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One of the most important recommendations that I would make is actively involving other family members in this decision, if at all possible. In our case, I made sure that my brother and cousin (who handled a lot of my mother's finances) were involved in these discussions to move my mother from a home situation to a retirement community. It wasn't an easy transition for my mother to make (and unfortunately, she had progressed to the point where she needed skilled nursing care and had to enter a nursing home), but having family support made it possible to get action in a situation that had become stalled.   Dorian