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Caring for a Mother with Hypertension and Memory Problems: Islamic Guidance on Prayer, Advice and Compassion

A Daughter's Concern About Her Mother's Prayer and Health

Question:
Assalamu alaikum wa rahmatullahi wa barakatuh. My mother has been tested with hypertension and has lived with it for a long time. It has now affected her memory and she frequently forgets things. When the time for prayer comes, we sometimes have to count the rak'ahs for her while she prays. Otherwise, she cannot complete the prayer correctly by herself.

Sometimes she says that she has prayed when she actually has not. If we continue reminding her that she has not prayed, she becomes upset and cries. I am afraid that continuing to correct her may make Allah hold me accountable for making my mother cry. What should I do? May Allah reward you.

Answer

Wa alaikum assalam wa rahmatullahi wa barakatuh.

May Allah grant your mother healing, mercy and ease, and may He reward you for caring for her.

This situation requires both religious understanding and compassion. It is important to encourage a Muslim to observe the prayer, but it is equally important to understand that serious illness can affect a person's memory, awareness and ability to perform religious duties normally.

The daughter should therefore not approach her mother with anger, harshness or repeated confrontation. Instead, she should help her gently, patiently and respectfully.

Advising Our Families About Religion Is Part of Our Responsibility

Allah says:

Arabic:
يَا أَيُّهَا الَّذِينَ آمَنُوا قُوا أَنفُسَكُمْ وَأَهْلِيكُمْ نَارًا وَقُودُهَا النَّاسُ وَالْحِجَارَةُ عَلَيْهَا مَلَائِكَةٌ غِلَاظٌ شِدَادٌ لَا يَعْصُونَ اللَّهَ مَا أَمَرَهُمْ وَيَفْعَلُونَ مَا يُؤْمَرُونَ

Transliteration:
Yā ayyuhalladhīna āmanū qū anfusakum wa ahlīkum nāran waqūduhan-nāsu wal-ḥijārah, ‘alayhā malā'ikatun ghilāẓun shidād, lā ya‘ṣūnallāha mā amarahum wa yaf‘alūna mā yu'marūn.

English translation:
“O believers! Protect yourselves and your families from a Fire whose fuel is people and stones, overseen by formidable and severe angels, who never disobey whatever Allah orders—always doing as commanded.”

Qur'an 66:6

The verse establishes the importance of caring about the religious well-being of one's family. Classical explanations of the verse include teaching one's family obedience to Allah and helping them avoid disobedience.

Therefore, helping a mother with her prayer is certainly an act of care and responsibility.

But how we advise someone matters greatly.

Advice Should Be Given With Gentleness

A sick person should not be treated as though they are deliberately refusing to obey Allah.

If your mother genuinely cannot remember whether she has prayed, or cannot remember how many rak'ahs she has performed, repeatedly telling her, “You haven't prayed! You haven't prayed!” may only increase her distress without solving the problem.

Instead, try gentle assistance.

For example, when prayer time arrives, calmly tell her:

“Mummy, it is time for prayer. Let us pray together.”

Help her prepare for the prayer and, where necessary and religiously appropriate, assist her during the prayer.

The objective should be to help her worship Allah, not to win an argument with her.

What If Her Illness Has Seriously Affected Her Mind?

This is a very important part of the question.

Islamic rulings concerning prayer depend, among other things, on a person's mental capacity and awareness. A person who has completely lost his or her capacity to understand and reason is not treated in the same way as a mentally competent person.

The Prophet ﷺ said:

Arabic:
رُفِعَ الْقَلَمُ عَنْ ثَلَاثَةٍ: عَنِ النَّائِمِ حَتَّى يَسْتَيْقِظَ، وَعَنِ الصَّبِيِّ حَتَّى يَحْتَلِمَ، وَعَنِ الْمَجْنُونِ حَتَّى يَعْقِلَ

Transliteration:
Rufi‘al-qalamu ‘an thalāthah: ‘anin-nā'imi ḥattā yastayqiẓ, wa ‘aniṣ-ṣabiyyi ḥattā yaḥtalim, wa ‘anil-majnūni ḥattā ya‘qil.

English translation:
“The pen has been lifted from three: from the sleeper until he awakens, from the child until he reaches puberty, and from the mentally incapacitated person until he regains his reason.”

Source: Sunan Abi Dawud 4403; graded authentic by al-Albani.

