this has been puzzling me for a while now. Probably none of you have much in the way of answers....but what happened "before"? What i am getting at is, Alzheimers or dementia presumable are not 21st century conditions. I know people all live longer now but since I learned through this forum that people in their fourties can develop the condition I have wondered even more!! sufferers presumable HAD to be cared for at home...there werent any nursing homes..or were there? Did people get chucked in the work house and forgotten? Or were families and communities close enough to manage a lot better that we in fact do today with our busy lifestyles and multiple responsibilities??