provide personal care which includes bathing,grooming,dressing,oral care, bladder care(on urinary catheter),bowel care (on colostomy) Lung volume exercise using cough assist machine operate diaphragmatic pacer during day time operate and connect patient to his ventilator during night time tracheostomy care and suctioning medication administration as precribed by the doctor routine arm and leg therepy (range motion exercise) transferring from bed to wheelchair and vice versa with aid of a lift meal preparation and feeding driving the patient to his appointment’s and social activities light housekeeping and laundry