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We have the similar situation back in late 2005. My father-in-law was diagnosed with Alzheimer's in Nov. 2006. But he was already in a bad situation because his wife passed away in Oct. 2004. Now we hired some home care service for him. At the beginning we hired one caregiver with few hours. Gradually we added more hours and now he has 24 hours home care by 2 caregivers. In this service, the home care company has a nurse who can oversee things. She is very good at talking to him. However it gets pricy for 24 hours. Soon he would go to a skilled care nursing home.   I don't know about your father's situation, but you can try some home care first - try a few hours and see. Sometimes the homecare company can persuade the elderly that he needs help. I wish we had called them much earlier. My father-in-law loves them so much. I am sure you can try the home care services in your area and see. It is better with home care at the beginning because it is personal care. Not that the nursing home is not good but it could be the last option.   Nina