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I started helping my mom around 25 years ago with lawn care, grocery shopping, fixing things that was needed for the house, going to Dr. appt with her, and what ever else. At that time I didn't mind, but here I am 25 years later and in the past 10 years the list has become much larger and more demanding. In the past 5 years I have spent weeks at a time 24/7 in hospitals with her after open heart surgery, broken hip, broken back, etc...She is afraid to be alone in a hospital. My mom has heart issues, lupus, severe osteoporosis, anxiety, depression to name a few. She has always been the strongest woman I know! Not anymore and its heart wrenching to see. She lives in her home with my mentally challenged sister. ( who is able to help with daily activities like make coffee, or get something mom needs) it allows me to not have to live there. However she is limited on what she can do, so I do the rest. I have two brothers who dont help much. “They can't handle it” 🙄. Since her heart bypass she has developed anxiety!! Dr. prescribed medicine for it which she at times has taken too much, when mixed with her pain medicine (I hide her anxiety meds and her pain meds now. After her back was broken it caused her to hunch over severely which has caused her ribs to push on her esophagus, and that makes swallowing difficult. She weighs 90 lbs from 160 three years ago. She also has Reynard syndrome in her hands and feet, also has bad circulation in her legs which is causing wounds on her feet, toes and legs. We were doing wound care twice a week, and they were improving, so we stopped. Then the covid-19 came and I wasnt spending as much time there because she is high risk and I am an essential worker. So the feet have broken down again and she banged her leg and caused a wound that wont heal. The answer the Dr gives it to quit smoking! Ok shes 75 years old with numerous health issues. Is it going to make a difference at this point? I ask that, because when she does try and quit, I am called all hours of the day and night because she is having a full on panic attack! I get called at work, I get called 2-3:00 in the morning. She wont quit!! and because of that I feel the Dr, doesn't care to help with other issues. The other day she threatened to kill herself, if she cant get help!! ( how am I supposed to help) I am not a Dr, and I am not giving her anymore medicine than is prescribed. I told the Dr that today and his response was, “well she would rather smoke than live, she is fighting to not have to quit smoking.” She also suffers from restless legs. She goes days without sleep. So she says. But times I go to the house and shes asleep. I could go on and on, but thats the brunt of it. I know my mom is suffering in more ways than one, and I do whatever I can, but I am truly at my wits end!!! She doesnt do her exercises, she wont take a shower!! She cleans up but thats it. I cant force her in a shower, I cant force her to eat, exercise, do small little tasks. She mainly sits around the house, either smoking, on her computer trying to find the “cure” for her and thinking about death all the time. I have tried giving her small things to do, she does it one day but wont the next. It’s stupid, boring or she just doesn't want to do it! Everything I do seems like its not enough!! Cook her food, “doesn't taste good. On that note and since I have really gone to town complaining any advice would be appreciated on how to handle these situations! Thank you to however takes the time to read my long post. Its 4:00 am and I cant sleep trying to figure out what today will bring, so I am just venting on here. Maybe that will help me sleep!

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If she's so unappreciative of all the things you do for her you need to take a GIGANTIC step back and stop doing them. Stop answering her calls in the middle of the night. Stop answering her calls at all. Call her maybe once a day, and if (when) she starts complaining, tell her you'll talk to her tomorrow and hang up.

You must not be available to her 24/7. If she needs that kind of help she needs to be in a facility.

If she's still smoking and doesn't care about her health, you shouldn't either.
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Windyd May 2020
I could never not answer my phone, or hang up on her! She is my mom, she is suffering and she needs help! I am just at a wits end of how to help her. She isnt herself .
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What kind of doctor is your mother seeing (one without compassion) but what specialty?

When my husband had open heart surgery in 2005, he was put on antidepressants while still in the hospital. Apparently having open heart surgery leaves you prone to anxiety and depression and the hospital saw much better outcomes when antidepressants were prescribed.

