2 1/2 years ago, about a year after our step-mother passed away, it was evident dad couldn't safely remain in his house. Physically he was deteriorating, but his mind was sharp as ever.
My sister (68 now) had a place worked out at Assisted Living for him, but at the last minute he said he didn't want to go. So she ended up putting him up in a room in her house.
Over time it has grown to be too much for her. He is starting to fall a bit more frequently, and it is difficult for her to help him as she also has some lingering health issues (bad knees among them).
My wife and I both work FT, and don't have room in our house for him, and honestly could not do what she has done for him.
Every once in a while my sister will text a vent, but today when she texted, it really concerned me. She mentioned thoughts of suicide or disappearing (which she said she knew she couldn't), but she felt like she didn't have a life.
She has said dad says he never wants to go into a nursing facility, but I know he wouldn't want her life ruined.
I think we need to sit down and explain what this is doing to her, and see if this has an impact on his thinking about being relocated to a facility.
Open to thoughts, ideas, etc from those that may have gone down this path already.
You can give him choices of two facilities, but living with your sister is no longer an option as in "that's not one of the choices, dad; you need more care than family can give you now".
I have two brothers that are barely involved in my mom’s life or mine. So, from the bottom of my heart, I thank you. I have cared for my mom with Parkinson’s for 14 years in my home.
Your dad cannot be alone. Your sister is burned out and has health issues. This is a necessary placement. He will adjust and everyone can visit him. Take care and best wishes to you and your family.
Of course, that isn't the case in today's world. Modern medicine has advanced and so has nursing homes. We now have "Assisted Living" which in many places are more like living in a hotel.... having meals in a restaurant style dining room.... everyone having their own private apartment, etc.
Has your Dad ever visited an "Assisted Living" facility? He might be pleasantly surprised. After my Dad visited a senior facility, he was ready to pack and move in. He couldn't wait to be around people of his own age group [also in his 90's, still was sharp, but a major fall risk].
When living with a parent to be their caregiver what happens is the adult/child dynamics. Your Dad still views your sister as a much younger person who can still do everything. My parents did the same with me.
Please note that up to 40% of family caregivers will die leaving behind the love one they were caring... those are not good odds. Then what? Then Dad moves into Assisted Living, but your sister is no longer around :(
Like your sister, I was ready to drive my car off a bridge because everything became so overwhelming, and here I wasn't even hands-on, but logistical. And here your sister is doing both.
For those parents who dig in their heels and refuse to move, usually we have to wait for a serious illness or fall to get the ball rolling. It goes 911, hospital, rehab, Assisted Living, or in my Mom's case Long-Term-Care.
If your dad was going to go to assisted living, then I assume he can afford to pay for care. Figure out what the quickest way to lift this burden from your sister will be -- possibly hiring someone from an agency at least temporarily, so that she can step away.
Then getting him evaluated to see whether he can still do assisted living or whether he needs skilled nursing. And then get him moved. Whether he wants to or not. He cannot stay where he is and impact your sister's health this way.
Good luck, you are doing your part by caring for your sister and not just turning a deaf ear to her and I know she appreciates that and feels supported don't make the mistake of thinking this in any way is your fault for not taking him in. We all make our own decisions.
You need to figure out a way to get dad an evaluation of his care needs. Call his doctor, the Area Agency on Aging and find out how to get this done quickly. Dont hesitate to say that your sister is having thoughts of self harm.
But, not sure that I would tell anyone that sister is having thoughts of self-harm. Just say that she is exhausted and needs a break; to recoup and to focus on what the best long-term steps are for Dad. Then beg sister to go talk to a psychologist and her PCP.
Also, to the OP: when signing the papers for "respite," make sure that you make it 100% clear that it is "respite," and that the intention at that time is that your Dad will return home. My experience with respite is that it's no more than 30 days; after that, at least where my mother went, you are forced to sign on to permanent and pay a rather large community fee. When you start, just pay for a week, or maybe 10 days, and get a copy of the check and a receipt.