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Tinkster, I feel for you. I am in a similar situation. You hit a few key words defiant, self-destructive, unsafe behavior, sabotaging behavior. Mine walks around with Oxygen around her neck, smoking. I'm waiting for combustion and fire-rescue. It's a sad situation. I'm battling breast cancer and you got COPD. We want what's best for them, but they just don't seem to get it. Good luck! Check out my post if you get a chance.
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So glad I found this site because you have just described my mother to a "t". No matter what I do, it's not enough. But, she will say that I don't have to fix lunch and then complain later because she didn't get lunch. Everything is always wrong: the bread is stale, is that ham still good, my coffee is too strong....I have to think every detail through so she won't complain and there is always something. The woman doesn't know how to say please or thank you. I am at my wit's end. She is very passive-aggressive. She favors my brother and it is no secret. The other brother, who is very good to her, gets no credit for all he does. I don't know how I am going to be able to do this for the long term. My home has an apartment for her and she fixes her own breakfast. I only see her a couple of times a day but every contact is stressful. I set up her medications and order, as needed, fix supper, and wash her clothes. I take her to doctors' appointments. My brothers come once a week for an hour and it is a nice, social visit. She has lost all her friends and only enjoys a couple of outside activities but not her grandchildren. She watches TV all day and is not interested in books or hobbies. Poor mobility, chronic pain, and poor vision. She has no money for senior living or a nursing home.
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Does your mother not get Social Security? Have you looked into Medicaid?

You sound hopeless and helpless. Are you taking care of your own health?
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