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I have posted here before and received some responses that were really helpful. It's hard to put into words the grief process I have been experiencing but it's been awful. I was put in a sudden position of having to figure out my MIL's (almost 80) entire life, bring her near us after she had been suffering from end stage liver disease, type 2 diabetes, some minor CHF and stage 3 kidney disease for many years. When she arrived she was so exhausted and barely eating, just a shell of herself and in total denial regarding the state of her health. She wanted to live independently and did not have the money for assisted living. I was willing to take her in but husband said no and the stairs would not work for her. I can't explain it but when we got her she had just gotten out of the hospital where she had almost gone into a coma and died and she just never seemed to bounce back. She had constant diarrhea but the only way for her to really have a somewhat clear mind was to take these medicines that gave her even worse diarrhea and she hated them. Long story short she was a mess but I did my best. I arranged home health, she got PT and OT at home, took her to the liver doctor who seemed to just want to push her along with recommendations to eat more and get a scope procedure...of course she ended up falling in the shower, so more PT and more OT, trying to make her senior apartment work with modifications- then it all hit and we were at the hospital with her 3 x in less than 2 weeks. Fluid drainage needed from her belly again (after many years of off and on fluid), incapacitating headaches, swollen feet and ankles, then a DVT that would require hospitalization for risky blood thinners so hospice was brought up and I needed to make a choice. I don't know why I didn't think it through more but I just went with hospice because she seemed so declined and it seemed great to get more help for her at home with all the issues she was having. She was never able to get additional liver procedures or a transplant due to her heart. She actually seemed to do better on hospice-showers, got to visit with all of my kids, tons of visitors, we were able to bridge care for her in her senior apartment without need for assisted living or a nursing home. She could still get around with her walker and did not seem confused or disoriented so we did not make her take the meds (what was I thinking!?) that were upsetting her GI system and she could eat a little more and have better quality of life-I feel it was a practical decision. This is what I regret. I feel like if I had made her take those meds she might still be here. Was it too soon to opt for quality of life over quantity? She was still pretty miserable-falling,leg cramps, fluid- all the things. Although we don't know for sure what caused her final decline in my mind it was all about those meds! I replay things over and over and even have dreams of going back and changing decisions and changing the outcome and making her take the meds. She did have a pretty sudden decline after over 2 decent months on hospice- it could have really been a number of different things- that is what is kind of weird about hospice when someone has so many things wrong. She just got weaker over a weekend, became bed bound and sleeping more-never agitated or confused and still interacted a little-we were told to give her some low dose meds at that point and within days she peacefully drifted away then turned bright yellow. Everyone talks about what a peaceful death she had and are moving on but here I am still replaying all the decisions and feeling so responsible and NOT at peace. 6 months behind everyone in my grief process. It is getting better because I realize things were just going to get worse for her than it already was but this has been torment for me. I loved her and miss her terribly but can't stop replaying all the details. I have done grief counseling and therapy and have my faith -does this get better?

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Sunflower, my suggestion would be to choose a good period of your relationship with her to think about, and discipline yourself to focus on that. Not on the end stuff, when things were going wrong, because that doesn’t help her or you, and doesn’t give you the benefits of thinking about the good times.

You ask “does this get better?”. The answer is that no, the difficult end times don’t get better, but focusing on the good old times will help you and your memories of her. Memories to keep, better than the end!

Not so long ago – even when I was caring for my M – there were not so many choices or options. I did what M wanted and the doctor suggested, and I was there with her until the end. It was probably helpful to have so few options on the table – just ‘be with her until the end, and see if you can keep her happy’. It was ‘good enough’ advice. M and I both did our best.
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Reply to MargaretMcKen
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Yes, this does get better. You spent a lot of time recounting all the health issues your beloved MIL was dealing with, reread it, that’s an overwhelming list for anyone! I’d bet she was grateful for less medication for a bit to be able to enjoy some foods, what a gift when so much joy has been taken by sickness. Don’t doubt your decisions, you did the best possible with the guidance you were given. She died at an old age and had a peaceful exit. No one could ask for better. She knew the love and care of family and was tired of so many health problems. Try a local GriefShare group if you haven’t, they have been a great resource for many. Heal and know she’s at peace
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Reply to Daughterof1930
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MAYDAY 6 hours ago
Or, maybe this is one of your grief support groups...
think most of us are here too experiencing this..,
🙏
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Sunflower,
I am so glad that you were able to take her out despite her issues..
you are much stronger than you give yourself, along with your husband..
you two just need to breathe and celebrate together and just KNOW she is pain free and YOU TWO ABSOLUTELY DONE GOOD!
Go out and celebrate her, laugh and share stories again.
It's okay to cry, miss them, but just take a step forward. My friend got me into pickleball. I love it. My pickleball friends just make me laugh, and they too laugh at me..,
It's a lot of fun. I met a lot of new people and they are so friendly.
If you have time, try something new, art, pickleball, photography, or just sleeping.. I'm sleeping a lot now.. well that's not very productive, but napping is the other part of my day..
I have my hospice dog now.. she is with me 24/7.. I decided no aggressive treatments, it's not going to fix her legs.. Quality is better than Quantity.
.
Just know you did the right thing.
QUALITY is the best Option
🙏
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Reply to MAYDAY
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Sunflower,

What if God was God? What if God had all, every decision or non decision, in mind when you were led to make the decisions you feel only you made?

