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If not, in-home care agencies offer varying hours. I'd start with having someone come a few hours a day while you are there before you take your trip. Then take your break and keep the help if you/she can afford it. You shouldn't be on duty 24/7 for years at a time.
Good luck,
Carol
https://www.agingcare.com/News/The-Hidden-Dangers-of-Elder-Self-Neglect-146760.htm
Your question about legal responsibility is important. Can a family member simply walk away from someone whom they have cared for? There may be many theories of liability. Rather than write about all the bad things that could be imagined, I'd like to mention some of the resources and approaches that you could look to, for help with these difficult and frustrating circumstances.
Have you called on the Area Agency on Aging, ASAP (Aging Services Access Point) or town senior center? There may be many resources for care and assistance available to you. These agencies should provide you with approaches that can work.
Alzheimer's Association offers support groups and training for caregivers.
If you need legal authority to protect your mother's finances and health, a Conservatorship and/or Guardianship petition can bring the needs into focus and provide you, or an objective professional Guardian, with the authority to manage care and finances. There may be a charitable organization that provides guardianship services in your area.
The ASAP and/or an elder law attorney can help you identify home care reimbursement and payment programs that may be available through Medicaid, state agencies or the VA if you mother or father are veterans.
There's no denying the difficulty of the situation, but finding help to serve your mother's best interests is an accomplishment that is worth the effort.
I don't blame you for needing a break. You definitely need one. But before you take one you must line up in-home care for your mom or arrange for her to go to a facility while you take respite care.
It's not just your mother's memory that is the problem, it's her judgment, her ability to evaluate a situation and make a reasonable decision. You have to do that for her now, and that includes deciding when she needs to go somewhere else so you can get a break. Take her to your sister's "for a visit"; you don't have to specify the length, but a short trip the first time (say a weekend) especially if your sister doesn't truly know what she is getting into. Your mother can sleep in someone else's bed for a couple of nights: you have been sleeping in someone else's bed for years now. Your turn for some time off. Please remember, she cannot judge your needs anymore. Just as you make the decisions for her care, you must also make the decisions for your care.
Rarely do dementia patients admit they are not able to take care of themselves and insist on round the clock supervision. In their mind, they're fine. That's when they have to be taken care of as you would a child who isn't capable of looking out for themselves.
Getting her to accept the care is the key. There are many ways to do that, ranging from insistence to persuasion. I would certainly halt her cooking ability, even if I had to disable the stove or pull the circuit breaker.
If you can access it you can usually - and it is usually not a given force your Mum into respite care for one reason and one reason alone. If you don't have a break then you are going to have a breakdown...at this point it will all be taken out of your hands and your Mum would be put into care possibly permanently.
So to put her into care for a week or two while you have a much needed break is realistic and you must have agencies or possibly grant agencies/charities that would enable this.
If you rang APS and said you were on holiday for a week they WOULD step in and then there is a risk that you would be prosecuted for neglect. However if you consult in advance to arrange the care and are insistent on it then you won't be leaving her alone. She might be stroppy as hell initially but she will forget soon enough - My mum hates going into care for a week but she goes because I HAVE to have a break - all my family know when I need one - I cry a lot at stupid things.
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