When prioritizing the needs, the senior and family caregiver cannot agree-

· For Mrs. Sterling, her primary needs included help with having food brought to her.

· For Jane, her primary needs included having someone with her mother to help avert another fall,; and to make sure her mother is eating, and to monitor that her mother’s hygiene is maintained. Jane also does not want to continue neglecting her husband and son.

When options for interventions cannot be agreed upon –

· Mrs. Sterling solution was easy, “My daughter who lives nearby can stop by and provide the minimal assistance that I need. I do not want a stranger in my house. I don’t need a babysitter. I do not above all else want to move to assisted living and leave my home where I raised my family”

· Jane’s solution too was easy but not the one that her mother would easily accept: “I know that my mother would not do well moving and that she truly needs more care than what she is currently willing to accept. While I know that she would prefer for me to provide the care, I just do not have the time to commit, nor do I want to have to be there every evening. Having a paid caregiver come daily sounds like the best option.If she will not accept that she has to move to assisted living”

What Do you do Ms. GCM??????