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This is my first post but I have been a long time lurker and the answers on this forum have really helped me. I am the sole caregiver for my 80 year old mother who has had a host of health problems since 2020. I moved from another state to help her, and in the last year she has had an increase in chronic health issues (diverticulitis, ischemic colitis, kidney disease) Her last bout of ischemic colitis landed her in the ER, then rehab, then BACK to the ER because she picked up an infection in rehab. She is now in the hospital fighting a severe blood infection, and they plan to send her to a rehab again once (if) the infection clears.
I have lived out of state for many years but always came back when my mom needed me and would stay for months at a time. She now lives in an independent living building that she loves, but she has been so sick she's needed my help. I was only planning to stay with her for 6 months or so, but it has turned into two years, and I only make it back to my home every once in a while. I work remotely, so that part is easy, and I don't mind helping my mom for the most part.
However, with her illnesses becoming pretty extreme, I am starting to get very burned out, and I think my mom may have to move into assisted living.
I have a sister who is perfectly capable of helping and she just won't. She says it's because she is in school (two days a week and she can switch to online if necessary), she also blames it on a fight she had with my mom over 10 years ago and says my mom doesn't want her here (which is also just an excuse because they talk on the phone almost every day).
She also told me I should ask my mom to pay me to help her instead of moving her into assisted living. But what she doesn't realize because she is never here, is that my mom is so weak she has trouble walking and she truly may not be able to live on her own (and may need a nurse, which I am not)
Whenever my mom gets sick, which has been a lot lately, my sister will call me and bark orders at me over the phone, telling me to do this, do that, etc. But when I beg her to fly out and help me, she has a million excuses and just won't come. Our dad died many years ago, so it's basically been just me and my mom (and my absent sister).
Today, I finally got mad and basically told her I have been doing everything for my mom for the last two years and she has done nothing. I really am not exaggerating, I do laundry, shopping, back and forth to Dr appointments, take the bus every day back and forth to her rehab and/or the hospital, the list goes on and on. I also have to find time to do my remote job, it's fairly flexible so I am usually up all night finishing my assignments after my mom goes to sleep.
I think I shocked her because I rarely blow up, but I am getting so I can't handle much more. My mom is seriously chronically ill, and I'm burning the candle at both ends. By the end of the conversation, my sister had turned everything around and guilt tripped me for even asking for help. The conversation ended with me basically feeling like I did something wrong, and how dare I get mad or expect her to contribute.
Now I am sitting here letting the guilt wash over me, when I know I am in the right. Has anyone experienced anything similar to this, with an aging parent or family member not helping? Thanks.

Two years is enough, so it's time to get Mom moved into a SNF or similar facility. Next time Mom gets sick and Sister calls to bark at you, hang up on her. Her excuses are pathetic.

You should have ZERO guilt for all you are doing for Mom. You didn't cause her to get old and sick. You spend plenty of time with her. All of us will get old and die, this is a simple fact. There's nothing to stop it.

Your sister is a selfish manipulator, I wouldn't tell her anything about moving Mom somewhere. Your current situation is stressful and can't continue at this rate. Your sister has no intention of helping, so make sure you mention that. Sister is probably waiting for some type of inheritance.

Start looking for nice places to move your Mom. Assisted Living means no shopping, cooking, cleaning or laundry. They have activities and people around the same age. It's not a prison, like your lazy sister will claim.

Good luck in finding a great place. You got this!!
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amy777 Feb 18, 2026
Thank you so much, it feels really good to be validated! Yes, my mom's current independent senior community is actually connected to an assisted living community, so a lot of her neighbors already have moved over. I think that will definitely be the plan moving forward once my mom gets her strength back. Thanks again:)
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Your sister has no obligation to help, but neither do you. A little bit of ‘guilt’ is perhaps appropriate, if you criticised her because her decisions are different from yours, and guilt is appropriate for her if she “barks orders at me over the phone” and tells you what to do. None of this really helps the situation.

The real issue is to work out what happens next for Mum. Her “illnesses are becoming pretty extreme”, “she has been so sick” that she needs your live-in help, you are burned out, and you need to go home. Perhaps AL is the next step for M, but you need to check if AL can handle her level of care. Start the process, with or without support from Sis.
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Of course your mother should be in assisted living, and should have been a long time ago. Move her within her same community to assisted living, and have her pay for the services like laundry, transportation, full meal package, etc. Your mother should have done this voluntarily long ago instead of placing so many demands on you. Your sister has been smart enough not fall prey to this. Don't try to drag her down too.

