How do prominent busy people; the gurus; writers or entertainers find enough time to 'look after' the elderly in their families. Do the decision makers become personally involved at the workface of services for the older generation?
The interface between state and federal services is a hurdle. 
One after another we have seen our relatives through change to their lifestyle and it is challenging.  A 'lottery'.
The younger generation spend time with their oldies but unless they are quite observant some may not get to know much about the little likes and dislikes and the way the oldies like to live their life.  Next thing it is too late and a relative stranger sits before you. Take care!