I have arranged for in-home 24/7 caregiver service but this is expensive. Once the money runs out, then she will apply for Medicaid. How do I talk to Mom about next steps which will ultimately be a Nursing/Rehab facility? I don't want to put her there but I live out of state and cannot take care of her. There is a good facility in her area that I have already toured - just hate the thought of putting her in a home. She may like the social side of it but I still feel like I am dropping her off and this upsets me. She always said that she did not want to go to a NH. Based on recent events and in-patient care in a Behavioral Clinic - I felt like if she was home in her own surroundings that she might get better - and it appears she has for the short term. But long term care in a facility, I feel, is my next option. How do I talk to her about this? Thank you for your advice.