Charlene stood next to the pillow, resting a hand on her aunt’s shoulder. Daniel held on to the top rail with one hand on the other side of the bed. Charlene studied him as he told her aunt about the young boys’ basketball team that was coming to camp in the state park this weekend.
The crisp white sheets on Aunt Dorothy’s bed offered a stark contrast to Daniel’s perpetual tan, acquired from a lifetime working as a park ranger. He was a stocky, well-muscled man with dark, wavy hair. He had passed on his cleft chin and love of the outdoors to their son, Greg, while their daughter, Bonnie, had inherited his fabulous blue eyes and the tendency to be reserved and not to reveal thoughts and emotions.
Standing with him, as she had done for more than forty years, Charlene realized again how physically unlike one another they were. She had often said that her figure resembled a salt-water taffy: plump from top to bottom. She had pale skin and hair she’d kept light, long after time had darkened it and later turned it white.
Her life, since she’d married Daniel, had been built around her home, her children and her church. Unfortunately, by the time the nest she and her husband shared was empty, they had become strangers who had two children in common, but little else—except that they both loved Aunt Dorothy.
Grateful for his support during the past week, Charlene glanced at the end of the bed, where Denise Adams stood next to the papers she’d brought to the meeting and stacked in neat piles on the table Aunt Dorothy used to take her meals. For a woman who spent a good part of her professional life helping patients and their families make the transition from hospital to home, the social worker had an unusually stern and rigid turn to her mouth, and the expression in her light brown eyes was pure business.
Charlene was not impressed—until Daniel and Aunt Dorothy finished their conversation and Denise started the meeting. “As you know, Dorothy, Dr. Marks feels you’re just about ready to leave the hospital,” she said in a sweet, soothing voice that immediately set Charlene at ease.
For the life of her, however, she would never get used to hearing the hospital staff refer to her eighty-one-year-old aunt by her given name. Unless requested by the patient, titles and last names, Charlene had learned, were taboo under new guidelines that were supposed to guarantee patient privacy. But no one had asked Aunt Dorothy what she preferred.
“I wouldn’t mind staying a few days longer,” Aunt Dorothy murmured, clearly reluctant to return home and resume the independent life she had always led.
“We’ve got a number of options for you and your family to consider, which is why I thought it best that we all be here together,” Denise replied. “I thought I might briefly explain what those options include. First and most importantly, we all realize you’re not quite up to living alone again.”
When Aunt Dorothy nodded, Charlene lightly pressed her fingertips against her aunt’s shoulder to offer support. She was relieved that the social worker had not come right out and said Aunt Dorothy would never live alone again.
Denise smiled. “We have several alternatives you can consider.”
Aunt Dorothy stiffened and blinked back tears. “Not a nursing home. Please. I—I never, ever want to give up my home and spend my last days in a nursing home,” she whispered.
“You really don’t need to move permanently into a long-term-care facility,” the social worker assured her, clearly avoiding the words “nursing home.” “You could benefit from a short-term stay in any one of the rehab facilities in the area, if you have the resources. While you’re there, you could consider selling your home and moving into an assisted-living facility. I could help you and your family in that regard, as well.”
Charlene, seeing the devastation and panic in her aunt’s eyes, didn’t hesitate—not even to consult Daniel. “Aunt Dorothy, you can come live with us until you’re strong enough to go home again,” she offered.
Relief flooded her aunt’s features. “I wouldn’t be in the way. Not for an instant. And I’d be good and quiet, too,” she promised, looking from Charlene to Daniel and back again.
Charlene smiled and glanced at her husband, albeit belatedly, for his approval.
He looked at her aunt, instead, and smiled. “You can live with us for as long as you like.”
The social worker frowned. “As I recall, the two of you don’t actually live in Welleswood,” she said to Charlene.
“I have my business here, but we live in Grand Mills,” Charlene replied, wondering why that should make any difference.
“Near the edge of the Jersey Pinelands,” Daniel added.
The woman’s frown deepened. “That’s a good hour away. Being that far from Dorothy’s physicians could present problems. When she experiences another episode, which seems likely given the progressive nature of her illness, there might not be time for you to bring her back here.”
“You could change doctors for the time being. People do that all the time,” Daniel suggested. “I’m sure the hospital could transfer your records to a closer facility.”
Aunt Dorothy blinked back a fresh wave of tears. “But then we’d have to change back again when I move home. That’s an awful lot of trouble for everybody.” She sighed and worried the tissue in her hands. “It seems to me the good Lord should just call me Home, but He doesn’t appear to want me yet.”
Before Charlene could comment, the social worker responded, “Perhaps a better alternative would be to hire someone to live with you at your own home, assuming you have both the room and the resources. Whether you choose a home health aide or a companion, you’d receive the help you need and be able to keep the same doctors.”
Aunt Dorothy’s face lit with interest before she dropped her gaze.
Charlene swallowed hard. Hiring anyone to live with Aunt Dorothy full-time was well beyond the elderly woman’s means, but even if it wasn’t, Charlene could not imagine letting a stranger care for her beloved aunt. “We’re family. We take care of one another,” she murmured, patting her aunt’s shoulder. “I have to come to work in Welleswood five days a week anyway, so why don’t I just move in with you, temporarily, until you’re up to living alone again,” she suggested, unable to bring herself to suggest that Aunt Dorothy would never actually be well enough to live by herself again.
Based on the literature she had read, and what the doctors had told her, the progressive nature of CHF—combined with the complications of aging and diabetes—meant that Dorothy Gibbs would probably never be self-reliant again. But pointing that out now, when her aunt was so vulnerable, just didn’t feel right to Charlene.
She looked over at Daniel again. “You could come and stay with us for weekends, couldn’t you?”
He winked at Aunt Dorothy. “Why not? You’re still my best girl, aren’t you?”
“I can’t ask you two to uproot yourselves like that,” Aunt Dorothy argued, but her voice was soft and unconvincing.
“You didn’t ask. We offered,” Charlene countered, grateful for her husband’s support.
“I’ve been promising you all winter that I’d come take a look at that backyard of yours once spring came and clear it out for you,” Daniel added. “It would probably be a whole lot easier for me if I had a few weekends where I could work in the yard without driving back and forth.”
Aunt Dorothy batted her lashes at him and smiled demurely. “I haven’t had anyone over for Easter brunch for years. Not with the yard so overgrown. It’s lovely to think we could have brunch by the creek again this year. Do you think Greg and Bonnie could come, too?”
“The kids aren’t coming home for Easter this year, remember?” Charlene prompted, to remind her aunt that they had talked about this when Greg and Bonnie had visited her.
“Greg