My mom is the primary caregiver for her aging parents (my grandparents). They are in their late 80s... her mom has advanced Alzheimer's/dementia. Her dad suffered from several strokes a few years ago, and has very poor vision/balance as a result. He is not qualified to care for himself, much less to care for his wife with Alzheimer's. Right now they live alone with their two dogs in their enormous house, about 3 miles from my mom/dad's house. Thankfully neither of them drives anymore, but that means they rely on my mom completely for everything/anything. My mom provides all their food, takes them out for errands/doctors appointments, and is basically at their beck and call 24/7. Both of them are in very poor health, and living in awful, unhygienic conditions in their home. My grandma never cleans herself, forgets to eat/drink, and frequently becomes combative. My grandfather is in complete denial of the entire situation... he absolutely refuses to leave the house. He is not cognitively fit to care for himself or for my grandmother. Their house is disgusting... there are mice everywhere, it is filthy, there's rotting food in the fridge... their dogs are not well cared for or trained. Both of them have suffered recent falls. We have no idea if they are taking their medication, and if they are, we have no idea if they are adhering to the dosage guidelines (very likely they are not). They also have a significant amount of money, and my grandfather is maintaining responsibility of their finances. We have no idea what he's doing with their money, and are quite certain that is not making good financial decisions. My grandfather insists that they are just fine, he is able to care for himself and his grandmother, and he absolutely refuses to let any home health agency in the house or even consider moving out to an assisted living community. As you can imagine, this entire situation is really wearing on my mom... I think she is depressed. She feels completely helpless, but wants to take care of her parents and do whatever they need. She doesn't feel like there's anything she can do to get them out of the house and into a safer environment. I hate watching this situation unfold. I feel like she is wallowing in "learned helplessness." I've tried talking to her about seeking help and support, but she never follows through. Most recently I did some research about obtaining guardianship of her parents, and sent her the pertinent information along with names/numbers of attorneys in the area who specialize in elderly care. Is there anything else I can be doing? Is obtaining guardianship the right next step for my mom? It is essential to my mom's mental health, and to the health/safety of my grandparents, that we get them out of that house and somewhere that they can be properly taken care of... this is a truly horrible situation and it breaks my heart everyday to think about their living situation, and my mom's pain/stress levels trying to care for them.