We have brought our mother home from a facility because we couldn't bare not being able to see her at this time in her life. She requires 24 hour care, part of which is ensuring she doesn't do something dangerous to herself or us. We are two siblings and one of us has to constantly be here (or another caregiver). We have learned that to not have a safety plan is considered Neglect and Abuse of the elderly by Adult Protective Services (APS). Mom has macular degeneration and has extremely low vision. I've heard people do things in the kitchen like taking the knobs off the stove, however I'm stumped on the microwave and anything else that can make the kitchen safer for just making a sandwich (which she can still do). She has started to lose her sense of place, even though she had lived here for 15 years. We are afraid that it won't be long before she starts wandering and perhaps leave the house and get lost (although she tried to go out in the front last week and couldn't figure out how to use a simple door lock). Should we put additional locks on all the doors that actually locks her in? It sounds like a fire hazard problem, however she admits the only thing she would know to do with a fire is call 911 (which is a dream because she can't figure out how to work a phone). We also have 4 indoor cats that can absolutely never go outside. She showers and has a good shower chair and slip mat and a throw rug on the floor. Is there anything else to be done in the bathroom? She doesn't typically use a blow dryer, but there are some in the house she might find when nobody was looking. We have complete hardwood floors with no rugs to catch a toe or her roller. She has many medications that we keep in my sister's room (for convenience sake), however Mom has been known in the past to take every single pill in a 7 day pill minder. The pill box mystifies her and when we help with that day's med time she asks what she is supposed to do with the pills and we have to say "swallow them." We both have our own prescription bottles and wonder if these should be locked away from her in case of a period of increased confusion, or even trying to end it all. What about the OTC meds? I'm sure you can see we are a baffled with caring for a LO already in Stage 6. We are also going to line up a medical team to come to the house for PT for a presently unknown period. We have been advised to start with a psychology counselor for her depression, and they will actually come to the house. We have learned it's possible to hire a companion type person for around $18-$20 an hour, but they require a minimum of 20 hours per week and we don't think Mom can tolerate someone "under foot" for so long. Mom is very outspoken and can be extremely ugly to people -- especially anything to do with even a whiff of anything medical. I bring this up because we will be having these medical workers come in who have been around other patients and we have to account for protecting her from COVID. What, if anything, can we do (aside from her wearing a mask and liberal hand disinfectant always available in every room)? If we do end up doing some sort of house modifications, we don't know what it would be yet or whether or not Medicare will help pay for it. Does anybody have any ideas about what I've asked....and even some suggestions for things I didn't mention because I haven't even recognized yet that something might be dangerous? We kindly appreciate any suggestions!