that is 78 and really needs your help, and is in a skilled nursing facility, but is being down right brutal to you, and blaming you for things, and being very uncalled for, and thinks that the only reason I am working for her is her money.
How do you respond, when in reality, I will quit tomorrow if she continues abusing me?
So you don't respond. You don't argue with her or try to convince her of anything. We can't expect people with dementia to behave reasonably. I know how difficult it is to deal with this type of patient and your agency may have to reevaluate her shifts. Her dementia has progressed, it may be time to have shorter but more frequent shifts for the sake of the caregivers.
Is this behavior worse than it has been? If so, maybe she needs medication. If the dementia has gotten worse I would definitely talk to someone about it either the family or your agency. If you can, try to be a part of the solution but if it continues do what you have to do to keep yourself emotionally healthy.
I know I am not in the wrong profession
My comments are, she thinks people in general are around her because of her money.
Of course I do this to make a living.
But her money is not the reason I am in this business. I would rather be with someone whom is appreciative of my work.
She has very bad mood swings, and I am trying to work this out.
I got references one by one, sweat and hard work, one by one. One year at a time.
I don't believe in abandoning people, but she cannot abuse.
I am not working for her for her money. I do a lot of this for charity.
I will quit however, if people do abuse me. I have boundries.