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She doesn’t want to go to AL, but says she wishes to “die at home”. I love my mom. My mother is important to me. I want to help her stay in her accessible home, but I am so burned out! Compassion fatigue, really. She doesn’t seem to get it.


She has become very self-centered and doesn’t seem to care about my needs.


I think she expects me to give up my life for her. Actually, I just saw the last BEST years of my life go to HER and her care. I just turned 70. I just want to rest and have no more demands on me. I want to have peace and quiet. I have not had a life of my own since I came to help her. I have no friends, know no one in her town. I just try to persevere. What’s the matter with me? Few people would do this, I think.


My bro lives in Colorado, and does not call often. My sis lives 5 hrs. away, is busy, and relieves me for 3 days every 4 months. Otherwise, I am here 24/7 with no time away. Mom has grown dependent on me, of course. She doesn’t like it when I get my respites, but she copes. She seldom asks about my own welfare. If I get sick, she pretty much ignores it. What is that? She was never like that before in our earlier days. She was awesome, then! It is difficult to let go of earlier concepts of your mom. I want to help her, but, too much is too much. I don’t know how much longer I can go on like this. I am depressed, anxious, and resentful. I don’t want to live my last years feeling that way.


I know I need to place her. I have a couple of places lined up. It’s mostly that I can’t do it because she doesn’t want to. Her mind is pretty good. She would miss her “things”, so, I think I should wait. I don’t know—what about me?


I have sacrificed so much for her, because I love her. I may have sacrificed too much. I don’t feel very good anymore. I know I won’t live as long as she has, She’s almost 91.


I am looking for an inexpensive home or cheaper rental. None exist. In our area, the inventory is low. I can’t find anything I can afford. Been looking 4 yrs.


I thought maybe if I bought something, at least I’d have a place to go, two days a week while I continue to care for mom. I know I am more fortunate than many who post here.


I would like any comments or IDEAS to help me move forward. I seem to be stuck. Thanks. (I have posted before).

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You are in my prayers. I feel many of the same things, though am only 2 years into the journey. I posted on here for the first time today , hoping for just a bit of encouragement and got blasted with judgment instead. People thinking it was fishy that I was doing so much for my mom in order to allow her to stay in her own home as long as possible. I do it because I love my mother and don't want her to be lonely! Right? Godspeed, my friend.
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LoopyLoo Jul 2023
Nkelly, you only mentioned arthritis as your mom’s issue. Had you mentioned dementia as well, people could help you better. You can’t leave out pertinent info and then get mad when people don’t totally know what you’re dealing with.

Also, it is not up to you to keep your mother from being lonely. It’s great to care for her, but “I have to be there so she never gets lonely” is enmeshment. Both of you keeping to yourselves is isolating.
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Slatbart, please read up on Fear, Obligation and Guilt.

Whether or not mom gets angry is not the issue.

No one but you is going to put your needs first.

If you needing something makes mom angry...so?

Have you ever seen a movie called Now, Voyager?
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“ I know I need to place her . I have a couple of places lined up.”

You say she has cognitive decline . Primary care doctors miss it all the time . Take her to a neurologist or geriatrician . Describe all that you do for her . My father in law with dementia still fools people . He can talk a good talk , however he is not independent at all . Get the doctor to tell her to go to assisted living .

If your Mom is not independent , then you tell her you can no longer provide as much assistance as she needs and that she needs assisted living .

If she still refuses , you step back and call your local Agency of Aging for a needs assessment. They will send a social worker out to the house . I had to do this for my mother to get her out of her house . The social worker told me to step back and let mother fail at living on her own . It’s the only way sometimes to get them placed in assisted living .

You “ are stuck “ , because you are letting Mom rule . This is not working for you and a change is needed.
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Slatbart, you keep saying that you can't "justify" mom going into Long Term Care.

Why doesn't what is best for YOUR health and happiness matter?

You are doing and unpaid job that is causing you to lose our on health and the ability to have peace and companionship. Why can't you say "I don't want to do this anymore" and retire?
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ventingisback Jul 2023
Although actually, unless you totally walk away, you can never really retire from it. Even if your LO is in a facility, there will always be problems to deal with.

It doesn’t end.
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Since you and mom have the same doctor, inform doctor of your declining mental health due to taking care of mom. Have doctor tell mom that she must go to a care facility.
At this rate, you could die before she does. Then who would take care of mom?

