Hands-on Care Needed For My Mother In Petersburg

About who needs care: She has had 2 heart attacks and has heart failure. She is extremely shy and socially withdrawn. She likes word search puzzles and occasionally watching tv. She doesn't like to go anywhere - just seems to want to hibernate in the house in her nightgown all the time. Very fearful of strangers. Has dementia and seems to be in the mid to possibly the beginning of late stage of the disease. She can walk, very very slowly, with her walker, and can go to the regular bathroom, but she is incontinent. She does have accidents, despite wearing incontinence underwear. She cannot cook or prepare food, and her tastes are very unpredictable. She will like a certain food one day, and hate the same food the next day. She is having much more difficulty with hygiene now. She can't seem to remember to wash her lady parts and change underwear when they get wet, and so she keeps getting uti's. she sleeps till 10 am, usually naps once or twice in the day, goes to bed around 8:30 or 9 pm. Has difficulty getting her medications, even with an automated pill dispenser. She cannot drive, and basically is entirely dependent on me to provide all her care and transportation. She now has a lady coming a few days a week to help, but it's not every day, and that lady, though wonderful, is in her 70's herself, and is somewhat limited in what she can physically do. If mom were to fall, she might not be able to help her up. Furthermore, as I live in the middle of nowhere on a very steep, narrow mountain road that is treacherous in winter or at night, it's not always safe for her to drive it. I work second shift from 3pm to 1130 weekdays, and it's a 40+ minute commute to work. It is becoming very difficult for me to care for mom in my home as her cognitive and physical abilities fade, she becomes increasingly helpless and confused, and I don't have the luxury of time to be able to stay home and tend to all her needs. I am a single woman, with no kids and no other relatives anywhere near here to help me deal with mom's increasing care needs. I've been doing it on my own for nearly 3 years, and i am getting overwhelmed and stressed out. I hired the 70+ year old lady to help make sure mom is safe and eats her supper and takes her pills while I'm at work, I will keep her in our employ as she is wonderful and Mom does actually like her. But there are usually some nights a week she can't be there. What really would help me the most would be to have someone come in the early afternoon or possibly evening if necessary, and help make sure mom bathes and does her exercises and maybe help get her to eat lunch or supper, and help with transportation to doctor appointments so I can be freed up to work at my job. I've had to miss a tremendous amount of work with FMLA, or burn up vacation and sick days to care for mom, and I am struggling financially, as well as getting exhausted, irritable and burned out from it all. I am way behind on household chores and i really need to declutter, scrub floors and walls and basically get caught up on housecleaning. But i'm so exhausted and overwhelmed i can't seem to get it done. Side note: I do have 3 dogs that have access to the house and fenced yard. They are friendly but I have to keep them away from mom with a gate in the living room door because they scratch her accidentally and trip her, and she's always dropping food or tissues and such, and they grab them and could get sick from eating things they shouldn't . plus, the puppy will pee in the living room if he gets in there. I think it may be because of the scent of mom's leaking from incontinence. He always wants to pee by her bed, where her smell is. So I keep the dogs locked out of that room. About the care needs: Mom is scared to death of men, so she would need a female. Mom is very old fashioned . She is a Christian, Someone who is good with older people and is good with encouraging reluctant patients to bathe, or