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WE all understand! Bless you for trying to take care of her! At some point, for your own sanity and preservation of your family and home you may need to find a living/memory care facility to get help with her. We are new at this recently, never intended to things go down this way with my Dad but he had a health crisis and is now wheelchair bound. There are several of us helping out, visiting, making sure he get some outside treats but we now know he’s being cared for better than we could do. He has dementia and his wife has it worse and is still denying she needs to move out of their home. She is also a hoarder from way back. Hopefully her family will finally get her the help she needs!
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My spouse and I would visit 1 x/yr - Christmas. I reminded them I only had to travel 2,000 miles to clean out the property.
I reminded them of younger families who appreciate stuff - including the holiday decorations I observed stored on the 2 upper shelves in the laundry room. This observation was over a 3 year period. Never touched/used w/in that time frame.
I looked at these beautifully packed boxes yearning to pass them along to a young family. And, there I rested my case.

My spouse, brother and I packed up the stuff and visited some other rooms in the house. My brother visited the garage and found stuff Dad stopped using several years earlier. We had been observing those items over time as well. When my brother was able to visit between holidays, he'd pack a few more boxes. When he visited, he always asked visiting friends/neighbors if they knew someone who would use the items. Dad knew some young men interested in the tools - so he gifted many of them. We reminded him tools are desperately needed by others.

We had to ease them into this new family tradition. We were only able to do it because 1) We took preventive strategies while they could still decide/control for themselves 2) reminded them it was hard to clear property and locate recipients from 2,000 miles away 3) Reminded Mom she repeatedly told me she did not want to be a burden to any of her kids.

When items were offered up and someone accepted, I would send a Christmas/Thank you card that year. These neighbors always promised they would help. They offered up, we instantly agreed. They could take certain items that our parents were saving for we kids (3 of us). As before, all were in their right minds. Siblings and I gave them out contact information so when the moment unfolded, they could "barter" with our parents offers. Gifting or purchasing were OK. (It all was gifted).

I've since encountered others who insisted they would not get rid of anything. Well, I showed a couple families how to get rid of some items. If it's on the top shelf & not touched in several years - take the items out of the box, return the box to the same shelf position and quietly close shelves/doors. Put the stuff in your car and take it away. Same for closet and kitchen.
If it's stuff in a desk, bring a bunch of strong large rubber bands. Do a quick visual inspection, band together, and return to the same area of the desk. Usually the older the stuff is at the bottom of the mess, so the newest loose stuff can just be set back upon the banned items. Don't say you're banding the papers together unless they can appreciate some organization. If the banned items are later needed or wanted, they are still within reach. When it's really time to clean up, you'll know what stacks to keep/toss.

A neighbor recently gave me 2 giant bottles of unopened, expired, olive oil. I didn't initially want it but realized olive oil would be an excellent treatment for a lot of the outdoor stands/tables in need of an annual oil treatment! (Olive oil is wood oil so works great on the outdoor furniture).

It helps to harness any cooperation as soon as possible. I've helped a couple neighbor's families begin what one claims the "Swedish housekeeping".

I've actually known/witnessed the homes and habits of 2 older ladies who hoarded to the point of hazardous conditions. Intervention is so needed at an early stage, but we often don't realize until it's so out of control and a big fight for all. Their families had a tuff time dealing with it, but I gave them a little respite with setting up their own systems to move things up and out.
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