I live 4 hours away. My sister is 45 minutes away and goes weekly to get her groceries and do other household chores. I go once a month now but my sister needs to be out of town for another family illness. My mother has fired any help we tried to get and is losing her memory and very difficult. She refuses to come to my house. She claims she needs no help but is losing weight and we suspect she doesn't eat well. She refuses meals on wheels. We clean and do errands and call daily. She can no longer balance her checkbook but won't accept help.