You've done your bit. Now get out of there. Doing so does not make you a bad child. It makes you a child who is not too beaten down to make good choices.
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I don’t have specific ideas, but a tool that has been helping me a lot.

I bought a pre-designed journal called the ‘Hero’s Journal.’ Full caveat, it’s designed like a Harry Potter/Lord of the Rings hybrid so it might not be your cup of tea. What works for me is the simplicity and the way it helps me slowly march towards a goal. Every day you write your goal ( ‘ move out of the house’, or ‘ rebuild my social’ life, or anything! ) three things to do towards that goal - no matter how small , things that might impeded your day’s goals, 3 things you’re grateful for, and things that will help you. It takes 2-5 minutes every morning.

My other caveat is I have ADHD and get overwhelmed with details, so again maybe this method isn’t for everyone. But it’s really broken down some complex goals for me. I’m on my second journal and have really made progress improving my life. My first main goal was honestly to just uplift my self esteem and get out of the overwhelm and grief rut I found myself in after 7 yrs of family decline and management. I’m now in a band , made friends through that, and working towards more art ‘gigs’ . Fyi I’m 52. No quick fix , but this organized journal has really helped me move myself towards concrete and realistic lifestyle changes.

Whatever works for you….good luck and keep us posted!
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Slatbart, if this is an internist and not a geriatric specialist, neurologist or geriatric psychiatrist, he doesn't have the skills to rule out significant cognitive impairment. My mother's VERY skilled PCP saw NOTHING wrong with her.

A full neuropsych workup indicated cognitive impairment to the extent that she should no longer drive, live alone or pay her own bills.

Getting this assessment was key in getting my siblings to understand that mom's fears and anxiety were not something she was bring on herself (something she always told us when we were young and depressed or anxious) but a real condition that had been caused by an undiagnosed stroke.

The fact that mom cannot live alone does not equal "I have to stay".

You need to leave for your own health.
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Do you have enough money to book a solo cruise or something? Holland America is a great cruise line for solos because they have solo lunches and get togethers. When I took my solo cruise, the solo lunch group from day 1 stuck together and we ate together all the time and we would see each other on excursions etc. So it was great because I could be alone and also socialize.

You need a vacation.

I’m prescribing you a 1-2 week vacation. Just book one and tell everyone you are going. Mom will pout and give you the silent treatment probably, but so what, who cares? She can pay for caregivers.

You need to get out of that house and away from her. She also needs to see how much you do for her and how much she can’t do without you.

You will likely get some clarity once you are away from the situation for a while. It doesn’t have to be a cruise. Priceline a hotel or something. You deserve that.

This is my suggestion.
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ventingisback Jul 2023
“I’m prescribing you a 1-2 week vacation.”

OP, I’m also prescribing you a little cat.
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You live with her I gather?

At 91 she probably has at least a little hit of dementia, and part of that can be not caring about anyone else’s feelings, so it may be that she can’t see how her care is killing you.

I support you. You are important. Your life is important. Your physical and mental health is important. Your golden years belong to you.
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Let me guess: you’re the only unmarried child. This is why your siblings conveniently dumped it on you. You have no idea how happy they are that they dumped it on you.

You’re 70. You’ve done a lot for her. You deserve to live a full life.
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Slartbart, it would be nice if your mom could see that she's ruining your life.

For whatever reason, she can't.

It's up to you to stand up for yourself at this point in time
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Please get mom diagnosed. If she has cognitive decline, you will understand why her emotions have “changed“, and why she acts the way she does, now. You will begin to understand that her brain is broken. This was huge for me. Understanding it made me come to terms with the changes I saw with my mom. I learned to not take her reactions and demeanor so personally, because of the diagnosis.

Selfcare. Selfcare. Selfcare. You must take time for you.

Learn more about the diagnosis mom receives. It will benefit you.
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Slartabart Jul 2023
Thanks for your reply. Mom and I have the same doctor. I just spoke with him about mom. She does not meet the criteria of dementia, tho she definitely has cognitive decline. She is also very self-centered, so there’s that, and she just wants what she wants. She wants me to care for her. She does NOT want to go to a facility. I love her and want her to be happy. Therein lies the problem! She has plenty of money to take care of her needs and also has a LTC policy that covers some. My siblings conveniently think that because I am the “single” one, it falls to me to care for her. I don’t get it. They seem to not want to deal with it.
Thanks for your kind words. I have a lot of work to do.
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How did you word it when you broached the subject of AL to your sibs last fall?

