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She could and should be transported via ambulance to a psychiatrist for a mental evaluation. YOU do not get involved because she's so acrimonious and mean spirited towards you. Her drama will continue to make you ill and you cannot let that happen.

I once was asked to drive a woman who was not right in the head. There was no way I was going to do that for fear for my life. [Insert- how do I know she wouldn't have pulled a knife on me?]
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Marylin Mar 2019
Thank you! My husband says this all the time....her sickness is bringing you down! I realize I must be her POA from afar & not in her presence. Her judgement of me is cruel, and I'll never ever please her! It's a realization that has taken me years. I've been "worked" by her most likely my entire life, so it's time to stop it.
Thank you, Llamalover47!
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Discuss this at once with the primary care doctor and the facility's head honcho. Do NOT, under any circumstances, give in to her and bring her home. You will have to live in HELL. "She despises me, hits me, curses me, & blames me for all her ills." How on earth can you put up with someone like this? No human being with even a pea sized brain would or could allow people to treat someone like this. That would be the END for me for good. She is 89 and she will get worse. Now YOU have to be strong - and sensible - alert those professionals who might be able to help her. All they can do is try, they are not God. Let her rant and rave and carry on - she has to stay where she is. And YOU have to be strong and keep away from her until she either stops the bad behavior (isn't going to happen) and start living your life and taking care of yourself while you still can. Talk also to the local Office on Aging in your county. They deal with seniors and aging problems. Good luck.
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1 - WELCOME TO THE CLUB
2  - her threat to die is manipulation 101 - this is her trying to prevent you from keeping her safe or as she sees it 'WHAT SHE WANTS'  but many times we/you have to do as is necessary but not what the person wants - would you let your 3 year old grand-daughter do what mom asks ..... no she needs more supervision than that child
3 - she MIGHT remember what you have done but if you can tweek/manipulate the outcome then you might be where she is happy ..... don't bet your house on it
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I haven’t read any of the other answers but I would like to make a suggestion. Take some time for you in solitude and silence. If you cannot do it in your house go to a park or any other place where you can be alone. Then think about your mom as that, your mom. Not the constant source of trouble that you feel she has become. Think about her as a person, as a human being that is terribly struggling with so many things: aging, illness cognitive decline, lack of control over everything including her own life -where she lives, who she lives with, what she eats,what she wears, when she showers, what she does with her time....etc, etc-EVERYTHING.
She also feels that death is really all she has to look forward to. Can you imagine? And maybe even all she wants, although it scares her.

It is a tormented life if you can call it a life. And she also feels like a burden, she feels her family doesn’t love her or cares about her (not saying it is true, it is what she likely thinks).

Although you think she is threatening with dying out of a desperate desire for control, I think at this point in her life there is actually a lot of truth behind the desire to die she is expressing. She refuses the medication for depression because depression makes her not to want to seek any help.

Now you might be thinking “So she is a saint, and I am the bad guy”? And, “Even if all that is true, why is she so incredibly angry at me? All I have done is to try to help her, why Is she trying to make my life miserable?”

The answer is, no she is not a saint, and neither are you, neither one of us is a saint. We are just human beings trying to do our best. And you are not a bad guy at all, you’re a daughter that is exhausted, hurt, and really trying to do her best.

I know how you feel, I have lived it, I live it in certain days more than others. But if there is something I know without the shadow of a doubt is that I really have no clue how I would deal with all my mom is dealing with at this stage of life. ZERO idea.
My mom is the strongest person I know, and if she is still alive is exactly because of her strength and her sense of discipline.

I think that if alll of us thought for a moment how we would deal with all that our elderly loved ones go through, we would likely not know the answer. Would we be miserable and behave accordingly? Would we not want to be bothered and demand constant attention from those closer to us? Would we want to die too?
What do you think? I think the odds are pretty high that we would react very similarly to how our mother or our father, or any other loved one would.

So, all I am suggesting is that you take an step back, and remember that your mom is as fragile of a human being as you are, being in her shoes right now is a very tall task. Don’t forget that Marilyn.

