How Could This Abuse Happen To My Mom? In Florida!
I received the phone call that every child of an elderly parent dreads. The management office in my mother's condo left this message: "We had a report that the aide who picks up your mother is verbally abusing your mother. We're quite concerned, and we'd like you to get in touch with us."
My 94-year-old mother lived in Florida, 1,500 miles away. Like a detective I made a half-dozen calls until finally speaking to the woman who'd filed the report. "It was a blue Echo," she said, and I froze, knowing my mom's aide Josie (not her real name) drove that car. "The aide had her foot out the driver's door, so I could hear her yelling. She kept saying, 'Are you crazy? Are you crazy?' Then she slammed the car door and gunned the motor, took off real fast, stopping with a screech a few yards later. She started yelling at your mother again. I was so disturbed. I felt if this old woman had family, they ought to know. But even if she didn't have family, there's no reason for anyone to be treated that way."
"Thank you," I said as many times as Josie had called my mother crazy.
I'd had misgivings about Josie, my mother's "live in" for three months. She seemed distant and mysterious, leaving my mother eating lunch alone to return to her soap operas. After years of hiring aides to care for my mother, I knew that some watched TV all day, but each one had strengths and weaknesses. Exhausted and unable any longer to combine my work, marriage, child-rearing and long-distance care management, I hired a pricey social worker to oversee the aides. Just last week, she told me, "The aides are fabulous!" Perhaps I dreamed of perfection for my mother's care but had to settle for mediocre. I viewed Josie as more benignly neglectful than explosively dangerous.
Within an hour Josie was off my mother's case, but told to stay the night. Initially the agency had refused to give me references for Josie, promising she'd been screened and trained. Now when I pressed them, they said she was required only to take a two-hour course for certification, and they conducted criminal checks only for Florida (she could have broken the law in 49 states). A cottage industry had exploded nationwide: services for elderly parents of children who lived far away. Their Web sites promise personalized and compassionate care for our loved ones, and we need to buy it.
Nighttime worries
All night I worried that Josie might harm my mother, even though the agency assured me she was safe. The day after the "incident," my mother had an acute paranoid episode, common in dementia. She told me people were hurting her and stealing; she was afraid they'd poison her food. She'd made accusations so many times before, I didn't pay much attention. Just calmed her down and assured her she was safe. This time she was lucid, and I was delusional.
I called before she went to bed. "Can I talk to my mother?" I asked Josie.
"She's in the shower," Josie said pleasantly, not at all like an ax murderer.
"What's Josie doing answering the phone when Grandma's in the shower?" my daughter demanded. My 12-year-old knew more about how to deliver personalized, compassionate care.
"We're going to wire her apartment," my husband said, a path I'd never wanted to take. "We need TV cameras now. And fire that social worker."
"She's on vacation," I said. Her $1,400 bill from last month lay on my desk.
"I told you to get rid of Josie months ago," Steve said.
"I trusted the social worker's judgment. And I-told-you-so's aren't helpful to me right now!"
Now we were fighting. I took deep breaths and tried to stop hyperventilating. We were a tabloid headline: Home health aide verbally abuses 94-year-old.
After Josie was gone, after Mother called me in shock that a stranger named Ana Maria had shown up to care for her, after I coached Ana Maria on my mother's schedule and dietary habits, my mother asked me why Josie had to leave -- worried that Josie was unemployed.
"Did she ever yell at you?" I asked, not wanting to hear her answer.
"And how!"
"Did she yell at you in the car? Last week? In the parking lot?"
"I can't remember," Mom said.
Josie confessed to the executive director of the agency that she'd lost her temper and "cursed my mother out." She admitted that she'd yelled at my mother before, and she'd charged gas purchases on my mother's credit card even though I paid Josie's car expenses. Monitoring my mother's credit card online, I'd seen the gas purchases, but had ignored them. If she needed extra gas money so badly, I felt, let her have it. Now I faxed the agency credit-card documentation; they promised to refund my money from Josie's pay.
How could I have allowed my mother to be verbally abused? My friends tell me not to feel guilty. They've fired dozens of aides for their aging parents. It was the nature of this "imperfect system," according to one friend, a hospital social worker, adding: "The agency will probably place her with someone who's not as ill as your mother. And it's useless to put all the blame on this one agency; if you switch agencies, you'll inevitably find similar problems."
The only bright spot: Because of my mother's illness, she's already forgotten. "Josie's not coming back," I remind her when she asks.
"But she was such a good cook," my mother responds.
The hostage, sympathizing with her captors. Someone else's mother, I keep thinking, may soon be in the hands of a woman who loses control and steals. I place pressure on the agency, and they finally report the incident to the elder abuse hot line. Then I once again thank the woman from the parking lot who was kind enough to file the report. We need to watch out for each other, the way we'd want someone to watch out for us when we get old.----------
Candy Schulman lives in New York City.
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Thank you Candy, If you are an elder in Florida and you are frail your are fair game for heartless predators.
So you say "This can't happen to me, I have a will and advance directives, I have a Trust and all my ends are tied up!" Yeah and I am Alice in Wonderland ...... Read on..........
A Last Will and Testament is not Adequate
Dr. Irwin Weiss MD , Why?
Because existing laws do not adequately protect such individuals against other persons (typically family members and lawyers) who would wrongfully exploit their diminished mental capacity so as to influence them into signing new wills or other legal documents, including codicils, deeds, and trusts. ....more=>>
When There is a Will
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