Do you have POA/HCPOA?

I get really cranky when I read of do-nothing sibs telling another sib that the sib should sacrifice their life to eldercare.

I am curious about your life's circumstances 6+ years ago when you came to live with your mother. You were 65? Did you take early retirement or quit a job to come live with your mother? Why were you the one to do that? Who had the most contact with your mother, and why wasn't AL considered at that time?

Who pays all the bills now? What is your mother's financial situation? Can she afford AL?

I'm trying to get a complete picture of your situation, as it might help me and others to make suggestions.
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Slartabart Jul 2023
Thanks for your reply. Mother has enough money to last out her days-she also has LTC insurance. I am her health care proxy. I am confused as to whether that makes me her POA. My sis and bro-I -law are executors. I previously thought all of these matters were “tied up”, confirmed, so to speak. But, as I deal with my busy, busy sister, I see she is ditzier than I imagined, despite being a doctor! Ha! I am not trusting that she has things lined up. She never initiates conversations about mom’s affairs. I do believe, at 91 yrs. of age, we should be conferring about details. I want that there should be no fuss, no disagreements, etc.
I will contact sis soon. I want to make sure she is aware of Trust details.

Last fall, mom had terrible arthritic/sciatica pain for a long while. We (she/I explored many treatments. Mom has mobility issues, and we agreed, if she couldn’t make the short walk to the bathroom, we should discuss placement.
In November, sis came to visit, saw how impaired mom was and she and husband (also a doc), recommended placement before Christmas. Not sure what that was based on. Well, I never would have done that to mom, prior to a holiday and I didn’t think hasty decisions by people who were not “living it”
and, also not that in touch that often, we’re appropriate. Now, 7 mo. later, mom is doing much better, has been ambulating more, gone into her studio, and is happy to be here. (Can’t help but wonder if the threat of placement “encouraged” her to cope better?). Who ever knows? She’s just doing better, and is happier.
I, on the other hand, am stuck, aren’t I? What I want is for mom to be happier and more productive, but, then I can’t justify placing her (not that I could). I just don’t know. Maybe I’m crazy. I do agree with another poster: I am co-dependent with my mother. My sibs escaped. I did not.
Thanks so much for your kindness!
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Slatbart, have you considered finding a therapist to help you take small steps towards setting some boundaries with your mother?
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Slartabart Jul 2023
Thanks for that post, Barb. Astute. Yes, I have an appt. (3) set up. You know the backlog. I must wait till November! But, it gives me hope. Co-dep, for sure, and who knows what else. I truly appreciate your reply! K
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Because your brother and his wife are not caring for your mom, they cannot know the situation as it is. They might have experienced another situation, but not yours. I knew when I was done. You know you are done. I know what the wanting only you to care for her is like and it is difficult to climb out of that perceived duty to your mom. It was the same with my mom, except every now and then she would see she was being selfish. I jumped on those times to try to convince her to go to assisted living. She would agree, but then of course forget she agreed. Do you have POA? You can, I think, just make the arrangements and take her, unless she is combative and simply refuses to go. If so, let her know you will not care for her any longer, and therefore she must decide to do what you think is best or be on her own. She will realize she cannot be on her own, right? Ask her if she trusts you. Or tell her you have to have surgery, so she has to go to assisted living for awhile. Depending on her level of dementia, you might be able to tell a bunch of lies for her own good.
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Slartabart Jul 2023
Thanks so much for this. I have to digest what you have said. I am grateful!
I am so happy to have your response. Thank you!
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It is no longer a matter of what she wants, it is a matter of what is needed for the both of you.

You have spent too much of your time condescending to her wants, time for you to stand up for yourself.

My mother is 98 in AL and she loves it, she does not have dementia. She has made friends her age, enjoys activities and so much more, so can your mother.