It sounds to me as though your mom needs to be seen by a geriatric psychiatrist who can get her started on the right meds. Neither of you should have to live like this.
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Windyd May 2020
The one we spoke to is a wound care Dr. yes no compassion. I will look into a geriatric psychiatrist, I contacted a place on line so she could perhaps have sessions through the computer, so I dont have to go to another appt. We go 2-3 times a week sometimes for one thing or another. But they never got back to me. But I have today off, so I am going to be making some phone calls and try and talk to someone that can head me in the right direction. Maybe talk to someone for myself to. Thank you for your reaponse!
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While, Im certainly not 25 yrs in caregiving. You and I share fields, I think. When COVID-19 started here, I was called to work the isolation wards.

Before this, all caregiving fell onto my shoulders "because I was unmarried without children" my brothers always claimed they didnt have time for mom because they were married with chikdren....ironically, my lack of a personal life is how I got selected for isolation work in the first place (rolls eyes).

Whilst the work is hard and life threatening...it also gave me a chance to step back from main caregiver role....it forced my brothers to contribute more.

You are an essential worker. You should use this opportunity to force your sibblings to step up. Tell them that you are an essential worker, and you can't afford to expose mom. They will HAVE to understand.
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Windyd May 2020
When mom was in the hospital and overmedicated, mom did some crazy stuff and the boys do not want to see her like that. My one brother did come stay with her in the hospital one night after I had been there for 3 weeks 24/7 to give me a break. But while I was gone She had a severe panic attack and even though it said in her chart not to give her a certain medication, they gave it to her anyway. My brother didnt know she wasnt supposed to have it, and it set her back more days. Its hard to remember what to tell them when you finally get a break you just want to get out of there. I should have been able to trust the hospital, BUT YOU CANT! So many things have gone wrong while she is in the hospital that is why she insist I stay. I worked in a nursing home for 7years and its one of the best ones I know, I still would not want my mom in there. She still has some freedom. My brothers will not do hands on care for my mother, no matter what, but with mowing season coming up, I am going to ask them to at least mow for me. I’ve already done it twice this season. And certain things need to be done around the house, hoping they will help in some of that. But I doubt it!
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" I have two brothers who don't help much. 'They cant handle it.'"

You need to set boundaries. This might not apply in your case, but I became very resentful that I was expected to do all sorts of things for my mother. My 3 brothers live out of state, so it wasn't that they could do that much, really. But my mother was very unappreciative of my help, and that was very stressful. She said my time wasn't worth anything, and that I wasn't to ask my brothers to do anything (even things they could do from the Internet). I eventually ended up getting paid (she didn't know; she told me, "You don't pay family!") $20/hour, including back pay for the 2 years prior since she'd given up driving and I because the "Dummy Daughter Driver." That helped a good bit; I considered it a job.

Is your mother becoming emaciated at 90 lbs? Or was she overweight before at 160? (How tall is she?) It really sounds like her needs can no longer met in the home. I take no caregivers come in at all?

Do you have HCPOA/POA? I take it she is still considered mentally competent?
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Windyd May 2020
She isnt emancipated yet. She’s about 4’9 now with the way her back is she used to be 5’2”. She is skin and bones she could use some more meat on them. She is still mentally competent but gets in a fog at times and cant take care of her bills or medicine so I do that too. I think I have been her POA since my dad passed away in 2009 I am also her health care proxy.
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I could never not answer my phone! There are times she has fallen and I have to go. Its not that she is unappreciative its that she wants to be “fixed” mentally (depression, anxiety) lack of sleep, and whatever and I try so many different things and nothing helps or if it does it only works for one day or half a day. I appreciate your response but I promised her years ago that she would never go into a facility. And I feel guilt because I am not sure how much more I can take.
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Daughterof1930 May 2020
A wise person here once said that guilt is for those who’ve done something wrong. You’ve done nothing wrong. Please know that what’s going on with your mom will not be fixed, at least not by you and maybe not by anyone.
And many have made “the promise” and then found themselves in situations where there was no other choice. Our family found ourselves there with my mother after a devastating stroke. It’s okay to acknowledge when situations have changed and the choices aren’t so easy anymore
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" I worked in a nursing home for 7years and its one of the best ones I know, I still would not want my mom in there. She still has some freedom. My brothers will not do hands on care for my mother, no matter what, but with mowing season coming up, I am going to ask them to at least mow for me. I’ve already done it twice this season. And certain things need to be done around the house, hoping they will help in some of that. But I doubt it!"

