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First, we all know what you are going through, and while it is your life at the moment, things change, it is inevitable. Time has seemed to slow down, right? Time always flies until you are a caregiver, then you are not yourself anymore. You become a different entity, almost separate from the earth and life as you knew it.
Secondly, your Mother may have a UTI: urinary tract infection. Get a cup from your doctor and get a morning sample, take it in on your way to work. They-- the UTI-- make the elderly crazier than usual, and it subtly creeps, and your Moyher is transformed into Mr. Hyde. There is anti-biotic that can be taken daily called Nitrofurantoin, common name Macrodanton. Maybe her Dr will prescribe. Make sure she is being wiped front to back. If she cannot do it anymore, you and the nurse/caregiver need to do it. Get some overnight Depends and give her something to help her sleep, natural supplement or herbal tea, or sleep aid-- whatever your mindset is. Once you start getting sleep, you will be better. It will not seem quite as hellish. I said 'seem'.
I also recommend looking into and visiting care homes and memory care units. I went through the same feelings and attitudes about the quality of care, but as long as they are safe, clean, fed, interacting on some level, then YOU can better live your life. If you really want to, that is. One thing, you will never be the same, and in some regards it is good. Some mornings I wake up and I wonder what have I learned from this, and I know it has tempered me. I feel like I can handle anything. I do, and not much phases me anymore. I have a deeper, broader perspective, and a lighter approach to many things. My Mother has changed a lot from a year ago when she was exactly like your Mom, and I was doing what you are doing: not sleeping, thinking I was going to lose my mind, yet becoming more grounded every day.
Hugs and blessings, Bonnie. Take a moment to consider yourself in all of this. We are here for you.