Based on her own experience, Margaret Forester writes with compassion and understanding about the challenges inherent in dealing with a family member's senile dementia. In this book, Grandma McKay has three children: Bridget, who is devoted to her mother and having difficulty dealing with the emotions engendered by her decline; Stuart, who refuses to be involved; and the pragmatic Charlie and his wife Jenny, whose kind heart and caring are at the core of this book. Their two children, Hannah and Adrian, are also fully impacted by Grandma's gradual descent into dementia. Hannah cares deeply about her grandmother, but is conflicted by the struggles within her family to preserve their lives while doing what is best for grandma. This novel unflinchingly confronts the harsh reality of a devastating disease and its effects on a family, both individually and as a whole.