While she still has some freedom (to smoke, for example!), you appear to have little to none. Why is that okay with you?

Your mother has allowed your brothers to get away with not helping. Why doesn't she insist on their help? She is okay with the stress you are under. Why is your wellbeing unimportant to her?

What about outside caregivers?
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Sorry if this sounds offensive, but when you list what you’ve done for mom for 25 years it’s hard to see how she’s the strongest woman you know. I don’t know anyone if their 50’s who’s not in an extreme situation, like being wheelchair dependent, that can’t handle her own grocery shopping, lawn care, and household care. Your mom trained you a very long time ago to take care of her, and you learned to jump everytime. I know it can start slowly and compound over time. Not to be morbid, but what if you dropped dead? What would she do then? She’d make another plan, she’d depend on others, she might even do some things for herself. No one needs to be another’s everything. But you both seem to believe that. I truly hope you’ll relook at that. The strain of it is breaking you. At the least, have her see a better doctor, have an honest talk with the wimpy brothers about their weak excuses (though in the end they are adults who can’t be made to participate) know that others can take care of her, (it may not be how you’d do it and that’s okay) I hope you’ll decide this doesn’t have to be all on you. I wish you the best
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Although care giving has periods where it's very consuming, like during a hospital stay, long term care giving must be sustainable. Too much stress on the care giver reduces quality of care and may even result in care giver death (40% of care givers die before the person he/she cares for). While I completely understand your desire to keep your mother at home, you really need to accept there is a point where you cannot provide adequate care for your mother in her home. You may need to place her in a LTC facility (perhaps AL instead of NH) for at least some period of time in order for your mother to receive the care she needs or to protect your own health. What care would your mother receive if you come down with CV and must isolate from her for several weeks? At least you need some arrangements for emergency/temporary care. I care for my mother living with me in my home and I don't want to place her either but I do have arrangements made with a couple of ALs for respite or emergency care as well as a family member backup.

What does your mother do about her smoking during hospital stays? Stopping smoking (even at 75) does have immediate health benefits, particularly if there are heart or blood pressure issues. It lowers the risk of heart attacks and strokes within days. I understand it also helps liver and kidney function as the load of removing toxins from the blood is reduced. But it's not easy for a life long smoker to quit either.

We get into patterns when health issues begin and often don't review what we're doing. When your mother was able to get around well, living at home with your disabled sister wasn't as socially isolating as it can become when your mother became less mobile. Illness and pain can bring on anxiety and depression that's difficult to pull out of without help, including medications and more social interaction. With CV, safe social interaction is much more difficult. Assuming the CV rates in my area remain low, my mother will begin attending adult day care again the last week of May. Even though we have several of her great-grandchildren through the house daily, my mother misses getting out and seeing friends her age. I take her on rides through the country side, sometimes with an occasional stop at the DQ drive thru, but still my mother is not doing quite as well at times as when she attended adult day care. Maybe your brothers or their families could visit or call more often? Are there church circles in your area having video conference calls for their meetings? Any opportunity to increase your mother's social interaction beyond just you should be taken.
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Smoking constricts the blood vessels. Poor blood flow prevents wound healing. Your mother's doctor is not wrong to not care because his patient i.e. your mother, does not care. *You* want her to care. Nothing you do will make her care about herself and her wound, anxiety, depression, weight loss, etc. unless and until she wants to care.

