One of the issues we really struggled with was where Dad should go after the diagnosis of terminal cancer. While at times he would vocalize that he would want to get out of the nursing home, he in fact was happiest there. He loved the staff there and they in turn loved him back. Many of the staff called him "Donnie" which was a childhood name that he abhorred but he didn't mind it all in the home. In fact, I witnessed many of the staff tenderly come into the room in the last week of his life and say goodbye to "Donnie". They knew him very well, what he liked, what he didn't like and how to handle his temper. Most of all, they loved him dearly.
I know one of my sisters thought he should go to Palliative care - either a palliative institution or in the hospital in the palliative unit. However, she wasn't at the nursing home very often so she really wasn't aware of how much Dad liked it there. It became a bit of a struggle in the last weeks of his life as to where Dad should be but thankfully Mom was firm in the belief that Dad needed to die in his 'home'.

We knew Dad thought of Tendercare as his 'home' after his final trip to see the Oncologist four hours away. On the drive back home, all Dad wanted was "Tendercare". He didn't believe me that I was bringing him back to the nursing home and at one point, he asked me if I was bringing him to Montreal, which would have been the opposite of where we were headed. I tried to point out the signs that showed where we were going, but he kept yelling "bullshit" and it was the longest four hours of my life as he continued to ask for his bed at Tendercare. When we finally got back to the home, Dad was acting so out of sorts that I asked the staff to come and get him out of my car. As soon as they wheeled him to the entrance of his room, he laid his head back and smiled ear to ear. There were about six staff touching him and soothing him and he was just so blissfully happy to be back at his home. It was in those moments that both Mom and I knew that the nursing home would be where he stayed as he went through the last weeks of his journey. I also wanted Dad's input into this decision and while alone with him a few weeks before he died, I asked him where he wanted to be when he died. I explained to him that we could move him into a palliative care institution but he said he wanted to stay at Tendercare.
While we tried to explain why were keeping Dad in his 'home' to my sister, it was difficult because she wanted the best for Dad. In her eyes, palliative care outside of the nursing home was the best for Dad while Mom and I believed that the nursing home was where he should be. I don't think my sister ever came to terms with how much Dad loved the nursing home and she didn't understand, even in the end, why the best place for him was his home. I know she wanted what was best for Dad and it wasn't malicious or anything like that. It did create tension though, something that made Dad's parting journey a little more difficult for Mom and I. It was something I wasn't prepared for either as my sister had never taken an active part in Dad's care. While I was appreciative that she wanted to be part of his care at the end of his life, I was surprised at her resistance to the decisions made but I know it was all out of love for Dad.
In the end, we knew we had made the right decision. Dad was lovingly cared for and while the staff wasn't always up to par on palliative care, they worked their hardest to make sure Dad's dying days were pain free and peaceful. At times we had to advocate for more pain medications and at times we got angry, but in the end I know Dad was happy that we didn't move him and left him in a place where he was loved and cared for so tenderly. I knew it was true caring because the staff would even come in during their days off or call the home just to see how Dad was doing. We even had one former staff member come in to see Dad and say goodbye. In my eyes, the home is called 'tender care' for a reason!
Of course I really miss Dad, but I also really miss the staff and residents of the home now that I have been away from them all for seventeen very long days. I never knew how much my life would change when my Dad got dementia and moved into a nursing home...