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You visit less often, and when the berating starts you say: "I love you bro; I can see today isn't going well. I will leave and come back when you are feeling better".
You cannot change what he is doing out of anger or out of mental condition over which you've no control.
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Reply to AlvaDeer
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Stop interacting with him! Or at least limit contact. You don’t have to take bad treatment from him just because he isn’t well. Tell him how it upsets you, warn him that you won’t listen to any more of his blaming and shaming, and if he keeps it up, remove yourself from the scene.

He will probably keep
it up. Be prepared to follow through when he does, and good luck.
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Reply to Fawnby
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You stay relentlessly positive and leave his presence each and every time the berating starts. No one deserves such treatment, no matter the circumstances.
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Reply to Daughterof1930
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You stop going to see him and calling him.
Or limit your visits/calls to once a week and the minute he starts to get ugly you leave or hang up the phone and tell him you'll come back/call back when he's in a better mood. And you do this every time he gets ugly.
Perhaps in time he will get the message loud and clear that you will not be tolerating his abuse.
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Reply to funkygrandma59
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I have an older sister that is in a rehab. I let her call me. We didn't have a good relationship after mom died, and she didn't want me residing in the home. She made up all sorts of lies on me and had the family believing it including making false reports to APS. I finished the process of having my younger sister placed in a group home, attended every medical appointment that everyone in the family refused to touch. It was hard on me emotionally and physically. I moved out of the family home two weeks before placement. Landlord was nice enough to hold the apartment for me. Dad had to come to the family home. We still had aides coming in the afternoon after sister got into a day program that I helped set up for her. Dad had the pleasure of dressing his daughter for school for those two weeks after I moved out. I'm quite sure he hated every moment of it.

Dad got his house back. Older sister still continued her nonsense after I left leading me to not speaking to her for months at a time.

Don't feel bad or guilty about not talking to abusive brother. Sometimes these relationships never repair themselves. It takes two to work on a relationship. After so much time has passed in between, we come to the realization that we don't owe anymore to them except for an obligatory greeting or maybe a short conversation every blue moon if we feel up to it.

You are worth more than the abuse.
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Reply to Scampie1
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Ignore him. That's how you deal with your brother in the nursing home who berates and blames you for everything. You didn't cause his health issues. In order for you to be berated and blamed by him, you have to put yourself in his presence and take his calls. He's not coming to you.

So tell him plainly, that if he can't behave respectfully to you, there will be no more phone calls or visits.
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Reply to BurntCaregiver
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In addition to limiting contact etc as already advised below . You tell him
“ I did not make you infirmed and in need of this level of care , therefore stop blaming me “. And leave.
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Reply to waytomisery
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If you feel guilty, stop! You did not cause his disease and needing 24/7 NH where care is provided by several well rested people working 8 hrs and coming back for another shift 16 hours later. And get two days off. Or however their schedule works. They get breaks and vacation time. What can you be blamed for? For not keeping him home and taking care of him 24/7.
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Reply to Evamar
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Thank you all for your advice. I know it is good advice and I will try to set limits. It is difficult because I understand his frustrations but I know I must make some changes for my own sanity. Thank you again for helping me understand that some boundaries must be set :)
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Reply to Lostcrazy
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What he is in for and your ages would help in answering your question.

I will assume you are of an age that you cannot physically care for him. I would tell him its not your fault he is where he is. You cannot care for him. He needs to except this is his life. If he continues to berate you, you will not be visiting. As soon as he starts, you will walk out that door. You don't need to put up with this. Don't answer his calls. Tell the Nurse you are going no contact and unless an emergency you want no calls from them. You need a break. People treat you the way you let them. He will continue this berating as long as you let him. Don't let him.
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Reply to JoAnn29
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