I think finances would be the biggest factor for a lot of people. However, I can see non-migraineur family members being sensitive to a stranger in the home. Honestly, if I thought I needed that much help, I'd probably already be using so many health care services that I would qualify for in-home care. Anyone who has been awarded Social Security disability benefits can apply for a HCBS Medicaid Waiver for home health services. These services include meal preparation, basic housekeeping (laundry, dishes, etc.), transportation to appointments (helpful if you can no longer drive). These services are not usually paid for by traditional insurance companies, so the Medicaid Waiver opens up Medicaid funds to the very ill who would not qualify for Medicaid based on income. It's a safety net for the most disabled. To apply, you would need to contact your community social services office. Funds are limited so there is often a long waiting list. Even so, I wouldn't delay.
Tammy