MIL had a brain injury and stroke 20 plus years ago resulting in partial paralysis on dominate side. Her spouse (her primary care giver ) died this past December leaving myself and husband to take that role. As we work 40 plus hours a week we need all the help we can get. She is getting more and more aggressive in addition to needing ever growing assistance with personal grooming. She has refused the introduction of home health care persons before (more of a territorial type thing).