My parents are Italian, living in Rome. My dad is 92, a doctor, and is fortunately in great physical and mental shape. My mum, 87, has gradually declined into a severe state of Alzheimer's over the last nine years. In Italy, going into a home is a real taboo...elderly people remain with their families in general. And more importantly, my father would not hear of it. Unlike my UK mum-in-law, who had everything organised to the last detail, including the hymns and dress code for her memorial service, and who should get which silver spoon, my father refuses to talk about the big D, apart from saying 'oh you three will sort it all out'.
In our case, my sister and I live thousands of miles away, in Texas and Ghana respectively, and my brother, who lives only hundreds of miles from them, travels all over the world gor his job.
My dad is fiercely independent, but has reluctantly agreed to increased help over the years, and they now have a full time Bulgarian carer, who is wonderful, but exhausted, as my mum is a dead weight. My dad insists that everything carry on 'as normal', with set getting up, meal, and walk routines which are sometimes extremely difficult to comply with.
My dad, who played tennis way into his eighties, climbed Kilimanjaro 10 times between the ages of 50 and 60 (they were living in Tanzania then), jogged regularly before jogging became fashionable, recorded the dawn chorus, printed his own black and white photos, made furniture including operating tables and babies' cots for his remote hospital, is now solely focussed on my mother, and conversations revolve around what she has or hasn't eaten, etc. he spends his days sitting beside her, holding her hand and watching garbage on TV.
We siblings visit as often as we can, my brother goes for frequent weekend visits, I go for about a week every two months, and my sister three or four times a year, with a long stay in the summer. Various grandchildren who happen yo be passing through Rome will stay with them occasionally.
One great thing we do is we sublings have a transcontinental Skype session once weekly with my dad.
We are lucky in that although we are far apart, we are very close, and my mum's illness has brought us closer. We are lucky that we all agree that my dad's wishes must be respected. This is very tough, and ther's no easy way.
I understand that live-in carers are the norm in Italy, but not in the UK...I do hope that all the posts on here will give you some comfort and perhaps help you in your way forward.