Back Ground Information George is 92 and Katherine is turning 90 in February 2022 and they both live alone in their own home George's Health Somewhat failing health (weight loss) with weakness and shortness of breath from pulmonary fibrosis Some cognitive impairment with forgetfulness and pauses while speaking Hearing is impaired and difficulty hearing while on the phone Is able to walk and climb stairs unaided (balance maybe a little off at times) Has tripped and fallen a couple of times with difficulty getting back on his feet Medications include steriods and antibiotic for lungs and prostate medication generally taken once a day Supplements include boost/ensure, calcium and vitamin E Katherine's Health Suffers from dementia and short term memory loss Has had two heart attacks and by pass surgery and has a pacemaker Prone to shortness of temper, argumentative and anger mainly directed towards George Is able to walk and climb stairs with a limp due to hip/knee/leg pain Swelling of left leg from by pass surgery Medications taken twice a day for heart, thyroid, dementia Supplements include calcium (with meds) No longer cooks much other than breakfasts (eat out or order in often) Home Care/Assistance Needs (note recently they have been going to bed at 9-10 PM and up at 7-8 AM) Light House Keeping (note they live in a large2 storey home with indoor swimming pool) vacuum floors in kitchen/family room wash floors as needed bathrooms as needed (there are 5) dusting as needed load/unload dishwasher load/unload laundry Dispensing Medications medications kept in lock box and currently AHS Home Care comes 2-3 times per day Prepare and/or serve meals (may try meals on wheels and/or frozen meals (eg Golden Circle)) they currently make their own breakfasts (porridge, cereals, bacon/eggs/toast, etc) they currently eat at irregular times may order in meals / may go out to eat dinner Re-direct when arguments arise