dementia to get somewhat dressed on their own much less socialize. The world has passed them by. It’s so sad as could have easily been different. These situations I’ve found are often those who complain about NH being “warehouses” fwiw.

Please pls don’t let that happen for your MiL, if you can help it. Get her into a place appropriate for level needed sooner rather than later.

Whether it’s a IL, AL, MC, NH….. they all have a routine to their days and activities for the residents. Even for the curmudgeons who in the back of a room at a NH for movie night or bingo. Imho you and your Wf’s family want to get her moved (& do positive reinforcement on the move if need be) while they can still physically and mentally still somewhat understand how theses places run and adjust their timing to the schedule. And you start to include the facilities schedule of events in your planning as well.

If MiL has been a widow for a long time, not active in her community or church, moving into a facility can be quite an adjustment. There are schedules, there’s a defined order how a place needs to run and it’s so not her’s to set; and her still being somewhat competent and cognitive to do this makes a huge difference to her successful transition.

Side note: y’all might have issues with “transition” as well in your home as it will be bad if MiL views herself as Queen with you & Wf. as her hand servants. Be clear w/Wf and her family on this…. Is her mom a guest, that you do for? Or a short term resident with responsibilities? Your gonna be very not happy if your once tidy household starts to look and smell like MiL old place. Just sayin’.
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ventingisback Aug 2023
Although I get what you’re saying (move an elderly person early), I think sometimes on the contrary, it’s better to move the LO only when they’re unaware and deep into the dementia.

Sometimes, if possible, it’s better to enjoy home as long as possible, and as long as you’re aware of your surroundings.

It all depends on each individual case.
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Here’s info about diagnosing where a person is on the dementia spectrum. Dear caregivers, read and laugh. There’s no useful information in this scientific hodgepodge to help you take care of your patient AT ALL. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449308/
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Have you googled Showtime? I’ll bet your MIL is very good at this when she sees the doctors.
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Southernwaver Aug 2023
https://coping.today/what-does-showtime-mean/
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Oh boy, moving in with you? Have you done all the research about what can happen? There are many posts here about this adventure to hades.

The best thing to do is not say anything, do not discuss with her, she will forget all about it in 10 minutes anyway... if she has dementia.

Don't argue with her, just say ok and do whatever needs to be done.

If she is argumentative, you will be in for one heck of a ride if she lives with you.

All I can say is good luck.
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igloo572 Aug 2023
I think we have a winner for this months bumper sticker:

Aging Care….. this Adventure to Hades

MeDolly, it’s really perfection, plus Fire Ice would be easy font to use!
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Do not move her into your home. You will regret it in about a week. Start exploring facilities to move her into.
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Rubin, your MIL may not have been dxed with dementia yet, but if she is being worked up for cognitive decline and is argumentative over items she's forgotten she said were fine to donate, the handwriting is on the wall.

There is a terrible problem that some members end up having here; once their elderly parent moves in, it can be quite difficult to get them out.

They've established legal residence in your home, you're providing care (because she won't "allow" aides or non-family members to provide care. Do you evict her? In some cases, that's the only way.

Your house, formerly your sanctuary, gets taken over by an argumentative elder who accused you of stealing her money and goods. Incontinence ensues.

Old age, with or without dementia goes ONLY in one direction. Do your MIL a favor and get her into a good AL while she has mind enough to make friends and get used to routines.
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All - I want to thank each of you for the guidance provided. We've had two neurologist already work my MIL to determine her cognetive functions to determine where she is based on the various spectrums. She has not been diagnosed with dementia, but we will remain vigilent. While I am not a MD, the majority of my family members are and we have discussed the benefits of home healthcare vs. assisted living/memory care. My wife and I both agree she would benefit from assisted living and we will most likely get to that point in time. I do worry about a number of the items each of you have mentioned and again thank you for your gudiance.
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LoopyLoo Aug 2023
If you both agree that she should be in AL, why on earth are you moving her in with you? If she can’t live alone, she already needs AL. Having her do another move from your house to AL will be even harder, because by then she’ll be older and further along in cognitive decline.

“I do worry about a number of the items each of you have mentioned and again thank you for your gudiance.”

… in other words, you are going to disregard the advice from people who know of what they speak and move her in anyway. Good luck.
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Be ready for her to hoard up your house. She is focused on keeping things around her and it won’t stop in a new home.

There is a reason people are telling you not to do this. I think people don’t realize how detailed, life changing, and hard it’ll be. Really think this through. 

-Any sort of schedule you have now will be out the window. 

-Can you lift her several times a day? 

-she will need a female to help her with things like bathing and toileting. And possibly to help her get dressed. Are you okay with doing this many times a day?

-Can you handle pee or poop accidents on her bed or anywhere else in the house?

-If you can’t handle toileting and such, are you okay with having aides in your home? Can she afford to pay them?

-Are your toilets, bathtubs, etc handicap-ready? Will her bed have safety rails? Are meds stored safely? 

-Can you handle the onslaught of laundry, changing sheets, and cooking for another person?

-If you have pets, will she adjust to them or the pets to her?

-There will be no more dinners out, no vacations. Friends and family will say to call if you need anything, but you'll find almost none will volunteer to stay with her if you want or need time out. 

-When do you plan to get things like errands and grocery shopping done? 

