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One of them has to go. Even if you bring in round-the-clock homecare help, one of them has to go.
Put the mother with late stage dementia in a nursing home. Now.
It does not make you a failure as a caregiver and is no reflection on your skills to be one.
Having been an advanced practice nurse yourself, you don't need anyone to tell you that in situations like you're in, the caregiver often dies before the care recipient. If that happens (God forbid) what happens to them?
Your husband is more important than your MIL. Put her in a nursing home.
Do you have children who can help, or any paid assistance? You really need to be able to get out and interact with people who have functioning minds. If that's not possible, consider taking an online course to keep your own mind stimulated. Many libraries carry "The Great Courses" which have classes on everything from how to play the piano, to cooking, to physics and astronomy courses that'll make your head hurt. I really enjoy them myself, and you can do them at your own pace.
The poster is an advanced practice RN. She knows exactly what she's dealing with in her situation and what help may be available to her.
She doesn't need a few hours a week off to go to church or lunch with friends. She needs someone else to take the burden of being her MIL's caregiver. The husband comes first not the MIL.
If no family members are available to move the MIL into their homes, then she should find nursing home placement for her.