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This is my mother's story pretty much following the same scenario except for the diabetes and extent of hoarding. Turns out hoarding is often an early sign of dementia. Please get her to a neurologist and neuropsychologist for testing. They can give her meds to balance these behaviors. Mom's neurologist was the one who told her she could not handle her finances anymore because of the deficits with executive functions. If she goes back into the hospital for any reason DO NOT ACCEPT her back into your care!!!
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For your own health and that of your family, listen to the thoughtful advice you've received here. You are not trained to handle the situation that your mother has created and refuses to listen to or cooperate with you in your own home. Speaking from experience, my mother is 92 in the New Year. Before my mother turned her attentions back to me to do her "bidding", she sucked the life out of her sisters and now they are gone. I realized during that time to set very firm boundaries and to keep them that way. She lives in her own apartment, but my friend and I take her out to shop and whatever else needed a few days a week. She wants more and pouts about it, but that's tough. I have a life and many other obligations of my own. It's forced her to be more connected to life, still paying her bills and keeping her apartment tidy, with help from me and her maintenance man. I would never, ever allow her to live with me. She did once for several months when I was in my 20s, and she was horrible, trying to take over because she is a narcissist who wants control, attention, and will do anything to get it. Sound like your mother? Then take back control of your life and ensure that she is attended to properly by trained professionals. Although we love them as best we can, we also have to love ourselves enough not to be prey to unrealistic and unhealthy behaviors. Stay strong and do what's best for your mother and yourself. You are not unimportant in this scenario, as your mother would have you believe. I always say to my mother when she pushes too hard, "I'm no good to you if I get sick." To a anyone, especially a narcissist, that speaks volumes. Best of luck and hugs to anyone in this situation!
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Texasgal Oct 2018
Good answer and I wish I would have followed what you did.  No I kept allowing my mom to move back in with me - why?  I guess I felt sorry for her because my father died - left no insurance.  She had nowhere to go so I let her move in me.  I thought it was temporary but oh no - lasted 4 years.  I had a nice one bedroom apt. and job.  And while she was not a hoarder she could be a horrible narcissistic, control freak, and just downright mean at times.  I didn't realize she was a narcissistic person until just recently.  She fits every criteria!  I'm mad at myself for letting her move in with me when I bought my first home - I went against my better judgment.  She lived there 13 years.  Long story short she is now back and no one really helps me.  I have 2 brothers - but they do very little.  She is now 92 and I'm wondering how much longer do I have to do this "tour of duty".  She's in great health and still drives.  I'm afraid she might outlive me - or once she's gone I'll be a broke down, too sick to enjoy my life.  I'm trying to stay strong but I've reached my wits end.  She can be nice when she wants to - or wants something.  She's manipulated me her whole life and I was too tender hearted and let her.  I was always trying to make her happy and win her approval and love.  I now realize I don't need her love to be whole.  And I'm a wonder person just as I am.  It took me a long time to feel good about myself and to love myself.  I stood up to her nonsense then got told I could get picked up for elder abuse!  I now just try and live my life the best I can - bought my own t.v. to watch in my bedroom to get away.  But you were so right to break free so young!  I feel like my best years are gone.   
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I would contact an attorney. If you have Health POA it's time to use that power for her own ell being and your's. This type of thing happens all the time unfortunately. It sounds like you have done everything humanly possible, it's time for further care for her.

In many ways you have not taken care of yourself. You need help in repairing the damage that has been down to you. It's time for you to heal.

