This was my grandmother. Her philosophy was "I'm old, I've lived a long time, I can say whatever the hell I want!" Try dealing with that logic.As a PP said, being with older people in public is like being with young child in public. You never know what they're going to say, but you do know it will be at the worst time possible.
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My MIL is the same way. She says she has to say this stuff because if she holds it in she'll raise her blood pressure and have a heart attack.
I have crohn's disease, which is focused in my intestines. One day she was being very hateful, and used her line about the heart attack. I replied, "Well, I guess that means I have to tell you what I think then. If I hold it in my intestines will explode and the crap (I used the other word!) will really fly." That shut her up for a while.
My MIL has always had a sharp tongue though. My MIL, who married her daughter 49 years ago, says she has been like that as long as he has known her. I'm lucky, I guess, in that I'm so much younger than the rest of them, so I haven't had to put up with it as long.