@Juliasdementiablog, I am going to be brutally honest here. As I got to the last line in the title of your thread, "any advice?", my very first thought was don't do it. Having spent 8 years caring for my own Mum and then the last 3 years living with her in her own home, providing 24/7 care completely alone, this would be my response to you from my own experience. It is the 24/7 bit that needs to be very well considered, particularly if there is incontinence (or double incontinence in my own Mum's case) involved. If carers or other family members can provide regular, overnight respite by staying with your Mum, there may be a chance of this working for you both. Otherwise, you will need, as
@nellbelles has so clearly put, to determine how long-term sleep deprivation is going to affect you. The affects of this should not be under-estimated on the carer. It can detrimentally affect your own health severely and become intolerable and physically impossible to maintain in the long term. Where your Mum is, she has that overnight care provided by a team of staff who do not have to carry on working the next day and the next night and the next day and the next day etc., ad infinitum. Also, your Mum may not be presenting as particularly happy in the care home, but due to her illness and the length of time she has been away, there is no saying that she will be able to adjust to coming back home and you could find her just as unhappy in a different way. It is also a progressive illness. If you find you cannot manage or provide the care she needs (for no reason other than you are only one person, even with carers during the day), how difficult might this be for you and more particularly, disturbing for your Mum, if you brought her home and then tried to place her back in to residential care? My Mum went in to residential nursing care just over 2 months ago as I had almost reached the point of complete breakdown. There are many here who will tell you the same. I am not sorry that I cared for her at home and was able to live my love for her for that time but I have paid a terrible price for it. It was a heartbreaking decision for her to go in to care but it was the right one for both of us. My Mum is often up during the night at the home, sometimes all night, still. You may well find that you are unable to ever leave your Mum alone, no matter how she is presenting in her care home now. How will you continue to function with the possibility of only an hour or two's respite a day via the home carers? In the end, it has to be what is best for your Mum's needs and only you will be able to determine that. I have edited this to add one more thing, please do not assume that SS will support you in the way that you would wish. They have an overwhelming caseload and zero budgets and many people on here have found little or no assistance once they are caring for their loved ones at home. I was one of those people!