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She is living at her home. No one can help.

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Sometimes it takes a crises of some sort or another to change the situation.

My sister had & still has reduced hygiene habbits. Not sure of the exact culprit: remembering, motivation to start, concentration to complete - maybe a mixture. It took a hospital admission to get a medical dx, then acceptance, before help was accepted. She was not independent for this from way back. It progressed from needed prompting, then light assistance, now a lot of physical assistance. But now happily accepts help.

If dementia is present, people start to need assistance - not just to wash but in so many areas of daily living also.

It's a very hard situation.

Others can see help is needed. But often a person with dementia/stroke/brain injury/mental illness cannot.

Nobday wants their rights taken away. Nobody wants to be forced to have their cognition tested, to be forced to move. Yet if the person is a danger to others, a danger to themselves - for safery, limits to their freedom & restrictions have to be made.

Unless your sister can be coaxed into accepting help, you probably have to wait.

I am very sorry you are going through this.

Has the relative she lives with reached out for help?
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You can report the situation to Adult Protective Services in her area and relate your concerns. I’m sorry you’re dealing with this and hoping the relative there isn’t part of the issue
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Recommending a book. Memoir is by Liz Scheier and isnamed Never Simple.
Ms Scheier's Mom was personality disordered. This all took place in NYS, and no, nothing could be done. After many many many years, unimaginable turmoil, loss of everything, and intervention of all state and city authorities and Social Workers her Mom died in shelter in old age.
In short. Not everything can be fixed.
Read the book. I think you might see yourself.
If you have notified APS of adult at risk it is basically all you can do, and I am dreadfully sorry for what you are going through. The state often will not take guardianship forcibly if an adult is in ANY way competent. I wish you every luck and my heart goes out to you.
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