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I can only imagine how hard this is for you. On the subject of the home health aides, or as they are called by our VNA/Medicare provider, Licensed Nurse Assistants. IF your mother qualifies (it certainly sounds as if she does) as homebound, meaning she can't get anywhere on her own and needs assistance with activities of daily living like transferring, toileting, preparing meals, etc., etc., then she is entitled to have an aide or whatever they call it where you live provided by the medicare-approved provider in your area come twice a day for two hours each, or by a different interpretation, up to 4 hours daily. They cannot just sit with your mother....they have to provide personal care such as bathing her, feeding her, but surely you can be clever enough to schedule that...so just put in your request, hold your ground, even call your regional Medicare office and confirm what I've told you, and then tell the agency that they have to do this...your mother is entitled to it! You need a break and they know that....it's in no one's best interest to have your mother fall, need to be hospitalized, have to go to a nursing home....all of the alternative are MORE costly. Good luck ***** Janice Clements 649 Everest Rd. Milton, VT 05468 (802) 893-1263