A fellow user brought up this point in another thread, and I thought it was worthy of a thread of its own. (Thanks FadingShadows!)
What is your "line in the sand" when it comes to nursing home placement for your loved one? At what point will you decide that you can no longer care for them...or will you do everything and anything to keep them at home - up to and including hiring in-home health care for 24/7 shifts?
Most of us cannot afford to provide that sort of care - it's simply not possible.
For me, I think that time will come when Mom becomes completely unable to walk and requires lifting - or has a medical issue that can't be cared for in the home (stroke, etc). Mom is a very heavy woman, and I am only one person - I would have to have a Hoyer lift in the house to move her at that point, and as I am not a medical professional, I don't feel comfortable using one of those. Serious injury to the caregiver and caree can occur.
I would be all for rehab and physical therapy if she would do it, but that has been suggested in the past - as recently as last year - and she refuses to do it. I keep her moving as much as possible - 1 trip walking up and down the wheelchair ramp to the house is about as much as she can take at a time - but it's a losing battle. She sits and lays in bed more than she walks, so the 5 minutes of activity she gets from walking the ramp is almost meaningless. So it's just a matter of time before she has a serious fall or becomes unable to walk at all.
So that's mine - when Mom becomes completely incapacitated to the point where she can't move on her own or has a serious medical issue that I can't provide proper care for, we will have to look at assisted living or an NH, because I can't move her on my own.