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As a preface, I have been asked by my father to consider becoming a caregiver of my grandmother, which would also mean helping out with my 58 year old uncle who has had 2 strokes and lives with her. They live in Hawaii and I live in Texas.


After a few visits to the hospital for various problems, my grandmother's mental and physical health seems to be declining. According to my father, she repeats herself often and forgets about simple things like how her door locks work. I know that she has serious paranoia about gaining weight and has issues sleeping. In addition to this, she has a history of being abusive to caregivers that my dad has tried to hire or people who knew her and offered to help on their own. She refuses any kind of professional help, including the idea of going to an assisted living facility or in-home care.


None of this information includes my uncle, who cannot move half of his body has a speech impediment, OCD, hoards, and is verbally abusive.


I feel selfish for not wanting to do this, but I also feel like this responsibility shouldn't be placed on me. I don't know what to do or even what kind of solutions to offer my dad.

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Your gut feeling is right. This responsibility shouldn't be placed on you. It seems like your father may be desperate to try and please his mother by having "family" do the caregiving instead of strangers hoping her paranoia will subside when its someone she trusts.

A lot of people have already cautioned you against this move. I agree. This is a tremendous undertaking. It goes way beyond just helping them out. This is job for more than one caregiver. I would be concerned that if you did decide to take on this challenge that your father would completely disengage and leave you to do this alone. Too often family members leave the caregiving of relatives to one person and then go on with their lives.

As to what to do, you can tell your dad that you are willing to help research facilities, interview caregivers, make phone calls, help pack, etc. Ultimately, he has to make the decision. If Grandma is unable to make decisions he's going to have to decide what to do with her and uncle. A hoarded home is not a safe and sanitary place to do caregiving.
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I just feel this is a good reminder for all of us, specially those who have children, to plan ahead and be realistic. I don’t think anybody dreams with going to a nursing home when we are older and basically relying on strangers to care for us, but the truth is that hopefully by then we will have lived a full life, and even if we didn’t, we should realize our loved ones should not be burdened with caring for us. I don’t have kids myself, and in all honesty after what I’ve experienced, I am relieved to know that I won’t be burdening those who I love and chaining them to me during my decaying years.
I love my mother, always have, always will. And although a very hard path, I don’t regret my choice. I know I’m doing what my heart tells me is right given the lack of options.
But in an ideal situation no one, specially those who we love, should have to face these dilemmas. It is not fair to anybody...specially not a 22 years old like you dear Yurchenko!
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Just went thru messages and last post of OP was the 10/28. Would be nice if she came back and told us her decision.
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Believe me when I say, you will become a wreck! I just did three years taking care of mom. Then just like that, sister runs in to “save the day” in mom’s final weeks.
Mom left me here as a mental case, myself. I’ve all but lost my business. What you are considering doing is above your ability. I mean that in the best way possible. It’ll take every thing you have and leave you needing help in the end. In a word, AVOID!
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Please just say NO!  There are other solutions and it is Dad's responsibility to find them.   If you get involved in this, even on a temporary basis, you will be trapped and slowly devoured alive.  It is NOT selfish to want to avoid this!  You have the right, indeed duty, to love yourself and make a reasonable future for yourself.
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StevePlace Nov 2018
It’ll eat a person alive without a single regret.
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Dear Yurchenko, You are 22, I’m 46. Have been caring for my mom who has a very, very difficult personality for almost two years.

My mother, despite being such a difficult person, tells me every day since I moved here with her: “you are burying yourself in this house caring for me; sacrificing precious years of your life. As a mother I feel so sad and desperate! This is not fair for you”.

That comes from a narcissistic mother, yet still able to recognize the blaring truth that this labor of caregiving, although a labor of love, implies complete self sacrificing.

Why would your dad not see that? the answer although important is not that relevant. What is really relevant is that when others don’t show consideration towards us, don’t respect us and don’t protect us (a parent specially) , we have to be equipped with the clarity and mental and emotional strength to do it ourselves.

