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My husband who is 70 years old and has Parkinson's and Dementia is becoming more confused and harder to lift in and out of bed and chairs.He does walk around on his own but I am not able to leave him alone due to falling at times and unable to get out of chairs on own. I have so much guilt when I think about it but he is a 24/7 care. I do get to get away for a few hours one day aweek . You know sometimes that isn't enough.

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If you aren't sure that you are ready to take such a step, perhaps a time of respite would be helpful. Your husband could be well cared for in a facility that accepts respite patients and you could get a longer break and spend some time working out what is your best course of action. There are medical and financial decisions to be made. You might consider meeting with his care team as well as a well qualified elder attorney to guide you through the next phase of you and your husbands financial future.
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As an individual with dementia, I value some of these outcomes more than others, depending on my personal preferences. Also, my priorities are different than others who have dementia and this is honored by my care providers.
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The right time? When you start questioning whether you want to provide the care any longer, if you are not physically or mentally able to provide the care, when you ask the question "When do you know the right time to place someone in a nursing home?"

There is nothing wrong with coming to the realization and acknowledging that you cannot provide the care or are unwilling to do so. You have done what you can and is much more than many others are able to. You deserve to live your life.
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Depending on your budget, an Assisted Living/Memory Care facility might work out well, and be less expensive then a skilled nursing home. Nursing homes in my area average $12k per month, compared to Memory Care which is $7k per month.

The Memory Care will access your husband to see if they would be able to care for him. If they can't, then skilled nursing home would be the next step.

If the budget won't handle such money payments, you can have your husband apply for Medicaid [which is different from Medicare]. If accepted, Medicaid would pay for his care in a nursing home. There are rules and regulations to follow.

Yes, what you are going through is exhausting work. My Dad was a major fall risk, and he was getting dementia. Assisted Living/Memory Care worked out quite well for him. I was able to get a small side bar for his bed so he could get out of bed on his own. Then I rented a lift-recliner so Dad could try it out, I didn't know if he could manage the control, he was thrilled with that recliner. Also, I got Dad a rolling walker, one with hand brakes, a seat and a basket, he loved it.
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