I think my gram has given up, she is 84 and has taken a turn for the worse in just 4 days. She refuses to even change her clothes (very unlike her), won't get out of her chair, or even ask someone to help her to the bathroom. She would rather have an "accident" than ask for help. She cries a lot because she feels like no one wants her. She spends a lot of time alone, but with everyones schedule it's not possible for someone to sit with her all the time. She can't hear so the tv is always so loud and causes the rest of us headaches. She has age onset dementia, and kidney disease. My mother is her primary caregiver, but at 59 she isn't in great health either. I try to help as much as I can, but having a full time job and my own kids to take care of makes it hard. There are two other siblings, but they live in other states and just seem as though they can't be bothered in their lives to do anything to help, so it all rests on me and my mom and I think we are both getting very burned out quickly as we have been watching her decline for 6 years. We are looking into options. I hate to see my gram have to leave her home, but we just don't know what more we can do. We are not equipped or trained to handle such a task as long term caregiving.