My whole upbringing was in another country. One of the things I saw as I was growing up was that you cared for old people. You cared for them at home, respectfully and very thoughtfully. I didn't ever occur to me that I would agree to my husband going into any kind of institution. But I do feel that at the end of life, there may be times where there are people, especially if they come from other countries and don't have many family members here.... I had only one family member who lived here. I could see that there would come a point where I might have to agree to some form of palliative care in some place other than our home. It was getting extremely difficult; I can't tell you.
I hope that answers your question.