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Hi Gary. Your story sounds similar to mine. Only its my Mom and step father.
 My mom has PD and needs more help than her husband can provide. It has been
very difficult for us because there is only so far we can intervene, and
he is stubborn about some things. For example, she would be better off staying
near us, but he insists on them returning to their winter home in Fla. by
late October and won't return til May.  During this time, only his two children
are nearby, and they don't put themselves out much to help (sorry, that sounds
terrible!). Fla. has limited in-home services, but they do receive meals on week
days, and a nurse will be coming in 3 days per week. Neither of them can cook,
and my mom gets confused on her meds. and just about everything else, so its
a great worry to me. I try to handle her finances (they have a his/hers
division of finances) as best I can, but almost everything gets confused becasue
things go to her first, and sometimes get lost, sent to the wrong place, etc.
 I don't know what good "improved communication" is when people become mentally
confused, and their partners are too stubborn to ask for help.
I don't mean for this to sound so pesimestic (and I can't spell today) but
did want to add my "me toos" and  hopes that someone will have some good
advise to offer for the benefit of us both. Thanks for sharing , and listening.
Lynn Lowe