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My 88-year-old Mom lives alone, can not drive, is in poor health, and has age-related dementia. She is not interested in AL and insists on remaining in her home. I live close by and have been her go-to person for several years now. She asks for my help or for me to visit her almost daily. I've tried to set healthy boundaries with her over the years and have been pretty successful. However, lately Mom is becoming more and more resentful of me not doing what she asks. At first she was very understanding and would say for me to help when I could. Now she makes sarcastic and sometimes childish remarks when I tell her "no", and frequently becomes angry. She doesn't do this to anyone else but me. She is sweet to everyone when I take her places and is very appreciative of anything someone else does for her, especially my siblings (who seldom even visit Mom). But, she told me the other day that I need to "step up" and do more for her. She even told me that she raised me poorly because of "bad attitude."


Does anyone have advice on how I should deal with this? I would love to explain to her that her snarkyness makes me want to do even less for her and with her.

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First check her out medically. If your mom seems more confused than usual or more upset than usual you might want to see if she has a UTI which can cause dementia like symptoms with no burning or urinary discomfort. If the UTI test is clear then the next step might be a neuroligist. Try to find a geriatric primary for her.

Is there some reason why your mother thinks you are responsible for her? Are you her POA? Do you handle her finances?

You could try giving her a list of the things you are willing to do and ones you aren’t. When she asks how to get the other things done, perhaps you will be willing to help her find a housekeeper or other senior services she may need.
If her home is becoming too much for her to manage it might be time to downsize.
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Unfortunately I have to tell you this is only the beginning! At least you’ve had the blessing of having a more considerate mother earlier on. She is not thinking about the situation correctly, she is unable to.

The first thing to do I believe is to realize the situation has changed, which is a sign for you to pay extreme attention to make sure any changes needed are made timely, for example, if there is a need to change her living situation and get in house help, for example. Her aged related dementia seems to definitely be getting worse.

Secondly, please keep in mind that she cannot help her behavior, it is not just the result of an unpleasant personality. It is the result of an illness. If you really understand this, her behavior won’t bother or hurt you as much. Don’t try to understand logically what has no logic! Just take on your parent-like role and treat her lovingly, kindly, and still, respect your boundaries, just learn to humor her instead of confrontimg her.

if she says something hurtful such as that you need to step up, just say something like ‘Mom, I’m so sorry you feel that I’m not doing enough to help you, trust me I’m trying my best. I will do what you need as soon as I have a chance. And I love you!’
If her response is negative don’t engage in any further arguments, don’t feed her need to be confrontational. Just remain quiet. She will get over it, and you will save yourself a sad, annoying AND Pointless argument.

Best of luck LM1984! Breathe, breathe and breathe!!!
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Divert her attention. Say things like: "We will discuss that after I return from the store."
"We can talk about that another time", "Do you want your lunch now?"
"Can you put your request on a list, for later?"

Study diversionary tactics.

Sorry, I am not good at using tactics, so don't have any more.

Bring help in, so that you won't get resentful.
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This may be completely unhelpful, but perhaps might work for you if not her.

Have a session with her, complete with pencil and paper, and ask her to tell you all the things that people actually do for her that are helpful and/or she appreciates. Make lists under each person’s name. Write out a fair copy of the lists and show her, when she gets snarky. Your list is going to be the longest by far, and you can tell her that she provided all the information and agreed it.

If you want, another time ask about things that people actually do that make her cross, and make lists under each person’s name. Not things that aren’t done, things that are actually done that annoy her.

Some people have talked about having a written record of things that have been ‘agreed’ to show the angry parent, to stop each flow of complaints. Perhaps this list would have the same effect. Anyway, it might be therapeutic for you to see the scale of what you are doing compared with the siblings and others. Perhaps you even show other people, if they seem to believe her complaints.
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polarbear Dec 2018
Great idea! MargaretMcken.

I like lists and charts and graphs. A number/logic person I am. Hehe. Make things so much easier to visualize and understand. And it's hard to argue when it's all in black and white.

But then with dementia people, all bets are off.
But it's worth a try.
I am arguing with myself here.
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I don't know what you mean by "age-related dementia"?

How would you explain to anybody else that if they are rude and disagreeable you naturally will want to avoid them? I should do that, and stick to it.

To me, it sounds as if your mother is beginning to become fearful and panicky about how often she needs help, and how many things she needs help with; and it is easier to be bad-tempered, as a way of blaming somebody else - which is usually the nearest person, which happens to be you - than it is to look your own situation in the eye and face up to your changing abilities.