You still have a journey to get there but with good guidance for mom and therapy for you. You will get there. Best of luck to you.
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Clarity Oct 2018
Hello...Thank You for responding to the OP. Yes your right. Caregivers tend to put themselves on the back burner without realizing it....sometimes until it’s too late. Focusing on self care now as well, to try to reverse some of the damage. I appreciate your thoughtfulness and God Bless
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she sounds not mentally competent so you must make decisions for her. Even worse, you say she is "going to the store" which I interpret means she is DRIVING with these medical conditions that can get someone killed, even a child. Constant elevated blood sugars are fatal. If you feel she is a danger to herself you may have to call the police and have her forcibly taken to a hospital under a Baker Act to (1) get her medical condition stabilized and (2) psychiatric evaluation for mental competence. Once medically stabilized she will go to the psychiatric unit for mental competence evaluation. IF she is mentally incompetent there will be a visiting Justice to the psych unit to establish guardianship. If she is a danger to herself you have to take charge. Call the local police and go from there and tell them she is killing herself by refusing to take her medications and she is driving with very poor health and may end up killing a child. *Consider refusing to take medications a medical emergency* because it is.
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Clarity Oct 2018
Hello and Thank You for responding to the OP. No she’s not driving anymore....over a decade now. Will keep in mind about the psyc & guardian process. Hoping all will be well for you and your family too. God Bless
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Wow. I'd call Adult Protective Services and have them assist. Not to be crass, but it doesn't sound like there's any money to oversee or manage, so I'd ask the state to step in and remove her and place her somewhere for care and safety other than your home. Good luck.
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Clarity Oct 2018
Hello. Thank you for your response to the OP. I live in NY, contacted APS when mother was in the hospital. They said they would have to assess her at her hoarded residence with her present and if she refused services there is nothing they could do. I moved on quickly because in my situation they would be a waste of time. Eventually I’ll have her properly placed...again Thank You. God Bless
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Close, if you don't have the legal right to get rid of her stuff, at least you DO have the right not to take her back home. You said she's been in and out of your home; don't let her back in, hold firm, and say NO. I've been there.... out is much better!
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Clarity Oct 2018
Hello....Thank you for your response to the OP. I agree. The caregiving would not end, it would just change so that it’s not detrimental to my health and sanity. I will still be her advocate. Best wishes to you and your family. God Bless
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Back into facility she goes. Unless you want your house to become hoarders house too. Storage units too expensive...get rid of, sell or donate..She probably has dementia...This could go on at least another 10 years!!! You have power & don’t let her manipulate you. It’s not like she’s 90 something & declining...let us know what happens...hugs hugs 🤗
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Clarity Oct 2018
Hello. Thank you for responding to the OP. Yes, I have accepted the fact that this is what must be done now. Clearing the hoard while caregiving for the hoarder and dealing with difficult behavior is just not feasible. Also if you are in the midst of a troublesome circumstance I wish you the best. It’s not easy. God Bless
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Maybe OP is gone? 😢
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Hi, I don’t have too much advice as my situation is similar. We moved to a bigger place to accommodate my mom and her clutter and I totally get it—it takes over your life and then the nastiness, which does not help. I finally sold her apartment and now have to go and get all that junk moved somewhere as she rants and raves about me not throwing anything out, so will have to get a storage unit as well until somebody – – me – – has the physical ability and mind to sort it. And yes, the POA thing is also ugly. I am not really sure what they think we are going to do with it, you are only trying to help her take care of business, but it seems that they don’t get that basic facts at a certain age (my Mom just told me she needs to take her POA back and yet she also does not pay her bills when I give her just one to pay as a test.) Take care of YOU. I have just moved my mom out to assisted living and I am dealing with the issue of her being upset (this is her 3rd move in and out of my home), so I can’t give you advice, but I can say that I was getting so physically sick I had to do it and maybe you will have to do the same if you can get the financials figured out and/or can get an aid in who can give directions and forces her to behave. I am sorry you are going through this because I bet you are like me and you recognize that this is not really “your mom” the way you remember her, but this is the next phase and the more we share we at least realize we are not alone in this (which I feel I am most days until I get on here.) Take care of YOU!
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dogparkmomma Oct 2018
Your mother sounds like she has some dementia. You need to get that documented by physician; since I doubt she would submit to evaluation by memory care specialist. You may find diagnosis of dementia listed in hospital records which would make it easier to get MD to give you a letter. Once you have that diagnosis, she cannot change the POA no matter what happens. And do go ahead and get rid of the stuff she has that you don't want. They never want to throw anything out, and that is part of the disease. So just do it. You will feel better having the control of the situation; she really does not have the control unless you give it to her.
One other comment; when we realized that my mother was really falling apart, we approached her and she readily agreed to sign POA for both healthcare and finances which we did have drawn up by attorney who questioned her about her wishes at the time. My brother did not agree that she had dementia so we did take her to a memory care center and got neuropsych testing which confirmed diagnosis of dementia. Fortunately we had POA in place before the diagnosis or we would have had to go for official guardianship. Timing is everything.
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No way should you put up with this. You're ruining your health and your family for someone who couldn't care less about you.
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Clarity Oct 2018
Hello. Thanks for responding to the OP. Yes your right...when a person can no longer care about themselves they usually don’t care about others. A sad and true fact. Will be working on making things better for me and my family ( including mom in her madness). We can only do our best and when we have done that, we can know the choices we make for the future are the right ones. God Bless
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Listen to the wonderful, caring advice you have gotten here. You are in control of what happens to you, in YOUR home, not Mom, even if Mom thinks she is in control and on some level, you may think she is as well. You’ve certainly treated her as though she was, for a long, long time. Time for that to be over. Mom did this, Mom said that, Mom refused this...enough! Limit her computer access, find out how to block shopping sites. Does she still drive and handle her own money? And, she brings all this “stuff” into YOUR home? You certainly don’t help her carry it in do you?

If she is disregarding her health it won’t won’t be long before she crashes again. As was said, don’t bring her home! Stand your ground with Social Services and refuse to bring her back to your home. Sounds like she has funds. Do you have access to them? Hopefully so. Hire a trash-out company to go to her home and clean it out. Whatever is there is most likely beyond salvaging. If she has neighbors there, they will be forever in your debt if you do this.

