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It is OK for your grandmother to be angry with you.

If by honoring your mother’s wishes, your great relationship with your grandmother suffers in the process, that’s one of the lousy miserable rotten things that happen when people get old.

There are some situations in dealing with the problems of the elderly where none of the possible choices yields a happy ending.

You’re caught in the middle of this tragedy, and your feelings count too.

Unless your mother wants to be brought home, she needs to be where she receives the best care, pain management, and simple comforts.

Please try to be kind and loving to yourself during this painful time. You are doing an amazing job.
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Since you are trying to keep contact with the rest of the family, I’d encourage them to keep on with the prayer vigil. It certainly won’t do mother any harm. You don’t need to be there – you can pray to God any way you want.
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You all have been so helpful! I appreciate all of your kindness and encouragement. The family meeting went well. The physicians explained everything to us all, including the POA, advanced directive and next steps. They were excellent in their commincation. One said it seems like she took care of everyone and didn't want to even burden them with having the conversation of what to do if something happened to her.

I learned some new things about the active role my mom played in caring for her brother during the end of his life. It sounded very traumatic for all involved. Mom played the role of nurse even administering his morphine.

They acknowledged that what she wanted and how she planned it sounds like something she would do because of what they all went through with her brother. They said none of them would be strong enough to make the hard decisions and she took care of all of them, especially those that are questioning everything.

Some even thanked me for being strong and acknowledged my mom knew what she was doing in appointing me POA. I explained exactly what she wanted down to the details of how she did not want my grandmother to watch her die. GM broke down and said how she's still not over her son's death from 5 years ago.

No one really had any questions, so only time will tell if they fully accept where we are right now and where we are going.

I have so many mixed emotions from grieving mom and how others crucified me that I can't even cry anymore. I think I'm in shock, but will fall apart at some point.

Thank you all so much ❤️
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Ella2021 Jul 2022
There's nothing worse than losing a child. From what you've said, your GM probably developed some PTSD during that time and has not healed from it. I hope she is able to grieve properly so that she can be a support to you. This is hard on everybody and many don't realize they are hindering when they are trying to help. Emotions play a big role in this. So glad you reached out and got some rally good advice to help you move forward.
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So sorry GM is being such a PITA. And the rest of the lot. Screw them. You are doing the right thing and need to continue doing so with your head held high. If others can't understand it or agree with it, that's their problem. Don't let them make it yours. Once mom passes, you can see where your relationships are with those fighting against you. I think I'd spend a LOT of time alone and lean on those in your circle that support you and accept you. Not people who are making your life difficult.
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Sadly: grief can be an ugly thing and people process it differently, I've noticed. Your family is taking their grief out on YOU, it sounds like, b/c you are the easiest target. Your mom is dying and they are angry/scared about it. So they are lashing out and trying to find someone to blame. People also don't want to be left with guilt after a loved one passes; and putting in 'feeding tubes' and taking heroic life extending measures, in spite of the loved one's wishes AGAINST IT, make THEM feel better about THEMSELVES after the loved one passes. They can say, "well look at me, I tried everything humanly possible to extend her life and it didn't work. My hands are clean, I can't blame myself and can now live life guilt free.' That's my belief; and I call that selfishness when they KNOW their loved one does not WANT feeding tubes and heroic life saving measures taken to extend their life.

So this is when you get to be the Bad Guy by doing what mom wants, and let the others cluck their tongues in response. They weren't tasked with the dreadful job you were, so it's easier for them to be the Armchair Critics and tell you what 'they would do' and what 'you are doing wrong.' You are simply carrying out mom's wishes, that's all, hard as it is to do.

Death is hard to deal with, hard to process, and the ensuing grief tends to come along with guilt and other assorted emotional baggage for the survivors.

Wishing you Godspeed with all you have to deal with, which includes a lot of grief of your own to process.
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Sadly, ((((hugs))))).

I'm sorry that your family is treating you this way.

