This is a really tough situation and you have my sympathy. You should look into caregiver support programs such as CAPABLE. There are several such programs which aim to connect caregivers with community resources such as adult day care programs, and to teach them new skills to better cope with the behavioral changes that happen with dementia. Is she Medicaid-eligible? Sometimes there are state waiver programs that can leverage Medicaid (in addition to Medicare) to pay for these programs. I think Maryland has such a waiver but I’m not 100% sure. Let me know if you have questions.