You have been very generous with your time, but you need your own life, either back in your own home, or relocating there in town, but with your own home of your own choosing, and with a social life, enjoying visits with your mother instead of being stressed and exhausted. I assume you're taking the bus because your car is back at your own home? And you've been paying for a home that you're not even living in? Again, very generous of you, but not at all fair of your mom to expect this.

I hope you can come up for air soon. You need rest! You need sleep! You need regular work hours, not working all night while your mother sleeps and you don't! I know this is all easier said than done, but seriously, reclaim your life. Let us know how everything goes.
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amy777 Feb 18, 2026
Thank you for your reply, but you will see in my post that I never said my mother "expected" me to do any of this. My mother did not need to be in assisted living a long time ago, and I never said she placed any demands on me. I feel your response was a bit harsh, since you basically assumed my mother is a certain way when I never said that. I said I don't mind helping for the most part, but it's getting hard. My mom's recent downward health turn is what is burning me out, and I am making arrangements for AL. While my sister of course has no obligation to help, I am in no way dragging her down into anything. My post was asking advice because my sister won't help when she can. I didn't expect to be attacked for being upset with my sister when you don't even know her.
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I know where you're coming from, but the reality is you have to assume your sister will be doing what she has been doing so far, and no more. Then plan accordingly for that reality. Sounds like mom needs more care. I think you should make that decision with mom if possible.

If you start burning out, and that sounds like you are starting to burn out now, then you put your own health at risk. If there is a different option, you should take it. I'm not saying abandon her, I'm just saying that you're probably doing too many things right now, many of which can be done by a facility. That would leave you free to work and get rested and when you visit mom, you will be able to enjoy her company and not worry about running for prescriptions or cleaning her up or any of the numerous things you're doing every day.

It starts out kind of small, but then the tasks become greater and greater, in terms of both duration and frequency, which is not sustainable in the long run. You've been going for 2 years while working, and that's just a lot. If it was a few months, ok, 2 years and you are hitting a wall. Yes it would be so much more helpful if your sister would help, but you have to just come to terms with that not being an option now or maybe ever.

Trust me, I went through this with my mom and a lot of my family, including some of them who mom helped a lot in life, they were in a position to help us as far as money goes but they did not. I didn't beg them, and when I realized these were my options and they didn't include the relatives, I was angry for a while but it made the decisions I made daily a lot easier. I wasn't expecting anything from them. I guess that's good because they weren't giving anything to us in any way.

It does feel crappy though.
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Leave your sister alone and accept that she’s an adult who’s free to make her own decisions, one of which is she’s decided not to be involved in caregiving. Truly, let it go. Mom is no longer capable of living on her own. Work with the hospital social worker to get an idea if mom is best suited to assisted living or nursing home level care after rehab. I watched my dad lose ground after each hospitalization, it just takes something out of the elderly and sets them back so often. Make plans for mom’s next living arrangement. Consider if moving her to a place closer to your home is wise. I wish you well finding the best plan and returning to your home and life
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Reply to Daughterof1930
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You asked "Has anyone experienced anything similar to this, with an aging parent or family member not helping?" Yes, a thousand times over! Just do a search and you will find this often happens.

You need to realize that you and your sister have made a choice it is just not the same choice. Each person is within their rights to make their choice. Not everyone will be in agreement or make the same choice and that is completely fine.

My advice is to figure out what help you do need with day to day issues you are responsible for with your mother. Then seek a professional to help with the tasks like laundry, shopping, maybe seek a geriatric manager for assistance with doctor appointments. Have you and your mother consulted with an eldercare attorney to secure POA, Living Will and MOLST. Those steps will alleviate some of the stress and you will be able to focus on your mothers next steps into assisted living.

It is up to you now to come to terms with her choice and move forward in the best interest of you, your health (mental and physcial) and also your mother best interest regarding the next step of the journey.

You need to relinquish resentment you have with your sister and accept the fact that she is not going to provide hands on care. Yes, you are overwhelmed and also need to relinquish some of the responsibilities you do for your mother because it is affecting your health. Seeking therapy to work with coping with the grief of your mothers declining health will be beneficial.

