Care Giving Conundrum

Been away for a while. Doing my best to keep up. Last week things changed from somewhere in Moderate to Advanced. Still waiting for the new instructions. [:o). Things are changing. Still greeted most morning with "how do I get out of here!". Needs to go home are still based on some kind of family emergency and difficult to distract or redirect. So we go for a ride, of and on through the day and evening and sometimes on in to the early morning. I swear the car make a noise that sounds like "NOT AGAIN" when I try to start it up. even recent snow events have not slowed things up. "It's ok I'll walk, always did and I only live across the street." is the usual reply.

Back to caregiving. We have had Visiting Angels for quite a while (A very good experience ). But are limiting it to 2 hours Mon Tue Wed, By LO's desire to go "home" or somewhere. At times they walk in the door and we are on the way out. They have been patient and creative in Distracting and Redirecting (learned a few tricks) to no avail so we have not expanded the hours. most days we barely get through 1.5 hours before we need to leave to handle a crisis (LO is retired nurse so most involve staffing, critical patient, or family member and she is the only one that can attend to them. (And now hallucinations are ever present, I can't tell you how many nights I have had to tend to critical patients, not bad for an accountant.)

Conundrum: As things progress, I need to expand the hours/days. etc. But I cannot seem to get around this "I'm leaving" issue. Any Ideas? We just had an appointment with Neurologist to discuss change in medication. No recommendations at this point.

Other question: when the time comes we will have to expand to a full shift. Visiting Angels operates on 6 hour shifts. We are not sure at this time how many we could afford. Any suggestions on what time of day would be the best. Thank you