My brothers and I live in the Northeast quadrant of the country, the parents are in Florida. Many issues, too many to discuss here. The folks cannot care for themselves any longer, yet refuse to: 1) move back up North. 2)move into Assisted Living. 3) have in- home care. We have been trying to work with them for over 5 yrs. They have a cat, who gets sub-optimal care. He suffers for their stubbornness. The litterbox doesn't get changed, his food goes bad in the fridge, just like their food does. They are VERY attached to him.