She has always been in charge of multiple organizations, and put her volunteerism before family. She has memory issues, yet tells everyone she has a brain that works and will have temper tirades if caregivers don't do what she says. She can be very verbally abusive to get her way. She refuses to be taken to visit friends, go on walks, or do anything except shop and go to church. She has macular degeneration in one eye and limited vision in the other eye...her hands are very crippled so doing tasks is very difficult. She gets very antsy staying at home and wants to be taken out every day but limits it only to Target. It's a challenge to redirect her and anything suggested she refuses. She lives in her home with 24/7 in home care, and refuses to consider assisted living (my sister is an alcoholic and would fight any out of home placement). Her community offers a senior center for activities, but she refuses to go...I'm at a loss on what to do and how to help the caregivers manage a very aggressive and controlling stubborn senior. She could be so much happier if she were open and had a bit of a positive attitude. Any suggestions would be appreciated.