Having remembered that, I think a very valuable resource you have is to give her some of what she is so much hoping for but in a very honest and well managed way, what I mean by that is in a way that she can truly feel your love and relate with it. As daughters and sons we know how to go back to our basic way of giving and receiving love and she will feel it if you go to her without resentment, just with love. Then talk to her, all patients with dementia or even Alzheimer’s are able to reach a point of calmness if they feel at peace, at least for a while, and in that moment you may be able to reconnect with your mom and talk about important things, for example her living arrangements. If she is calmed enough and if you talk to her as her loving daughter you can get her to realize why it helps you and it gives you peace to know she is well taken care of, since you cannot do it even though you would love to be able to. I promise if you get her to reach that moment of a little peace you’ll be able to communicate better with her.

Even if nothing happens it will be really good for both of you to remember and act as you used to. May God bless you both!
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Marylin Mar 2019
Thank you from the bottom of my big, compassionate heart! I'm a Christian, as I can tell you are also. I've been so praying for a loving time with my mom for years. I won't stop wishing & praying. Thanks again.
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Marylin: You should listen to your husband's good advice. You don't deserve the literal emotional "beat down" by your mother, who is supposed to be your protector. It is imperative that you take care of YOU.
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How would you feel ... what would you think ... if she were not your mom but someone youve only heard about.
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Marylin Mar 2019
BetsySue, good to see from another perspective. Praying....praying.....praying.
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Your mom is emotionally trying to brow beat you - maintain your boundaries. My mom did the same when I finally set boundaries about 10 years ago. IT went from abusive phone calls, letters, to threats to kill herself in order to get me to knuckle under.

I would be on the phone or with her and when it started I would say "I love you mom, but I will no longer take this from you. Good bye" and leave or hang  up the phone.

One time on the phone she told me "i'll kill myself and then you'll be happy" and I said "no, I love you but there are two of us in this relationship" She kept on with the "I'll kill myself" and I told her "if you are serious, I'm going to end the call and dial 911 to have someone come and get you to the hospital to stabilize you" well, she backed off quickly.

She started telling her building manager that I was a horrible daughter and she wanted to die. Of course the building manager called me "how could I be so insensible" I cut her off "there is more here that you don't know. If she threatens to kill herself - you should dial 911 so you have no liability"

Just keep your boundaries. Be polite and loving to your mom. But do not engage whenever she starts in on whatever manipulation of the day she tries. Tell her you love her but you have to go.

10 years later my mom and I actually get along really well. It took time and a lot of emotion but she respects my boundaries. She knows what will happen if she does not because I'm consistent in enforcing them. Good luck
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Tryingmybest Mar 2019
Great reply! Very sensible. It is encouraging to hear that you now have a workable relationship with your Mom AND you are keeping your boundaries.
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While I always took my mom to appointments, both NH she was in offered a for fee service to escort patients to appointments so start there - quite often it is one of the staff doing this on a day off or an outside nursing service - there may be a minimum hours to be paid plus expenses - pay for this the first time & maybe take her the second so the dr can see her both ways
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Marylin Mar 2019
I have checked. No one at this time. Not sure mom would go with anyone else. Yes, mixed signals, all the time. I could find a friend if I have to.
If it's for psych evaluation & possible stay, I'm pretty sure her insurance would pay for ambulance. She'd just be so mad but we gotta do what we're forced to do.
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Oh my. I am so sorry and I truly hope that things get better for you honey. Please do all you can to take care of your self and your sanity. I wish I could give you some better words of advice but I am kind of new and joined this site looking for understanding and help myself.

