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  I think the people who pile on the guilt about this are the ones who're hoping their kids will take them in and drop their whole lives to nurse them through their final months/years. That might have worked in the days where a lot of women didn't work outside the home, but in today's world it's just unrealistic and we should stop blaming and shaming.
  I know my mom would hate to end up in a nursing home, she's told this to me repeatedly, but I'm an only child to divorced parents who live about 5 hours away from each other, I work full time and, for a variety of reasons, there is no way we could have one of them live with us, let alone both. If a time comes where she can't manage at home even with outside help, she can rage and complain all she wants, there just won't be another option.
context: I don't know how unpopular it is, but same is happening with my grandmother.
  Nursing homes just have specialised personel and know what routines are best for patients with different illnesses.