Your dad I’m sure doesn’t mean to hurt you or sacrifice your life, but by asking what he is asking, he is; maybe he doesn’t know any better; I cannot imagine the set of circumstances that led him to ask you to do such thing, and I’m sure he’s incredibly worried for his mom and his brother, but either due to desperation, cultural beliefs, or an old fashioned mindset, what is clear is that he is absolutely NOT analyzing the situation clearly nor thinking of priorities. His priority should be you, no buts, no hesitation.
Since he failed to see things clearly, you have to do it for him, and for you.

Now, don’t leave him alone in this situation. Do what you can and are good at, for instance research. Find options online, give him ideas. And if you feel you should, even offer to contribute financially with a little bit to help pay for help (if/when you work).

That’s what I would do. And let me tell you, I’m an only child and a lot of my life has been driven by guilt, but if I found myself in your predicament there would be no guilt strong enough to make me literally quit my life, because honestly, truly and from my heart, that’s what you’d be doing. Quitting your life in more ways than you can imagine now, at 22.
Wishing you peace and STRENGTH, over anything else!!
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Root word of "Selfish" is "SELF", you are too young to lose your SELF in an effort to become a caregiver to your uncle and grandmother. Just wondering, why isn't Dad stepping up to help his Mom and brother or BIL instead of asking you?
I too had nobody willing to "step up" to care for an aging step parent (parents divorced 31 years ago) so I took on the role completely unprepared for how much
of my own identity would be consumed. Visiting for a week or a month is nothing like 24/7 care 7 days a week. You will never get to enjoy living in Hawaii except by car as you drive to endless medical appts., banking, grocery shopping.
Please direct your father to www.elderlyaffairs.com he can find many resources there as a starting point for services available on O'ahu.
If your grandmother doesn't want "outside" help you will be her FULL time attendant. Do not subject yourself to her's or your uncles verbal or violent behavior, unfortunately it will likely intensify. Best wishes to you.
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This is NOT your responsibility! I have been part time and full time caregiver of my parents for 18 years. I moved from Dallas back to Houston, because my mom kept telling me how forgetful and how often my dad was getting sick. I gave up my job, my family (I had 3 new grand-kids at the time). 3 of my grand-sons are now college age and the youngest (4th) is now 12 and in middle school. My dad fell in Feb. 2012, breaking his hip for the 2nd time and had to go to a Skilled Nursing Facility for Rehab. Because of his dementia, the VA said he couldn't do it in the hospital. He got an infection in the facility and passed away at my house in June. Mom had moved in with me in February of 2012, when he fell, because of her heart attack in Jan. of 2012. My dad was at our house while she was in the hospital.
Now she is 92 and has multiple health and mental issues. Just in this past year, she will have been in the hospital 4 times and skilled nursing facility for rehab. This week she is about to got to one again. She will be there about 3 weeks and resents it when I do not come every day.
Mom is frail, sometimes won't eat, won't drink fluids, sometimes can't even walk to bed. I am nearly 75 years old, with a new "heart Valve" in 2015. It wears me out to take care of my mom, even though I love her dearly. But some days, it is more than I can stand.
Because I am an only child, I felt I had no choice but to come home and watch over them, take care of them. This care included multiple trips to doctors, hospitals, doing things for them at there home, taking care of one of them while the other was in the hospital, etc, etc, etc.
You can imagine, a lot of things happened in the last 18 years.
Maybe I sound bitter and I guess I am a little. My mom promised to move back to Dallas, when dad died. Then she wouldn't do it. Now, I not only have her to take care of, but all of her finances and personal needs. I am married, but my husband (2nd) has a job and doesn't want to move back.
We have no other family here. I very much miss mine.
It has cost me too much of my life, being the "Good Daughter". My sons and grand-sons basically lost a mom and grand-mother. When I look back now, I realize that my parents, while loving parents, were/are selfish people, who always kept me under their thumb. Almost every decision I have made in my life, revolved around their needs, wants, approval.
I am trying to come to terms with myself, over placing my Mother in a nursing home, even though it is difficult for me to care for her any longer. Her doctors think I should and so does mine. It is something I swore, I would not do. She will probably live only a few more months with all her problems, but it hurts me to have to do it. At the same time it "hurts" me to not do it.