Reading everything you appear to be very codependent; therapy might be of assistance to you.
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Slartabart Jul 2023
Yes, thank you for your reply. I HAVE TO LISTEN UP to good advice! I feel I don’t know how to,sometimes. I WILL, I will" . This is so difficult" if I don’t listen up, I DO feel I may die soon (not to be dramatic, just factual). It’s touch to care about anything anymore. Thank you.
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Slart, it sounds like mom's brain is broken. Does she have dementia?

As folks get older, their world shrinks and they have this tendency to think less about what other's need. They become quite ego-centric, in the manner of small children.

Except, parents of small children generally know that to obey the whims of a 3 or 4 year old is not a healthy path to take.

My mom developed Mild Cognitive Impairment; we didn't know that. We just knew that all of a sudden, her anxiety was off the charts and only us racing to her side was any sort of solution.

The problem was, we couldn't keep doing that and keep our jobs. We tried in-home caregivers. Didn't work. Mom felt like she had to entertain them.

I finally sat her down and told her "I can't do this anymore. And neither can Brother".

She asked what "this" was. She had no idea, really NO IDEA that driving above the speed limit across all 5 boroughs of NYC to her isolated Westchester home in the middle of the work day, three days running, was in ANY way a "problem" and that I was going to lose my job.

I told her that day that either she moved into a place where help was available or that she would have to make other arrangements for her emergencies. My brother and nearby cousin (who also got frequent calls from her) backed me up.

We moved her a week later.

Sometimes you just have to stand up for yourself. It's not easy.
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Slartabart Jul 2023
Thanks so very much for your reply. MMom was never diagnosed with dementia, but she clearly has it, and it has accelerated in the past few months.
I also blame myself for (perhaps) some denial. My mom is so good at appearing to be “normal”. I have caught this for years. And I want her to feel that way, as I think if she believes she’s going downhill, then, she WILL. This is so hard. I apppreciate you sharing you info. Thanks, thanks, thanks.
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We have a poster here named Beatty. Beatty always says "caregiving only works if it works for BOTH parties."

Right now, caregiving is not working for you.

Mom's choices depend a great deal upon her finances.

You are going to stop caregiving as of August 1st.

Therefore, mom needs either to replace you with paid caregivers or she needs to go into care.

She needs a professional "needs assessment" that will tell you what level of care she needs (24/7 at home or less; Assisted Living, Memory Care or skilled nursing). You call your local Area Agency on Aging to get that needs assessment. Or her doctor can order one. In any event, you need a professional dispassionate person to tell you what she needs.

What she "wants" is you. But that is no longer an option. Please remember that.

Who has power of attorney? Is mom still competent enough to grant that if she hasn't already?

Once you have the needs assessment, you (or better yet, her doctor) can outline her choices--Facility or in home care (both paid for by her).

Your in-home caregiving is no longer on offer. No matter what sort of manipulation she tries. You tell her that YOUR doctor has told you that it is imperative that you stop doing this.

Please post back if any of this isn't clear.
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Slartabart Jul 2023
Thanks, Barb. Yes, “what she wants is me”. I have to stop asking myself WHY, WHY, doesn’t she see—care, about MY NEEDS? I kept thinking I was doing something wrong. Why doesn’t she love me anymore, as a mom should? I blamed myself. Maybe, maybe, maybe…. She used to love me, I think!
I give her love, but she doesn’t really return that love any longer, although she says “I love you”. I don’t feel it. It feels manipulative, false, somehow.
I know she has cog. decline; likely dementia. She is such a “showboater” she doesn’t ever want anyone to know…Mom has always cared more about “appearances” than substance. I have always been her minion-I used to adore my mom, but, she no longer IS MY MOM. SHe can be mean and ugly.

