My 93 year old father has Alzheimer's dementia- stage 6ish. He is wheelchair bound, and incontinent. Luckily, he is compliant and pleasant. We have tried to hard to keep him at home with 24/7 caregivers employed with agencies. My sister and I manage the specifics of his care. We do not live locally but visit 2-3 times a week, His daily care is dependent on live-ins. Although we've had live-in care for 4+ years, this past year has been awful since he has become wheelchair bound. His caregivers come and go, sometimes without explanation or warning. We have had 10 caregivers over the past 9 months. I am so discouraged at this point and am always waiting for the next problem phone call. I have visited nursing homes for long term care and I think keeping him at home in his familiar environment is best for him. However, this is taking a toll on me. I am struggling with feelings of guilt and anxiety and don't know how to proceed. I feel responsible for Dad's well being because the live-ins are not medical people. Do I keep living with the uncertainty of his care and just gut it out? Or do I proceed with nursing home placement? When does one know the answer to these questions?