Tillie,
You asked, "Is Gina going to continue to help out so that you don't have to be the only caregiver, just the most excellent one?" At this very moment, I'm not sure. Prior to back surgery, Gina was only coming in 3 days a week for 4 hours each day. When we looked at her being here morning to night (9 to 9), I asked her to quote me a fee per day. She did and I refused her offer... insisting, instead, that it be $20 more per day and that she allow us to throw in meals... especially as I anticipated we'd do a fair amount of take-out/to-go meals from local restaurants. She seemed quite pleased with that.
Now, two months into this, she rarely smiles... seldom has anything nice to say... and isn't as pleasant with Darcey as she was before. I get it. She's burned out. But I've given her paid days off... 3 days at Christmas, 2 days at New Years, a full weekend... and for the last 3 weeks, I've let her leave at 1PM and not return until 5PM (so as to give her a bit more of a break). I've picked up the slack during those times... feeding Darcey (via peg) and taking her to the potty. But even that has not seemed to have had a positive effect.
Next Monday or Tuesday, we're going to move Darcey's bed back upstairs. On Wednesday, Gina leaves for a week of vacation. My son wants me to have more help with Darcey than the 12 hours I'd done previously. I do to. But I wasn't sure what the plan would be. As I mentioned this to Darcey, I anticipated some resistance to having Gina in more that the three 4-hour days. What I didn't anticipate is what Darcey really had to say.
She described feeling that Gina had become somewhat antagonistic towards her. Gina rarely talks anymore (and Gina was always someone you could NOT get to stop talking). Darcey feels that Gina will sometimes purposely ignore her request to go to the toilet until she feels like getting up to do so... with Darcey often having to ask twice or more. Honestly, I think that Gina is just tired. Heck, I've been there... I've done that morning to night routine for several years now... it can be grueling. But Darcey feels that at 8 years into this... with everything having faded away except her ability to communicate (and that ability is almost gone)... that she shouldn't have to put up with a begrudging caregiver. And I have to agree. I've privately communicated with my Son that I get tired... that care giving takes time that I don't have with all that I need to do to run a business that pays the bills... while doing all of the other tasks that come with Darcey's disability. But I've been firm in voicing the opinion that "your Mom didn't ask for this... and she should never be made to feel a burden because of her ALS." And he gets that perfectly.
So Darcey is asking, now that she's 65 and has Medicare, if she has options for other care-giving scenarios for home health care. I don't know, but I do know that I need to look into this and find out. Perhaps a week's vacation and a more relaxed schedule is all that Gina needs to return to her earlier self. But I'm feeling that Darcey isn't as excited to find out.
And so it goes...
So, to return to your earlier question in regards to Gina's continued participation... I don't know right now. Time, alone, will tell.
Jim