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I need someone who can come in and stay with my wife when I need to be away for a few hours.

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There are agencies, like Visiting Angels, you can call and discuss your needs and get a cost estimate. You can hire a private person which may seem less expensive, but makes you an employer and you would need to do your own back-ground checks. You can look into Memory Care Adult Day Care, or if you are a member of a faith-based community you can see if there's a care ministry. You can also contact your local area's Council on Aging as they are the epicenter of multiple resources and information.
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I've been told but haven't verified it that our county provides respite care with hired individuals, apparently selected and paid for by the county.

The county also has a fairly extensive list of companies that focus on elders and provide varying types and levels of service.  

If you hire a commercial private care company, you'll probably find that they require stints to be at least 3 or 4 hours, which would cost you more even if you don't need help for that long of a period of time. 

Care would also depend on the mental and medical status of your wife, and what her needs might be.
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