I live far from my Dad. Yes, I visit, but taking care of all his needs is not an option. I believe he expects me to drop what i'm doing and fly down there. Or he thinks he can manage along. In the past i've arranged for substitute caregivers's and he's refused to let them in. I am stymied. He cannot stay alone. Would he somehow have to be removed from the house against his wishes? How dreadful! Maybe I need a local agency with a professional who can manage the situation-either call him and gently but firmly tell him what's necessary, or go to the house to talk with him and reiterate his options, or arrange to have him taken out of the home if he refuses to cooperate. Im tempted to say, "Fine, this is his choice. He believes he can stay alone. I won't interfere. I won't demean him." But really, that's not an option. As far as explaining to him the need for a caregiver, I could use help with the words. Please offer me kind, firm words. My Dad is still a forceful, domineering, scary man. I get tongue-tied! Thank you.