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She took the dog out for a quick walk. Then, her mom fell down the stairs. Canadian woman opens up about the moment she knew her mom couldn't live at home

She took the dog out for a quick walk. Then, her mom fell down the stairs. Canadian woman opens up about the moment she knew her mom couldn't live at home

Yahoo23-06-2025
In May 2024, Pam Ross had to quickly pop out of the house to take her dog, Dexter, to relieve himself. Before she left her home in Stoney Creek, Ont., she put a laundry basket of towels in front of her mother, Lillian. Her mother had just been diagnosed with dementia two years before, and she couldn't be left alone for very long, but Ross had planned to be gone for less than 10 minutes. She thought it would prevent her from wandering of getting into something dangerous while she was out.
"I have cameras in my house so I can watch her everywhere, because I was so scared of what might happen,' Ross said in an interview with Yahoo Canada.
Dog in one hand, phone in the other, Ross kept her eye on screen as she made her way down the street. But she hadn't made it far when she noticed her mom had left the room. She started racing back to her house when she heard the creak of her stairs coming from the phone's speaker, followed by a loud bang. She knew instinctively that her mother had fallen down the stairs.
'I grab my dog, pick him up, and I'm running as fast as I can,' Ross remembered. When she returned to the house, she found her mom at the bottom of the stairs. 'I still feel panic when I think of that.'
After that incident, Ross was hypervigiliant about looking after her mother. 'I didn't want to ever leave her,' she said. 'It was getting really hard.' But over the next couple of months, it became clear that Ross and her sister could no longer care for their mother alone.
We were starting to lose sleep, and everything was starting to be too muchPam Ross
Lillian was resistant to home support services coming into the house, so the family tried to find a compromise. Ross and her sister tried divide Lillian's time between houses and enrolling her in an adult day program through the Salvation Army. Finally, after many discussions and deep thought, the sisters decided to tour care homes.
'We were starting to lose sleep, and everything was starting to be too much,' Ross said. The sisters moved Lillian to an assisted-living facility last July. It was not an easy decision. 'She would say to us, 'Do not move me into a home. I'm not going into a home. I want to stay in my own house.''
Wanting to remain in their own home is a common sentiment among seniors. In fact, 96 per cent of Canadians aged 65 and older would do 'everything they could' to avoid going into a long-term care facility, according to the National Institute on Ageing.
The reality is, it can be hard to recognize when it's time to move a parent into a retirement community, nursing home or long-term care facility. Many caregivers experience guilt, stress, and emotional complexities when navigating the transition with their senior loved ones. Like Ross and her sister, many families try multiple care strategies before choosing a care home.
According to Stephanie Chan, a senior living advisor and founder of Home to Home, a care planning business in Vancouver, B.C, there are some common signs to look out for when considering a move for your senior loved one.
Mobility is one warning sign to gauge whether a living environment is still right for aging parents. Are they having difficulty doing daily tasks, such as taking their medications, tidying the house, or cooking for themselves? A lack of socialization is another factor. If a senior loved one seems to be lonely or isolated with limited daily social interaction, that could be another sign to think about moving them into a care home.
Chan also asks families to consider their loved one's cognitive abilities, like if they cannot find their way back home from a walk. Finally, big life-changing events, like the loss of a spouse or the diagnosis of a serious illness, could be a sign to downsize.
Providing care for a loved one can take a toll on the caregivers, too. 'Caregiving can be very lonely at any stage of the caregiving experience,' says Amy Coupal, CEO of the Ontario Caregiver Organization, a charitable organization that aims to support Ontario's four million caregivers. 'Part of what can help to reduce that loneliness is to connect with resources and supports in the community.'
Nearly one in four Canadians are caregivers at some point in their lives and nearly eight million Canadians provide care for family members or friends with a long-term condition, a physical or mental disability, or problems related to aging.
According to the Canadian Centre for Caregiving Excellence, a program of the Azrieli Foundation, caregivers provide on average more than 30 hours of unpaid care each week, which is nearly the equivalent of a full-time job.
For caregivers in Ontario who feel overwhelmed, Coupal advises they call the Ontario Caregiver Organization's 24/7 helpline, or visit the website to view tip sheets with information on support options, including peer mentors and peer support groups. 'We also have counselling and coaching for people who may be facing burnout or experiencing significant caregiving challenges,' she said.
The choice did not come lightly for Ross and her sister to move their mother into a care home.
'The guilt for us is really challenging,' Ross said. But they kept coming back to what Ross calls the Four Ss: safety, social ability, life satisfaction, and sanity. In other words, was her mother safe? Was she social? Did she have any life satisfaction? And what about the sisters' sanity? 'When we really started to look at them all, it seemed like it had to be the right decision for us."
For other families who are struggling to know whether it's the right time to move their senior loved one into a care home, Ross offers this advice: 'These are discussions you should have with a healthy parent. These are uncomfortable discussions,' she said. 'I feel like if we had had these conversations with my mom when she was fully cognitively aware, she would have said, I don't want you having to worry about this.'
The last year has been an adjustment. The sisters visit their mother five times a week, and check in with the staff every day. Still, it's a difficult transition. 'We know that she's being cared for and safe, but there's a ton of guilt. You don't want to leave her alone. And at the same time, I know that my mother would be devastated to know how much this has affected our lives.'
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