Wishing you peace and strength during this challenging period.
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I'm w/ Dawn 88! I think the ideal way to deal with your sister is to say something like, "I understand you have chosen not to come out here and help and that's fine, but I'm not going to listen to you telling me what to do anymore. If you can't be supportive of what I am doing then we won't talk about mom." I'm not saying I could do it though! I have kind of an opposite situation....my sister comes to visit every 6 months to "help" me but really isn't much help and the stress she causes isn't worth the little she does. (And yeah, the weird answers you got about not putting this on your sister...takes all kinds I guess.) Good luck!
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It's time to start touring facilities close to your home so you can get mom moved in ASAP. You are running yourself ragged to do things a full staff can and will do for your mom. Don't light yourself on fire to keep someone else warm. Find a place that can meet all your mom's needs and within her budget.
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Mom needs to go into skilled nursing unless you want to spend the rest of your life caring for her. Sounds like it will be one illness after another. Independent Living is out of the question, and I doubt assisted living is going to be willing to deal with that much illness. It may be time for hospice as well. Hospice in assisted living may be feasible. You'd just as well forget about your sister. There is nothing that you can say or do that is going to make her decide to help. You are only upsetting youself. I know it is really hard, but you just need to decide what you need to do for yourself, and forget about help from your sister as being an option, because you aren't going to get it.
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Mom goes to assisted living or skilled nursing care , whichever she needs.
Your sister isn’t going to help .
Your sister also doesn’t get to order you around .
You’ll have to tell Mom she needs more care now and can not stay in independent living.

This is a very common situation . Stop feeling guilty . Siblings have issues in these situations and emotions are high when you are burnt out . Just move forward with getting Mom situated in a new facility . But remember that sis can’t tell you what to do .

Use this quote , “ Mom needs more care than I am able to provide and will be going to a new facility for more care “.
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jules925 Feb 24, 2026
same boat i’m in but mom refuses to go to assist living - she is not competent lot make decisions for herself and scored a 14 on her MOCA test which is showing major dementia - problem
is it takes 2 physicians to declare incompetence and she can act “normal” at dr office …. also i’m now told one of the drs has to be a neoropsyc dr (which has LONG waiting list!!! hope your mom is willing to go!!! unfortunately my mom is gonna probably have to fall and break a hip to get her out of her house🥲
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I had an uninvolved sibling. There were some complicated family dynamics, estrangement etc. I had also been estranged mutually from mother until she showed up at my door needing help. And I didn't know how to get her help, without becoming/being the help. But, brother offered no, nor was he entitled to opinions on how I was doing things. Just the other day, my friend told me of her long distance sibling who was just .... not helpful. Her opinions especially were not helpful. Unless the person is present, missing work at their own job to help parent, putting their own health on the line from stress.... they need to keep their thoughts to themselves. If your mom is halfway cooperative, normally mentally, I think it would be best to explain that the care is detrimental to your own health, stress levels etc. You have already tried your best with no help, and put in a solid effort for two years.
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Please forgive your sister and repair that relationship. Your sister has no obligation to do what you have chosen to do in taking care of your mother.
You can not continue this. You are burned out. Your mother's needs are more than you (or your sister) can manage.
It is time for your mother to be in assisted living, if not a skilled nursing facility.
A skilled nursing facility will be like rehab, only long term.
She is chronically ill. She didn't plan this, and you can't fix it. She now requires the help of medically trained professionals.
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Find help or assisted living for your Mom and stop picking up your sister's phone calls. She doesn't have to do anything for her, but you don't take orders from her.

Is it really worth the agitation? Don't pick up. Give her the information your chose to give her via texts.