What are the demands that you're increasingly having to say no to?
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lm1984 Dec 2018
What are her demands? Don't get me started! Everything from getting her a glass of water to straightening out her finances.

Thank you for your insight. I'm sure a lot of my Mom's anger is fear-based, but I had not thought about it in that way before.

Thank you.
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They become like 3 year olds. I feel like my own mother doesn't see me as a real person, just her servant. If my mom expects too much, or don't get instant gratification, she can become quite mean. (Not every mom), but mine had always been demanding of my poor father. He was a great guy, nothing like her. No surprise he died early, God bless him. I don't want the same to happen to me, but it requires emotional detachment from her, & finding something else to do (so your mom's unhappiness won't consume you). Instead of enjoying my retirement, I'm looking for part time job, (just to interact with others & stay sane). Find a way to enjoy your own life that God gave you, & dont let her take it away. Shalom☺✌
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I'm like Tiger, my mother has always seen her kids as unpaid labor. My mother pitches a fit when I won't go running to the store for every thing that she wants. Many times, she already has the stuff around the house but can't find it. I will tell her that I will go the next day(usually don't) or try to find something similar in the house to distract her. I've read that, with anyone, the best way is to say 'well I can't do that for you, but I CAN do this'... to give them an option. I have told my mom that God did not put me on the planet to be anyone's servant. That calmed her down for a while, but I still have to remind her. They do become like ten year old kids, but you still have a right to put limits on it. Ex boyfriend said to just walk away, and sometimes that's all that will work.
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Sometimes you just have to say no. There should be consequences to her nastiness, just like with little kids. If she's rude, yelling, and demeaning, stop, say something like, "I refuse to be treated like a slave. Perhaps we can talk when you are more reasonable," and leave.

You NEVER need to let yourself be bullied and that is what she is doing. Everyone else sees her as a dear old saint, right? That's abuse. Don't take it. You can call Adult Protective and get them to visit with you sometime - say to mom, these are some friends I've invited over. Get them to evaluate her and see what kind of plan they can come up with for her. This is free. The trick is to get them inside the house to chat with you both.

Step back. Save yourself.
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My 92 year old dad acts like a toddler so I treat him like a toddler. I find myself resorting to the methods I used with my kids. He cooperates better for others than me so I use the help of his caregivers to get things accomplished. He takes better direction from them. I know it's the dementia talking.
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This question made me recall how my mom--many years ago--would reply to my spoiled-child mad snit fits:
"You've got the same old rags to get glad in."
Not usually the answer I wanted at the time, but it's really pretty profound and puts the responsibility for our feelings where it belongs; and it's helped me a lot.
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MargaretMcKen's idea of making lists is reasonable for a reasonable person, but with dementia, my experience is that it doesn't work well. My husband thought to have my mom sign for decisions made one day, so I could show her the next day that she agreed. She just said when shown the agreement that she changed her mind and that she wished to put it in writing that she changed her mind. Or she would insist that it wasn't her signature. This is because she didn't remember agreeing.
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I’m afraid I have to agree with ArtistDaughter. Expecting someone with dementia to be reasonable can get nearly impossible as the dementia worsens.

I once was having a discussion with my mother regarding something unpleasant that had happened to me as a child.

Moms take on the occurance was off kilter that I stupidly needed to correct her and reminder what really happened.

Of course it lead to an argument.

Finally, I said to her “it happened to me - you weren’t even there! Do you really think your memory of the situation is more accurate than mine?”

You see, I really didn’t understand much about dementia at the time - or I never would have bothered with contradicting her in the first place.

Of my mother snapped “yes it is”. And, proceeded to tell me of the many other ways she’s smarter than me. Sigh!

Soooo - rather than trying to get your mother to understand and be reasonable - I think you’re better off developing strategies on how to not let her get to you.

