My very intelligent 70 year old spouse has had Parkinson’s and increasing dementia. He was first diagnosed at age 40 and he has aggressively done everything possible to treat and live and compensate for the disease. He had DBS and many medication adjustments. Overseen by his PCP, his neurologist, and his neuro urologist. The situation at home had been reaching the point where I could no longer manage the falls and fecal and urine incontinence and especially the impulse control disorder. I could not leave him alone because I never knew what he might do. After a hospitalization for Orthostatic Hypotension he was sent for in patient rehab. I decided to make it a permanent move since I had reached the point of not being able to manage him and his behaviors. He has been there now for 2 months and moved to a secure unit because he tried to go to another part of the building. He is walking better than ever and his posture is upright for the first time in years. The incontinence has disappeared and he is wearing regular underwear. But most significant is his mental clarity. He says every day I visit that he doesn’t belong there and wants to come home. This is painful to hear because he appears to be doing so much better than he did at home. I feel guilty that I don’t want to take him home. How do I cope with my guilt ridden daily visits and how to deal with his inquiries about not belonging there? I know that with his disease there are good days and bad days but his good days are now all the time! Medicaid has been applied for and I don’t want to interfere with that process either. Advice?