My advice to you, is don't ever do to yourself, what I have done to myself. Love your family, but don't let them run you. Live your life to the fullest!

Taking care of your uncle and grand-mother is NOT your responsibility. Suggest your dad get skilled help in Hawaii. Tell your Grandmother she does not have a choice, if she keeps acting out, she WILL have to go into a home.

DON'T GIVE UP YOUR LIFE AND DON'T FEEL BAD ABOUT IT!
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This is a huge request. And know that it will impact your life in every way. I was caregiver for both of my parents, for over 20 years. No one ever thought it would be that long. The effects it had on my life and my marriage were monumental, and we are still dealing with the aftermath.

Love your parents, grandparents, uncles, etc., but take care of yourself. I can't imagine not doing it, but I wish I had had some other options - 4 siblings, but I was the only one that helped.

Contact your local Area Agency on Aging, Senior Protection Agency, a social worker. Get information before you make such a huge decision. I'm saying prayers for all of you.
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FromDaisycat do not do this I have been responsible for my parents since I was 16yrs old my dad is deceased my mom is now 86 and I am so tired sometimes I just don't want to do this any more I have never been able to live my life the way I wanted to not worth it
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I'm so worried for you that I just can't get this out of my head. As an addendum to my previous answers I'd like you to consider that your dad is an enabling member of a dysfunctional and abusive family. People are trained to be enablers of poor dynamics through the use of manipulation using the emotions of guilt and selfishness. When enablers run out of steam appeasing unrealistic demands, such as those of his family who want their requirements met at the expense of everyone else's, they attempt to locate fresh energy as a stand-in for themselves. I'm sure your dad loves you but he doesn't appear to know how to break out and do better. You have been backed to the very precipice of becoming an enabler yourself. I can attest to the fact that there can be relationship repercussions for the person who defects from the system in favor of rational choices, but your response here matters for the rest of your life. I really hope you read up a bit on enabling behavior so you can pass this important life test.
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Nooooo! Just no.
I would live in lean-to in the dryest most barren corner of Texas before I'd move to Hawaii and take on THAT job! You will NEVER get to enjoy Hawaii, believe me.
We are all guessing you are maybe 30-ish. You have many years ahead to live your life. You will absolutely have NO life if you take on that job. You will be damned lucky to get to read a book or even leave the house for an hour to get groceries.
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StevePlace Nov 2018
Exactly! I could leave the house for one hour on Mondays....for a while. Then it was total abuse for “being gone all god d@mn day carousing around”. I was at a Business Group every Monday from 11:30 (arriving late) until 1:00 p.m. No mixers. No functions. No after-hours attendance. NOTHING but 24/7 abuse for being “so d@mn stupid”. I’ve patented products, spoke at DARPA and been called a genius by some smart people, but the “you’re so god d@mn stupid” 24/7 was so off-setting,....

DONT DO IT!
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I'm not even going to be eloquent about my reaction or suggestion. I didn't read all the replies either, but those I did read are telling you not to feel responsible or guilty, and
I agree! What a load of cow crap that just because you are young and single that you should be expected to take on caring for an elder AND disabled person!!!! DO NOT DO IT!!!!!! It sucks. You will grow bitter and resentful. You will want to die some days just to get away from the situation. You will have NO LIFE. And if you think anyone will give a care about your health. It's a trap! Stay in Texas!!
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cajohnston Oct 2018
I AGREE!!!!
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Now that my head has stopped exploding and I've stopped hyperventilating from the predicament you've been placed in, I feel I can offer a straight-forward solution.

