This keeps bothering me. I keep remembering stories, blowing like tumbleweeds across the prairie of my mind, and keep coming back to thinking, "This sounds like something Mike Resnick would write."
Though I don't remember anything that matches this meager description, the closest story to this that master tearjerker Mike Resnick wrote is
"Down Memory Lane".
A man, telling the story in the first person, watches his beloved wife get a diagnosis of dementia, lives it up while they can, and takes care of her until he can't do so by himself any more. He keeps a backup gun thinking he could use it to end it quickly for both of them if it becomes hopeless. He can not bring himself to do so.
The last part of the story tells his journal entries, which, sadly, follow a similar pattern to that of Charlie's journals in "Flowers for Algernon".
This may not be the requested story, and it is much newer than 1980, but the description isn't much to go on.