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Any advice welcome. My mom has a volatile relationship with my sister, with emotional dysfunction on both sides. I've worked to develop a "loving detachment" with my mom. I can sidestep many of her challenging behaviors, and so I have become her primary caregiver.


My sister resents me and has accused me of "manipulating a confused old woman" and/or "neglecting" my mom's cognitive decline. I have to walk on eggshells and document everything.


I don't know how to manage caregiving without feeling like I should resolve this conflict. Yet, I know I can't be responsible for their relationship or for my sister's feelings.


Should I just tough it out, take the high road, and move forward?

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I refuse to walk on egg shells anymore. I did it with my sister, and my ex. I was Moms POA and Caregiver. My brothers never interfered with my caregiving but if they had they would have been told "you are welcome to take her into ur home".

Your relationship with your sister and Mom are their problem and Sis needs to be told that. Ur profile says Mom moved in with you so ur house your rules. You set them from the beginning. If sister starts with you or Mom...there's the door.

Why does sister think you are manipulaing a confused woman but on the other neglecting her cognitive decline? Thats kind of contradictory isn't it?

You will go nuts if you continue to walk on eggshells.
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Yes, it doesn't make sense. I feel locked in a "darned if I do, darned if I don't" situation. Someone has to be the adult in the room, but somehow I get judged for that.

@AlvaDeer, thanks, I will clarify.Mom is still in the diagnostic process. She has passed 2 mini-mental exams, but has an appointment with geriatric dr next month. She is missing medicine, falling, and some confusion--living alone, few friends. I had a care manager come in to assess ADLs and safety.

Her PCP told her she needed to move in with me or hire home health to do daily checks. She can be semi-independent with support.I am her POA and have set up an in-law suite in our home for her to try this living situation out. Upon advice from the elder care lawyer, we will have a rental agreement (realtor is assessing Fair Market Value this week.)I feel like I've taken reasonable steps.
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AlvaDeer Jun 2023
THANKS for this. See my reply above.
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I don't have advice sorry. Just sending good wishes..

Reminds me of a backseat driver situation. That wants to know every detail but won't or can't take the wheel. Must be so hard not to yell Hey, shutup there in the back!
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Sounds like you’re doing great covering a lot of bases with mom. I have a difficult sibling too, lifelong undiagnosed mental illness of some sort. During my years of helping with caregiving, I learned to tell him little, just facts, and ask for nothing. Emotionally, I learned not to feel like I needed to defend or justify my decisions, he wasn’t going to be reasonable anyway. Walking on eggshells is no way to live. Take care of yourself, you matter too
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Tell us more.
You say "cognitive decline". Is your mother suffering from dementia?
Is it diagnosed?
And what is the diagnosis?
Does your mother live with you? Do you live with HER?
Where does Sister live?
Do you have a shared expenses contract?
How are you paid for her care? Is she 24/7 care?

Are you the POA for your mother?
Once we know the details we can be helpful with more answers.
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Gardening Mama,

I am so glad you have taken some steps proactively if you are thinking of moving your Mom in and you are her POA. Especially in the light of the sister.

Do you know that you not only do not HAVE TO but that you SHOULD NOT as POA share any POA information or private financial information regarding your Mom?
Did the Elder Law Attorney tell you that?
It's important to know as it relieves you of the problem of "I WANT TO KNOW" from her. Too bad. She doesn't get to know. If she wants to accuse you of fraud she can go to court.
Just keep your own METICULOUS records. She is already trouble and so you are forwarned. I want your files to SHINE. Keep track of every penny in and every penny out once Mom has a diagnosis and you are acting for her. Mom can have her own small spending account; danger otherwise is she may gift your sister and ruin her chances of Medicaid if she needs to go there.

Another thing to think about is this: A RENTAL agreement means that this is rental and you have to declare this income to the IRS (both for your own and your Mom's sake). And if you do instead a "Share cost of living" contract you often do NOT have to report to IRS as income. That would include housing cost, utility, food. Check with your CPA or tax person. Makes a big difference.

I would make a complete care contract. One in which the time for reassessment as to whether this arrangement is working for you BOTH is assessed, the a every 6 months check in as to honestly discuss problems. Because it well may not work, and you must remember your mother will only get worse. This can go on for decades and if you are on forum any time you understand that many ruin their health and their mental health attempting to be Saints. Bad job description.
Thank you so much for giving us the added information. It so helps us with trying to help YOU.

Sounds like you are making a good start. You need strong boundaries. Tell your sister to stop contacting you unless she has some honest help and support to offer you and your Mom.

My very best to you in this endeavor. I really hope you will update us as you go. I love to garden so I will remember your name!
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I was POA for both my folks. My sibling made life pretty hellish for me with Dad, the remaining parent. His health situation changed about 10 years after Mom passed, and that’s when my sib started creating issues, making demands, including those that went against his estate planning. I engaged an elder law attorney, so that I was clear on what Dad’s estate planning docs laid out - I had read them thoroughly and was pretty sure I had a clear understanding; consulting with the attorney confirmed it. This came in very handy later when a much larger conflict was generated, as the established relationship with the attorney meant a) the attorney was already familiar, b) and was able to speak directly via letter to my sib to lay out what was and wasn’t possible. Created a buffer, so I could best care for Dad and not deal with dysfunction. Caregiving is difficult enough without dealing with extra - and unnecessary - drama. Create that buffer for yourself! My best to you and your mom.
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Yes, high road and forward and document everything, especially the minutiae.

At least she is showing her colors now, instead of waiting until the funeral and unleashing havoc.
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How does she think you manipulate mom? Do you receive money from mom to be the caregiver? If that's the case, just continue with the record keeping.

How do you neglect cognitive decline? Is there something you have control over that sis doesn't think you're doing?

When sis makes her comments, find a response that is middle of the road. Will save you and sis a lot of bickering. Something like, I'm sorry you think that. Or sounds sort of like an agreement - What you just said, that MAY be true, however I am doing the best I can dealing with mom's dementia/health/refuses doctor care/refusing to bathe issue.
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gardeningmama: You cannot change the behavior of others, albeit your own sister.
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