First, I would suggest thinking of ways you can make your home more user-friendly. Is there any way you can ramp those three steps? Or have fewer, less steep steps? (Say THAT three times fast) Some kind of device to help you transfer in and out of the van more easily?

Is there someone who could come and help you do the more "perilous" things on your list, or do them for you? Very few doctors make house calls, but visiting nurses do.

My grandmother would wait for me to come for my summer visit (two or three weeks) and send me up to the attic and down to the basement for stuff. I'd beat rugs and lay curtains out on the lawn to dry, things that weren't safe for her to do. Know any young people that could help?

I have a friend who has a knack for looking at every problem and saying "Hmmmmm" until she figures out a way either to do it, or to get around it. I'll bet you've got a little "hmmm" in you as well.

Praying for you.