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All great suggestions here, but in the meantime, if she wants ice cream, tell her you will drive her to the ice cream stand if she walks to the car, and up to the counter to order. Otherwise, no. I was fortunate to have two parents who didn't try to manipulate me. Frankly, I was pretty good at it myself:) But I used outings as a form of occupational therapy for them. Yes, it ate up a lot of my time, but it kept them active, social, and happy. In other words, use the "wants" to motivate her to move more. One thing that helped my dad a lot, was having a trapeze installed onto his hospital bed. It improved his upper body and core strength and allowed him to "help" those helping him. It definitely strengthened him to walk with more competence. You need to understand the difference between encouraging and enabling. Encouraging will strengthen a person, motivate them, and brighten their outlook while validating their experience. Enabling them will feed into their insecurities, and frankly just wear you out making you feel resentful. It is possible to be qualified for LTC where the patient may reside for a few months. If they improve enough, they can move back home. She may just need care from people she can't manipulate for a while in order to get stronger. Nursing homes are getting back to a safer state (Covid-wise) and they have to provide physical therapy and activities that promote exercise. She will learn to wheel herself around and nursing homes are built to accommodate the space needed to do so. If she gets a taste of sharing a room with a stranger and not being waited on hand and foot, she might find the motivation to improve rather than languishing. She will need to qualify clinically. If she doesn't, then I would seek ways for her to go to adult day care where they have activities and won't cater to her whims in order for her husband to have a break. Adult day care was heavily impacted by Covid, too, but conditions, vaccines, and treatments are improving now so that might be an option.
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helenb63 Apr 2021
'In other words, use the "wants" to motivate her to move more'. I agree in theory, but in my mother's case, if we leave her to do anything herself it just doesn't get done, so we end up doing it anyway if we think it's important - or just to stop her going on about it.

She recently refused to eat properly for a week so we felt obliged to ask the staff to bring her Sunday dinner up to her flat, to save her from the 'bother' of going down in the lift to collect it and bring it back on her pushing trolley.

'Enabling them will feed into their insecurities, and frankly just wear you out, making you feel resentful.'
Too true. I wasn't happy about this, as it means she is doing less and less and losing more and more muscle tone, but what were we supposed to do, let her starve?
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"She seems to want to live a miserable life. She doesn't have great impulse control .... She obsesses ... She'll try to get you to do everything for her... has no boundaries."

* It is certainly heart wrenching what happened to her - with the stroke.
* No, she doesn't have boundaries which is why everyone (you, family) need to set them.
* She is used to getting her own way, strategizing as it 'works' for her. The only way it won't work is if you/family stop the pattern of giving in to her.
* She sounds extremely angry and depressed, if not a narcissistic personality (?) When a person is depressed, it is very challenging/difficult to change / shift. You might need a professional - or medication - to help her shift out of this pattern. Depression is miserable and cyclical.
- Do acknowledge how she feels. And dig in deeper, asking about why she is angry and then ACKNOWLEDGE her feelings. This MAY open up emotional and psychological space in her, to realize she is being heard. Be compassionate while setting boundaries.
* You/family need to set boundaries and stick to them. And, it may be hard at first due to being new behavior. It isn't 'mean,' it is tough love.
* If MD says walking is good, then husband, you/family MUST not be co-dependents; she either walks or doesn't get what she wants. Perhaps small steps, compromise (if you walk xxx, I'll help you xxx the rest of the way).
* Sounds like she needs a social worker or therapist - someone 'official' who will tell her what she needs to do, as often those closest to a person 'don't count.' It is different hearing the same thing from a 'professional' or 'outsider.'
* DO NOT expect her to change. You need to change in order for her to want to (or begrudging) change. Gena.
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First of all have a complete medical checkup to see if medication will help. Second, sit her down with the family and tell her point blank her bad behavior MUST stop at once and it will be enforced. She either abides by the rules that should help her personal physical status or everyone will just completely ignore her and do nothing to help her. If she is so stubborn and difficult, you can't change this but you can refuse to enable her and steer clear of her. Don't bother with her. Just ignore her - unless she behaves. If nothing works, then seek help to place her. You cannot allow her toxicity to affect the family - no matter what the reason. Do whatever you must do - don't answer the phone, tell her off when she goes off, etc. Sometime should get through to her eventually. But seek help to put her somewhere soon.
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Don’t assume a facility is out of the question. Some facilities will accept a Medicaid waiver and social security payments. My brother got into a nice apartment at an assisted living facility She may need to whittle down (not completely) her assets but you’ll preserve your sanity. And she will get to the point where you really can’t take care of her. Of course she will have a world class fit, but to a degree she has chosen to completely be dependent on others. You don’t know exactly how much her decision making processes have been impaired or she’s simply digging her heels in. Consider your future as well as hers.
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Feeling sorry for yourself is a sure fire way of manipulation.
It is difficult but if that is the bed she chooses to live in then let her lay it in. Please try to support the husband. He could snap and then things get ugly really quick.
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Ive skimmed over most of the answers, and there is only one way to find out if she is manipulating the family deliberately or the stroke has knocked out the ethical and selfawareness systems.
She needs to be assessed by the geriatric team, for dementia and cognitive awareness. Then its a case of either letting her fend for herself or realising she needs more than family care
My sister despite knowing [she also lives for herself not others] booted my mother back to her own home after having her for 2wks at hers in a very temporary system, and got fed up with this elderly person wandering around after her all day long asking the same questions, and unable to initiate any programme for herself. Yes she had dementia brought on by age and the fact she had had mini strokes as well as needing rescusitation following medical misadventure..
I took over responsibility and yes we tried to delay, to stimulate, to encourage, but all totally useless. It was horrible sticking her into a dementia wing but when one can only walk one way and that is several miles away from a normal rest home and not turn around.. then it was time. I did not feel guilt I felt horribly sorry for her. She finally escaped the grips of a dominating husband, to step right up to the domination of dementia she was in her late 80s at that stage.
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Her husband is going to al-anon to deal with his experience in all this, did you say?

