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In 2021, my sister and I made our mother go see a doctor. She always refused to go, but we knew she had health problems. She was a heavy smoker and ate terribly — fatty, salty, sugary foods. He sent her straight to the ER.


She was in for two weeks — had a heart attack, needed a stent, diagnosed with COPD, CHF, high blood pressure,anemia, thyroid problems, gastritis. I figured once she recuperated, she would go back to mostly taking care of herself since she was always independent. Wrong. She basically became a shut-in and I became her caregiver.


I felt bad that she couldn't go anywhere, but she was on oxygen 24/7 and she had some trouble walking. I needed help getting her to the car; I couldn't do it myself. I have one sister, but she helped rarely. She would come to help take her to doctors appointments, so that's basically the only time she left the house.


I became depressed. I felt isolated, helpless, lots of negative emotions. Then in 2023, my boyfriend of 7 years decided to move 4 states away. Apparently I wasn't giving him enough time and attention. I felt much worse now. I felt really all alone and burnt out. I got counseling, but it never made me feel any better. I know my personality has changed; I have zero patience, I get angry quickly, I lose my temper easily.


My mom never listens to the doctors or to me. Taking care of her feels like I'm trying to fill a bucket and she keeps putting holes in it. She's supposed to watch her salt, elevate her legs, walk around. She does none of these things. I never give her salt, yet I found she had a salt shaker hidden. She definitely had to quit smoking, but I found a pack of cigarettes. You get the picture. So when I find things like that or if I'm stressed or overwhelmed or tired, sometimes I can't control my temper and I blow up at her. Then I feel guilty and beat myself up.


I have to do it all — work, take care of her and the animals, do all the housework, pay all the bills, etc. I don't have much free time. I feel guilty for not spending quality time with her but sometimes I just need an hour to decompress.


Currently she is in the hospital because she's filled up with fluid again. But she seems to be declining mentally and seems to be giving up. My question is, did I contribute to or cause her to decline because I yelled at her, didn't spend enough time with her, or perhaps made her feel unwanted? When I lose my temper, sometimes I say I don't want to be a caregiver anymore or things to that effect. Then I feel bad. Caregiving is not for me though. Yet I don't want to put her in a home.


Any advice is welcomed. Thank you.

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This woman did not take care of herself, made herself a burden, stole your life and you are feeling guilty?

You need to speak to a professional to gain some perspective. Perhaps talk to the hospital social worker about this situation. You say you don't want to put her in a facility but at least get some help in so that you have some time to yourself. You are in a bad place.

Hang in.
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No

She's responsible for her own decline. She did the opposite of what she was suppose to do.
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Your mother wrecked her own health not you .

I think it’s time you tell the social worker at the hospital that you are mentally not in a good place to take care of your mother . I think Mom needs to be placed in an assisted living or SNF , whichever level of care she needs .

Ypu need to speak to a therapist . Your mother ruined her own health and that is ruining your life . You’ve given up too much. You say Mom is declining . This will only get worse if you remain living with her . Caregiving is not for everyone , and/or they get burnt out .
It’s time for you to get your life back .
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Your moms decline was caused by her poor choices and NOT by what you said or the fact that you didn't spend enough time with her.
It's heartbreaking that after all you have done and given up for this woman that you feel you now need to take on the guilt of her decline.
And for that yes, you need a new therapist that will help you through this and actually make you feel better not worse.
But for now, tell the hospital social worker and moms doctors that your mom can no longer come home as she is an "unsafe discharge" and that you can no longer care for her as it is taking too much of a toll on your mental health.
Keep telling them that she is an "unsafe discharge" and DO NOT listen to the lies that they will tell you about they can do to help you if you take her back home, but insist that they now get her placed in the appropriate facility. And then they will have to do just that.
And once your mom is placed you can get back to being her child and advocate and not her overwhelmed, angry and burned out caregiver, because don't forget...you matter too in this situation.
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I agree with Hothouseflower. Your Mom stole your life and didn’t do what she was supposed to do on top of that. It was very human of you to blow up at her on occasion—the situation was untenable. Please see a counsellor so that you can start to take your life back. Your Mom sounds like an unsafe discharge. For the sake of your own well-being—and hers—do not bring her home,
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First: Your mother is selfish, self-centered, determined to wreck her health even now, and didn't put your best interests first as she should have. You owe her nothing.

Second: Refuse to take her home from the hospital. State that it is an unsafe discharge. UNSAFE DISCHARGE. They will find her a placement with professional caregivers..