This situation screams out for a geriatric care manager. They'll do a needs assessment of each person and set up a care plan. Care managers are usually former nurses or social workers who specialize in addressing the changing care needs of people for the families who are no longer equipped to respond. They may work independently or with a broader-based care agency. Importantly, they have experience and connections to of all the resources to respond to each situation. Care situations can change overnight with an illness, fall, or hospitalization rendering everything already in place invalid. These experienced individuals can respond quickly to meet the new needs.

These individuals might be tracked down through the internet for local resources, a senior center, the local council on aging, perhaps the AARP site, through universities who offer degree programs in these areas, through hospitals who employ them to assemble a discharge plan, through Home Health providers, local clergy may keep a list, and perhaps through support organizations like Alzheimer and stroke care, for starters.

Dad will pay for the assessments for each of his relatives and retain these qualified experts to respond as future needs arise.

There are other problems here beyond just Gram's and Uncle's needs. There is a flashing caution sign that says "Boundries Work Ahead." Many of us on this forum are caring for people who are abusive, narcissistic, mentally ill, cognitively challenged, and physically impaired. Some of us are caring for people who didn't care well for us. Your dad's instinct to treat your life, time, and energy as a disposable extension of his own as a matter of convenience to himself set off a lot of alarm bells for some of us. I'm sorry to tell you that people who are abusive, manipulative, or exploitive don't have your best interests at heart, even when they're called mom or dad. The advice to you to initiate and engage your own life at your early stage of adulthood is spot on.

Finally, I want to recognize you for having the wisdom to seek advice from the knowledgeable and experienced people on this forum. You are well-meaning and tenderhearted concerning your family but most of us have learned that it takes so much more than that in this situation.

Best to you.
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BettyB00p Oct 2018
Amen!
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No you are not being "selfish" in the way you mean, you are taking care of yourself as well as taking care of your Grandmother, Uncle and Dad. I don't think your dad is being selfish either, he is simply looking for the best possible scenario he can find. How many times have I seen people upset because the job of caring for a grandparent wasn't offered to them first.

I have no idea if there might be other circumstances that made your dad think you might want to move to Hawaii and do this or where he lives (maybe selfishly he thought it might bring you closer to him?) but he is bound to understand that uprooting your life and moving across the country to care for your difficult grandmother and uncle just isn't feasible for you. I wouldn't say "are you crazy" or anything, maybe even let him know how touched you are he thought of you and thought you would be a good choice to handle the situation, agreeable to you Gmother but it just isn't something you feel you can take on. If you are able and they are able to pay for it you could offer to go for a limited time to help out but only if that's something you are driven to do and can do not with the thought it might become permanent unless that's your idea and it doesn't sound like it is. No guilt either way IMHO
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Isthisrealyreal Oct 2018
No, don't go at all, once you're in place there is no incentive to find a long term solution.

Also. You have no authority to change it and all of the responsibility to deal with it.

In some states if you walk out on a vulnerable senior, knowing they can't care for themselves you could be prosecuted.

Don't go for any amount of time, there are viable solutions to this problem but you are not it.
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Absolutely no. These old folks will take you down. Live your life.
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StevePlace Nov 2018
As stated, you get ALL the responsibility and NONE of the authority. And 100% of the second guessing fall-out.
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I wouldn't take on this caretaking because they are abusive. Experts advise not to caretake abusive people because we've already suffered enough and because we might be tempted to retaliate. For instance, my mother has narcissistic personality disorder and I have a lifetime of memories of her cruelty. I returned, thinking I might help her in her old age, only to find that she's even more mean, crazy, spoiled, selfish, manipulative, ignorant than before. Last year I was having vivid fantasies of shoving the old snot off a tall cliff. It's best for me to stay away.

Even if they weren't abusive, you'd be wise to concentrate on developing a fulfilling life, your work and resources. You only live once so I hope you don't waste yourself on mean people, who do not change. The time goes quickly.
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Do not feel selfish! I had the same thing happen to me when my grandmother begged me to take care of her the day before she was to go to a nursing home. I had a job I loved, had just bought a house, a boyfriend... I would have had to give up everything to move to take care of her. I called my parents in tears asking what I should do, and they said absolutely DO NOT give up your life for her. Plus I was not trained as a nurse and am not known for having a lot of patience.

