I, too, seem to have a lot less motivation lately. I have had RSD for a long time, but recently also added RA that has progressed rapidly. The extra pain has now made it very hard to get any ambition.

I was always a go-getter type of guy. A real "type A" kind of person. Even with pain, I would work through it, especially to do things that really have to be done. But lately, I have to really push myself to get even the simplest things accomplished. At work, I have to push extra hard, because that stuff won't wait.

I wouldn't blame the nursing home as such, but rather the thought doing anything to make the hurt greater. Perhaps?

That is also a common symptom of depression. I'm glad you recognize it. If it get's too bad, make sure you talk to an MD or PhD about. It could progress to the point where you have no ambition to even eat - and that can lead to trouble.

Love and hugs,

Mike