Hello my name is D.. I'm an RN and I've worked in a Long Term Care setting for the last 15 1/2 years. Not all L.T.C. facilities are bad. It sounds that your mom might be ready to move somewhere where she knows there will be 24 hour care. There are all kinds of Assisted Living Facilities which also might be a good solution for her. They have emergency call systems so when she's feeling really anxious, all she would have to do is ring for the staff.
Has she ever said she doesn't want to be a burden on you girls? I'm wondering if she's feeling guilty that you girls are spending time away from your family's at night, which makes her more anxious? She knows you girls all love her and want the best for her. I am not that far from your mother's age and I wouldn't expect my daughter w/2 young one's to come take care of me at night. The guilt would drive me crazy. I also would not expect my son to leave his family at night, to spend the night with me. Think about it, would you expect your children to leave their families when you're older to come take care of you? I'm just asking you to think in your mother's shoes, not your daughter's heart.
You mentioned that when you laid down with her, she was having such a hard time breathing. Is there some reason why she doesn't try sleeping in a recliner-type chair? Most emphysema patients sleep better in an upright position. This eases their air-way. Also, they generally do better in a cooler room, with a fan circulating the air.
The anxiety that any person with Chronic Lung Disease has is extremely frightening for them, as well as for the family/loved ones. They feel that they're not getting enough air when they breathe, which makes it harder for them to breathe, and the circle just keeps widening. Has her doctor tried anything in a medication form to help her Anxiety at night? There are a couple of medications which could help her. I don't know if that's something you've tried already.
There are folks living all over the world in facilities who are happy. They know the staff cares about them, their families love them. They know that if something medical is going on, there are nurses to help them.
I just wanted to assure you that there are lots of nurses who love their job and residents. We're not all bad and I know you aren't thinking that.
I wish I could tell you that your mother's problem will get better, but I think you know that this disease doesn't go away... And I know you want to keep your mom around a long time. What good daughter doesn't? My Mom and I are best friends as are my daughter and I.
I wish you all the best and have said a prayer for you. God Bless. D.