She has advanced dementia and lives in a nursing home 280 miles away. Although I love her dearly, I cannot face seeing her in that state. Her son and two daughters do not keep in touch with me other than Christmas cards. One of the daughters only lives 18 miles away from me and she doesn't keep in touch as she once used to, although interestingly it seemed I was always the one to phone her. She didn't even tell me when her first grandchild was born I found that out from a friend of their family. No-one has actually said "we are disappointed that you haven't been to visit mum", so I presume they see no reason to stay in touch for the sake of our parents, who are now dead, apart from my aunt.