Each caregiver must determine if the current living space is and will remain satisfactory as PD progresses. Resolve whether it is better to make accessibility modifications to the existing home or whether it is more prudent to move to a more accommodating home. Ultimately you will need to decide whether it is possible to keep the PD sufferer in your home or place them in a nursing or memory impaired facility. This decision will be hard. It will force you and possibly your family support group to confront a sad reality concerning the loved one with PD. Since PD progresses so slowly, it is easy to overlook the necessity for changes in living arrangements until it is too late to find accommodations while still assuring that the current location is safe for the care receiver. As these decisions may require the informed consent of the care receiver, they should be addressed before PD advances to the point when the sufferer is unable to participate in the discussions and decisions or after a guardian is appointed. A properly structured medical power of attorney may also help when the decision is necessary.