Today is 3 weeks since her admission into rehab. In many ways she is less than she was, and yet she continues to improve in small ways. Maybe I see the improvements because I look for each little step forward. Maybe I want her to improve more than she wants to improve.
Physical therapy says that they will be discharging her by the end of November. But the discharge will include the recommendation that she has 24 hour assistance/monitoring. This translates to admission into Assisted Living or to an aide in our home for a minimum of 12 hours each day.
An aide in the home is not an option for us. Our townhouse is small. My husband is uncomfortable with the idea and I am not wild about it either. But my main concern is for my husband. After 5 years of living with his mother-in-law in sometimes difficult circumstances, I cannot ignore the line in the line in the sand that he has indicated. He also has expressed concern for the physical and emotional toll all this has taken on me to this point.
But what about mom ... After 3 weeks in rehab I can see that she is ceasing to try, to achieve, to remain connected to her surrounds. She sleeps a lot. She appears angry at times.
But most importantly she doesn't understand that she can no longer do for herself. She can no longer make the smallest common sense decisions for herself.
When she is awake she appears unhappy and no longer takes joy in the presence of family. Some of this is fatigue. Some of this is discouragement that she is not home. Maybe we are dealing with some depression as well. But without her corporation and desire to do the work to get stronger, there is no way to physically bring her back home.
I greatly fear that she can no longer live at home safely.
How will I ever be able to give her that news!