Each case is unique. The capability and level of care required is different for each situation. While the ideal situation would always to be for a person to receive the necessary care in-home, from family, there are many factors which make that impossible in many cases. Time, space, the obligations necessary for raising and providing for a family, physical capability and expertise in the aspects of care all are things which can necessitate out-of-home placement. In each case, these things must be weighed in making decisions. It is neither easy nor pleasant to turn over the care of a loved one to someone else in another place, but there are times when it must be considered. It is heart-breaking enough to face without outsiders making a person feel guilty about it.