If your mom is turning away offers for assistance because she wants to keep her independence and stay in the home she's accustom to living in, then she needs to consider services that can help her with these needs. Does she have insurance? Beyondtherainbow gave some excellent advice on home health services that can come in and teach your mom how to handle these difficulties. I believe that is a good, first choice to explore. If you put yourself in the middle of that situation now, it will become increasingly harder to go a different direction later for your mom. This is best handled by professional care if possible. And if she reaches a point where that increasingly becomes more difficult , then you might need to explore assisted living services or communities. My mom ended up having to go into one of those communities because her needs were just too many for a family member to manage on a daily basis. Your mom may not be candidate for that yet, but some forward thinking on this might be helpful.