My grandmother is 92 I'm 38 and her primary care giver (we live together). She recently took a rather drastic turn for the worst in health. She eats little and drinks less, mainly laying in bed all day. I made the decision to contact hospice and I know that will help. However I also work full time and have rather long hours. My issue is I feel guilty for leaving her so I can go to work. She has people to check on her but nothing like a sitter. I don't know id I'm making the right choice by working but I can't not work.
Don't quit your job though. Never quit your job to become a caregiver. Think about this. Say you quit your job to stay with your grandmother. What happens when she passes away? Who pays your bills? Who keeps a roof over your head, food on your table, and pays your health insurance? What if you can't find a job in your field right away or don't get one paying as much as you get now? You're 38 years old and that's not a kid just starting out in an entry-level position. Don't quit your job.
No person should ever feel guilty because they have to earn a living. Don't torment yourself with guilt when you've done nothing wrong. Your grandmother may have to go into residential hospice if she can't afford the homecare hours she needs. That's not your fault in any way.
The bottom line here is that your grandmother should NOT be left alone for any length of time as she not only needs but also deserves someone to look after her on a more regular basis.
And NO that should NOT be you(as you need to keep your job) but one of her children or a paid caregiver that grandma pays for herself.
Hospice will only have a nurse to come once a week to start to check grandmas vitals and aides to come bathe her about twice a week, so other than that the rest of her care falls on you, so they won't be much help as far as grandma's care goes.
Sounds like in all reality grandma needs to now be placed in the appropriate facility where she will receive the 24/7 care she now requires and deserves. Perhaps hospice can help you find the right one for her, since her children seem pretty much useless at this point.
The Social Worker may be able to find some programs that will help pay for caregivers.
Hospice does have Volunteers that can sit with her for 3 to 4 hours but they can do no "hands on care".
Maybe talk to a Medicaid Planner first to see if she will actually qualify.
Another option is to sell her house to pay for facility care.
I'm hoping you are your Grandmother's PoA. If not, I don't know how you can legally manage any of her affairs or make any medical decisions for her. If she's still able to sign her name you can download PoA forms online from sites like Legalzoom.com or Rocketlawyer.com etc. You may need to have a mobile notary come to the house to finalize it. If she doesn't have a Will and you don't inherit the house, not sure what would happen if she goes into a facility for care.
If you aren't her FPoA then you won't be able to sell the house. More information would be helpful.