Adult children may not be physically responsible for looking after elderly parents but they should know exactly what is going on and why if they wish to remain part of the family unit. Fair enough, if they have busy lives themselves, they can call in, Facetime, offer support and advice and maybe the odd day off for you. Because, at the end of the day if they care they will find a way. My aunty was extremely ill and her grandson and wife took over the responsibility of making sure she was alright in her extreme old age by visiting, acting as a champion and being there in her final days. As we decline, we do need someone to fight out corner because we may develop dementia, become immobile, go blind, etc. Who is going to make those phone calls to get in a care package or check out a care home if our spouse is no longer around or not able themselves? Surely, the children/family have to step in? If not, it is a sad situation we find ourselves in.