Sorry to say...
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I dont answer no. i just Dont do what they say if it is not reasonable. its pointless to argue and make both of you upset. Just listen and then chose what you decide to do. when they are negative, dont take it personally. They are just feeling frustrated.
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Hang in there and during your free time go have a massage and rejuvenate. Parent are parent and they expect their children to be obedient regardless of their age. If her words become harsh tell her that she hurts your feeling andyou are going home for a time out. Second, if you have to say no to her put a "yes" answer before the "no". Example, Mommie yes i would love to help you clean the whole house but i can't (no) do it right now because i have an important errand to run. Do not burn yourself out and dont feel guilty about not being their 300% of the time. If you have a small stroke like i did, then you will not be able to help her at all. Take care of yourself first. Words hurt but sickness will kill your joy. Be well.
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Rosses003 Dec 2018
Dejavú, Your said something that I’m afraid of, my own health but mainly for what that would mean for my mother. I need to be healthy for her, and it worries me that everything I keep inside in an effort to not upset her unnecessarily and to keep peace, at some point may translate into illness. I pray God with all my heart that is not the case, ever!
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If you know all of this, suggest a caregiver to help Mom. Actually, you can talk to her doctor and if she is qualified under "Skilled nursing" let us say, Medicare will find her someone to come up at least three days a week to help her out.
Keep an eye on Mom. These old people at this age at this stage are stubborn as mules. Rather than listen to the likes of the family who are looking out for their well being, they will stay until one day they end up falling down and getting an ambulance up there to get them to a hospital. And many don't end up coming home.
If things would continue and you would see bigger problems to be concerned about, Call your Adult Services in your County to file a Report and begin the ball rolling. This would be the "Endangerment of an Elderly Vulnerable Person" Report.
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you are very lucky she is still able to her own do basic care. My mom is 89 and for years I had to bathe, toilet, hand feed her, get her teeth brushed..she consumes my life and drained my life savings because it is like caring for a 150 pound baby and every bit as helpless.
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annemculver Dec 2018
God, I’m so sorry you had to go thru that; it simply shouldn’t happen that way. No one has the right to drain you, of money or life force! I hope others can benefit from your experience. We need more attention to senior care & services!
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Don’t say no, just tell her you will have to do it a bit later. This will put her off for a bit and she may forget what she asked from you. Remember also that she is basically regressing to a point she doesn’t always have control over her emotions.
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Both my parents (92 & 93) are alive and living in AL 30 minutes away. Mom has dementia, dad has medical issues that make him tire easily and get cranky. Every time I see him or we talk on the phone he has another "favor" to ask. I used to do it right away, even if it was inconvenient. Now I say, "sure - the next time I go to the store, etc." It is a "yes" with "limits."

He was also getting nasty with me at times, so I finally said a few times that if he was going to be crotchety with me I was going to leave. Took a few times (and my mother who always says thank you for helping and tells him to say thank you!) and that subsided.

Now if he calls and it is really an emergency I don't feel so burned out doing something quickly.
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Do not ever say NO. You should always respond positively. Like: I want cake. Yes mom after we have had our dinner. I want an ice cream. Yes mom, after we eat, we are going for a walk in the park and we will have ice cream. My treat.

The same when she demands more visits or a trip to the mall, etc. Do not waste your time to logically explain things like cake before dinner ruins your appetite or we do not have ice cream at home.

The fact that she abuses you while she is cordial with others... that is a normal behavior that our loved ones show with their main caregiver. The barriers are all down and they expect miracles from the daughter who does most of the heavy lifting. This was discussed on a different forum and a patient who could still comment intelligently said "I make a hard effort to show to the outsiders that everything is going well and I am OK. It takes a lot of energy and concentration. I do not need to make the same effort with my wife because she knows how bad it is and she understands". So take it please as part of the disease not a grudge against you with all that you do.

