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I Agee with Fawnby.

Your mother’s situation is not your fault, so you can stop the guilt trap NOW to save your own life. Your mother refuses to listen to her doctors and her daughter: You! You can walk away to freedom and have some fun! AL facility is the next stop for your self-centered mother.
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Danielle, I'm not posting here to criticize your mom's life choices, but to offer a bit of my shared experience and maybe a bit of hope for you. You are showing how much you love your mom - no guilt or blame for you here! I'm currently the sole caregiver for my wife of 38 years. She is "much" older than I, so it is like taking care of a parent. Her situation is a bit different from your mom's as she has dementia so her past diet and poor health choices which lead to her current physical state are now my responsibility, so maybe that's easier than your situation. I go through this same guilt that you are experiencing, thinking I should have done more to guide her poor choices over the years. I share your despair and stress of being a full time caregiver who is responsible for everything (we live on a small farm with animals and lots of upkeep), plus working a full-time job. I have done the same thing - yelled at her at the top of my lungs, then broken down and cried for being cold and selfish, then taken a bit of time to quietly apologize to her then forgive myself for the outburst. I'm not sure of the rules in your state, but in mine you can apply for a specials needs exemption for medicaid that will pay for in home care and assistance and allow a caregiver to have a normal life. My wife is currently in a rehab center after a fall and hip fracture, so I'm getting a little respite before she returns home. I do visit her every day for around 6 hours (fortunately, I can do my job as a support tech remotely from the rehab facility) monitoring her progress and care as best as I can. I plan on evaluating her and applying for a medicaid exemption when she returns home. Blessings to you.
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MiaMoor Mar 10, 2025
Roland, I know you love your wife, but you also have a life to live.
Spending 6 hours a day with her while she's in rehab means that you aren't doing anything for yourself.
Please consider allowing others to take on the main burden of your wife's care, so that your life can continue and that you don't completely join your wife in her limited world. It wouldn't mean you don't love her, but that you're choosing to live as a man who does not have dementia.

Wishing you all the best.
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The role of a Care person is so seriously under rated. Over time without other support one person can just get burn out which you have. That coupled with the disappointments of not having any time to yourself and your partner deciding he wont support you adds to the general uphappiness Its not you. In fact you have coped probably longer than most people could have so feel proud.
ok - your mother is in hospital now so its time to have the serious conversations - ask to speak to hospital social worker or doctors even about care for your mother. Your update you can no longer cope. If no one helps speak to your mothers actual doctor.
Time for your mother to go into full time care. You have reached the limit of what you can cope with and you have made all the sacrifices you can. Time for your life now. You need to respect yourself as well and that you also deserve a life. You can still visit your mother.
As for did you contribute - no. The health issues were there simmering. Of course it may have been more helpful for you to walk out of the room when you felt angry - but it hasnt given your mother health issues.
They were already in her body.
Mother in care is your priority now and get on with your own life. One point. Caring for someone will allow you to see who around you supports and cares enough for you. Your partner packed and left. If you were to get back bear that in mind incase one day you got unwell - would he up and go when YOU needed support as well. As we grow older sometimes our needs change and that of our support system around us. Join a hobby club - meet new people and get on with your life after youve had a rest. Best wishes to a fresh and positive start for you.
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Consider putting her in a home. Why? Because she will get the professional care she deserves. You will get the free time you deserve. You can go back to being her daugher, not her caretaker.
Ask yourself, why don't you want to put her in a home?
Nursing Homes are not the way they used to be in the past. With more and more people living longer, Facilities for Edlerly health care have changed. Edlerly people are encourage to thrive, not just survive.
Caring for a loved one looks different for each person based on their personal circumstances, but there are more options than before including financial resources.
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Don’t blame yourself for your mom’s poor choices. How old is your mom? Do you have POA? It seems she was functioning better before her doctor visit, so maybe the 2 week hospitalization did her in.  Did she go to a rehab or get any services (visiting nurse, PT, OT) at home?  If she is not interested in trying to improve, as others suggested, maybe it's time for a talk about her wishes...live how she likes or living longer.  If such a conversation would be hard for you, maybe you can have the hospital social worker talk to her. If she can go from the hospital to rehab, it could be a nice break for you...but it could be short if she doesn't try to improve (PT, OT, etc). If she qualifies for hospice, you would both have access to a social worker and respite care (5 days I believe).  
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No one is ever prepared to be a caregiver. It’s one of the hardest things that anyone can take on. You are in a situation that is not going to get better so it’s time to take action. All other things being equal, the mortality rate of caregivers is 63% higher than non caregivers. If you get sick or die and can’t take care of her, what’s going to happen to her? One person cannot do it all. Contact the Area Agency on Aging. They will have all sorts of information to help you deal with your mom. Through them I learned about a Medicaid waiver that supplemented my brother’s Social Security to pay for assisted living. You have absolutely no reason to feel guilty about not wanting to be a caregiver. I’m so sorry it cost you your relationship. Take care.
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You need caregiver support. Look up IHSS and see if your state has a version of it. In California, Medicare pays for many hours per week of home health care—30 hours a week, or 60 hours, or even more. You will need a doctor's referral, and it is also a good idea to ask to talk to a social worker to help set it all up.

