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You say you have a home health aide.
Does your husband try to chase them away?
You do not need to explain it to your husband, nor do you need his approval.
If he is suffering from cognitive impairment, or if he is just delusional, or he has full function, but just disagrees with your needs, he can not be reasoned with.
You do not need to convince him. You need to make decisions to protect your own health and well-being. If hiring a home health aide helps you, then that is the right decision for you to make. Don't look for his approval, just do it.
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Reply to CaringWifeAZ
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I’m going on the limited information that you provided. Good news, it sounds like you have access to your marital finances and you should use that to provide hired care for your husband. You call care agencies and hire help or look for private caregivers through referral or sometimes hospice agencies have names and contact for private caregivers. You pay out of pocket privately. This type of care costs close to $100,000. Dollars per year. To keep them at home with private care. Still ambulatory and mostly independent. 24/7 intense care with bed bound and Hoyer lift and total care costs twice as much. You tell husband you need help and don’t accept any response but okay. Don’t count on friends or family help long term. They burn out and see the handwriting on the wall and long haul sacrifices. When the care is too much at home, he goes to care home, both to ALF with hired additional help or SNF. Move to an area where this type of care is readily available in or near large metropolitan areas with good nursing facilities and hospitals and near family. Family may not participate. But easier if you are close in a large city with care facilities and support. Out on a farm, ranch, some remote romantic family property does not work with failing old people over 90. In city, Alf or no maintenance patio home with access to all city facilities and paid private care agencies can keep them home longer. Don’t ask. Tell and do.
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Reply to Beethoven13
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Have you considered moving him to a facility, such as memory care? He is only going to decline and it sounds like you're at a breaking point.
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Reply to MG8522
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You need to cut back on your many chores and duties....look locally (on Nextdoor.com) for a housekeeper to come in once a week, or twice a month minimum. Order groceries on line and have them delivered. Same with Meds. For the bills, put them on Auto-Pay. Figure out the chores that are wearing you out, and hire people to do them.

Apparently Husband is incontinent, so that would be a deal breaker to most women. I would be searching for a facility for him already. No adult man can expect their wife to be stuck with the nasty chore of wiping them or changing their diapers on a daily basis, and tolerate doing it.
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Reply to Dawn88
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Beethoven13 Feb 6, 2026
Yes.
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You tell him you need help and it is not up for discussion.
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Reply to JustAnon
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Have the home health aide visit more often and stay out more than you do. Or create a private space for yourself (basement? attic?) and retreat there.

As others have mentioned, he's not going to understand. Ever. You need to move ahead with whatever will make the situation easier for you. That is (probably) more distance between you more often. He's not the man you married, the one that was going to stand by you no matter what and live happily ever after. Dementia means no happily ever after.

Placement in a facility may be necessary soon. There he will have friends, activities, and won't expect so much attention from you. I hope you'll consider it, and good luck.
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Reply to Fawnby
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With dementia he’s sadly lost the ability to reason and understand this necessity for you both. He won’t get it no matter how you present it. This is the time you make decisions on what’s best for you both. If he’s too agitated he may need medication to calm him. Or it might not be possible for him to live at home anymore. Please don’t sacrifice your own health, or you certainly won’t be any good for him
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Reply to Daughterof1930
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In previous posts OP says DH has dementia and is incontinent.

Get him in respite care at a Memory Care Assisted Living facility for a week or a month, and place him there permanently if necessary.

Also, please provide appropriate details in future posts so we don't have to read your old posts to find them.
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Reply to lealonnie1
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MargaretMcKen Feb 5, 2026
Yup, I don't read old posts. The profile doesn't have to be repeated, so much more sensible.
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I am a man/spouse and your husband needs to get over being selfish and only worrying about himself. I dedicated myself to my wife's wellbeing many years ago. I personally cannot stand MACHO BS. I am retired from the US ARMY and Civil Service. I was a Military Policeman for over 20 years and unfortunately had to apprehend too many MACHO types that professed love for their spouse but only thought about their own needs and failed to support their spouse. I could go on and on but just tell him you need the extra help. If he can't or won't provide it, then he needs to support you and get it for you. I am on this site to support my wife! If he becomes violent, do not be afraaid to call the police for help. Good luck, Stay safe!
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Reply to ladaca
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CaringWifeAZ Feb 13, 2026
Thank you Iadaca for your service. And your suggestion,
I don't feel this is a matter of Machoism so much as altered brain function.
When people experience cognitive impairment, you don't know what you're going to get. You just have to take control no matter what they think. A person with cognitive impairment is no longer in charge.
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Tell him that the help is for you.
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Reply to Hrmgrandcna
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Tell him the only other choice is to go to a home.
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Reply to PeggySue2020
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You just tell him straight out.

If you want more helpful comments, please provide more details. At least, complete your profile.
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Reply to MargaretMcKen
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