My wife (PWD) was recently seen by the local nursing home which specialises in dementia. To my surprise, they said she was too far advanced and would need a more specialised unit which is about forty miles away. This was a complete shock, as to me she is still my wife and I don't think she is difficult to look after. I guess when you live with it day to day, you miss the signs that things are generally getting worse. Oh well, life go on!