I have had lots of good advice on this forum. Why can’t I TAKE it? I hear it, my brain knows it—I tell myself I am waiting for the “right” time. I am. But, I am also putting it off…..
Thank you for your kind response.
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It is good that you updated the situation. Hopefully other posters who give great advice will see that there is an update from you and offer advice.
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Slartabart Jul 2023
Thanks- I was not sure how to do this, or what the protocol was. I am not feeling good about myself—getting better. Can you tell me: can I simply answer responses ?
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You are very important! Don't knock yourself. You are doing the best you can. Is your mom willing to go to AL? My mother-in-law who 97 is not willing to go anywhere. Take more time away. You deserve it! If you can afford a house, go for it! I know you feel stuck as I do. This is hard. If she is willing to go, by all means break the chain and do it! Prayers are being lifted up for you. But, you said she wanted to die at home? Good luck. Keep us posted.
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Slartabart Jul 2023
Thanks for your reply! I appreciate it, and also your prayers. No, mom does not wish to go to AL. You get it, it sounds like. I think you are right, to take more time away, which I have not. I am a rather conscientious person, and even tho she asks for too much, I wish to “ do the right thing”. I am realizing, that isn’t working for me. I keep thinking I have to work up the courage to have a heart to heart talk with her. My fear is that if she’s unreasonable, I might get angry enough to leave. On the other hand, maybe I should!
Again, thank you!
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You matter too. What about your feelings and your health? It's time for her to be placed and for you to build yourself up again, There really is no other way to do it, in my view. (((((hugs))))
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Slartabart May 2023
Thanks for that. I’m trying to get out of my headset and more into reality, I guess. I need people to talk to me and encourage me to be more realistic or at least, out of mom’s world. Thank you!
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My MIL lived to be 99 years and 9 months old. Lunatics said ‘what a pity she didn’t make 100’. Is this what you want for the next 10 years of your life? If it’s not, you MUST make a different choice, even if it’s difficult for both of you.
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Slartabart Jul 2023
NO! Not what I want! I know I must make a different choice. I need to be ABLE to do so. I have an appt. with therapist in Nov (soonest I could get in). I always expected siblings to be supportive, but their attentions are elsewhere. I need support through this, I think. Mom will not like it. She will likely blame me, make me feel badly, feel I let her down. Six yrs., and I let her down?

I guess I am reaching the end of it. It’s mom or me. Unfortunately, I have already sacrificed most of me to her needs! I don’t have much of my former self intact anymore! I feel so old. Maybe the therapist will have a cancelation!
Thanks for your reply!
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I might get a legal consult to see what options there are for care and finances.
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Slartabart Jul 2023
Thanks for your thoughts. Mom has finances under control. I have done lots of research on her care options. My problem is “pulling the trigger” and getting on the same page as mom. She does not wish to leave her home. I do not wish to MAKE her leave her home. It’s just sad and hard!
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She will miss her things. Not really. In a little while she will forget. Let’s see if she does. You could be wrong about that. Anyway, it doesn’t matter because You are missing your LIFE. Let’s see, her missing her things vs you missing your life. You win.

You are in a trance. You are on automatic response. Tell sister to come and move her and you will continue to visit her and take care of her business. Or hire someone to take care of you both. DO SOMETHING to break the spell.

Big Hugs
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This is very much my story too. My mom had Alzheimer's. What are your mom's health issues? I found a place for my mom and took her there for snacks to see if she liked it. She refused to eat the snacks, was rude to the caregivers, and just pouted. I tried again with them coming to her house to talk with her. She was nice to them then. But didn't want to leave her lovely home. My brother had POA and agreed that she should go to assisted living. It broke my heart that she had to do this, but I made the arrangements, moved her stuff there, then took her. It was an adjustment, but she eventually was fine, confused, but fine. She forgot about her house within months. I visited just about every day, but no longer had to do everything. It was still a lot, taking care of finances and doctor visits and all, but she was much better off. Just do it.
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Slartabart May 2023
Thanks for your response. Mom has worsening dementia, severe hearing loss,
(she refused to get hearing aids, so, our communication is compromised), she can barely walk to the bathroom, has incontinence. (and has a stubborn personality, but she IS charming!-she is also critical, bossy, and demanding!)

I am having a hard time placing her, simply because I know she doesn’t wish to leave her home. I want out after 6 yrs., but I feel torn about mom. Is there something wrong with me that I put mom first?
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This is so difficult. It is hard when your sanity is in competition with the love for a parent. My mom was always needy but became much more so as she declined. In my situation I think the clinging came from the need to feel safe. I am not sure she knew I was her daughter but she knew I was someone that loved her. It was the hardest decision I have ever made. I also became so stressed that I could not function. My husband, who was wonderful, had two hospital stays due to heart issues.

i would tell you: “you are important”. Your life and well being are just as crucial as the well being of your mom. While the transition to an ALF may be difficult, the new environment may bring her joy. Put yourself first.

