OT says she's strong enough to pull up pants. shirt also open. She lives with us and personal habits are in decline. At doctor's office says mental state is ok. At home, food on floor, eats with hands, constant dirty hands and clothes, has excuse for all behaviors that are not safe. Should I just let her be herself or continue to redirect and cue.. When PT, OT and home health nurse are around she is perfect. Around us she does her own thing (everything the therapist have shown her how to be safe) and walks without her walker, falls, spills, messes etc,. I can't watch with eyes on her 24/7 and if I hire help how long or when do I get help? She goes to a Sr.center 2 days a week and looks good and most time they say she's cooperative. She refuses to go additional days which would be safer for her.