My parents said don't let us do this to you when the time comes. However, now that they are in their mid-80s this advice has been forgotten as they struggle valiantly to remain at home and not go to a nursing home/assisted living. Thankfully I have two siblings so we divide up helping out (my brother has POA for finances and pays bills, etc. and I have medical POA and monitor doctors and medication management. My sister coordinates the home health nurse.) The home health care nurse comes to their home 4 hours a day to manage what the three of us cannot with our jobs.

Every family has to patch together assistance as they are best able emotionally, physically and financially. But DO NOT sacrifice your life!
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StevePlace Nov 2018
My sister told mom I was conspiring with mom’s doctor to “put her in the nut house”. Freaked mom completely out. Enough that she ran to sister’s to stay. Mom has Stage 4 or possibly 5 dementia. Sister has no idea the hell that just moved in with her.
DONT DO IT.
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I imagine your dad is just desperately casting about for a solution but this is not a good idea at all. Just say no. He will think of another solution.
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HVsdaughter Oct 2018
Exactly! YT, are you struggling financially and this is a solution being offered by your dad? When my younger sister was in her 20s and struggling to find a job and a career, my dad tried to get her to move in with him and my mother to keep house and help take care of my mother with severe osteo- and rheumatoid arthritis, although they had the means to employ outside help. He also suggested that she could get a part-time job at the local neurological institute since she had CNA certification (it would provide health insurance and retirement benefits). That sounded miserable not only to her but also to us her siblings! We knew our sister might need some financial assistance due to a hearing impairment, among other disabilities, but my parents were capable of supplementing her income, although she desperately wanted to be financially independent . She said NO to my dad (with my mother's blessing!) and enrolled in sign language courses and ended up working as director of a church's children's ministry resource center and then moved 3 states away to work for a Deaf children's ministry, two jobs she dearly loved and was well suited for before she passed away of cancer 11yrs ago at the age of 47. Whatever the reason for which you're feeling pressured into this situation, DON'T DO IT. Listen to the experienced voices here. It would eat your life up.
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You are not selfish! Caregivers need to be willing and want to do this job, family or not. Your father needs to just put your grandma in a care situation along with your uncle if he isn’t willing to do it himself.
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Im not sure how you can do this based on your age. I’m wondering if you have a job. Surely you are working and saving for your own life and retirement someday?
Guess what...your dad is trying to manipulate you and I’m curious why he chose you and not himself
but guess what again..NO is a complete sentence. And it is within your rights to have boundaries about what you can and cannot do and guilt has no part in it. Don’t let his lack of boundaries cause you to rethink your own. Just say No, I need to work and I can’t take this on. Add "sorry" if you feel like it.
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MelanieC Oct 2018
Perfect answer!
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caregiving is a very soul-destroying process, long term that can last over a decade and you will destroy your life since it will impair your ability to make a living. Don't do it. Trust me you will regret it and by that time your life will be so destroyed.
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StevePlace Nov 2018
Destroyed? Hitler destroyed Poland. This is more of a Nuclear Holocaust and you get to be front and center if you take the Caregiver job. Why? You’ll be next.
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You are not being selfish. You’re entitled to your Own life and go say no. Your dad is actually the one being selfish. This is his problem. He is the one who needs to step up and move his relatives to care or hire full time help. This can’t be you. Say no now or face the consequences in the future.
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Do not feel selfish, at 22 you are just beginning to live your life. Gram has probably burnt out and her health failed due to taking care of her hoarder son, creating a faster decline than normal. HER son (your father) is the one who needs to take control of the situation, clear out the hoarding mess, lay the ground rules and either move them to an adult facility or to hire home healthcare. Not only would you be taking on gram but also your uncle, caring for one person is hard enough, but 2 at the same time is too much. Do some homework for him long distance, research facilities and companies that could help. Their local united way or senior center may be able to give you a good direction to start. Dementia is only going to get worse as time goes by. I saw my great grandmother go from a caring loving person to accusing my grandparents of stealing and hiding her money, wandering the neighborhood lost and confused in her own yard,to becoming bed ridden and silent. Do not do this, not because of selfishness but out of love so they get the care they need. Your dad needs to man up and do what is needed if he doesn't want to or can't take care of them himself instead of passing the responsibility on to you.
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Tell you father you don't want to burn out in case some day you have to care for him.