My mom passed 6 months ago. I am just now getting to the point where I am embracing life again. It makes me realize all that I did all of those years and how much I had put my life on hold. I did not do everything perfectly. Mom was not always happy in the ALF but it was the right decision to balance our two lives….enough care for her and relief for me (and my husband).

Be brave.
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It’s time for Mom to be placed .
It’s best for both of you .
If she was “awesome”, the way you remember her to be , she would not want you to continue the way things are . You need to take care of you. She needs more care than you can provide. Let her have a whole staff to care for her . Place her and you can visit .
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You have given your mom enough of your time and life already, and it's very selfish of your mom to expect you to continue on with her care when there are other options out there.
If you asked any person they would all say that they'd like to die at home, but often times that's just not feasible.
Your mom has had her life, and now it's time for you to enjoy whatever time you have left as well.
You don't list what your moms health issues are that you're having to be with her 24/7, but it's time for her to go into either an assisted living facility or skilled nursing facility, depending on the care required.
If you don't make the necessary changes to move out of moms house (and place her)and start taking care of yourself, you're going to be in the statistic where the caregiver dies before the one they're caring for. Sadly that happens a lot.
So it's now time to put your big girl panties on and tell mom that as much as you love her that you just cannot do this anymore and that she has no choice but to go into some type of care facility.
She will adjust, and the odds are she will even like it, as she will be around other folks her own age and will be kept busy with different activities.
PLEASE DON'T GIVE UP YOUR LIFE FOR YOUR MOMS!!! If your mom was in her right mind she would not want you to do that either. I know you say that her mind is "pretty good" but I'm venturing to guess that there has to be some mental decline or even dementia going on for her to be so self absorbed.
I do hope and pray that the next time you post, it will be about how great you now feel since your mom has been placed in the appropriate facility, and that you're living and enjoying your life once again.
God bless you.
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Slartabart Jul 2023
Two months have gone by, and I have read helpful answers, thought about things. Your reply to me was awesome. Every single word you sent resonated with me. I have read many replies you have sent to others over the years, and you are, most often, spot on. I count myself lucky that you chose to respond to ME! Thank you so much.
I have never known with my mom “how much is enough”. That’s another issue, but it speaks to why I keep trying so hard to help her, to make her happy, to keep her safe. I also suffer from incredible self-doubt. So, I have trouble discerning how to know/set boundaries, of course. Mom doesn’t seem capable of the kind of mothering that recognizes “unconditional love”. I could be wrong, but, her “conditions” have always been in the background, and she has most always acted in self-serving ways. Not ever having been a mother, I feel great respect for that role, and think women must also care for themselves while in such a demanding endeavor. I also have great respect for those things I don’t
know. Maybe mom was just caring for herself. But the fact that I never learned how to care for MYSELF from mom, rather learned to SERVE her, makes me wonder (I clearly have therapy work to do). More therapy work.

My mom is VERY fortunate to have me. This, I know. But, I must do what you write of-put on the big girl pants, etc. Maybe she’s just waiting for me to cry “UNCLE”, so to speak. I know we have to talk.

Thank you so very much for your thoughts and words. K
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She doesn’t see you as her daughter with your own needs. She has become accustomed to you being her caregiver.

I went through this as a caregiver for my mom. Until we send the message that it is important to us to live our own lives, they will continue to rely upon us for their needs.

My mom lived to be 95. I spent 14 years caring for her in my home. It’s extremely difficult. The more that you give, the more they expect.

Break unhealthy cycles and take your life back.
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Slartabart Jul 2023
I recognize every thing you say. It’s me, then. She will keep depending, and I will keep giving, until I break the cycle? Bingo. I think I was looking for ….?
Thank you so much for your help. You DID help me. K
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Moms "things" are irrelevant and can't be buried with her when she goes. Allow her to leave the earth with fond memories of people and activities she's had in a beautiful ALF instead of coming up with reasons why it'll be some Little Shop of Horrors. We should all be so fortunate to afford the luxury of AL at her age! #Truth.

Why is your life less important than hers?
If you die first from stress, what happens to moms "wishes" then?

You move forward by setting appointments up at 3 ALFs and taking tours of each. Then you pick one, sign on the dotted line, and get the ball rolling.

You're not "more fortunate" than many who post here if you're struggling with burn out at 70 years old and still unable to pull the trigger on what needs to happen here.

Make it happen. You'll be doing both of yourselves a favor.
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