I think you need to become a boring broken record who says "this is what mom wants; this is what mom CHARGED me with doing. She recently confirmed this. This is not MY choice; it's hers."

Write that on an index card and keep it near your phone.

There are folks who believe that suffering is "good for the soul"; there are folks who are so fearful of death that they insist on fighting cancer despite terrible quality of life at the end. I doubt you can make anyone in your family see your mom's point of view, but get some materials from various hospice organizations and let them look at them.
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I saw your update below my original post,Sadly. I honor you for going right to Mom and having talked with her; wasn't aware so was so able still to do that, and to reinforce for you her wishes.
And it's really unlikely she is hanging on for anything other than that the body does NOT give up easily. It can adjust to an unimaginable amount of insult.
Good for you for embracing your duty of protection for your Mom. As to grandma, I simply couldn't care less. I honestly have no use for people who allow others to be in torment because they cannot let them go. While I can sympathize a bit with her I cannot empathize. I cannot imagine putting a loved one through needless pain and torment.
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SadlyYours Jul 2022
Alva,

Mom said she just wants to rest and I'm ensuring she does that. The process of dying is very complicated and I am assuming my family thought when the life sustaining medications were removed she would pass. This has not been the case. We are on day 3. Now they are hopeful that she will get better and leave the hospital. They are now requesting a feeding tube.

Oh boy, and then there was ONE. Now it's just me carrying out my mother's wishes. My middle brother has tapped out. He told us he doesn't care if we honor our mother's wishes or just do what our grandmother wants. He says it's too much for him.

The Lord has been my strength through all of this, but it's very hard and lonely to do the right thing.
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I have a slightly different take from Alva, but it may also be hard to hear.

Grandma sounds like she wants to be the star of the show. A reap all the "grieving mother" kudos.

Your mom saw what her brother went through when her mother was running things and arranged for THAT not to be her fate.

Please don't think about your popularity with your family; think ONLY about what your mom told you she wanted.
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lealonnie1 Jul 2022
That's good advice Barb: 'don't think about popularity with the family'. It can be hard to put that drama aside as we put the LO's best interest at the forefront of everything. It's vital though.
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Are you serious here? I am so sorry, but I do not on ANY level understand that are questioning your duty of honor, love, faith to carry forward your Mom's wishes in this? If you don't understand your duty to your Mother I grieve she gave you the power to act for her.
Your Grandmother sounds a bit doty to me, that irregardless of her grief. She also sounds a bit self-centered, disregarding the wishes of her own daughter and the children of that daughter.
Honestly, I am sorry if this sounds tough, but you DID ask. You need to embrace the duty given you by your Mom and act EXACTLY as she directed you. Whether or not your grandmother still loves you doesn't figure in this. I shudder to imagine being your Mom, caught between a doty Mom and a questioning daughter. As an RN it makes me cringe.
I am terribly sorry for this grief, for all your Mom is and has been going through, and for your coming loss. I can only wish you the best, and the strength to embrace your duty to your Mom.
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SadlyYours Jul 2022
Thank you! I spoke with mom today and told her that GM was mad at me. She furrowed her brows in concern and asked me why. I poured it out to her and told her what's been going on. She wants me to carry our her plan. I even asked if she was holding on for someone. She specifically said, no I'm not holding on for anyone. I asked her if she knew she was transitioning, she said yes, she just wants rest and peace. I understand this process, I've been in Healthcare Quality for over a decade. I never would have imagined going through this with my own family.
I grieve for my mother being in this position of not wanting to disappoint her mother, but have her child honor her wishes that are opposite of her mother's.
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Did your mother write down her wishes in an Advance Healthcare Directive? If so, show this to your grandmother and tell her it's no longer up for discussion. Your grandmother's (possible) mental illness shouldn't be driving your mother's bus. Period. You won't be able to appease both parties, so do what you know your mom wanted and have faith that your grandmother can get over it if she really wants to have a better relationship with you. I would not allow her to be in your mom's room unaccompanied on the chance that some novice nurse will make the mistake of thinking she's the MPoA and follows any of her directions meant for your mom. I'm so sorry for your family having to go through this situation. May you all receive peace in your hearts on this journey.
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SadlyYours Jul 2022
Yes, there is an advance directive. My siblings also have a copy. For medical care you really can't predict how things will turn out to pre-plan the minute details of carrying out someone's wishes. This is simply a piece of paper, so you rely on the guidance of the medical team and conversations had with the patient for the POA to make the best decisions.
One of the major issues is I had those hard conversations with my mother at least 2 years ago when she documented everything. Well before any major health concerns came up. I have served other families in my career having these same conversations and walking them through the grieving process.
It seems like none of my family spoke with her about the what ifs. Things may be a little different if mom told everyone I would be POA and what her wishes were so they wouldn't think I'm not making the right decisions.