You filed your question under "burnout - family caregiver - stress" and the only solution is for you to stop, objectively look at the situation your mother has created and figure out what you are and are no longer willing to do for your mother. Unless and until you are willing to step back from the caregiving role your mother groomed you to accept, nothing will change. You are an adult and adults establish healthy boundaries including with their parents.
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After 25 years its going to be hard to break a habit. Boundries needed to be drawn 25 years ago. No, I would not consider your Mom a strong women. A strong woman wouldn't have relied on a child as much as Mom has. I for one would not have mowed her lawn. She would have paid someone or I would have. Then there's your sister. Could she have done more than you allow her?

First, you should have continued the woundcare until the sores were healed. That may be why the wound doctor has no compassion. You discontinued care. Smoking, you should just let it go. Mom is addicted. And trying to quit may just add to the anxiety and depression she already suffers from. And NH? You may not be able to keep her out unless you are willing to jeopardize your job and future earnings.

At this point, you just have to let Mom do what she wants. That would take some stress off of you. Except that she is killing herself slowly. Sorry if this sounds harsh, but with her health problems she may not have lived to a ripe old age anyway. Your sister is who I would worry about. What will happen when Mom dies? I know, one thing at a time.
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YOU Have Caregiver Burn Out.
You need to grt Out of this situation asap. Your mother is Selfish and UnAppreciative. She Obviously Doesn't care about her health Or Yours.
40% of caregivers Die Before the person their caregiving for.

At this point You need to decide whats best for YOU. Your mother has already made her choices in life and the answer to each one was she picked Herself over You. So why are you continuing to feed into her sickness? Are you OK with being her slave and being crapped on? If you like that then stay. If you don't like it then you need to Immediately send your Family&Mother the message in Writing that you are Burnt Out and are Unable to continue and Someone Else or a Facility needs to take over starting NOW.

Thats your answer. Like it or not.
Either you keep doing this to yourself...you Have the power to stop it. Notify Everyone that you are no longer going to live like this and unable to keep it up OR stay. Your choice.

There are facilities she could go to.
If she looses her house and most of her belongings not your fault. She has other family members that can help her.

It's not cold or cruel to choose yiur own happiness and well being. The alternative is to wait til it kills you which will happen at the pace your going your life will be shorter and unhappy.

Truth hurts and being an adult sucks a lot...but your pain and unhappiness is going to last as long as You let it.
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Windyd, gigantic hugs to you.

It's about choices: whose choices are whose to make. Your mother's choices, and your choices, and who is really in charge of what.

Your mother will not make choices that are - the medical world among others would say - in her best interests. That is her right. That is fine. If she understands and accepts the consequences... nobody can say her nay, including you.

What you have to accept is that you cannot solve this for her. You can't make the world gloriously exciting, interesting and comfortable for her. You can't give her a different life from the one she's spent all these years shaping.

And to take the pressure off yourself, you also have to look at your own choices. How much time are you able to give her without inconvenience or excessive stress? What support that she needs might be better provided by somebody else - a gardener, a shopping escort, an HCA, even a personal trainer! Have a good look at what you currently do for her, and see how many battles have really been worth picking. Then keep those, and get rid of the rest.

And go to sleep!

Don't think about this until daylight, but what's the plan for your sibling in the medium to long term?
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gemswinner12 May 2020
Agreed! What will happen to your sister when Mom eventually does pass? Strategically, try to stay ahead of Mom's whirlwind of drama. For the smoking, you might introduce her to vape products to lessen the chance of a fire tragedy. Not more healthy or cheaper than cigarettes, yet at least a new diversion for her right now.
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Dear Windyd, This is all so complicated. You are co-dependent, and a counselor for your mental health is a good idea to sort out what you really must do for your mother and those things you need to do for your own salvation. Hire the outside work done.

I do not know what state you are in, but in Minnesota we have some great supports for family members. Contact your county public health agency. They can help you find resources for your mother and assess the dependency of your sister. Next contact a lawyer to make sure that you or one of your brothers is your mother's POA for both financial and healthcare concerns. Her primary care doctor (make sure she has one) can assess her to determine if she is completent to make those decisions for herself.

