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I've also brought up the idea of him moving back in with our parents. He acknowledged that was a logical idea. But he still expects to get a new job, and he feels there isn't enough work in my parents area. He also said, and I agree with him.... he isn't the best personality type to do this. He gets short-tempered and angry at the best of times.
I also admit I'm feeling guilty because I left MI over 20 years ago, and don't go back that often (until recently). He's the one in the house, seeing them at least once a week. So I've trusted his judgement, until now, but the Mom has one medical emergency after another, Dad is often confused and forgetful.
My guess is that your brother is stressed and strained, and if he is not being reimbursed for this expenses...and frankly his time (albiet he loves his parents), remote family members do not have an understanding of the daily stress and strains on those that are "right there"..and engaged in the day to day situations that may occur. If your brother is becoming fustrated, he is, and probably beyond what you know...cause you are not there. I am sorry to say, but remote family members can not manage this situation, especially if things are declining...and it sounds like they probably are declining..and/or will continue to decline. If your brother is working full-time...and trying to put his arms around all of this, you guys need to make some decisions, plan a stratgey to "fill in" for your brother. His close proximity puts the "emotional" burden on him. Is he the one that says " I guess I need to step in and start doing this stuff myself?" or is this your comment?
You can have the POA, but you are remote, and as much as you have tried to participate, only the person that is close by (and it sounds like your brother is doing everything he can) is the best to monitor and watch the situation. Not an easy job to say the least..and very draining. Hats off to your brother thus far...but the stress and strain will continue.
If you and/or the family can afford to find a "good" caregiver..maybe just to stop by, observe, and provide for an overview, you will gain additional insight that will help you understand. I am sure your brother would be accepting of this, and to relieve him to some degree.
I live in Michigan and took care of my Mother for nearly ten years. I had a remote brother and sister-in-law in Washington D.C. As much as I would explain what I was going through, it mostly all fell on deaf ears...and there was no recognition for "value" in terms of financial value. I am finding that this "family thing" in addressing what the caregiver sacrifices, emotionally and financially, is not recognized by the remote family members...rather "it's your choice"...basically an ignornant statement from the far removed.
You and your brother need to sit down and talk..and to bring perhaps another professional into understanding the dynamics of your situation...and explore all alternatives that will better enhance your lives, yet still embrace your parents' desires. Not an easy one, but start talking and start exploring on all fronts.
Good luck to you..I know you care. Marco40
Yes, your parents need to be in assisted living or the next step down, but it is their decision. You can't just drop them off there, although some of us would like to.
Even if and when they go, it is still A LOT of work, for the person living near by.