The 85 year old female ALZ person lives with her 90 year old husband of 65 years. They still live in their own home. She was diagnosed 3 years ago with early stage ALZ and has progressed to mid-stage. She is not eating well, gets no exercise, does very little if any bathing and does not believe there is anything wrong with her. She thinks everyone is out to get her. She asks the same questions over and over. She still knows her family members but not sure she knows everyone by name. It has been recommended by several doctors, social worker and their pastor that they receive home care or move to an assisted living home. Again she does not think there is anything wrong with her and she can take care of herself, the household and her husband. Both of them have vision issues. She has cataracts and refuses to have it corrected because again she sees just fine. She could potentially have another vision problem but she refused the test. She was a self medicator up until 3 weeks ago. She threw a fit about her pill bottles being taken away from her which was the second time. There have been several family meetings - some with siblings without parents, some with just the father and some that the father still thinks he can reason with his wife which ends up with her screaming and yelling at everyone. Her drivers license was taken away almost 2 years ago. That was a big fight also!! The family has shown several different facilities to the father but he refuses to make a decision. He wants to keep his wife in the home. Home care options have been discussed many times and attempted once with her screaming and yelling at the caregiver and was told to get the "H" out. She has told family members to get out many times - that they can take care of themselves. So, what do we do? How do we get a demented person out of their house when there is a questionably competent spouse there also??