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I think I would be more inclined to go with an agency. We had one that came to assist my cousin when she fractured her foot. This was before she got dementia and it worked out okay. I would be concerned with someone tending to a love one in the home though. I would need to thoroughly vet them and then build on that trust.
With helpers you pay yourself -- yes -- ouch -- it costs. But you have much more control over when they come, how long they stay, and what they do while they are here, and how they do it. In my Humble Opinion, that is money WELL spent.