I have posted before and the help I received was fantastic. Now we are to a point where after having a stroke, mom needs more help. The AL folks are certain they can help her, with more care and of course more cost. I have no problem with that and welcome it. Staff turnover has been a problem a couple times, and one issue with a medication error. That person who made the mistake was dismissed immediately after the head nurse found the issue. Unfortunately, it may have contributed to the stroke. Anyway, things seem to have improved for the most part. Being an only child, it is difficult for me to take care of my mom's needs, my medical needs and that of my spouse. I have missed out on quite a bit of my grandchildren's activities too. My spouse and I were snowbirds. Now since we have stepped up the help mom gets in AL, we hope to be able to resume our snowbird activities at least to some extent, if our health will allow. She will not be getting better, dementia is way worse, and she needs help doing most everything and is incontent. Her facility is handling it. I feel guilty leaving town, trying to balance things and just wonder how long a person must suffer like she is. My children are local and willing to help if we leave. I feel guilty....it is hard for me to just leave. How do I stop beating myself up? I need a break too. But I feel selfish. Any advice is welcome.