Good luck.
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Hi I do understand what you are saying. You always find the person that does the most gets the grief. In saying that though my mum of 89 died in June with Dementia. Dementia is a terrible disease, so please be as patient as possible with her. My mum God bless her went downhill and passed away within weeks. When you are annoyed or upset at what she says walk into another room or leave for a while. Believe me things can change in the blink of an eye . Do all you can while you can don't worry what others are doing. Take the ups and downs there part of life x
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Snoozing Dec 2018
Sunshine15 - that was truly lovely. My mother is 88 and lives alone and things are increasingly difficult. My one brother does sweet FA... Love what you said, "When you are annoyed or upset at what she says walk into another room or leave for a while. Believe me things can change in the blink of an eye . Do all you can while you can don't worry what others are doing. Take the ups and downs there part of life x" THAT is life. Who said it was going to be easy? There is not good and bad - there is good and easy. Thank you! You've inspired me to remain firm with my Mum but to be compassionate and patient. xSx
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You must DETACH. I’ve been there: the mom who considers her sons her icons, and her daughter her servant. Do what you need to do in good conscience, and get and TRY to get help with the rest. (step up to the plate, bros.) Don’t put up for one minute with one shred of abuse. Take care of yourself first. And inform her, gently but FIRMLY, how things are going to be. Check yourself: be sure you’re being reasonable - but you’re in charge now, as well you should be.
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I have a milder case, but it's still relevant. I live with and provide 24x7 care for my dying Aunt. I told her I need 7:30-8:30 a.m. for myself. She continued to interrupt and we had to have a sit-down-come-to-Jesus about how this was important to me. I need to check correspondence and do yoga to start my day and without that I'm not at my best. I believe you should do the same. We all feel resentment at one time or another, but to keep that at a minimum you need to feel your boundaries are being respected. Just my 2¢ worth.
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Live247 Dec 2018
That's a great idea - your one hour of do-not-disturb time. Thanks for sharing it!
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Im1984, my 91-yr-old mom has similar behavior as your mom expresses. She refused to move from her two-story condo, even as her health deteriorated, until after several hospitalizations, a doctor told her she couldn't live alone without someone living with her - to her, doctors are authority and she accepted his declaration. I'd tried for years to get her out of her home. Currently my mom lives in AL, but regardless of her living arrangements, she has always wanted me to wait on her hand and foot, sit with her for hours while she naps, "get me a glass of water," or whatever, and put it right there (at the preferred angle). And I have done these things in the past, to my angst and frustration. I now live one thousand miles away (used to live 2500 mies away), have no siblings, so when I am with her I have to stay in a hotel and have no excuse to be any place else (or stayed with her when she lived alone in her own home). The last two years have been one major health crisis after another, taking toll on her mind also. In her bad moments, she treats me with anger, unrestrained fury, vulgar language. Other family members have witnessed her tirads at me, and they get up and say, "OK, I'm leaving now," and walk straight out the door. I started doing this too, or saying, "stop yelling at me or I'm leaving," or when she asks me to do something I won't do, like buy her alchohol and I say, "No I won't and you shouldn't have any," she'll say, "You have no right to tell me what I can't have," and I'll say, "You are right but I'm not buying any." Actually, I do have the right to tell her no because I have all proper legal authorities she assigned to me, but that does not matter to her. Her mind is going. She cannot remember that she even has any great-grandchildren, much less their names and how old they are. Anyway, my point here is to express my solidarity with you, that we have mothers with similar behavior, and that I, too, am concerned for my health welfare. I have had to develop my own personal boundries and stick with them when she pushes them. She is in a great AL for many reasons and her daily needs are met. She is not like this all the time, but there is no knowing who picks up the phone when I call - the nice mom or the mean mom - and then the conversation goes one way or another. As for my health, I feel pressure to take care of myself because if something happens to me, then all this falls to my oldest (middle-age) child (who lives farther away than me) who has a full busy life. I couldn't do that to him, so I have to take care of me, and that means healthy boundaries for me and my mom. It's like the safety instructions on an airplane: in the case of the cabin depressurizing, oxygen masks will drop from the cabin and you put yours on first before helping someone else. I wish you and I were friends - we could go out for coffee and then a nice walk to clear our minds and recenter ourselves. It's anguishing to shoulder this alone (my hubby is very supportive but has his own limited limits). Every morning I read the daily AgingCare email and questions, because I find such reassurances here that others are going through this journey too, and there is good advise here. God bless.
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annemculver Dec 2018
Live: an excellent response. I do hope you can permit her some things she loves. Pleasures are few at this stage.
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As I read your letter I could see my life. The only difference is my mom is 90 and I have no siblings. I can feel your pain. My mom lives about 3 streets away and I used to drop in while walking the dog. Not anymore since I got told I “breeze in and out”. When dad was alive I could stay 15-20 minutes and that was good now it is a “breeze in” accusation. I have been blamed for so much now that I will not go and see her without someone being there. She is like your mom, nice to everyone else so when I go now I only go with a buddy so I am protected. So sad. If I told my mom her snarkyness is driving me away, it would just cause another problem. Cannot win. I now take a anti-anxiety pill before going to see her with a buddy. Stay strong and know that you are not alone and doing the best for your mom in the situation you have.
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BTW, there is no such thing as "age-related dementia". Most of us will suffer from some age-related memory loss (names, dates, where we put something etc) but real dementia is more than memory problems.

