@apapuchi your post mentions guilt for not being able to do what would be 'the right thing, on paper'. Personally I think it's very damaging that we see so many references (usually from people with no idea of the realities of elderly care, especially with dementia involved) to family looking after elderly relatives being the 'right'/'best' option and comments along the lines of 'they looked after us when we were young, now it's our turn' etc. This narrative completely ignores the mental health and other needs of the carers and the fact that care homes/nursing homes have multiple trained staff members, specialist equipment and experience whereas typically family who act as carers are just one or two untrained people with lots of other commitments who end up burning themselves out trying to effectively work 24/7. Surely the 'right' thing, if you they can afford it, is to find the elderly relative somewhere to live where they will be safe and looked after, then visit and spend time with them as a caring relative.
I have had to say no to taking Mum to one of her (many) routine hospital clinic appointments tomorrow. I told her, and brother, that I couldn't do it when the appointment letter came through a few weeks ago and organised for another trusted relative to take her. They were not keen but they are insistent that she must attend any and all medical checks, appointments, vaccinations, screenings etc offered and did not want to postpone. This week I have had multiple calls every day asking if I can take her instead, starting with a polite 'is there any way you could rearrange other things so you can take me' and moving through tears, pleas, and now 'why are you so horrible, you don't care about me, you just want me to die.' It's clear to me that we are stuck in a sort of no man's land where Mum technically has capacity to make her own decisions but her decision making process is stuck at 'Don't want change. You can't make me.' I am getting to the stage where I feel like I need to say I won't take her ever, just so that she is forced to agree to another option or not go and we don't have weeks of upset every time I can't make it. Part of the problem is that she has a set 'routine' of what must happen on an 'appointment day' involving being taken to her own home (she is staying with brother) beforehand to 'check her paperwork' (the appointment letter) to make sure she knows what to take, what to wear, where to go etc then get changed in to the appropriate clothes get a bag of 'things they might want to see' together etc before she goes. This means whoever takes her has to arrive to collect her several hours before the appointment time (and drive across town several past the hospital once to collect her and again to take her to her own house before even setting off for the appointment, often in rush hour morning traffic). I have a journey of at least 1.5 hours on top of that to get to her town. She will not accept that I have checked her appointment letter, or accept any of the other changes I have suggested to speed up this process so even a 10 minute appointment takes up a full day. On the one occasion that I had to just pick her up and take her without going via her house she had a tantrum in the car and was very distressed throughout the appointment. It doesn't help that brother actively encourages her to insist that I should take her every time- I try to encourage her to see the positives of other options (eg. won't it be nice to see Linda when she comes to take you to the doctors, you love talking to her about her garden) but he tells her all the reasons why it will go wrong if I don't help and how selfish I am for not being there. This morning I have already had 'You've went on holiday a few weeks ago, so you can take time off when it suits you can't you!' and 'You don't care what happens to me- go off and have fun, I'm sure Linda will tell you when I die!'
I'm guessing that the 'I could never put my Mum in a home' brigade are not dealing with this on a regular basis.