Al-anon?

Is your MIL a current or recovering alcoholic?
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Alright, you have a dilemma on your hands. You have a future husband who is having a problem with HIS mother (who may well be acting this way in part because of physiological damage to her brain, but quite possibly may have manipulated people--especially her family--for years). And your fiancé has a problem with HIS father (who no doubt has a difficult life, but no, having an affair is not a responsible, adult, or decent thing to do in this situation. You will not like it a few decades from now if your future husband decides to roll that way if life with you in your old age turns out to be disappointing to him).
The only person you have any control over in this situation is yourself. You might try visiting boundaries dot com (yes, there is such a website) because it will help you know how to deal with a thoroughly dysfunctional situation that you do not have the power to "fix." It doesn't mean you don't love all the parties involved, but it is not in your power to make everyone happy. The husband and his sons need to do the heavy lifting here. You can pray and be as gracious and loving as possible, but as future DIL, your role is unavoidably "compromised." Anything very proactive that you do here will be remembered with bitterness by people who are important to you.
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Lovetoread: I am very sorry to read of your dilemma. Perhaps recommend a physician or even a psych evaluation for your future MIL because her issues are beyond your scope. Is your future MIL a recovering alcoholic since her husband is going to Al-Anon? Good luck.
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You cant change her. This is going to be something you have to accept if you choose to get married. Your husband and you will have to be on the same page in regards to boundries or your marriage will suffer. The only one who can help her is God. Keep her in your prayers.
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An easy way to assess if this woman's behavior is associated with her health issues is to find out from other family members is she has always been a manipulative person.

People who are life-long manipulators often exaggerate their illnesses as a way to control other people.

If she has always been this way, there is not a lot that you can do to change her. It is likely and ingrained aspect of her personality.
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Based on your post it sounds like your future MIL's true personality has appeared; perhaps her behaviors might be classified as fitting within the narcissistic disordered personalities realm?
Unfortunately, the aforementioned means you're not going to find solutions to satiate her manipulatively narcissistic entitled disordered personality.
Sorry, based on your post it sounds like, everyone's screwed.
Which means that everyone needs to view MIL as an entitled petulant, child, and thus, STOP enabling MIL's deplorable behaviors, including the cessation of smuggling Benadryl and ice cream into your MIL's realm; the manner in which it's described makes the situation sound similar to bringing an alcoholic bottles of beer while that addict is inside a rehabilitation facility.
All in all, it might be best to STOP catering to her demands and to start talking about nursing home options.
MIL marriage sounds miserable, at least one person in that marriage has been entrapped inside a bad marriage since day one.
Yeeks, are you really going to legally contract yourself into that situation?
Minimally starting as soon as possible, research nursing homes, to at least appear as if she is getting placed into a facility.
I'm thinking you'll find some further insight by reading more about Narcissistic Personality Disorder.
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