They will do laundry and everyday housework, prepare meals, drive her to appointments, bathe her, change sheets, etc. If more medical things are needed, like medications, catheters, or wheelchairs, that is usually a different level of help but also available through Medicare.

I wish doctors' offices were more aware of caregiver burnout and had referrals to the available help. Ask questions. Ask for help. Nobody is Superwoman. If you were Superwoman, I would suggest fly away to Hawaii for a 6 month vacation.

You can also get paid for home healthcare, but I suggest you get others to do it at this point. It sounds like you need a nurse, too. Good luck. You are a good daughter, but you need to have a life, too.
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You could not possibly have caused her physical decline. Her mental decline is very likely related to the physical changes she is encountering. BELIEVE me. I spent many, many, day and nights with my mom and she declined. Unfortunately, decline is a part of life.

Caregiving is so stressful and exhausting and though you feel awful about losing your temper, it sort of comes with the territory. Once you make a decision about homecare vs healthcare facility, you'll feel a bit better. Remember, though no decision has to be permanent. You'll go with the flow for that week, day, etc.

Wishing you luck and sending you hugs.
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Hi. I want to add additional advice. I already responded and suggested you give some thought to placing her in a nursing home.

My advice for your sanity: Stop trying to fix mom's bad habits! It will only frustrate you and her! She's not going to change. And don't feel guilty for not spending more quality time with her! Let her choose how to live (and die). I'm sure she knows her health habits will shorten her life. You also don't have to listen to her complaints. Let her phone a friend. If she has one. And if she doesn't, that is not your fault either!

It's ok to focus on your own health, your sanity, and your own life! She has lived hers and is continuing to make her own choices. She's not going to be there to take care of you. Be your own care giver!
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I read many answers to your questions and just sit here in amazement. My experience with outside help through Medicare, etc has been NIL compared to what others are telling you on here. NO, getting 20/30/60 hrs/week of Medicare covered in-home help just plain doesn't exist! When it comes down to things, most hours of in-home care will need to be paid for by you or your mother privately to the tune of hundreds/thousands a month.

Then there's the issue of who these outside helpers are. Truth be told they're just ordinary people with no nursing or behavioral medicine skill, and aren't equipped with ability or financial motivation to get your mother to listen any better than you are. Most of them make $12/hr if they're lucky and the agency for whom they work keeps the rest.

It's definitely time I say that I could be wrong. Perhaps your mother is so totally disabled she'll qualify for more Medicare covered help than I've ever seen. Also, there's the slim chance she'll respond well to her helpers and behave herself, but I think you might be getting my drift anyway.

I think you'll resolve your only option, after exploring the red tape of seeking home visitors, is to put your mother in a home. The type of home will depend on her income/assets. In some cases the facility takes only her social security monthly pay for her to remain there. If you don't want that for your mother, reality will probably be you and your siblings will have to provide at least 80% of her care for possibly years.

I wish you luck, and apologize for my bluntness, but I've been through this all twice and know all too well the headaches of getting what little help I could from outside sources. Keeping my fingers crossed your situation will be different than mine.

To address your guilty feelings, "NO", I don't think you contributed to your mother's decline. People, like your mother who live in denial, simply aren't prepared to be faced with the truth when it hits. Her truth is that she never took care of herself for whatever reasons, and now she must make changes to survive. She's mad at her situation and may even bargain with anyone she can to not make the changes in her self-care she's recently been prescribed. Denial, bargaining, and manipulation are natural responses for her after spending so many years serving only her own needs. I'm sure this is very hard for her too.
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I’m so very sorry that your mother did not consider proper diet and exercise for herself when she was younger and now suffers. She is responsible for her condition and now requires either assisted help at home or placed into a facility. You may now be her friend instead of a caregiver just to visit her.
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