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You will never know how much your words helped me tonite. I keep thinking it's me, and my responsibilitiy to figure out how to cope with this.
Dementia is a progressive disease, and generally it progresses to a point where one person cannot give proper care in a home setting. It sounds like that time has come for your mother. If in-home help is not sufficient, then placing her where there is round-the-clock staff, all of whom are well-rested and take proper breaks, have training, and have backup help, may be your best option. And realize that none of this is your fault. Poor Mother has a progressive disease. It has progressed.
Early in my husband's dementia I had many, many sleepless nights with him. I knew that I simply could not keep him at home if that continued. Fortunately medications worked for him, and he has been home for nine years. But I fully understand that not being able to sleep through the night is a make-or-break factor in home care. Try home help. Accept that placement may be necessary. You cannot do this alone.
Hugs to you. You are a brave and loving person.