My father has serious mobility issues and our home, though a bungalow, has stairs he cannot escape. My husband and I care for him as well as for his dog. We are in our mid-thirties, working intense career-paths that require a lot of hours and attention, and we cannot physically or emotionally continue to provide the care he requires. Dad's neurologist as well as his day-program rehab team and some community nurses have all expressed concern about his living arrangements with us and have strongly suggested he investigate other living options that would be safer as he deteriorates. I've started exploring this talk-track with him and he is aware that I am dealing with some burnout from our current situation. He is so sad. He has reached out to my mom (his ex-wife) to tell her how sad he is and how he feels terrible that we would not want him - he doesn't understand why if we haven't had any fights.... some if it is his inability to process due to frontal lobe damage.... but it's breaking my heart and I feel horrible and awfully guilty. BUT... I'd like to have a baby before it's too late and have put starting our family on hold to provide care and support to both of my parents for the last 5 years. I'm rambling, but my question is... how do you manage these feelings of guilt and such deep sadness when taking a hard line on decisions that will protect both you and your loved one in the end?