You mother puts demands on you because she sees no other option. You are her AL plan! Make a new schedule and find some other helpers. Take at least 1 day off a week. Try to stay positive and not argue with her!
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It is quite common for those with dementia to turn on the person that is closest to them - this is spouse, sibling, child as this doesn't seem to matter the exact relationship - we all have been through this in one way or another - I think of it as the 'BADGE OF COURAGE' to be dealing with this

I finally had to put my foot down with my mom - she lit into me when I got there then she yelled 'if you don't do it then leave' so I said 'goodbye and remember I am your only visitor' and left within 5 minutes of getting there & didn't go back for days [40 min each way to the NH] - she realized she was cutting off her nose to spite her face & was much better after that

It seems that with my mom, she would remember things with strong emotions attached - so because she was yelling at me & I left immediately then afterwards she was better most of the time - I also told her quite forcefully that I would not accept that type of behavior from her .... basically you are dealing with a 3 year old with extra baggage - so would you take that sort of stuff from a 3 year old? ..... NO so why take what is abuse from someone you are helping -

It took a few times but she finally realized that when she was nice everything was better for her - she was incapable of reasoning or verbalizing but when there was no visitors then there was no treat also [I always brought something small like a doughnut or a specialty coffee] & that as much as anything was why she cleaned up her act .... at least with me

Try taking a firm stance - like marking off on a calendar with high lighter which days you will be there & note the day you will do any shopping for her [once a week except for emergency meds] - it will take a few tries but the line in the sand is drawn now & stay firm as this won't be overnight -

Best of luck to you & the rest of us in the same situation but it helps knowing that others are in the same boat & have survived - then she will slip down farther & you may miss her spiritness [OK that's a stretch ... LOL]
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Sunshine15 Dec 2018
Sorry to hear this is the way you have to deal with it. My poor mum would forget what she said within a minute. My mum was a lovely lady and character. Her bad times were caused by the dementia in the earlier days when she could remember longer she would apologise. Yes my mum ended up in a Nursing home the last 8 weeks as had became too volient to handle. I visited her every day we had some lovely times and rough times. There was no talk of my mum dying she just went down hill the last 10 days. So i feel enjoy your parents while you can in the blink of an eye they are gone 😢
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I have a VERY similar situation. My Mother never gave me the "raised poorly" comment. However I would tell her that based on her comment it is HER fault if what she is saying is true and she just admitted it. My Mother sometimes makes comments to my daughter who comes to our house to help her and I want to go through the roof since my daughter is like an actual angel and does superb work plus she has worked professionally in Senior Care and pharmacies. I could suggest telling your mom that you will not do something she likes to see how she reacts but that has not worked well for me since my mom forgets most everything in her near term memory. (But remembers things from her childhood forward excluding near term). You are in a hard place I know I am there with you.
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If you truly have done everything possible you could do to help her and care for her, and she still treats you badly, then you have a choice to make. Are you going to allow her to treat you so badly and in the process destroy YOU or are you going to put a complete stop to it. It is simply NOT acceptable and you cannot allow her to treat you badly. First tell her in no uncertain terms, there are limits and you will NOT allow her to do certain things because of the effect on you. Then, if it continues, I think you have two options: first you hire someone to deal with her and you get out of the picture or you must find a place where she can go to be cared for by people who are trained to handle these people. You cannot under any circumstances put up with this. I know she has dementia but you did not give her that and you can't fix it - so now do something for YOU.
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Sunshine15 Dec 2018
Riley2166, this woman seems to be putting up with alot and understandably its too much. I definitely agree she needs to get somebody in to be her mums carer and take a step back. You said she didn't give her mum dementia which is true but, her mum didn't rither. We all know it can't be fixed and get's worse. No matter what this lady is her mum surely its better to have no regrets!! She will be gone in the blink of an eye bless her.
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Kindness and tenderness smothered with lots of love are qualities We as Carers need to possess in abundance. We can never be confrontational and no is not a word We should choose to use as it is far better to postpone that request until
later."I'm"Your Mom is in Her 88 year and has age related Demensia and is having to endure poor health also and believe me this time will end far too soon as death will come like a thief in the night when You least expect it to. Please for Your Moms sake and equally for Your own adopt the kinder approach because when this time ends all We are left with are memories. I know it is difficult so do not be afraid to get help in as You can not do it all on Your own. Also avail of Restbite Care which is a Godsend.
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TOMTAge Dec 2018
I'm hard of hearing; unfortunately (?) I only hear words like love, thank you, please, etc. Your Mom is not dumb - gradually the message will sink in.
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She erred in raising you? Wow. Remove her or yourself from the toxic situation.
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