Third: A "home" is not the horrible awful smelly rundown "home" of yore. Go look at some facilities. They provide 24/7 care with a team of professional caregivers, rather than an exhausted daughter like you are (because of what your mother has forced on you). They can provide better care for her than you can. You would be doing mom a favor by finding a place where she may thrive, which she isn't doing now.

This is not meant to be a putdown of you! You did the best you could. It's your mother who has ruined both your lives, and you can reclaim it with these magic words: (Remember?) UNSAFE DISCHARGE.
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Bulldog54321 Mar 5, 2025
100% unsafe discharge
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Good gravy you need to go back to counseling. Let your mother leave this world how she wants to. Get back to your life. You will die before her at this rate.
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Lizhappens Mar 8, 2025
Listen to her advice. That has actually happened more often than you can imagine.
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It’s terribly misguided to believe you could somehow cause or contribute to the decline of a person who’s long deliberately chosen not to care. You’re a burned out, exhausted caregiver, not your fault, but as such, you shouldn’t be doing it anymore. Take care of yourself now
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WHY don't you want to put her in a home? Why not place her there, where she will get the care she needs from a team of people, and will no longer be a shut-in? The current situation isn't working out for either of you. She would be taken care of by trained medical professionals and you could get back the life she has selfishly stolen from you. You deserve some relief and happiness in the time you have left. Appreciate the chance you've both been given for a fresh start, without guilt or second-guessing.
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Nobody is "cut out" to be a 24/7 caregiver to a sick adult. Nobody is that amazing. I lose my temper easily too. I am not Jesus, although I really try to pull myself together. These are your mother's dying years. You will have dying years, and I will have dying years. We probably won't get to live at home forever. We will have to deal with it. And so will mom. This is HER tough time, not yours. None of this is your fault and you don't have to be superhuman.
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Sweet Girl. I'm so sorry to see everything you and your mom are going through. These are such horribly hard seasons. Being a caregiver changes you, no matter who you are. Both you and your mom are living in crisis. It makes sense that you are hypervigilant and feel empty and heartbroken. My Mom had dementia before she passed. I realized early on that it was when she was afraid, that she would become oppositional. It sounds like your mom is afraid most of the time.

I think others have offered wise counsel, and it's good to consider your options. It is reasonable if you don't feel like you have the capacity to do anything other than lace up your shoes. I know I had days like that. Making big decisions felt like another thing I didn't have the energy to do. Give yourself some grace.

I will say a prayer for you and your mom. God bless both of you has you face this difficult season together.
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Many grief counselors say that in order to AVOID grief we will go into "blaming". We somehow feel if we can find the CAUSE of our loss we can change it around, even though clearly it's too late for that. We usually target doctors, hospitals, medications, rehabs, care facilities. But if we can't find blame there, we often target family. And lastly, and worst of all, OURSELVES.

The fact is that your mother has CHF. She likely would have developed his at end of life no matter cupcakes, and perhaps even cigarettes. We have hearts. They are merely pumps. And when the pump fails it cannot clear the fluids that need clearing.
You haven't told us how old Mom is, but the fact is that she is dying and has a failing pump that cannot be cured. It can only be treated. As you observe, she didn't work hard to keep her body well. ARE YOU? She has underlying conditions that complicate things and she is exhausted with it now.

Without your loving care (yes, those who love one another OFTEN are capable of yelling at one another in frustration) she likely would already be dead. She is struggling along now.
This is the time to speak with mom. Ask her if she is exhausted with the fight and if she would like Hospice and "the good medications". Ask the doctor if now is the appropriate time. Interview Hospice with your mother. Discuss this now with Social workers where Mom is a patient.

I am sorry for your grief, but no matter you jump on a parent's burning funeral pyre, you cannot in the end save them. And as to yelling? It's a kind of hubris to expect yourself to have godlike or saintlike calm, isn't it? You aren't God and aren't a Saint. You are a flawed human being, just like me. Just like all of us. Guilt means you CAUSED something. You didn't. And you can't fix it. So guilt is out of the question. You are now steeped in grief, and pain, and loss. Your mother's loss and your OWN, and you have a right to mourn all those losses. So stick with the "other g-word", grief.

I am so sorry for all the pain.
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waytomisery Mar 8, 2025
I agree . This Mom sounds very ill and her caregiving will become much HARDER .
It’s not just a simple let her do what she wants and be a fun companion for her as suggested by Goldstar . This situation is past that point .

