Hi Zardoz:
You're obviously concerned, and that's commendable. It's difficult to pinpoint the one problem that if addressed, could have a positive impact on the others. If her arthritis is the common element that is leading to alcohol abuse (to relieve pain) and inactivity, then dealing with the arthritis pain might be a place to start. Her blood pressure and heart rate can be controlled with medication.
There is also the possibility that she simply doesn't want help. Because her active participation is necessary, you might also try encouraging her to seek psychological counselling. Sorry I can't be more help.
Best of luck.
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