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My mom needs care in her home and cannot live by herself anymore. She has fallen twice in the last year, first suffering a tailbone fracture and now a hip fracture. She’s currently still in the hospital, terrorizing everyone around her with her demands and rudeness.


She has always been a very difficult, demanding person who needs to be in charge of everything. The hospital has now had enough of her behavior and wants to send her home. We have lined up a home health service that provides 24-hour care, but she refuses to allow a live-in caregiver. She also refuses to go into a nursing home or assisted living facility.


She is constantly complaining about everything and everyone and accuses us all of not caring for her. I am at my wits end, because ALL we do is try to make it possible for her to return to her own home and stay there, which is what she always said she wanted.


There is no way to talk to her rationally. All she does is throw accusations and needs complaints at us every chance she gets. I am mentally exhausted and dread every day, wondering what new drama I will have to deal with next. All we all want is for her to be safe and get the care she needs.

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I wouldn't intervene for someone irrational, rude, argumentative, uncooperative. She's lived her life that way and I as an RN lifelong pretty much learned that we die as we lived. She will likely die rude and uncooperative, as well.

Why waste your time. Be certain you do not take on POA or guardianship, let her hire in help. Do not enable her bad decisions by helping her. Give her the phone number to APS and let her see how far she gets in refusing their help.

Eventually hospitals Social Workers will intervene and will perhaps enable state guardianship and placement. If she has the wherewithall to out-argue the state, perhaps she can teach classes in it.

I don't mean to suggest she isn't a problem. She is. But I would certainly go to great lengths to see that she isn't MY problem. I was POA and Trustee of Trust for the most cooperative and loving man in the world; it's still a hard job. And with someone uncooperative it's impossible.
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Reply to AlvaDeer
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How do you convince her? You don’t. You can’t. You already know that. And unless she has legally given you power of attorney AND been declared legally incompetent you can’t do anything against her wishes.

So STOP. She’s not going to all of a sudden start acting right after a lifetime of stubborn, self centered nastiness. You didn’t cause this, you can’t cure it and you can’t control it. We get it, she’s making bad choices. She’s allowed.

Change your focus from how can you get her to do what you want to how can you learn to accept that you can’t.
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Reply to Slartibartfast
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Making your mother happy is not your job.

If she's a competent adult and has had a lifetime to prepare for old age, I'd take three giant steps back from this situation. Take a vacation, develop a herniated disc or a contagious disease that renders you unable to enable her.

Let the social workers and staff at the hospital deal with her and present her with her choices.

If she insists on going home, the consequences are HERS to deal with, not yours.
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Reply to BarbBrooklyn
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waytomisery Jul 2, 2025
I agree .
Just went through this scenario with MIL 3 months ago. She was parent number 4 , we learned to step back more .
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Why do you believe any hired caregiver would put up with being terrorized by a rude, demanding person? It exhausts you, and you have family attachment to her, a person with no connection would surely quit in no time. Mom will not listen to reason or your begging her to accept care, she’s not mentally capable of it. The choices here are to move her, against her stated wishes, to a facility where a whole team can deal with her behavior, or she goes home minus any help, even yours, until an event happens that forces change. Of course we all want to stay in our homes. There come times it isn’t feasible, and trying to appease instead of facing truth doesn’t change the reality.
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Reply to Daughterof1930
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BurntCaregiver Jul 2, 2025
@Daughter1930

It might work. I've had care clients who were nice as pie to me but were abusive, nasty, and cruel to their families.

The mother may very well get along with her caregivers if she knows that the alternative is she goes to a nursing home.
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Why is mom not being sent from the hospital to a SNF for rehab?? I would insist on it, so she can gain better mobility thru PT and OT before she returns home. Plus, if she does not regain mobility, she can stay in the long term section of the SNF! Especially if she refuses in home caregivers and needs them....the rehab will not release her to go back home! So that's one way to get her the help she needs.

Are you her POA and does mom have dementia? Because if the answer is yes to both, you can make decisions FOR her. And if she hasn't been given a cognitive evaluation, she needs one stat.

Best of luck to you.
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Reply to lealonnie1
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No, boo, she would need 3 in home caregivers as they would each take an 8 hour shift.

you need to say she is an UNSAFE discharge and not let them send her home
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Reply to Bulldog54321
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Nothing gets a senior a one-way ticket to a nursing home faster than being stubborn. I have told more stubborn elders this than I can even count.

So, you and your mother's doctor need to level with her plainly that she has two choices.

1) She cuts the crap and knocks off the asinine stubbornness and bad behavior to start with. Then she makes it work with live-in caregivers so she can remain in her own home which is what she wants.

-OR-

2) She continues with the false accusations towards everyone, the constant complaining, and the verbal abuse and she will be discharged directly to a nursing home where she will live out the remainder of her life. You will not be taking her in, nor will you or any other family member be moving in with her.

Make your speech plain with her and her doctor should as well. If she will not comply, she goes to a nursing home.

Unfortunately too many seniors are like your mother and they end up learning the hard way and get put into LTC.
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Reply to BurntCaregiver
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PeggySue2020 Jul 2, 2025
Or more likely, Option C whereas she keeps showtiming effectively such that the cops or aps don’t remove her and take control. There are literal square miles of blocks in San Fran where seniors in wheelchairs and walkers are right out there with bent over fent addicts. With new Medicaid cuts in view, the stubborn senior daily faces the fact that no one WILL help them if they don’t take the help and any lifestyle restrictions that come with it.
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You don’t convince her . She won’t listen. She needs 24/7 care in a facility.

She will just fire any in home caregivers , or not let them in . BTDT with more than one parent. Don’t waste your time with homecare .
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Reply to waytomisery
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Ask her doctor to evaluate her for mental competency. If she is deemed mentally competent, then she gets to decide on how she wants to live. If she is mentally incompetent, then you get to decide on the caregiving option she needs after hospitalization. She most likely needs some medication to help her to relax. Her agitation is making it hard on everybody around her and will make it difficult for anybody to meet her needs.
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Reply to Taarna
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waytomisery Jul 2, 2025
I agree .

Good luck with the medications though .
The narcissists in my family refused them in assisted living. They said there was nothing wrong with them. They said everyone else is the problem.
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Your mother sounds impossible to deal with. You’ve gotten some great advice.

My MIL (who wasn’t as difficult as what you describe, she died of COPD) fired several home health aides earlier on for truly absurd things like cutting the sandwiches “wrong” and making the bed “wrong.” She was also obsessed that they were stealing from her. Then she got too sick to get from bed to bedside commode on her own and declared the next and last aide just great. She knew the only alternative was residential care.

My own mom has also fired a few aides for making noises “creeping down the hall” early in the morning to use the bathroom, or leaving a hair in the sink, or refusing to do things like scrub mold out of her washing machine, or weed the gravel driveway —which are definitely not part of regular aide duties. Or another one she called an “animal” because she slightly rearranged some Knick knacks after dusting a table. It really bothers me.

I know of a couple of cases where elderly people couldn’t deal with aides in their own home but became cooperative in assisted living.

good luck detaching!! I wish you peace.
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GSDlover Jul 3, 2025
Yikes! Wonder what it is with the stealing obsession? My mother has it too at the SNF, but she accused my husband of it two years ago when he set up my parents on line account directly to their banking. They kept losing credit card and money, keys, cars, he did them a huge favor. She’s been doing it at the SNF accusing the staff of stealing her clothes and makeup. What is this?
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