She was left with double vision, a partially paralyzed right hand, and equilibrium/balance issues. I have helped her through the years, but it is a real challenge as she gets older. She is 57 years old. She is currently living in a government subsidized apartment. It is filthy, unsanitary, and there is so much stuff stacked on all surfaces that it resembles a hoarding situation. She knows I will help her when she lets me, but as she gets older, she is becoming increasingly difficult to deal with. She is very obese, and refuses to do anything to help herself. I have tried to get her into programs to help her get moving again, but she fights any attempt to do do anything for herself. Because of this she has an assortment of health issues. It is a vicious circle. I have asthma, and cannot go into her apartment without having an asthma attack, watery eyes, and other symptoms caused by the dog dander, urine smell, and filth. She won't listen to me, won't take any advice, and it is beginning to affect my mental health. I am depressed, and feel hopeless in dealing with this situation. I don't want to be instrumental in taking away her independence, but I don't feel like she can take care of herself sufficiently anymore. Yesterday she told me that she hasn't bathed since January 25th. I'm not physically able to move her. I want her to move in with me but my husband won't agree, and she can't navigate my home because of stairs, and the bedrooms are upstairs. If I push her to do something for herself, she becomes extremely verbally abusive. There is an element of manipulation on her part. She has learned what to do to get others to do everything for her. I've been dealing with this situation for over 30 years, but only now is it getting the best of me. I don't know where to start, to deal with these issues that have gotten worse as time passes. I love my sister, and want to do whats right by her. Any suggestions will be greatly appreciated.