This principle is important, but it should not be used by family members to diagnose someone as mentally incapacitated.

Memory loss does not automatically mean that a person has lost all legal responsibility. A person may forget certain things while still retaining significant awareness and understanding.

Therefore, because the mother's condition is described as involving substantial memory problems, a qualified Islamic scholar who understands the relevant fiqh rulings should assess her particular situation, especially regarding what she is capable of remembering and performing.

Do Not Make Her Cry Over Something She Cannot Control

The daughter's fear of making her mother cry is understandable.

However, the solution is not necessarily to stop helping her with prayer. Rather, the solution is to change the manner of assistance.

There is a major difference between:

“You have not prayed! Why do you keep forgetting?”

and:

“Mummy, let us pray together.”

The first may create shame and distress. The second offers support.

A mother who is ill and experiencing cognitive difficulties needs dignity, patience and reassurance.

If she says she has already prayed when she has not, and it is clear that she genuinely cannot remember, arguing with her may accomplish very little. Where possible, quietly establish a supportive routine around the prayer times.

Her Medical Condition Also Requires Attention

The mention that her hypertension has been associated with worsening memory is medically important.

Long-standing high blood pressure can increase the risk of serious cardiovascular and cerebrovascular problems, including conditions that can affect cognitive function. Memory loss should therefore not simply be treated as an inevitable consequence of old age or ignored as a religious matter.

She should receive appropriate medical assessment, particularly because the memory problems appear to be affecting her everyday functioning and ability to pray independently.

If she has already been prescribed treatment for hypertension, the family should ensure that she takes it as directed and attends appropriate medical follow-up.

Be Careful With Herbal Remedies

The original response recommends dried banana leaves mixed with black seed as a treatment for hypertension.

That advice should not be presented as an established treatment for high blood pressure. There is insufficient evidence to tell a person with significant hypertension and cognitive symptoms to rely on such a remedy, particularly instead of medically prescribed treatment.

Likewise, families should be cautious about stopping prescribed medication or replacing it with an unproven herbal preparation.

Seeking medical treatment does not contradict tawakkul. Rather, Muslims are encouraged to seek beneficial means while relying upon Allah.

A Balanced Approach: Faith, Medicine and Compassion

The best response to this situation is therefore not to choose between religion and medicine.

The family can do all three:

First, support her worship.
Help her pray as much as she is genuinely capable of praying.

Second, protect her dignity.
Avoid shouting, humiliating her or repeatedly confronting her over things she may genuinely be unable to remember.

Third, obtain appropriate medical care.
Her hypertension and significant memory problems deserve proper medical evaluation.

Fourth, seek qualified religious guidance.
A knowledgeable scholar can determine how the rules of prayer apply to her particular level of cognitive capacity.

Fifth, make du'a for her.
Ask Allah to grant her healing, forgiveness, tranquillity and strength.

Remember the Principle of Ease in Islam

Allah does not burden a person beyond his or her capacity.

Arabic:
لَا يُكَلِّفُ اللَّهُ نَفْسًا إِلَّا وُسْعَهَا

Transliteration:
Lā yukallifullāhu nafsan illā wus‘ahā.

English translation:
“Allah does not require of any soul more than it can afford.”

Qur'an 2:286

This principle should guide the family in dealing with an elderly or seriously ill person.

The goal is not to demand from a sick mother what she is physically or mentally incapable of doing. The goal is to help her fulfil her obligations to the extent of her ability.

Final Advice to the Daughter

Do not abandon your mother.

Do not stop encouraging her to pray.

But do not turn prayer into a source of fear, shame or repeated confrontation either.

Help her gently. Pray with her when necessary. Remind her with kindness. Establish a simple routine around the prayer times. If she forgets something, respond with patience rather than anger.

And most importantly, have her medical condition properly assessed. Her memory difficulties may require more attention than the family currently realizes.

Your caring for your mother during her illness can itself be an act of enormous goodness.

May Allah grant your mother complete healing, preserve her faith, ease her condition, forgive her shortcomings, and reward you and everyone caring for her with abundant goodness.

May Allah place patience and mercy in your home and make this difficult period a means of drawing all of you closer to Him.

Āmīn.

Wallāhu a'lam — And Allah knows best.

Zauren Fatawoyi Bisa Al-Qur'ani da Sunnah

Zauren Fatawoyi Bisa Alkur'ani Da Sunnah.

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