A sacrifice, yes...but, sometimes, depending on the elderly or ill person...it's not always an extreme sacrifice...sometimes may only be a minor inconvenience....if nurses can come by fairly often for those who are more ill or helpless....that would help, especially if it's an elderly person taking care of another elderly person. But a NH is the last place I'd want to be or those I loved....of course, there are those who aren't home all day...so solutions need to be figured out for that.
Hope that Wilkes can shake things up out there.
Florida has Senior Day Care Centers if people need to go to work.