Be aware OP that hospice only comes to the house a few hours a week . A nurse comes once a week to check her , for maybe an hour . An aide comes a few days for bathing and changing bedding . The mother load of her care would still be on you , unless hired help came in .

My father went to SNF ( skilled nursing facility ) on “ comfort care “ where they did everything for him .
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Upset,

You got some horrible advice from the others, and mine is probably be horrible as well. Here goes…

First, stand quietly in front of a mirror, look yourself in the eye, and give yourself the gift of forgiveness. Forgive yourself for everything you feel you've done bad, wrong or against your mother's wishes. All you did was what you thought was the right thing to do.

Then, while you're still standing in front of the mirror, acknowledge yourself for all the love, time, work, effort, caring and sacrifice you've endured. You may not want to be a caregiver, but you are a hero - bordering on saint - even if it doesn't feel that way.

Next, it's not too late to have the conversation with your mother that I believe all children should have with their parents. “Mom, are you quality of life or quantity of life?” (We probably already know her answer), and then, “What does that look like?” 

For my mother, it was Lou Milnati's (Chicago style) pizza every week and a pack of Newports every day. She wanted her celebration of life party before she died, and she wanted to fight as long as possible. She wasn't giving up on life, and she wasn't giving up on living. She died knowing she was loved, acknowledged, respected and cared for. What more could a person ask for? For everyone who loved her, we felt grief but not regret.

You didn't say how old your mother is or what her life expectancy is, but regardless, when she comes home from the hospital, help her be a “quality of life gal," regardless of what that looks like. Instead of being miserable as her caregiver, you might find a new level of joy and happiness for yourself as her companion. 

Best wishes to you and mom!

(Can't wait to hear what the naysayers say...)
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KNance72 Mar 8, 2025
This is true . I was taking care of my brother who had schizophrenia and Stage 4 cancer . I did everything Possible for him and Took care of him the Last 1 and a half years of his life. he Lived with me for 6 Months after chemo . It did get to be Much and I had to call 911 after he vomited and drank everything in the refrigerator . He was in the Hospital for a few weeks and we Placed him In a Great NH . He started to smoke again at the rehab and the social worker said " Karen It is the quality of Life not quantity at this Point . " My brother enjoyed his independence , smoked his cigarettes and ordered take out Chinese food . He died 3 Months Later . That was his choices to smoke again and it Killed him .
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Listen to me please. You are NOT to blame for any of it. You did nothing wrong.
Your mother's unhealthy lifestyle and asinine stubbornness is what paved the way for the condition she's in now.

Did you make her to smoke?
Did you make her to eat bad?
Did you make her to remain on her backside and not walk around or exercize like she was supposed to?
Did you make her to become a shut-in?

The answer to these questions is a hard NO. You didn't do anything wrong. Is it your fault that you're like the other 99% of the population who has to earn a living? Too bad that you can't sit with your mother every day entertaining her so she doesn't get bored. You do enough for her and she should probably be in assisted living now or get a paid caregiver.

Your mother and my mother sound very alike. I was an in-home caregiver for 25 years and now am in the business end of it. I was a care slave to my mother for some time too, and then I just had to stop. My patience level with the elderly even though I have years of experience is zero. It is negative zero with my own mother and her games. So I get it. I totally get where you're coming from because I've been there. My mother was given a choice. Either make it work with homecare or it's a nursing home. She's making it work with homecare.

You have to lay down the law with your mother and that law is paid help is coming in because you can't do it all anymore.

If she's just 'giving up' the only person who makes that decision is her. Don't let her weaponize her neediness as a way to manipulate you back into being her care-slave.

I learned some very valuable things being a caregiver for so many years. One of them is that any level of independence must be preserved. If a person can do anything for themselves, they must be forced to. Even if it's easier for you to do it. NEVER baby an adult or cater to fussiness. That doesn't do anyone any favors. All that does is strip a person of whatever small level of independence they still have.

