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This person is in the latter stages of a very slow form of A.L.S.

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This article might help, it closes with researching and "tactfully" presenting the facts about the progression of illness. It's obviously an emotional conversation, but the fact is there comes a time when the best thing a person can do is acknowledge they can no longer provide the level of care someone needs.
https://www.agingcare.com/articles/how-to-talk-to-parents-about-assisted-living-153013.htm
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