She is entitled to some support at home from Medicare. You do not need to be the one to provide nursing care in her home. She should have a nursing case manager through a Medicare certified home healthcare agency.

I have been in a similar situation, and my mom is at the end of her life. On the advice of her brother, she contacted a lawyer and set up a living trust. This appointed me POA for healthcare and financial matters. It sounds like your sister will need care, and that can be set up too if your mother has been her legal guardian.

Going into counseling for you can help you to set up your own goals to get your life back. I can tell you that from experience, you cannot be an effective caregiver for your mother, supervise your sister, be on the front-line in your job, and keep your sanity. If your brothers are unwilling, and sister is unable, you need to call in help.

Your mother's caregiver may SEEM to not care. As a professional nurse, I can tell you that as a healthcare professional you cannot make people make changes to improve or maintain their health. It is not insensitive to advise individuals and then back off. We all make our own choices, and the professional is consulted to educate us on our options. You mom is making her own choices.

Your mother has learned how to manipulate you to get what she wants, and you have complied. I can relate. She learned this behavior from someone or in response to her own situation. I understand. I grew up with the queen of guilt, and it wasn't until I was in my 30s that I started to understand her behavior, and to modify my response.

This is something that the manipulator counts on. They do not have insight into how their own behavior impacts others, but they are masters of getting you to behave in a way that benefits them for good or not. This is why I say that you are co-dependent.

You CAN hang up that phone. You CAN stop responding to her constant calling. She IS manipulating you.

If she falls, call 911. Do not run to save her. It is not your job. Have the fire department or police department install a lock box on one of the doors so they can get in when needed. Tell them about the situation. Be clear with her that if she falls and goes to the hospital, she will be there on her own during this pandemic. It may be the best thing for all of you.
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Speak to her lung doctor, COPD on later stages causes Weight loss, I would recommend pulma care, I get it from amazon for my mom, it puts weight on them but again you need to see her will and legal docs and contact an elder attorney, the house can be put into a trust for you’re sister, I would call some agencies, or post a job application on care.com, contact church, the website for the aging. I totally understand where you are at, you’re sister is probably also entitled to some help, it’s a lot of time, but interview do back round checks, any local neighbors who could go to help you set hours, you train and make lists of responsibilities and let go, you are an awesome daughter, there is no guilt or shame, make lists all her meds, when & joe ordered, times taken dr who prescribed another listing of all her doctors with name address phone number, it takes time & patience not an easy or appreciative task, wishing all strength to get things sorted out and definitely get yourself a CBT therapist. Love & hugs
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You’ve gotten a lot of advice here, but in looking at this situation from your point of view you cannot deal with this alone...you are in desperate need of PROFESSIONAL HELP !! You need to work with a therapist to tackle this mountain one rock at a time. A few Questions arise: your mother can’t care for herself so who takes care of your sister? Who will take care of her when she is left alone? Will you then become your sister’s caregiver?
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Please get a therapist for yourself because you are seriously burnt out. Your needs should be met as well as your mother's.

I feel for your mother and her situation, but she is not willing to do what is needed to get better. Please have a doctor examine her to decide if she is mentally competent. If he/she determines mom is competent, then get better boundaries with your time with mom. If mom is not competent, you need to decide if your sister is able to meet mom's needs when you are at work - and allow her to do so. If your sister is not able/competent, then your mom needs full time care... probably placement in a residential facility.
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This pandemic does not make things any easier. The older we get the more miserable life becomes because the people we love get older, weaker and they eventually die. If she is not willing to stop smoking, have you considered talking to her about HOSPICE? The hospitalist can organize that and write an order. Also, you will need to pre-plan funeral arrangements. Cremation is the least expensive. Eldercare attorney is also needed for ESTATE PLANNING.

