My brother lives with and cares for my mother who is 71, disabled, and has multiple health problems. He is overwhelmed and is afraid of his future due to the fact he is unemployed and can't leave Mom by herself. She refuses to have anyone come to the house to help out. I live about 6 hours away and drive there every couple of months to give him a break, but it isn't enough. (I have two young children and a full time job, so I'm limited to the amount of time I can visit). We both want her to be able to stay at home and have someone come to help with light household chores and be there so that he could at least find a part time job. It would be healthy for them both, but she won't discuss getting outside help. She spent most of last year in a local nursing home and it was a bad experience. She had adequate care, but the conditions were less than clean and very depressing. I would appreciate any suggestions on how to talk to her about this, and if anyone knows of a way for my brother to get financial help.