Good luck to you and please for your sake bring in outside help for your mother or put her in AL. If she fights you on it, give her the same choice my mother was given. You are no longer the care option.
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Goldstar Mar 8, 2025
You work in senior home care, but your patience with seniors is zero? How's that working out for you? For your clients?
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I am in a very similar situation with my mom. I know how overwhelming and frustrating it can be. I would recommend hiring an in-home caregiver, if you are able to afford it. I recently hired someone who comes to the house twice a week for about 4 hours and helps my mom with things around the house (cooking, laundry, showering, etc.) and gives me a little bit of a break. The caregiver can also take your mom to some of her appointments and may be able to encourage your mom to make healthier choices or at least monitor the choices she makes. Hope this helps! My thoughts are with you.
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Its too late to change your mother now, so stop trying. You cannot care about a person's health more than they do. Let her continue to live and also to die on her terms w/o restricting her choices. If you cannot do so w/o losing your temper or wrecking your relationship, place mom immediately and go back to being her daughter again instead of a burned out and resentful caregiver.

You didn't create this situation, mom did. But if you continue trying to reform her, you'll continue losing your temper which will cause you to feel guilt and remorse. Change that dynamic right away. Mom has ALREADY killed herself with her lifestyle choices and you cannot do a single thing to change that. So leave her be. Then you can be friendly again and chat about old times before she dies. You won't have guilt to deal with, knowing you tried to help but she dug her own grave with her knife, fork and cigarettes. You won't look back with regret on arguments but a smile on your face about the nice chats you 2 had in her last days. And again, if you can't do that, place her. Ditch the "home" stigma and realize she's better off in managed care than in your home being yelled at for living out her last days as she wishes.

Accept mom as she is and know that she lived life on HER terms, which isn't such a bad thing.
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I'm sorry you're in such a difficult situation. I want to ask though, why are you trying so hard to keep your mom alive? It seems if she's not bothered about "getting better" or even living so you shouldn't be knocking yourself out and altering your life to keep her around.
Everyone dies, life is short and if you mom isn't interested in living her life the way you want her to live it, maybe just let her do what she wants and you put your life back together and be kind to yourself and care for yourself. You can really only control you, so just let her go.
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You did not contribute to her decline. If anything, you are prolonging her life by keeping tabs on her bad diet and smoking. You sound like a great person and an amazing daughter. What else can you do for her? You’re already doing everything you can for her.
As it is right now your mother is in the hospital and you need to think about whether it’s really for the best to bring her home. If you bring her home and she doesn’t change her ways, you will be in the same boat you are in now.
You can acknowledge that you’ve done everything you could to help her and let the hospital know that she would be an unsafe discharge. You could bring her home and stop policing her bad habits. Let go of any guilt you are having and really think about what your next steps are for you and your mom.
Please stop beating yourself up!!!
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You don't want to be her caregiver, yet you don't want to put her in a home.

Why is this not a good time for her to be transitioned from hospital to care home? Especially if she is declining? What will happen when you can no longer take care of her ever-increasing needs?

Do some soul searching and figure out why you are so hesitant.

Perhaps a temporary stay in a nursing home for Rehab will help give you time to figure out a more permanent solution. You know, any nursing home stay doesn't have to be permanent. You can take her out any time if it is not suiting her or you!

If you still feel that she should be back home, don't look to any siblings to step in and relieve you. Hire (with mom's money) caregivers to come to her home.

If she can't afford it, make a call to medicaid and help her apply.

You need a break! You would be better to her as a daughter, not as her sole caregiver. If you do find a nice nursing home for her, you can visit and spend time as often as you want. She will see you in a better mood, and with more energy for her than you currently have.
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Upset, your chosen screen name is one many of us could have chosen.

I will say, just as others did, that you are not responsible for your mom's decline. Between choices your mom made over the years and just the natural circumstances of aging, I don't think you can expect your mom's health to improve. It is time to consider a better place for mom, as well as a better life situation for yourself. I hope you can get mom placed in a nursing home so you can once again be her daughter and not her caregiver.
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read everyone’s answers and go easy on yourself.
(you sound so much like me that i had to check to see if i had written this post. i have asked myself the same question too)
i am also not cut out to be a caregiver and am struggling to look after my mom who does not have the health issues your mom has but wants me to do everything and do all the thinking all the time and it is exhausting.

everyones advice is fantastic so take it all to heart and do whats best for yourself and your mom. (and i will do the same) take care 💕
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UpsetCaregiver: You did not cause your mother's decline. Her myriad of health issues caught up with her. Perhaps she knew that she had best change, but pushed it to the 'back burner.'
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If your Mom hadn't been in the ER when having a heart attack, she may not be alive now. She should say Thank You. You should feel no guilt at all.
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I am sorry for the loss of your relationship.

No you absolutely did not contribute to Mom's decline. It sounds like she has a lot of health issues and you have done all that you could do.
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Give yourself a hug.