Save your mental health. You don't owe your sister anything.
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I'm the family member who won’t help. I’m the oldest of 3. She lived with my brother the last few years because she has dementia and couldn’t be left alone, now she’s in a nursing home. She could’ve stayed at my brother’s if me and my sister had chipped in and took turns staying at my brother’s helping out with my mother. But we would t change our lives for her. She’s not worth it. She was a horrible mother, and her mouth was vile, even though I gave it back to her worse.
But the fact is, we don’t have to help out. We’re not obligated to in any way. We don’t owe them. And we don’t have to turn our lives upside down for them. You should consider putting her in a home and be done with her. I don’t understand lingering over a deflating balloon. Let it deflate.
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imout01 Feb 24, 2026
Yes, two things are that, often, it is the parent to blame for the situation and that caregiving is actually not an entitlement, much the same as inheriting anything isn’t an entitlement either. I know most of society feels you need to forgive your parents, for whatever they do and be a standup child. But, their decisions and lack thereof can absolutely destroy or end your life sooner than you realize, while everyone with no dog in your hunt, is criticizing you about something they might not even do, themselves.
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I love how most of the answers are AL or SNF; however, WHAT IF YOU CAN'T AFFORD THE $5K MONTHLY FEE???? I've been stuck w/mom for 10 years now without any help and don't know how much longer I can mentally hold on - at this point she'll probably outlive me and she's 96. I had ABSOLUTELY no idea my life would end up this way. I live in an area that doesn't offer much and now that reality is weighing heavily on me and MY future as well. I never married or had kids so there will not be anyone to take care of me (story of my life).

Sorry and thanks for listening.
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Mauriz Feb 24, 2026
I been doing the same for 25 years and in exact same position as you. Last 7 years been very concentrated in her care. Thought I was alone in this. Best wishes and hope things work out for both of us while our moms are still being taken care of in thebest possible way.
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The sister who is not helping knows her limits and is honoring them. You were able to manage your mother's care until her needs have become greater, and by now you have reached your own limits.

Your sister's helping or not helping is not part of the equation. There is no need for conversations with your sister. You need to make arrangements now for outside help or facility placement for your mother.
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I'm here to offer support and understanding, and you have a right to be disappointed in your sister! Like you, I am the caregiver for 80 year old Mom (while managing a stressful corporate sales career), with my own house to take care of. Brother gets a free pass doing nothing. Sure, everyone can comment that the sibling 'isn't obligated' to help. It doesn't make it easier for you.
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puptrnr 19 hours ago
That's a good point about a sibling or other relative that won't help-it doesn't change the dynamic. However, it's up to the caregiver to decide what works for them.
I don't think that many parents (of any age), when they are of sound mind, would WANT their child or children to give up their lives to become a care slave of some degree or another, unless that parent is a narcissist. I would never want my own children to give up their lives, health, financial security and mental health to become a caregiver for me or my husband.
I truly believe that people who do not plan for this inevitability are either ignorant or selfish. My own mom would refuse to discuss these topics and when dementia hit, we were all forced into action instead of having a viable plan to follow due to deep denial.
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I'm in a similar situation. Mom and Dad in their 80's, only one sibling who lives in another state and has never taken any accountability for helping with anything that other family members need (including her own kids). I also struggle with the suggestions to backoff my assistance and let my parents manage their own situation. Some times it is just more complicated than may be apparent from a chat message. I live a mile from my mom and dad so proximity makes a certain amount of support inevitable since they are so close, we have no other family in this country so that limits other options for support, mom is still totally in control of their funds and refuses any hired assistance, I can't afford to hire assistance for them out of my funds. So the least complicated and less expensive option for me is to help them myself. My mom can't read or write, dad can barely walk and is legally blind from macular degeneration. I do everything for them that requires paperwork, healthcare, computers etc. Some would probably say my sister is the smart one for living in another state, I remind her that a lot of what I help with can be done remotely but still she does not offer to help. Sure, I could be more strategic about the support I provide but I literally live down the street from them. That was until their house burned down in the Eaton fire. I thank the Lord I lived close to them otherwise they both might have died in that fire because I evacuated them. So I get what you are going through and it hurts when you feel like you are in it alone.
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Jennyjenjen 23 hours ago
Newmilton, I hope you reassess your own situation. What your parents are asking of you is not fair, especially if they have the resources to pay for additional help.
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Well, without imbuing what I experienced, on to you and yours, this is often the case. Sometimes, there are adult children, who are willing to actually die for and before their parents and others who won’t. Neither is necessarily right.

If it’s like my situation was, it may be a narcissistic parent, that a child placed in the golden child role, feels the parent deserves every bit of love and care they can get. Then, there’s the scapegoat, that the golden child often isn’t aware of, that the parent treats like dirt. You may not be aware of these terms, if you’re not familiar with the topic of narcissism. Don’t feel bad. Most aren’t. Took me time to educate myself. In these circumstances, it is mostly the fault of the parent, who has long mistreated one or actually both children and may have triangulated them, as well.

