My mother is adament about staying in her own home to the end. She has chronic COPD using oxygen constantly at the 2 liter level. She has been recently been diagnosed with a heart irregularity due to her disease. She does not drive and walking any distant leaves her out of breath. Her immobility is causing edema in her lower legs for which she takes lasix. She is pretty much homebound and only goes out for doctors appointments. She has six hours a week of in home help with bathing and light housekeeping. She is lonely and depressed. My sister and I do what we can, but we both live an hours distance and work which leaves us little time to help in her increasing needs. As her DPOA, I try to honor her wishes, but I am not so sure her living independently is realistic. She is not incompetent so I cannot force her into assisted living or move closer to my sister or I. I finally convinced her to look into alternate transportation for her medical appointments. My mother will not increase the hours of in home care. She doesn't want to spend the money, even though the cost is subsidized based on her income. Any advice or someone in the same situation that give me some insight about managing living independent in my mother's situation?