Mom is conscious enough to nod and give short answers. I told them that I asked her again what her wishes were and she nodded with the same answers. I told them to ask her and they refuse to do so.
Hopefully this family meeting will clear things up.
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I imagine grandmother has to double down on her belief you aren't doing enough in order to justify to herself that she did the right things for your uncle, to admit that a different way may be better would be admitting she may have been wrong.

Don't get into it with her, you have already explained to her what your mother's wishes are and I wouldn't keep explaining beyond a brief "no, that isn't what she wanted", then end the conversation. Hang up or leave the room if necessary, you don't need to fight, you can still be polite when you do that - "grandma I'm sorry but I won't discuss this any more, I'll see you later".

I'm coming back to ask about whether there is a hospice suite in the hospital or a hospice facility available to you? Being in a place that specializes in the end of life felt very different to me than being in a hospital setting. ((hugs))
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SadlyYours Jul 2022
My aunt and eldest brother are saying I'm wrong for not allowing GM to stay overnight with mom and it's going to kill her if she doesn't have the closure of watching her die. I simply replied, "it's not what mom wanted and I agree, mom loved GM being at her bedside through her illness, but when her health changed to severe she put a POA in place for me and my siblings to do things how she wanted which includes making sure her mother doesn't do all the things she did to my uncle and not watching her die." They just don't want to hear that.
The doctor recommended inpatient hospice as a next possible step so my siblings and I discussed it. My eldest brother immediately called grandma. Now grandma confronted my middle brother saying, "what's this I hear about hospice, I'm taking her home with me." This is a mess!
The doctors will speak with all of us at the same time today to discuss everything so we all hear it at the same time. Including palliative care.
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Mom told you what she wanted so you gotta stick with that. You can’t control Grandmas reaction so just let that go and minimize contact. She will accept it or she won’t. That’s on her not you. Very sorry your family is dealing with this.
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Tough situation and my heart goes out to you. I agree that your mom's wishes are adhered to. GM is also grieving and I hope you're able to help each other. God bless
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Thank God your mother had the foresight to name you POA. I cant imagine the torture your uncle went through at the insistence of his mother to keep him alive no matter the psychological and physical cost to uncle.

Your number one job is to protect your mother from that same outcome. And you are doing the right thing. Grandma may or may not come around after mom passes and that is her choice.
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My feeling is to minimise contact with GM at present but keep up contact with family who are more receptive to the need for YOU to follow MOTHER’S wishes. If GM cracks a fruity, cut off contact – you have enough on your plate without a me-me-me controlling elder. I'd forget about how badly GM treated her son, and it's bad effects on her. That's a pointless unwinnable argument. Your justification is your mother. With luck, relationships will settle after your mother’s death – or GM’s death.
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Grandma can feel slighted all she'd like. In this case, YOU are your mother's POA and need to abide by her wishes. Grandma needs to step aside and let you do as your mother wishes. If that means she has to stay away, then so be it; if it means she's not speaking to you, so be it.

