@elliottw At one month, it's early days. I think feelings of guilt are an inevitable part of being married to someone with Alzheimer's, not so much guilt about what we might have done but about what we think we should do, or what we think others think we should do. I know several spouses who have cared for their partners at home, usually with some sort of in-home care, and from the comments I hear, they're much admired for this. There's something that seems heroic about being a hands-on caregiver but, personally, I think it can be a kind of virtue signaling. Maybe I feel guilty for not feeling guilty for putting my husband in a senior facility and now memory care, yet I know it was absolutely the right thing for both of us. He had a serious fall last August that put him in the hospital. After that, it was abundantly clear that I couldn't bring him home, as I'd intended to do. It turned out to be a fortunate fall, because a decision was made for me by circumstances. I was able to find an excellent facility that is affordable (more or less) and has a fantastic staff. Elliott, you are not responsible for your wife's condition. You've made a brave decision by accepting the inevitable, so don't feel guilty, feel proud of what you've been able to do. None of this is easy, but piling on guilt is counterproductive. I wallowed in it for a long time, especially when my husband begged to come home every time I visited him. That was really hard. When you're in the midst of a crisis, it's hard to believe life will ever be any different. Intellectually you may know, but emotions have a way of taking over. But time really does help. Think back of all the heartbreaks and disappointments you've endured in your life. You made it through those. This is a big one, but when the end point comes, you'll know you did all you could and it was the right thing. (You must realize I'm talking to myself here as well as to you.)