If you mom still smokes and she eventually ends up with on home oxygen she is going to cause an explosion. Smoking and oxygen is like playing with a bomb. Even vaping has been known to cause massive explosions, because of the high-energy lithium battery. Be mindful if she ends up needing home oxygen, you need to keep this in mind.

Alternatives to smoking include nicotine patches and there are medications that help...but she cannot smoke and use home oxygen at the same time.

Here is an excellent article regarding home oxygen and the dangers of smoking, including e-cigarettes.

https://www.oxygenconcentratorstore.com/blog/smoking-and-oxygen-therapy-what-you-need-to-know/

Evidence-based research regarding the dangers of smoking and home oxygen including using electronic cigarettes (they can cause explosions).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4390016/
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Venting is good. It will help you identify your problems and release some of your frustration. You need to decide if you must separate more of yourself from your mother’s problems, or if you are going to continue forebear them. If you choose the former you to find someone to transfer that responsibility to. If the latter then you need to find more compassion and acceptance of your responsibility. This could might be better handled by therapist who could help you see mom in a different helpless light.
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I hear you!
Ive been living with my 80 year old mom for 13 months. She begged me to move in with her and I knew I wasn’t going to like it but I’m the only kid she has since my sister passed when we were kids.
My mom was a smoker and that was the first stipulation I made before moving my things to her house, NO SMOKING. I got her a vape pen and she sucks it 24/7 but at least it’s not cigarettes.
That being said, she too is also manipulative and “helpless” and is on Facebook all day.
When my burnout started (after about 4 mos of being here) I started spending more time in my room bingeing Netflix.
I make her meals and assist her shower time, but other than that I don’t hang out with her much anymore because I’m tired of the complaints and gloom.
She’s gotten used to my distance.
Its not the most comfortable situation, but you have to make boundaries where you can. I talk to her on messenger more than I talk to her in person even when she’s only 20 ft away, lol. I also got her an Alexa device so she can talk to it and listen to music. It helps.
Good luck 🙏😷💕🎶
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I've been there. My Mom's tubing on her O2 concentrator went from kitchen to bedroom, but she wouldn't stop off at the bathroom to go or to shower, even though she had a seat and a bar and I would have been there. Her hair wasn't washed unless she went to the hospital. My daughter got lice at school, but I couldn't treat it on my Mom properly because she couldn't stand the smell or use the shower ...after 23 years the bathroom suddenly made her claustrophobic! I was not allowed to leave the house unless there was someone there to see to her. Keep in mind that I was also caring for my child, and my husband when he made it home. But we were . allowed to go out and do things as a family for only as long as whoever was staying with her could stay--no overnight camping trips, my husband and I had to practicality beg to take two days for our anniversary. After she died, I had flashbacks and was diagnosed with PTSD. I had a baby monitor in my room so she could call me at night. She cussed me, berated me and threw food at me--it was the difference between a plain baked potato and one that I'd prettied up with some parsley, pepper and sour cream. I stayed with her in the hospital, brought homemade food for her dinner, and one time when I was invited to a bbq, she demanded that I come to the hospital and bathe her because ' the nurses were too rough'. Not being able to say no led to a mini psychotic break--unless I made it perfect somehow, I was filled with guilt and also resentment for my life that she had stolen.

You just have to suck it up and do good things for yourself, and stop letting her eat your life, your mind, even the simple ability to be happy within yourself. You should do it NOW, because the more you let yourself be used, the less love there'll be, and the more downright anger and even hatred will rear their ugly heads until you're someone you don't even know.
I've put the both of you in my prayer family, so you know that every day you and she are being prayed for. May God bless and keep you both!
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When I read this, I am horrified. This is a perfect example why I don't like old people. They are stubborn and have horrible behaviors. I will not and could not tolerate this. I will help anyone to the best of my ability if they are willing to listen and try to help themselves. When they have a tremendous negative impact on those around them and are slowly destroying them, that is the final end. They should not be tended to by you but rather placed where they will be safe and taken care of - no if's, and's or but's. There are ways to do this even with very limited funds. And I am sorry you are not receiving help - I see this all the time. Take control. Find a way to place her and start living YOUR life now.
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I'd find a geriatrician (MD specializing in elder care,) for an assessment. Given the number of significant medical issues, seems like she is more a nursing home candidate than someone who can stay in their home.

