Nancy,

 I am in awe with everything you do. It's a Mothers job to help out with our children but yikes. Just asking, does your daughter or SIL know anyone else who can chip in with help? I mean I know your grandson is your heart, as I know once I have Grandkids they would be mine, but my goodness. you have enough on your plate. I'm sorry SIL had hip issues.. not fun.

I can only offer my understanding of reading others on here , over the years, who struggle with having a spouse in nursing home or of the like, talk about being conflicted home or there. I can understand why. You love him. Some people don't understand that.. I mean, lets say he was home.. your stress levels would be above normal and his care would only bring, I know for me, would cause me to skirt the line of abuse. ( not physical but verbal)  Just keeping it real. I saw my parents care for my grandmother (mothers mom) after her stroke ( relationship wasn't good to being with. was Christian Scientist so no medical care before or after and my mom is a nurse..  . long story) No abuse or anything but guilt and exhaustion and frustration. 

I'm very sorry you have to ride this ride until your sil gets well again..  Your boss is a godsend.  You are loved be me and all here.  Please find time, guilt-free for you!!

Kelli got it right, guilt, exhaustion, frustration, and maybe mental breakdown. I used to look at Ray and wanted so much to take him home but then remembered that he was there because he NEEDED to be there. Drop the guilt if you can, concentrate on enjoying the moment. (((hugs)))

Durn, Nancy, that place should be paying YOU, since you seem to be working there.  ?    It would appear you are too stubborn (at trying to be everything to everyone) to just say no, so at the time I'm reading this, I'm praying the hip is about ready to take over the extra work you're doing because of that fall.

Love you, kiddo.