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None of my grandparents spent their last days in a nursing home. None of their children have either – with the exception of my father. My mother died at home, my dad’s twin brother lived beyond his life expectancy with Parkinson’s thanks to my aunt’s ministrations in their home. Other aunts and uncles suffered short, final illnesses.

My father’s situation condition mandated the services of a nursing home. Months after my mother’s passing, while still in his early 60s, Dad suffered a couple of strokes that initiated subtle changes in him. He continued to be approved for driving even...