Been thru these scenarios now 4x - first with my beloved grandparents, then with my parents.
Member that the inability to make a decision IS a decision, and a significant one. In all cases with the above couples, there was an agreement or promise to “live in our home forever” and a stubborn insistence that “we will NEVER leave our home, will take care of each other, age in place, wing it, be independent, etc.” Great, admirable maybe but
saying this as an active, wealthy 65 year old but not sustainable and unrealistic as a frail 80+.
And with my grandparents and parents, each couple had one emergency medical event that landed one in the hospital, required surgical interventions and all was a precipitous downfall from there. Like a 911 call, emergency surgery, extended recuperation and repeated hospitalizations. With my grandparent, we got a social worker to intervene and make a simple case that specialized medical equipment and care was needed that couldn’t be provided by elderly spouse.
The elderly are one catastrophic slip and fall away from being unable to live at home “independently.”