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Whatever the scenario, the pain of worry about your parent is the same. Its horrible to have this kind of situation. If there was ever a time for an Elder Care Manager who has nursing skills- this is it. Sending in someone with experience to monitor and evaluate the situation is very helpful. If she won't allow for that you can always call Adult Protective Services. They will keep your call anonymous and make a home visit. At least this opens a case file on her and gives you the opportunity to do something helpful and care taking from a distance.
Hi Geewiz- Mom hasn't done a thing to improve the house for at least 30 years. She says she is embarrassed to have people over because everything needs updating. The house is very clean and neat, however. I have offered to either paint the interior myself or have it done for at least 15 years. She yeses you to death and then does nothing. (she has always been like this.) If you push the issue, she becomes violent. I have the scar on my leg to prove that. :-) As soon as you leave she will then start to complain about how crappy the house looks, other children would paint the house for their Mother, her late husband never did anything around the house, etc. She is a control freak and won't let anyone do anything. She then will complain that nothing gets done. You can't have it both ways.
I am very sorry, Jerryj1, that you have an abusive, mentally ill parent. It isn't fair. It is Not Your Fault. But it is what it is, and accepting it and working around it as best you can is better than acting as if Mother were normal and hoping she will behave that way, in my opinion.
Hugs to you ... and I hope you have built your own loving family.