Know that you cannot 'make' your mother do anything.
You need to realize that you are not responsible for decisions she makes.
You cannot do it all and beyond that, you need to realize that you must set boundaries with your time and be realistic about your abilities.

You are very fragile now.
See a therapist.
Talk to a social worker at the hospital.

You must learn to love yourself.
Know what you can and cannot do - for another.

If you decide to NOT put her in a home, then you are making a decision to care for her or find another way. This is your decision. However you decide, forgive yourself for EVERYTHING.

It will serve you to 'stop' the psychological and emotional torture you are pulling yourself through. You could have a breakdown. Really. Get some support from a professional. You need to stop 'spinning' these thoughts as they are 'what its' and the 'shoulds' 'should haves.' No. Stop this stinking thinking.

You deserve to be a whole functional person.
It is understandable you lose your temper. You are not setting limits or boundaries on your time or abilities and you (appear to be) are running on empty.

Stop. Let your mother do as she wishes. If you decide to keep going as things are, this is your decision. You cannot have it both ways. She either gets the care she needs - and you get yourself back to 'you' --- or you keep this negative, self-destructive cycle going. And, you will not be of any use to your mother when you are so burnt out, you cannot even think. You sound like you are there already.

If she goes to a nursing home, be grateful there is still one available. Things are changing so fast with our government decision makers now ... we do not know how things will change - for all of us.

Take care of YOU. You matter.

Deal with the guilt and crap in therapy. That is what it is for. Learn to love yourself. Guilt is awful to feel. Yet, it is also a warning signal to you - process it - deal with it - find out who you are inside.

I believe most of how and what you say is triggered from life-long patterns of thinking / behaving ... based on the relationship you had with your mom as a child. Learning to love yourself is the most important 'job' you can have in your lifetime. Learning who you are. And realize what will be will be. You can do so much and then you must LET GO and let the universe take over ... in this situation, that could mean a nursing home or at the very least, you getting out of your own way and allowing your mom to be cared for as she needs.

Gena / Touch Matters
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MiaMoor Mar 8, 2025
I love your phrase, "stinking thinking" - it sums up negative and harmful thought process precisely and succinctly.
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Your mother is noncompliant with her own care. Her noncompliance - despite your heroic efforts to help her - led to her readmission. I would suggest that you seek placement for your mom with help of social services/case manager. You can not do all this alone... and it appears others are not willing to help you.
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No, you absolutely did not cause your mum's poor health.

However, you are causing your own poor health and wellbeing by taking on too much.

You must stop being your mum's hands-on caregiver; you need to reclaim your life.

Please don't take your mum back home from the hospital. Arrange for her to go into care. It's too much for you to do.

It will be better for both of you if you become your mum's daughter again, instead of her carer.

Wishing you all the best.
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Unfortunately, the answer is in your last few sentences…”caregiving is not for me” and I quote.

Yes becoming our parents parent is really tough and navigating it is even tougher but, if you’re at your wits end then an alternative is the answer( nursing home, assistant living, hire a caregiver and limit or end your portion of care giving)… if you do not change something… you’ll be spinning in circle( bitter and angry) better sooner than later!

You deserve to be happy and if happiness is not available then content and at peace should be second choice.
Wishing you the best outcome❤️‍🩹
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JeanLouise Mar 8, 2025
Respectfully, choosing contentment and peace? One cannot flip a switch and turn contentment and peace on like a light while mired in caregiving. I understand her frustration, anger and sadness at her life being highjacked by caregiving. It’s quicksand.
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This is not on you. Caregiving is a miserable existence
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BurntCaregiver Mar 10, 2025
I hear that.
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Don't blame yourself for her condition. It is in the past. Decide what you want to do in the future.

Yes, your Mom might be headed to wrong way healthwise. However, as you pointed out, she won't follow the doctor's instructions either and it is not entirely up to you to ensure she follows doctors orders, especially if she doesn't want to.

Your zero patience, get angry quickly and lose temper easily is because you are past the point of burnout.

I suspect she is in the throes of depression herself. Her habits are indicative of someone who is trying to escape or cope with something in their life.

I suggest you go to counselling to help you deal with what is happening with you. You cannot save someone who doesn't want to save themselves, however, you can save yourself...and I think you need help to put your situation in perspective so that you can accept whatever your Mom decides to do.

In saving yourself and getting help for yourself, you will be better able to help your Mom.
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