My 81 year old mother who lives independently and has COPD agrees she needs help with housework, but has not taken the initiative to do so. She does not want strangers in her home, yet she has talked about a neighbor who would be willing to help for a reasonable fee. She is financially stable and can well afford the cost. I cannot force her, she is competent to make her own decisions. Why is she procrastinating when she knows she needs the help?