Please share how the evaluation is given. I will be facing this decision soon enough. Patience isn't one of my virtues, and I often feel lacking in this caretaker role. We've moved to a lovely one level home near one of our daughters, so I know his environment is a pleasant one. My concern is his lack of daily activity or stimulation, but anything I offer is turned down. Keep in mind, he no longer recognizes me as his wife; and I'm the only one here to push back. He was never a social person; always preferred to be working on projects rather than interacting with people. He is unable to do projects now. He lives in a state of confusion and befuddlement. So sad when I think that he designed airports, libraries, and embassies and now a kids' puzzle is too frustrating. Guilt is debilitating and I try to avoid it, but it pops up way too often.