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Only child here with POA dealing w combative, defiant, stubborn 100 yr old mother. Angry outbursts, verbal abuse, name calling and blame, silent treatment, clinging to control. Example: left assisted living facility on her own against Dr orders, called moving co, and went back to her house. So now she’s in her house and I hired a daily sitter. I live 2 hrs away. Drs say she has capacity to make decisions because she can bamboozle people w her A-game. Yet confusion and loss of memory abound. As most of you know, there are so many pieces and long stories to this situation and lots of moving parts to manage!

I managed care for 2 Aunts: 1 passed at almost 101 with advanced dementia and the other passed at 105 with no dementia. I'm impressed that your Mom could pull off moving back out of AL on her own. If I were her doctor I'd also probably think she still had capacity to live independently.

What is going on at her home specifically that concerns you? Does she leave pots on the burner? Is she paying her bills? Is she inviting sketchy strangers into her home? Wandering out at night? Still driving?

Does she allow the day aid to actually stay and help her? If so, this should be enough until she has an incident that lands her in the ER, and at that point you will have an opportunity to transition her directly into appropriate facility care.

How did you get her into AL to begin with? She sounds like her primary needs to prescribe meds for her agitation and aggression -- especially if she was never like that prior.
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CCSugar Mar 22, 2025
Thank you. So many issues….. but the anger towards me is so hard. Especially since I’m doing everything to HELP her and make things easier for her.
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The doctors say she is decisional.
You have hired daily caregivers/sitters/companions (I hope YOU are not paying for them and your mom is)
If the sitter/companions think she is safe while they are there that is all that you can do (other than having someone there over night)
What I can tell you is that no one lives forever, at 100 she has done better than most.
You have done what you can. If something catastrophic happens it will either mean that she has to return to Assisted Living or you will be arranging her funeral., (If you don't have that planned and arranged you might want to do that so she has a say in what goes on)
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CCSugar Mar 22, 2025
True. And thank you. Indeed the anger toward me is so hard. Trying to distance myself, but seems there is always something I have to handle or unravel. It’s just the journey I’m on right now…..
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Leave her to it. You really have no choice as of now. There will be an event that forces change, it’s then you can help with next plans. Don’t listen to her tirades. Fill your days with positive people and activities, not worrying over what you cannot change. Wishing you peace
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CCSugar Mar 22, 2025
Thank you. Trying to embrace this mindset, although I still have to deal with the big things ( taxes, insurance). It’s just the anger towards me and the constant drumbeat that is so hard.
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As long as she is in her own place, and she is hiring her own caregivers, then-- being of sound mind--this is her decision.
Clearly for an ALF to allow a senior 100 years of age to hire movers and leave, their opinion is that she can manage on her own. They are mandated reporters and would have had to bring to your attention, the attention of APS or other authorities were she not of sound mind.
You say she is fighting to remain in control. I have a question for you to consider: When we don't have any control, what does life even matter at all; it's very human to want control of our lives when we have capacity.

Eventually you will get the call from Hospital or Coroner or mom herself that she's called 911. She can be re-examined (if living) for capacity after you call in Social workers for that.

She is 100. So, lets assume she passes in her home of this bad decision? So what?
Is it more important that she passes in care, for some reason?
We all die. More and more as I age (of course) and now being 83, I can see the benefit to leaving your home feet first if you have at all the ability to do that without burdening others.

So we are now down to that last question: "BURDENING".
If she is dependent on YOU now, then YOU have to control your tendencies to enable her. Let her know she made this decision against your advise, tell her she knows the numbers for her caregivers and for 911. And let her handle things on her own.

My best out to you and good luck Not everything can be fixed, and that's especially true in aging care.
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CCSugar Mar 22, 2025
The Assisted Living Place DID contact APS, so yes, they are involved. It’s just so much of the anger toward me that’s so hard. I have to be involved on the big stuff like taxes and insurance but I’ve backed away from other things. I hired and control the sitters, so she cannot fire them. Thank you for your comments!
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If she wants to captain her own ship, get off her boat. Let her sink or swim with her choices.

Let her deal with everything her life needs, she will manage or she won't and NONE of it will be your fault.

You are propping her up by helping her and contributing to the illusion of independence. Once you stop, reality will move in and then decisions can be made on the actual situation, not the propped up farce it is while you deal with everything keeping her propped up.
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CCSugar Mar 22, 2025
Thank you. Trying to embrace this mindset, although I still deal with the big things (taxes, insurance). She
thinks she can handle all finances, which she can’t, and doesn’t. But I’m constantly having to unravel something she’s done and deal with the anger at the same time. Hard journey for sure!
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The symptoms you describe certainly do appear to be dementia. Plus the things that you "have" to do for her - taxes and insurance - if she's dementia-free, she could probably do these things herself. If she figured out how to leave her AL, call a moving company and go back to her house (a fairly complicated operation to manage), why can't she do the things you're doing for her? Or does she just want you to do them because they're tedious and she doesn't want to be bothered?

So sorry you have to deal with this.
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CCSugar Mar 25, 2025
Confusion and cognitive decline for sure! Dementia, yes. No way she can manage all the things I do for her, tho she thinks she can. The pushback is real and the angry attitude about everything and towards me is the main issue. Thank you for your words!
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In your shoes, I would hire a geriatric came manager to deal with the stuff she gets angry about.
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