Remember, you are the only one who ultimately makes your decisions what you do with your life. One of the biggest lessons in life is learning to not feel guilty for doing the right thing for yourself first.
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YT, you are getting excellent advice! Every fiber of your being knows it's wrong and too much to ask of you. Tell your father you've considered it carefully, and it's not something you feel you are equipped to do. Do NOT let anyone make you feel guilty.
I would never ask my children to care for their grandmother, uncle, or even ME!
Who is designated as POA for your grandmother and uncle? If no one, your father needs to step in and make these decisions for a very complex situation.
I wish you the best - don't go down this road. You know it's not for you. Live your life!
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No.
I hope I can overcome the screaming in my head long enough to answer you.
No,
You have absolutely no idea how hard this is. None of us did.
No.
Whatever the situation is now, it will get worse, by an unimaginable amount.
No.
I'm 9 years into caring for my dad with dementia and I know what I'm talking about. Everyone here does. Please believe all of us who are trying to save you from this situation and don't agree to this. Not even for a trial period because I fear no one will come to relieve you.
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YurchenkoTwist,
Please do NOT do this! You could end up spending way too much of your life as a caregiver. Your uncle is 58 and could live another 20 or 30 years. Who would be expected to care for him after grandma passes or becomes too ill to care for him? Right. You!!
It sounds as if your grandmother has some dementia going on. Your dad should get her diagnosed, get POA for her and his brother, and have them both placed in a facility where they could be properly cared for.
This is the time for you to enjoy your life, and shame on dad for asking you to give up your youth to care for two people who need more help than one person could even provide!!
You are NOT selfish. In fact, that you are even considering it shows what an amazing young lady you are!!
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Run away immediately. You dad should never have asked you. At 22, you should be having fun and thinking about building a life for yourself. Dad will have to find another solution.
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anonymous815183 Oct 2018
Don't even get trapped into visiting Hawaii. Stay in Texas, no matter what.
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You are 22. You have been asked to uproot your fledgling life and take on the responsibility for two tragically damaged people whom you have not seen in quite some time (almost 10% of your entire life span?).

By your writing, you appear to be a bright, kind, intelligent young person.

”Selfish” at the age of 22 is part of the process of growing into maturity, like blowing too much of your salary on a great, frivolous jacket and deciding not to let a friend borrow it.

”Selfish” is NOT taking on the management of a situation that is already desperate and can quickly descend to worse.

“Caregivers” for a woman in your grandmother’s condition require firm, structured handling by trained professionals who are fairly compensated for their difficult work, offered managed respite, and have the wherewithal to ignoreand/or channel
her I appropriate social interaction.

Then add the comparable but different management of her son.

I cannot begin to imagine what has possessed your father to even suggest that you might consider taking this on, much less actually assume responsibility for it, but as a parent who has raised two wonderful children, I cannot state strongly enough that you have NO REASON to consider your desire to refuse this burden a “selfish” act, and EVERY REASON to continue YOUR progress to maturity where you are.

If your father is in the position of serving as some sort of manager or overseer of the situation in Hawaii, it is HIS responsibility to find qualified, trained, appropriate help for the household you describe.

You are not selfish or bad. Instead, by assessing the negatives in this situation and correctly observing that it exceeds your capacity to successfully undertake it, you are assuming responsibility for your own welfare, independence, and self growth.

Do not take this on. DO NOT TAKE THIS ON.
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