John and Alice have been caring for John’s 86-year-old father, who suffers from Alzheimer’s disease, hypertension, and diabetes. Last week, John’s father went missing, causing several frantic and worrying hours until he was apprehended by the police. You’ve been called in to advise the family on the possibility of a nursing home placement. Discuss the following points:

What factors should be taken into account when discussing this with the family?
What factors should be taken into account when discussing this with John’s father?
What difficulties might the family face if they decide to keep care responsibility?
What kind of service recommendations could be made?