My MIL is almost 97 and was "stable" despite congestive heart failure until a recent hospitalization for a UTI. Once she was home and finished with the antibiotics, she was rushed back to the hospital to the ICU with very low potassium and a c. diff. infection. She almost went septic, but somehow pulled through and has started 90 days of a Medicare covered nursing home stay. My husband is finishing the process of applying for Medicaid, because years of 24/7 home health care have depleted all of her money and the reverse mortgage funds are also almost gone. There is no more money for her to go back home to receive care there. She is mentally alert but, in addition to CHF she is almost blind from MD, profoundly deaf (doesn't want to wear her hearing aids), and cannot walk due to knee and hip joint deterioration. Despite knowing her physical limitations and financial trouble she thinks that she'll only be in the NH for one week and then will go home to "care for myself if there is no money for an aide." If we try to talk to her about the reality of her circumstances she gets very upset, which is understandable, and says she wants to die. That is something she's been saying a lot lately, anyway. Does anyone have a suggestion about how to break the news to her that she'll need to remain in the nursing home permanently without sending her into a deep depression?