My 80 yr old mom has been at the rehab facility for 3 weeks now.
I am her only child (54 yrs old w/anxiety issues stemming from worry over my moms condition).
I go to see her almost every evening after work.
I was there last night from 7:30-11pm.
My mom has called me in the middle of the night numerous times telling me she can't breathe, "please bring my asthma medicine", or just 3am & 6am this morning saying @my chest is hurting, please come here & bring me some baby aspirin"..
Both times she called today I had my phone ringer off so I could sleep, but again, I'm having trouble sleeping because I'm constantly checking my phone to see if there are any calls or messages & sure enough there were these 2 calls from my mom.
I am feeling guilty for not picking up the phone for her last call (did speak w/her when she called @ 3am & told her I couldn't drive there because it was 3 in the morning" & she was disregarding what I was saying to her & hung up on me.
Am I being selfish for not answering her calls??
I mean if she was having chest pains she has an emergency button attached to her bed that would call the nurses & they would come immediately..& wouldn't they call me if anything serious was happening to my mom??
I'm so upset by this I'm shaking.
First thing I noticed, and so had others, you are visiting too much and for too long. Cut the visit to 7:30 to 8.55 and tell Mom the visiting hours have been cut back and visitors have to leave at 9:00 pm. Then start visiting every other day.
Ask the Staff when does Mom sleep? She could be a night owl, thus the reason for the wee hour telephone calls. If Mom sleeps during the day, have the Staff try to keep her awake during the day, except for an occasional nap, that way hopefully Mom will sleep through the night.
I just got off the phone (I picked it up because I thought it was the nurse calling me back after checking in on mom) and my mother said "why are you doing this to me?".
I told her "what am Indoing to you?".
I also told her that calling me in the middle of the night for things is causing me a lot of stress & it's affecting my health & to please not do this anymore".
She said "you put me here".
I said "I put you there?".
She said "yes, you did"..
I told her "good night mom & I hung up"..
She has since called 3 times since I started writing this.
I'm going to take advice here & leave my phone in another room & get some sleep.
I would inform the social worker that this is happening and ask her to work with staff on getting mom to push the button. Ask for mom to be evaluated for dementia (if she doesn't have a dx already) and by a psychiatrist or psychoatric nurse for anxiety, depression and other mental/emotional issues.
Tell the staff you are taking a few days off from visiting due to your own health. Shut off your phone and let mom see that she can rely on staff.
Visit her, get your rest, keep up with your health, work, life....draw your boundaries so you have the strength for the next phase of issues
The calls became even more frequent and more angry. I took her to a psychiatrist asking for a med change, but he refused citing side effects. Her PCP gave me a long lecture about looking for changes in her environment, new staff, etc that might be causing her agitation. No, Doctor, the staff is great and I can set my watch by when they come to get her for an activity (several times each day) because the calls stop for a while. He also cited side effects and refused meds. I finally called her neurologist, and fortunately his mother had also suffered from Alzheimer's and he was very understanding. He started her on Seroquel yesterday and I am hoping it works.
Meanwhile, I have stopped answering her calls. I answer one call each day, allow her to yell at me and hang up, and then no more. The calls are affecting me physically, and coming to this site and reading other answers about setting boundaries gives me the spine I need to ignore the calls. Last Sunday the count was 21 calls, and yesterday there were 18. So far today there have been six, and it is only 10am. I still feel the stress each time the phone rings, (I work from home so I can't turn the phone off) but I am hoping that the drugs help and that I can establish a routine that helps me cope. She is at an activity now, so I can relax a bit and visit the Aging Care site. I am trying very hard to follow the advice of everyone on this site and take care of myself first.
A couple of things to add:
1. Have you told the staff at the rehab facility about your mother's calls? I think/hope you'd find them sympathetic, and they might be able to help by, for example, giving your mother extra reassurance, especially at night time. It might even be appropriate to consider disconnecting your mother's phone outside normal social hours, but you'd want to talk that one through with them.
2. Do your best not to take your mother's actual words to heart: it is very unlikely that she herself believes what she is saying, and neither should you. Objectively, you are not responsible for her needing to be in rehab, and you are most certainly not responsible for her safe management while she is there. It is natural that you are constantly anxious about her - of course you are, how could you not be? - but it sounds as if you could do with help to manage your anxiety better so that it is not so destructive to your own day-to-day life and, crucially, therefore your ability to give your mother the practical and moral support that she needs. In other words, the better you feel, the better the care you can give her.
My mother was in rehab for nearly a month last year. I sympathise with the desire to stay involved in hands-on care, and I'm not saying you shouldn't; but I think you should consider making your evening visits shorter. I say that for two main reasons: firstly, shorter visits will be more upbeat and more focused, not least because you will free up at least a short period of time to yourself to relax and recover at home; whereas stretching them out to the last possible minute is subject to the law of diminishing returns - your mother isn't getting any additional benefit from the third or fourth hour that you're there; it may even be counterproductive.
Secondly, if you're there until very late in the evening you're not giving the rehab staff a chance to get your mother settled for the night. There is a fine line to be trodden between being helpful and supportive, and getting in their way - make sure you're not stopping them doing their job.
So two things to work on: timetabling mother-related activities so that they don't overwhelm everything else you need to do; and developing a really good working relationship with the rehab staff so that your mother's care is a team effort.
Finally, don't worry about worrying! You can very easily get yourself into a proper tailspin, where feeling anxious about your mother's welfare - which is only natural - leads to disproportionate anxiety about whether you are doing enough to "save" her - which is deeply unhelpful to both of you. God knows I'm no therapist, but I think you'd find it useful to unpack all those fears and worries, and sort them out into those you can act on, and those nobody can do anything to change.
Big hugs to you, this is a rough, tough time to be going through and I know we all feel for you. Please let us know how you and your mother are getting on.
You have your own needs, and are entitled (and obligated) to attend to them. Your needs include getting uninterrupted sleep every night so you can function at work and in your life, and not driving in the middle of the night where you could cause an accident.
Your mother is worried and scared and she'd like you to be there 24/7. That's not possible. She lives there. You don't, and can't. Tell her until it sinks in that she needs to ring the nursing staff with all her issues at night, and they will call you if it's an emergency.
Everyone is right - sleep deprivation is THE worst enemy of the caregiver/relative. You cannot function once that sets in even if you think you can. Turn off your tv turn off your phone and sleep.
If the very very worst were to happen you could do nothing to change that except that you would be there but you must be ready to forgive yourself on that one.
You know your Mum is in safe hands, you know her health is being looked after. make the most of it and rest. xx
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