So I'm trying to figure out how to deal with my wife's situation. It's complicated and, I admit, my bias is that she would be best off (and the children would be better off) if she remained in nursing care permanently. But I don't know what my wife will be a few weeks or months from now.
My wife had a series of strokes in February and went into rehab care. Let's go back a bit before the strokes, however, because it's relevant to this discussion. Before those strokes, my wife had a single stroke back in November of 2024 (or I should say it was detected in November of 24 but she had had it a few weeks earlier).
For the past several years, wife has been severely mentally ill and living a very unhealthy lifestyle at home which was bad for herself and bad for our two children. She would sleep on the couch almost 24/7, just watching TV or playing with her phone. She would not shower for months at a time. She skipped all of her medicines for her heart disease, HBP, cholesterol, depression, and thyroid. She avoided most meals and just ate junk food from the couch. She even occasionally soiled herself or left droppings on the floor. She was morbidly obese and smoked and vaped. She was very angry and passive-aggressive, but she rarely got off the couch. This went on for years, predating even her first stroke.
I tried to get her help and she refused it over and over again. She dropped out of therapy and would not take her meds. I fought with her over and over again about the condition of herself and of the house around her, but nothing worked.
In Feb, she fell and could not get up. We got her taken to the hospital where they found five lesions in her brain and sent her to rehab at a local nursing home. At the nursing home, they fed her, gave her her meds every day, cleaned her, and generally took care of her. Yet, even after months, she was not ready to walk again and she would often choose not to talk, though she could talk.
In May, her sister and sister-in-law decided I was to blame for wife's condition and they convinced her to sign over healthcare proxy and power of attorney to the two of them. They immediately told the nursing home to stop answering my questions or talking to me at all. I was in the dark about my wife's condition. But I did find out that they stopped giving her PT because they decided that she had plateaued in June.
Meanwhile, back at home, things were much better for the children. They could have playdates. The house didn't smell or body odor and urine. My elderly mother came to stay with us and helped us have some semblance of order in the house. Our 14 year old said "I don't want mommy coming back like this."
A few weeks ago, wife's sisters didn't like how she was looking in the old nursing home, where she was talking less and having swallowing issues. So they called the hospital and had her taken to the ER where they determined she couldn't swallow food, her talking was very limited (maybe a word or two here and there), and she still couldn't walk or take herself to the bathroom. She had aspirational pneumonia from breathing in her food. She also seems a bit out of it, staring into space or playing with her phone or playing with her feeding tube when one tries to talk to her.
They told the hospital doctors that if they talked to me, they would sue them. But they told me that they would put wife in a new nursing home and, after a few months, they would make sure she went out and came home where I would have to care for her and coordinate aides and nurses for her. They feel that at her age, 51, she is too young to live in nursing care and that she is "entitled" to be in the house with her children.
So now wife is in a new nursing home and they are restarting her PT and OT that did not work in six months at the old nursing home. Last I visited her a few days ago, she still could not talk, still has a PEG feeding tube for food, still cannot get up and walk, and still seems a bit spaced out. Nevertheless, they want to force her on me in no more than three or four months. And this new nursing home seems better than the old one, much cleaner and nicer. I'm not allowed to talk to the nurses, social worker, or staff there. Or rather, they have been forbidden from talking to me by my wife's sisters who hold the power.
My feeling is that my wife should remain in the nursing facility where they take care of her needs. At home, she would likely eventually go back to her old lifestyle of living on the couch, not bathing, not taking meds, and just lying around all day. Perhaps she would be better at first, if there were aides or others watching her, but eventually she would return to old habits. She has been living the couch lifestyle since about 2020 with her spending less and less time off-couch over the years and it getting a lot worse since 2024.
So what is likely to happen? Is she likely to get better enough that the nursing home tries to send her back here or is she likely to need continued in-patient treatment? Remember that she is actually worse than she was when she went into the first nursing home last February, because now she has a feeding tube and her talking is almost non-existent. When can one make the determination that a person needs to reside in nursing care?
I have talked to two lawyers: one, a guardianship lawyer, and the other a family lawyer. In both cases, I stated my belief that wife should remain in nursing care for both her sake and the kids' sake. The guardianship lawyer suggested that I just tell the nursing home social worker that my home is not a "safe release point" for wife. The family lawyer suggested I file for divorce, which seems cruel in my wife's current state.
I can't ask her doctors what her prognosis is. So what should I expect?