She is aware enough to know the cat is missing, the cat is in renal failure and I do not think I can keep her going much longer. I do not have the energy to deal with her breakdown over this to be honest. She will blame me for killing her even though I love her also and have spent the past week feeding, loving and giving meds.
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I would consider saying the cat had to get some treatments at the vet and is staying with the vet assistant while getting the treatments. That way she can be comforted that the cat is being well cared for. Eventually, the cat topic may subside.
My loved one has completely forgotten about her beloved cat. Her cat was the most important thing to her in the world, but now, she has no idea the cat existed.
https://www.agingcare.com/questions/moms-13-year-old-pet-passed-away-how-do-i-console-her-167205.htm