I know this is such a difficult time, made even worse by grandma taking such a stance. Why is that 'loved ones' make our jobs SO MUCH harder by imposing THEIR WILL on us when we have a job to do that they disagree with? Makes things 1000x harder and more stressful than it has to be. Maybe grandma is suffering from dementia now and unable to step back and let you do as you must. Do what you have to do for mom, THEN worry about reviving the relationship with grandma. That's what I'd do. You can't do both things at once here w/o getting someone upset, so grandma is the one who has to lose out. The thought of doing to your mom what gma did to her son is absolutely unthinkable and cruel, and precisely why mom did not want her handling her end of life wishes.

Best of luck with such a difficult situation. Wishing you peace and Godspeed as you move forward.
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Mysteryshopper Jul 2022
You are right about the interference of others and how they can manipulate with love. When I became primary caregiver for my LO, there was a family member who was on a mission to blur the lines between love, hate, apathy, necessity, preference, dignity, entitlement, etc. All while claiming to love and appreciate me and proclaiming to know that I'd "do the right thing." Well, I DID do the "right thing" after careful assessment and observation of the situation and the right thing had little to do with what this "loving" family member wanted. Suddenly, the love evaporated and I was actually surprised to a degree. This same person was also essentially NOT a hands on helper - I recall her purchasing one case of bottled water (which was not needed) and making Xerox copies for me about my LO condition and what Medicare covers (all of which would be accessible via Google). But she sure did have an opinion on handling things and hints rapidly turned into suggestions and turned into requests and then to demands. OP needs to stay strong here.
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You are in a very difficult situation. I assume you have told your GM of your mother’s wishes?
Being a POA is not easy. Often the things we are called to do are not popular with extended family.
I think I would explain to GM that as your mother’s POA you are required to follow your mother’s instructions. That you understand how difficult it must be for her to know her daughter is dying but you must put your mom’s wishes ahead of your GM’s.
I would also watch for your mom’s reaction to GM’s presence. If possible let her reaction guide you. Is she glad to see her mom or is it stressful for her?
Do you need GM to help? Can she help in ways like running errands or doing laundry or making meals?
Realize that it is your mom’s situation that GM is really upset about. I am so sorry you are all going through this.
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SadlyYours Jul 2022
You mentioned things not being popular with extended family. In this case I feel like the extended family and black sheep.
Yes, I have told her, my aunt and oldest brother have also told her my mother's wishes. GM made all of the decisions regarding my uncles care and it seems she feels slighted that she does not get to do the same for her daughter.
All of the focus is on my GM and what she wants.
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So sorry to hear your story.

In your shoes, I would continue to honour my Mother's wishes.

I would seek grief counsellor/hospice nurse/pastoral care/faith leader - a professional in this area - have THIS person sit down & discuss things with Grandmother. Explain what Mother's wishes are. What is planned. Talk it through.

Maybe Grandmother will gain some new perspective.. or maybe not 😞. Either way, you will have removed yourself from conversations/disagreements about treatments & wishes. The difference of views is between your Mother & her Mother - I don't feel it is fair to you to be caught in that, or have to fix or smooth that. They are allowed to disagree. That Mother's plans do.not agree with Grandmother's wishes may cause her sadness, bit it could bring her pride - that her brave daughter has chosen her oath with knowledge & dignity.

Wishing you peace.
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SadlyYours Jul 2022
Thanks for the thoughtful advice. I am planning a family meeting because this is out of control. GM got real mean and nasty with me recently. My GM, her sisters and other family planned a prayer vigil at the hospital for my mom and did not invite me or my brothers.
I cannot imagine losing a child, or losing 2 in 5 years. I grieve for my GM and even had the doctor review the scans and talk to her about how my mother made the decision to name me as POA to protect her. GM is used to making all of the decisions. What GM doesn't understand is that I am actually the one in my mother's immediate family to make all the pertinent decisions. I am the one my mother and brothers always call on.
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