Make the change. You know you need to do so. It’s way overdue. And please come back here and let us know how it goes. We care.
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Clarity Oct 2018
Hello...Thank you for your response to the OP and wanted to answer the questions you posted. My mother doesn’t use computers. She handles her finances with my assistance and she is a retiree with a limited budget. She stopped driving on her own about 10 years ago. When I am driving and she sees a store I don’t stop. I discard catalogues that come in the mail. I even blocked the shopping channel on cable. I do not assist her in hoarding in any way, shape or form. If you have never dealt directly with this disorder I can tell you it’s crazy making for sure. Now let’s add dementia to this brew. More than likely I will have to have her placed after a hospital admission. It’s a very sad circumstance to be in for her and myself & family. Again thank you for your suggestions and my prayers to you and yours as we all try to muddle our way through this thing called life. God Bless
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You continue to save her from the death she is bringing on herself. She wants to be in charge. Think about it.
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Clarity Oct 2018
Hello. Thanks for responding to the OP. I let her do things her way for many years but once she hit rock bottom had to step in. Now that her condition is taking a toll I must make a change. It’s a sad and tough situation. Hope things are better for you and if not my prayers are with you and your family. God Bless
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After reading your detailed post (thank you) I had the same answer that came to mind after just reading your topic heading.

Change the one piece of the title that you have full control over: Change having her live in your house. You may not be able to specify where she does live, but you can certainly control whether she lives with you.

It sounds like you are on the right track, applying for Medicaid. She may or may not be able to "refuse" to go into professional care, but she cannot refuse to leave your house, if that is your decision. That is the direction all your hard work should be headed.

It sounds like your mother is mentally ill. I am very sympathetic toward people with mental illnesses. They did not request that affliction. They can't simply "snap out of it." But the current situation is simply enabling her self-harmful behavior. And it is also harming other members of your family. You mean well. You've done your best. Now you need to extricate yourself from this toxic situation.
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JFJINAL729 Oct 2018
Hi Jeanne,

I wanted to thank you for your post regarding mental illness when it comes to situations like this.

I have Bi Polar 1.

I wrote a response to this question last week. I estranged my mom for my own mental health. She knew I was sick, but never researched how she could help me or acknowledged the problem. I believe because it could have marred her reputation having a mentally ill child. Bi Polar is hereditary.

My narcisstic sister uses my illness as a way to beat me up and down and abuse me anyway she can.

She is now blaming me because the sitters we hired to take care of my mom stole everything of value from her house while in her severely demented state of mind. She said that the sitters knew when she would be there and knew when I WAS NOT. And this fact led them to exploit my mom.

Although there is some truth to the statement it eludes that I am to BLAME. She’s throwing guilt at me daily. I briefly explained my absence and the fact that I had to take care of myself, because I have to continue to live after mom is gone has no bearing on her. It’s an excuse to her with no merit.

You are so RIGHT about the fact that we don’t ASK for the mental illness. I didn’t do anything to myself to get this illness.

I can admit I am sick. Getting a narcissist to admit anything above their “good deeds” and “great intentions” as well as the fact that they are always right and I am flawed gave both my mom and my sister ammunition to abuse me further.

Had I not been born into the family, I would have NEVER had either of them in my life. They would have never been aquatinted with me.

I wish everyone had the same opinion you do. Even Doctors have questioned if I have a true medical problem when I have disclosed the fact that I am Bi Polar. It’s a great burden to carry and the abundance of doubt from anyone that knows I’m sick is devastatingly painful. I pay the price daily.

I am compliant with my medicine, have a Therapist and a Phychiatrist. I am on the right track and MUST REMEMBER that even though it’s hard, THEY are flawed in a way that can’t be repaired.

So I take the hits as they come and let it roll of my back with no obligation or intention to do anything different than what I want to do.

Thank you again Jeanne. Your post was a blessing to me and my mental health!
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At the next possible juncture, get her to the hospital. Get her admitted. Refuse to take her back into your home. She needs much, much MUCH more care than can be given in your home, by you.

She needs three shifts of professional, well - rested, trained caregivers.

You need to be able to say "Mom, I can't possibly do that" and mean it. Ultimately, you are looking out for HER best interests.
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Call your local office on aging. They can help you.
If she gets admitted to the hospital again, refuse to take her home. They will find placement for her in a long term care facility. I highly doubt that they would discharge her to home as they cannot legally discharge someone to unsafe living conditions, but just in case they would, call APS and tell them she is in immediate jeopardy. They would then have to go to her home within 4 hours. They couldn't make her leave, but they would report the condition of the home to the city who would have the power to condemn it.
But, you have to stick to your guns and NOT allow her back into your home. Remember, at 78, she could possibly live a lot longer. You could end up dying before her due to the stress of trying to care for her. You must put yourself and your family's needs first!
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"2017 : The very thing I thought could and would happen did. She developed Pneumonia and Sepsis and almost died. I had to get her out of the apt which was almost impossible because of the Hoarded condition. Ambulance took her to hospital and she was saved from death. She stayed in SNF for 30 days and discharged to me. She was admitted to the hospital 2 more times for Sepsis and high Blood Sugar."

I think you realize by now that you shouldn't have allowed her to be discharged to you back in 2017. You can't meet her needs, as she was admitted to hospital twice more for sepsis and high blood sugar. When did she move in with you?

Is she mentally incompetent?

You have suffered enough for this woman. Your family has suffered enough. She doesn't have all the votes in what happens to her. Even if she is deemed mentally competent, you don't have to have her live with you and take care of her.

Your health has suffered, and it is only going to get worse.
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