It is a very hard decision to make, and very heart wrenching. I know, because my sisters and I had to make this decision with my mother. I never thought or wished to place my mother in a nursing home, and never imagined this would ever have happened to someone I loved dearly.
She was diagnosed with "Dementia," and as the years went on, the progression of her illness was worsening to the point that we feared for her safety. While she was at home, it was hard to find assistance for her, as my sisters and I had full time jobs. It was just as costly, or more so to have two or three assistants, as placing her in a nursing home. Two years ago, it was $5,000.00 a month for a semi-private room. Medicare paid for a couple of months....afterwards, my mother's life savings dwindled. Finding someone dependable was also difficult at home, and the falls and hurting herself were becoming a great concern.
She then started having headaches, and a cyst was found on her brain, possibly from the falls she had. The decision for surgery was placed on me. The surgery had to be done right away if it was going to be done. Did I want her to die, maybe having a slow death and pain, or would she become a vegetable after surgery. I still have guilt trips I guess, as it was the hardest decision I ever had to make. I opted for surgery, as I wanted to have my mother for a few more years; maybe due to my selfish reasoning. After surgery, my sisters and I placed her in St. Mary's Nursing Center, Leonardtown, where we thought she would get therapy. My mother resisted. She spent about 5 years there, and though somedays were better than others, I have my regrets. I can not pass by that area, without getting upset. Most of the staff were great, but I and my sisters had many a concern for the way she was treated by several there. I wrote letters after her death to the State of Maryland, my congressman and senator. They finally got back to me 6 months later to say that they could find no abuse.
Like I said, it is a hard decision to make. If I had it to do over again, I would have quit my job, and stayed home with her.