My mom has dementia and it's gotten to the point that my dad is struggling to help her. I come over several times a week to help as well (despite being in poor physical and mental health). She won't bathe, sometimes won't eat. She's acting inappropriate (walking around house naked or in underwear with company over, glaring and making faces at strangers) at times. However, there is a STRONG cultural component that we should keep her at home and a nursing home is "abandoning" her. My dad feels guilty even considering the idea despite his inability to care for all her needs. Her other children (my step siblings): 1st one is in another state, 2nd one is handicapped, 3rd one only shows up twice a month and might be trying to milk her for money and I'm the youngest and it was expected of me to grow up and care for her and my dad. I'm doing the best I can but I don't think it's enough. She will NOT allow outsiders to come in and help--she throws a tantrum when her own adult children help. When is the right time to move her to a facility? Do we have to wait for an incident? How do we get her to cooperate (she does get physically combative)? And how do we do all this WITHOUT tearing the family apart?