She has cardiac issues, and given the large weight loss, may have something caled "cardiac cachexia." This is generalized significant weight loss in patients with severe cardiac issues. I have seen this in a number of elders whose bodies were shutting down.
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Windyd ((((((((hugs)))))))) You are overwhelmed by too much care giving. At best it is very stressful. This is not best. Your mum needs other people to rely on besides you. It is too much for one person. Figure out what you reasonably can do without harming yourself, then look for solutions/help for the rest. She may well behave better for someone else like an aide coming in to shower her.

You need to set healthy boundaries for your own self preservation. Decide what to cook and then let the complaints slide off Go "Grey Rock" with your mother. Some people can never be pleased.
"It doesn't taste good"
answer - "That's too bad" or something else neutral.

Keep it light and neutral. Don't engage with her complaints.

Put yourself first like the parent who puts on oxygen before putting it on the child. You depend on yourself and your mother depends on you. You need to keep you in good shape. There is no shame in sharing the burden of care giving her or of placing her in a facility She may well be happier there with more people giving her attention.
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Whew. There are multiple issues here. The first thing I would do is contact your mother's physician and request home care to address the wounds on her legs. In regards to the smoking, I'm not sure how much you can do. First of all, smoking is an addiction. Your mother has been smoking for many years. She would have to want to stop. Only then could you use interventions such as a nicotine patch. My mother was a smoker. She quit and then went back to smoking when my father died suddenly saying she was better off smoking than taking tranquilizers. Her geriatric physician was aware of her smoking. He was not happy about it at all, but that didn't stop him from addressing her multiple medical conditions whether they were a result of smoking or not. As a physician, it is his responsibility to treat her conditions. In my opinion, he is not doing his job if he refuses to do so. Maybe switching physicians is something she and you should consider. In terms of hygiene, she could be afraid of falling in the shower. Do you have a shower chair as well as a hand held shower. Keeping her warm while in the shower may help as well as supervision/ assistance. The anxiety may have to be addressed by a geriatric psychiatrist. Tough to do right now with the pandemic although ps6chiatrists are doing telehealth visits. Could dementia be a factor? I would suggest reading "The 36 Hour Day." It provides useful tips on communication as well as caregiving. Last but not least: taking care of you. You say that you have brothers who are not involved. Would it be possible for them to assume your duties for say 5 days to give you respite? Or if they don't want to do that, how about their hiring a caregiver to assume your duties? Prior to this discussion, you could call around to get rates so you are prepared. The bottom line is if you don't take care of yourself; you won't be good at caring for others. Good luck.
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elaineSC May 2020
I agree with you about the doctor. Just because she chooses to smoke, regardless of her other conditions, he still should treat her. There are drug addicts who still get treated for other issues. There are obese people who get treated for issues when they could lose 50 to a hundred pounds and get better but it is a food addiction so there it is. Addictions/habits are hard to break. Doctors want to treat people who smoke like 3rd rate citizens and try to say everything wrong with them is due to smoking when in many instances, it has zero to do with the health issue at the time. I am not advocating smoking here. I am just saying people have vices and some are just not willing to give up smoking when they are older. It is like a pacifier to a baby. People don't understand.
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You can't care more about your mother than your mother cares about herself. Ain't that the truth? Yet here you are, 25 years into this nightmare, giving every ounce of your being to someone who's not even caring enough about herself to stop smoking! Who among us hasn't felt anxiety when quitting smoking? I can write a book on it myself. Yet I had to quit so I freaking well DID. Because you know why? MY behavior was hurting OTHERS. And ultimately, my family would have to bury me because of my selfish, self indulgent and self gratifying behavior. #Truth.