Pray for “Divine Order”.

Pray with acceptance of all that has happened, pray for guidance in your own next steps in mourning her loss.

Set your intentions to heal. Meditate, walk, focus on your biomarkers and know you are nurturing your body with the food needed to feel better.

Make healing yourself your full time job. Know that you have a form of post traumatic stress disorder as well as grief.
Here is a link to a pubmed acknowledgment that this is real issue for caregivers.
https://pubmed.ncbi.nlm.nih.gov/32757692/
Complicated Grief With Post-Traumatic Stress Disorder Addressed With Accelerated Resolution Therapy: Case Discussions

Look up Accelerated Resolution Therapy
for grief.

Regarding grief counseling. Through Brene’ Brown I found out about complicated grief. Also David Kessler who worked with Kubler Ross. Here is a link to his website https://grief.com/podcasts/

Check out some of his podcast to see if there are helpful discussions that might help you gain more clarity and peace.

It is very common to second guess ourselves when someone we loved dies…even when we weren’t the primary caregiver.

The difference between you and your husband’s acceptance might be that you felt totally in charge…he did not.

You did so much right. She was so very lucky to have you. She came to you with many comorbidities and you embraced her care. You made it possible for her to have family visiting and her actual death was not lingering.


You are a blessing to the world. If you don’t believe me, just ask God.

PS. Your brain is trying to make sense of what happened.

“The Grieving Brain: The Surprising Science of How We Learn from Love and Loss”
By Mary-Frances O'Connor

look up her TED Talk and other podcasts online. She has a lot to share.
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Reply to 97yroldmom
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Sunflower,
how is your husband handling his mother's loss?
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Reply to MAYDAY
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SunFlower26 14 hours ago
He is doing well and very happy with how things went and he thinks all decisions were good. He could see how much she was struggling in the past few years and he went through a horrific and not peaceful death with his father at a young age. So he appreciated how pain free and easy her transition seemed to be and that gives him a lot of peace.
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There is no right or wrong way of grieving.
You did an absolutely great job in caring for your MIL.
YOU DID YOUR BEST! SHE IS SMILING FROM THE HEAVENS ABOVE. She knows you loved her and took wonderful care.
So be kind to yourself. Thsnk her for being in your life and the memories.
I am trying to be kind to myself as well.. I feel guilty too, for everyone I took care of snd lost.. my dr says it's part of life...
I'm trying not to feel guilty...
It's a process.. do not feel guilty..
smile and laugh.
Think of the happy times..
🙏
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Reply to MAYDAY
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SunFlower26 14 hours ago
Thank you so much MAYDAY. I appreciate your kind words so much. Yes, be kind to yourself too. I do feel like the final months I had with her I tried to give her the best I could. One day I will be able to laugh about trying to take her places when she really should not have been going out but she just loved to get out despite her limitations so we did it- diarrhea and all!
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I also wanted to ask if anyone knows of any online grief groups that could be a good fit or you have had positive experiences with!
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Reply to SunFlower26
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You must accept it's over, and you did the best you could under the circumstances.
Stick with counseling or a group to go to. You will see you aren't the only one who has gone through this very hard situation. It is torture and everyone who has gone through it will agree.

Grief recovery is different for everyone. Not an easy process, and don't hate me for telling you "It takes time to heal." I lost the best man in my life 23 years ago, and on the outside I look fine, but I can be doing dishes and hear a song that reminds me of him, and end up sobbing for hours. He was so young and was supposed to be here to help me! I question why God would take his biggest fan and give him such a terrible death?

All the more reason to plan your own end of life and what you want (or don't) to happen, and get it on paper and signed. Do you want to torture your husband or kids the same way? People like us "get it" more than we ever wanted.

I could say it sort of gets better...but would be lying to you. You will replay every detail for years. Find a way to make it stop now, and put into practice. When you start overthinking again, just get up and move, go do a chore and force your mind to switch gears. Find a way to make it stop. I will say 6 months is not enough time yet.

Your MIL would not want you suffering like this. She knew what a strong supporter you were. She knew you did your best, despite fear, sorrow, regret and more. You need to tell yourself you did good when you drift into sorrow mode...because YOU DID. I can feel it all the way to California!
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Reply to Dawn88
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SunFlower26 14 hours ago
Thank you so much! Yes, I would never want my kids or husband to go through this in decisions for me. It was so hard to make decisions when she just WOULD NOT. And yes, she was part of all decisions but she had this way of not really being part of them if that makes sense and that is something I will never do to my kids. I hate that I have to learn from this hard experience what not to do. I also know in my heart she had a good death if there is such a thing but it just feels hard to think there were some decisions that may have made it sooner. Thank you again :)
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End stage liver disease took your MILs life, peacefully, with the help of hospice. Be happy she had a few good and happy months before she passed. The details do not matter, nor do the meds she did not take to extend a tortured life. What matters now is that she is at perfect peace and grateful for all you did for her. Only God determines the day we die. Not you or I or hospice.

Wishing you peace in your heart for all the good decisions you made.
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Reply to lealonnie1
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SunFlower26 14 hours ago
Thank you lealonnie. I appreciate your kind words. I do try to give this to God. That He knew she could never handle a torturous hospital death on machines, etc. and I try to hope her peaceful exit was what He wanted for her. She did tell me a month prior she was ready to go be with Jesus but it was so hard to know if she knew what she was saying with all the things happening with her mind in her final years to months.
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