In your situation and from your POV, you may feel, “How could your sister not do everything possible, for your mother. Give up everything she’s built and move back home, stop work, give up livelihood, healthcare, her own retirement, for mom. At minimum, she may not see that as you mathing correctly and isn’t going to destroy her life. She may question whether there will actually be shared responsibilities, if she were to do all of that. 

And note that, even if she did all you are doing. Once she enters the picture, decisions are shared, as well. You may feel things are done a certain way, she may have a better way and you may not agree with that. There may be disagreements on living accommodations, care, money.

Some decide to move their parent into a facility of some sort or some parents can become a ward of the state, in some jurisdictions, with all of their assets being seized by the state, which means you will inherit nothing, if that’s what you have in mind. But, some have to make the decision as to whether they want to hold onto inheritance or to die, in short order. Because many caregivers actually die, before those they care for, because the work is so taxing. While there are many people who are quite proud they never let their parent enter a nursing home and gave up their own lives, to provide care, there are also many who outlive caregiving, but become regretful and angry over what little life they have afterwards and they often find themselves at a point in life, where they will never recover.

So, it’s important to understand there might be another side to this story. It is an emotionally-charged subject, likely for both of you, even though she’s not physically and geographically there.
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Amy 'blame shaming' is often a device or defense mechanism people use. It's a one up to one down situation. This isn't right.
One of the biggest factors I've seen in dealing with aging parents is the lack of ability to communicate clearly and in a kind way. Looking at your own feelings that your sister created probably has a long history of your relationship to her. What can you do about her problem? Take care of yourself. Guilt is made to punish yourself and not the right way to treat yourself in a God honoring and healthy way. Look at what is the truth? You said it "I know I am in the right". Letting someone else attack you drains you emotionally. I agree boundaries with your sister needs to be set. Do you have a therapist or wise friend who can help you set appropriate ones?
Also with your Mom it's hard as a daughter again after your relationship with her has had many years of ups and downs. Can you communicate clearly and well with your mother? Maybe a mediator would work?
I've used Aging and Disability going there with my mom. Maybe that would be a place to start.
It's hard but you can do it !
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MargaretMcKen 19 hours ago
Does sister really ‘bark orders’ in phone calls? Or does she think she is making helpful suggestions?
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You can be a loving and devoted child and do everything possible to help your parents. But "everything possible" does not mean everything they want. There has to be some rational decisionmaking imposed. Otherwise it is the person with compromised cognitive abilities calling the shots, while peculiar family dynamics has everyone carrying out their wishes.
Putting your mom in an ALF means you love her and want the best care possible. There is absolutely a tradeoff, but your sister has abdicated her opportunity to weigh in if she doesn't participate in the caregiving. In my family, I was the ALF holdout. There have definitely been some tradeoffs but I am so glad my mom is there now, and she is pretty happy overall.
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No Conversation is going to get your sister to change her mind so stop wearing yourself out and getting upset about it because it’s not going to happen - that’s the reality.
your sister is well aware of the sacrifices of looking after an elderly and sick person and she’s not willing to make that sacrifice. Accept it.
is it wrong ? Some arguments no- your sister deserves a life as well
we could debate this forever and get nowhere - it’s neither wrong nor right.
so look at solutions.
your mother sounds like she needs to be in a care facility full time
you can visit and call - maybe even video call
you also deserve a life and have made some huge personal sacrifices
so get that care arranged so that your mother is safe and looked after
options- can a care place nearer to you work so that you can visit easier and have a life ?
time to concentrate on solutions and forget what your sister should or shouldn’t do
best wishes
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Hi my mom had a stroke about 17 years ago i Made the decision with my sister to sell her home which was vacant for 6 years before we sold it but mom has been living with me 17 years her stroke hit her hard weak on the left side. Her left hand does not move and her leg she drags it. I am the main caregiver. My sister live 2 hour away and my brother never comes around mom has many doctor appointments eye doctor family doctor spasiticity clinica and so on. I take her too appointment s and she also goes to a day program but mom leg is giving her a hard time she fell Christmas and now feb11 where she ended in the hospital still here with a head and bleed and a fractured face bone. We are deciding on long term care i justed said that it’s not safe and i can’t do it anymore
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CaregiverL 19 hours ago
