Is that dr a Neurologist? A PCP is great for the basics but Dementia needs further investigation to ensure that nothing that could be fixable is missed. Dementia is not “just old age”. A Home Health Aide is not a Nurse. Usually, if insurance pays, the dr has to justify the needs on a regular basis but that is the easy part. Finding an Aide that will work with your mom’s dysfunction, respectfully, can be time consuming. But worthwhile. In the meantime, as my daughters tell me: “Breathe”🌸