I suppose this could go in the massive updates thread, but I can't keep up with them when they get too long...
We decided that it's time to begin hiring some care for Laurette about a year ago, and this month we actually did it. She does not self-motivate any tasks these days, and I was starting to feel guilty leaving her in a chair across the house while I worked. She's still very sociable and mobile, but is instantly bored and can't think of anything to do. She's either stares out the window, looks at pictures, or takes a nap. Those are all legitimate activities, but not all day every day.
We have a lady coming in three days a week now to take her out somewhere, fix her lunch, etc. I have a solid 4 hour block where I can get some work done and I know she's not bored to tears in her little corner. It's through a company called Comfort Keepers that can easily increase her level of care all the way to 24/7 RN care. It looks like it will work out well and it's reasonably priced, so I think this will work out very well for everybody. It's more personal than day care, comparable cost, and Laurette doesn't have to be around "all those old people". She perceives everybody in the day cares as significantly older than herself.
It's not a major step, but it's good to have a known support structure in place.