My wife's condition started deteriorating about 6 years ago and has reached the stage now that I accepted the GP's advice and I arranged some respite care at a close local nursing home for a few hours 3 days a week. It can be stressful dropping her off at the home as she is totally fixated on me and does not like it if she is not in my immediate presence; she shadows me constantly. Having been able to see at first hand how her condition is affecting her own life and mine, both the home and GP's conclusion is that she and I would benefit from long-term residential care. Needless to say, local social services are not keen and want to proceed with home respite care which we know will not work but that is a problem for another day. In the meantime, I have a feeling that my wife has an inkling of what might be happening by her ramblings which add to my guilt feelings about proceeding with the next stage. Is "cold turkey" the only solution?