I am so sorry to hear all of this. I thought I was was going through a bad time living under the same roof with my 83 yr old manipulative and controlling mom but now I understand it can always get worse. I have put my Mom on a waiting list for an assisted living place (and she guilts me for it every day) and I was thinking, well hoping, that once I got my mother in there that all of my stress, worries, and troubles would be over. But, it sounds like that just because you put a parent in AL doesn't mean that it's the end of stress, worries, and troubles but could be just another load of the same if not worse! This makes me want to just go pack my bags and hit the dusty trail! God help us all. Is there just no hope? Don't "OUR lives matter too"? We are doing our best as daughters, and yes I'm sure our mom's are going through some things too and feel like they don't have any control over their own lives. And yeah, I'm sure when we get to this point we will have some of the same feelings, but so help me God, I will not put my children through what I have been put through. When my time comes, I will check my own self into AL. Don't beat yourself up. You are doing the best that you can, especially under the circumstances with your mom's behavior. I will keep you in my prayers and I hope things will get better for you soon.
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Marylin Mar 2019
I will not be able to afford AL, especially after pitching in for mom. I too pray I'll not mistreat my son. It's often said there are worse things than death and now I know what that means. Both my parents had/have dementia/alzheimers. I do not want to live that long, but the Lord is in control! I'll pray for you, Manilowgirl. Thanks so much for your suggestions & support.
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It's very difficult. You are doing your best. If her mind is still sharp, perhaps she would benefit from some therapy. Has she been counseled by someone from her Church? They might be able to help her adjust to her situation. Would a church person or therapist make a house call? Would she accept therapy or counseling? You can't force her to do anything. Some AL facilities can arrange for house calls. My mother's doctor also prescribed Melatonin to help her sleep and take the edge off. With my mother who has advancing dementia and also has said she wants to die, we changed her hospital directives to "no hospitalization." The staff will call EMS if she falls or has an emergency, but they will do their best to treat her in place.
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Marylin Mar 2019
My mom has taken Maprotiline for decades for anxiety; however, she tells everyone it was for her spastic colon. Ok. Well, this past summer, the hospital couldn't get it for her, saying it's an old drug that isn't readily available anymore. She has her "go-to" pill, Xanax, smallest dosage at bedtime with Melatonin per her NP. From time to time she says it's working, but at other times she says she needs Maprotiline back & a good Internal medicine doctor could get it for me. So, after lots of discussions (and even tho her NP is directed by an Internal medicine doctor & I would take her to appointment), she & the LPN got together & ask for a new doctor. I made appointment for my 89 year old mom as a new patient in a medical center nearby. Now, she says no. This isn't the first time. So, for not, with her threatening no doctors & no doctor visits, it's troubling. Lots of work & time goes into these requests for her to get mad & say no.
Her church associate pastor visits, but he has no idea she's this far off...I suppose showtiming kicks in.
I'm praying her visiting NP can call soon & that AL can get her a psych evaluation somewhere. IF it's in an office outside of AL, she'll probably refuse. So, hoping it's a visiting nurse who can do a sneaky evaluation. Fingers Crossed!
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You help your mom pay for AL? If this is endangering your future you should rethink what you are willing to do. She doesn't deserve your future, no parent does.

Do you really want to put your son in the position that he has to care for you, at the expense of his future?
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Marylin Mar 2019
I buy her "supplies" that aren't provided by her ALF. It's not a lot. I believe it will allow her a longer stay there.
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Marylin, I know why I wanted to help my mthr (serious narc/ PD) when we rescued her at the point of death. I wanted to help because I want to do something good with the money she hoarded and it was being siphoned off by fraudsters.

I rescued mthr and placed her in a great memory care. We worked so hard to untangle the fraud, including getting a sizable loan back from the manager of her credit union! Mthr continued to be evil and the ladies here helped me set boundaries about visiting her.

The most important realization I had regarding mthr's hoarding and mental illness is that mthr needs to be considered as an independent person. I can't see her as an extension or any part of myself. She can make her choices and I can disagree with them. But I can't control her or change her. I can respect her bad choices and make decisions based on what she said she wants.

If your mthr does not want to take meds for CHF, I say you allow it. It's a horrible death anyway, and if she's ready for it, let her go. If this is just to manipulate you, she is simply speeding up the timeline she will travel anyway. Stepping away from treatment may allow her to "go home" to heaven sooner as well. I say let her make her own bed, no matter the reasons for her making it the way she does.
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Hi Marylin,

You've gotten some really good answers, and great that you have set boundaries. If she is saying she is ready to die, perhaps the best answer is to accept that rather than looking at it as a "reactionary stab" although I've no doubt it feels like that. After all this abuse and bad feeling, aren't you ready for her to die too?!

I just shared this link on another thread. It just came across on my browser feed and I'm still processing it, but it seems relevant - the thought process about when we are ready to say "enough" and just opt for palliative measures. I realize this would be your mom's decision process since she still appears to have capacity (though I'm not suggesting you even talk to her about this as it would probably be a disaster!), but you might find the discussion in this article helpful for managing/calming your own thoughts about it all:

https://getpocket.com/explore/item/why-i-hope-to-die-at-75

Good luck!

Jane
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Marylin Mar 2019
Great article. Thanks for sharing.
I am good with my mom not wishing to prolong her life; however, with her dementia or whatever is going on, she's off & on with her desires. It's difficult to know. One month she's DEMANDING a new doctor and then the next month, she tells the visiting NP that she's fine with her as PC. Last message I received was cancel doctor appointments! Think I will.
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