Thanks for your insight here. My husband of forty years is in skilled nursing after serious stokes last April and again in June. It is day to day. He started doing better - which was a miracle - but refused to eat, so all the PT to get him swallowing went away and he is on a feeding tube. He is paralyzed, but can talk - although it is harder and harder to understand him. Is on anti-psychotics for paranoia. He is 6'5" and it takes two people to care for him. This has all been so hard and there isn't much I can do. The absolute worst is that he believes he can walk, drive, eat etc.. and wants me to give him the car keys when I tell him I need to go. He wants to come home. And that's where I want him. I can't afford to bring him home and there is no prognosis. I don't want him to begin to be angry w me all the time. If anyone has advice for what to talk to him about and how to handle the going home issue, I would appreciate it. This site has been very helpful and people give warm advice that soothes my heart.