Yes best decision is leave her where she is ..time for long term care. ..see facility business office/social worker & elder law attorney. Hugs 🤗
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Only children have the same situation you do. I don’t blame you for thinking it is not fair. It isn’t Many single individuals end up caring for parents and married siblings with husbands and children just visit or call leaving the burden on the sibling. I would definitely recommend getting a nurse’s aide or housekeeper etc… It should come out of your mom’s income but you may need to contribute. My mom was laid up in bed and couldn’t walk. I was teaching 7:30-3:30. We were able to get wonderful aides from a nursing service Since you are working from home, you can judge the quality of aide and have time off to go have coffee or your hair done, out on a date, etc. Make it easy on yourself and have groceries delivered by a food delivery service. You may need to have a weekend person as well. It sounds like you are burning out and definitely need help. Your mother is fortunate to have you and it is less expensive than a nursing home You can be there to give love arrange doctors appointments and executive decisions. I know that it is hard to do all the manual labor and sometimes you may need to do it if someone doesn’t show up. I ended up renting out my townhouse and staying with her to the end. God bless you for your love and care for your mom. Don’t think about your sister. She has some problem and you are doing your best.
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I am taking it that independent living means her own home. If not, does the independent living place your mom lives in stage of care arrangements? If not, you want to find an assisted living place for her that can handle her rehab, along with the different stage for care she might need down the road. Along with a lot of assisted living places have a driver or bus that will take your mom to her doctor's appointments and shopping, pick up for laundry, hairdressers, etc... Depending on her doctor's , if you could find a place near your home that would be a perfect arrangement for both of you.
As for your sister, Sounds like your Mom can make her our decisions, so if you have not already done so, get your Mom to make you the POA for Medical and Finances if need be, and then your sister has no say so. That is what I did when my brothers told me they could not help because they lived in another state and were too busy with their lives & families. For my peace of mind, I know they had no right to make me feel guilty. This should work for you with your busy sister. If your sister doesn't like you being your Mom's POA, because you are doing the best thing for your Mom and yourself. Then she needs to make the time to come handle things too.
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Your sister is not obligated to help with your mother. Get your mom placed in a nursing home for her medical conditions. Your caregiving days are done, and do not feel guilty for your decision to get help for your mom.
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Your sister most likely knows that this sort of care takes on a life of its own. We offer to do certain tasks, but the tasks change and multiply and before long she too would be sucked in to full time care giving. Consider that caring for a needy and dependant elder is more than enough for TWO people, even if they are both willing. Do not sacrifice your middle years unless you count what it will cost your health and future.
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Yes most of us have similar experiences….nothing new…one sibling does everything and the other nothing. Don’t expect her to change. She will find more and newer excuses not to help. As a matter of fact, she will only hurt you and your mom. So I would not even call her for help anymore. If your mom’s back in her house, you’ll need help so get someone from agency and then when you happen across a kind, honest honorable caregiver. hire her privately. If she’s still in rehab, inquire into long term care and Medicaid from Medicaid/business office. Also talk to social worker there. If possible, talk to elder law attorney and get power of attorney and health care proxy. Get accounting of mom’s finances. They’ll give you list of paperwork needed. Keep good records. But don’t count on do nothing sister. Use your strength and energy to help care for your mom and yourself. We’ve all been there. Good luck and HUGS 🤗
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Reply to CaregiverL
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To paraphrase. To heck with guilt. Usually its a means for manipulation. If you are there for your mom to transfer to assisted living or skilled nursing care it would be a gift for her and a break for you. Best wishes. You have been a good daughter.
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Everyone commenting that the sister has no obligation to help is missing one key thing: the sister does not want the mother to be put into assisted living. She is resisting the idea. She wants Amy to stay and keep taking care of mom.

If you're not willing to put a parent in assisted living, then you *do* have an obligation to help. You don't just get to expect your sibling will execute your wishes. That's why Amy is reacting so negatively when people try to defend the sister.
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MargaretMcKen 17 hours ago
Perhaps Sis suggested that getting paid was an alternative to AL, as OP was concerned about her own finances? That’s not quite the same thing as ‘resisting AL’. OP sees Sis as ‘barking orders’ -which is ridiculous- so it could all be taken with a pinch of salt.
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