-If she worsens, how will you handle the medical needs? If she keeps you up at night, how do you plan to handle work the next day?

-Will she expect to be with you or husband constantly? Like every meal and every night with you both watching TV? Her having her own bedroom and bathroom isn’t the same as having her own home. And she can get very argumentative about YOUR things vs HERS. Like when a small child insists everything is “MINE!”.

-She will not have socialization with others in your home. You two will become her entire world.

-If you or your husband get sick or hurt, what plan do you have for her care?

Taking her out of her place and into a whole new one is a rough transition on an elder. If you end up having to place her again, that's another round of transition and newness she'll have to adjust to. 

I've said before that people think they can "love their way" through caregiving. That love will be enough to sustain their energy and will. It isn't. Most on here loved their elder dearly and wanted to care for them. They had to place their elder to save both of their lives.
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It’s your responsibility to not argue with a woman whose brain is broken and is dying. It’s just a waste of everyone’s time.
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We tell my mom that things are in storage.
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A move is very hard on an elder. If she does have dementia, she will actually be worse after moving in. Is she already in your home? You may have noticed?

Not only will she be worse but you really don’t know now how advanced her condition is because the elder always seems more normal in their own familiar surroundings. Unless she is as familiar with your home as she is her own, she will be like a perpetual guest. By that I mean she will act like she has moved into a bad hotel. Wanting to be waited on and never being content with whatever you do.
It is so hard on her because her brain can’t make sense of it but it will be impossible for you.

She is going to suffer regardless as she is being moved especially if she truly does have dementia. You can’t help that. But you could put her with staff who are trained to care for others like her and that will help both of you.

You could video her saying whatever she agrees to. You could have her sign a document saying she gives you permission to discard whatever but she won’t remember/believe/agree she did any on those things. And even if she seems fine in the moment, it will all have to be done again because she won’t remember you just explained it. All she will remember is that you are the reason she has lost her belongings. What she will more easily remember is the distant past.
I would just tell her whatever she is asking about is in storage and change the subject.
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Rubin, your mIL has dementia.

There is no longer any rational conversation to be had.

Please, trust me/on this. Get her placed.
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I ended up bedridden from the stress of having my mother move in with us. It took six weeks of crazy, and I was unable to cope.

We figured out that my mother had about stage 4 dementia. The arguing was out of control.

This was only after I came to this forum, desperate for advice.

We ended up moving my mother to Memory Care.

Skip the insanity.

Go right to Assisted Living.

You won't regret it.
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I cannot edit my post but wanted to add this extra info.

I suggest you read this 33 page booklet online about managing dementia and what to expect with an elder who's been diagnosed with it. Lots of Do's and Don't tips for dealing with dementia sufferers are suggested in the booklet.

Understanding the Dementia Experience, by Jennifer Ghent-Fuller 

https://www.smashwords.com/books/view/210580

Jennifer is a nurse who worked for many years as an educator and counsellor for people with dementia and their families, as well as others in caring roles. She addresses the emotional and grief issues in the contexts in which they arise for families living with dementia.

The reviews for her books are phenomenal b/c they are written in plain English & very easy to read/understand. Her writings have been VERY helpful for me.

The full copy of her book is available here:

https://www.amazon.com/Thoughtful-Dementia-Care-Understanding-Experience/dp/B09WN439CC/ref=sr_1_2?crid=2E7WWE9X5UFXR&keywords=jennifer+ghent+fuller+books&qid=1657468364&sprefix=jennifer+ghent%2Caps%2C631&sr=8-2


Educate yourself about what lies ahead as dementia progresses before you decide what steps to take. Knowledge is power.

Best of luck.
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I have to also recommend that you NOT move your mother-in-law in with you. You have absolutely no clue as to what you're getting yourself into and your family.
A hoarder has a hard time letting go of things as they form unhealthy relationships with "things" and feel they can't live without them. It's a sickness. A mental sickness to be more specific, and the fact that you seem to be in denial of the severity of her hoarding tendencies should be a HUGE red flag to yourself.
And then you add memory loss/dementia on top of it and OMG you're in WAY over your head.
Hopefully it's not too late to come up with a plan B, like finding her an assisted living facility with a memory care facility attached as that will be the next step.
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Now that she's all packed up and ready to go, move MIL into a nice Assisted Living facilty that has a memory care bldg attached, so she can segue right into it when her "memory issues" worsen. Unless you have lots of experience and knowledge about dementia and how to care for an elder suffering from it, I strongly advise against moving your MIL in with you. It's a much much bigger thing to deal with than you can possibly imagine. No joke.
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sp196902 Aug 2023
I like this idea. Straight to the AL. I doubt OP will listen but it's a good one.
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So Not. Do. This.
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I agree with Fawnby. Don't move in with you. You will regret it. The heated argument was only one of many issues you are going to have with MIL.
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Don't move her in with you. Period. There are a gazillion posts on this site by people in your situation who regret the day their sick relative ever moved in. One they're in, it's almost impossible to get them out.

The arguments you're having now? They'll get worse. The hoarding? That doesn't get better. Her memory is already causing her problems (I'm guessing at least Stage 3 dementia), and you will be the villain because she won't believe a thing you say. There's no point arguing with her. Her brain is broken.

Too late for this advice, and you don't want to hear it, right? Well, I warned you. I wish you luck.
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