Tell your mother that you are FINISHED helping her in ANY way until SHE starts exhibiting some SELFLESS behavior that you can witness firsthand. Like, oh I don't know, she quits smoking for instance? She stops talking about death? She starts taking a shower? Starts exercising? Gets a GRIP on HER life, in other words.

Then and only then will you CONSIDER helping her out on YOUR terms. You can't save a person from herself, especially in this case. She has enough issues to have killed 25 people by now, yet she's still going strong, like the Energizer Bunny. If you're not careful, my friend, YOU will die before she does. Stress has a funny way of doing that to a person.

Turn your phone off when you sleep (for real) and let ALL the daytime calls go directly to voice mail. Deal with this BS of hers on YOUR terms. On YOUR timeline, or not at all if you don't feel like it.

You can't really blame the doctor for not wanting to help her until/unless she stops smoking, either. I remember reading about a diet/nutrition doctor who opened a diner in Nevada called The Heart Attack Grill. He offers menu items such as The Bypass Burger and potatoes fried in pure lard; everything is super high in calories, fat & cholesterol. Know why? ALL of his patients refused to toe the line; they all had more excuses for why they 'couldn't' or 'wouldn't' change their lives and lose weight to get healthy. So he said Screw It, and opened this restaurant where all the waitresses dress in nurses uniforms. You want to kill yourself? Come to my place and go for it! His customers can also order a side of cigarettes with their Butter Milkshakes and lard fries. If you can't beat em, join em.

PLEASE take care of YOU now and leave mother to her own devices. She obviously knows how to survive.
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Sounds like she is living with you.
You have more than you can handle and you are burned out. You could break and your mother will experience abuse from you. Does she qualify for long term nursing care. Or hire someone to do your stuff and a lot of hers. Get out of your mind to take her off meds. She needs the right stuff for anxiety and be monitored...challenge the Dr. to get plugged in and "manage" he meds. You need help in why you took her off those meds. A shrink can better diagnose and get her on proper meds. Hire someone to do a "care assessment". You will get to deep in "the woods" and can not see your way out. You are becoming "a patient". You are "situationally depressed"
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It’s interesting how so many of us accept divorce – in spite of the very strong promise on oath ‘till death do us part’ - but stick like death itself to ‘you’ll never have to go into care’. Promises about the long term future are hopes, not binding contracts. How many promises have been broken during the current lockdowns, which none of us saw coming?
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Imho, you need a break because 25 years of caring for someone is too long. Prayers sent to you.
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I have an 80yr mom with me ,also 4"8,100 lbs ,has lost so much weight ,dementia ,smoker ,weak,tremors(not Parkinson's) and hurt her back during a fall ,prior,I could deal and leave the house for a couple hrs ,now,i can't move or go anywhere without a bad feeling in the pit of of my stomach .
I am looking at nursing homes ,and moving forward.
You need to take care of you ,you can put your mom and sister in assisted living ,together
You can get mom to hospital ,and get mental health doctor for you ,explain your anxiety and stress and they may help you from there .
I'm in Canada ,so I understand our health care is a different system !
I do wish you luck for your future !
A'll the best with everything!
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Omg your mom and my mom are so similar it's scary. But my mom HAD to go to the hospital in February for a possible UTI and they ended up finding internal bleeding because she wouldn't have her INR checked and her warfarin levels were way too high. So they admitted her and she was there for 3 weeks and is now in a rehabilitation facility. She's been there for 2 and a half months and it's been the best break I have ever had. You need a break. You should try and put her in assisted living if you can. My mom is scheduled to come home next week but I've told her that if I start getting stressed out like I was then she'll have to go back to a nursing home permanently. I have realized how sick it was making me. She says she understands but we will see. You can't do everything everyday! They have dozens of people to her your mom in a nursing home/ assisted living. You're just one person who is trying to do it all. I know it cannot be done. Prayers for you.
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ElMa10r May 2020
AndreaE, think it over...having your mom back at your place
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