Sheila is the 82-year-old wife of Mark, an 85-year-old home health patient. Mark has mild-moderate dementia, but can still engage in decision making with assistance and Sheila is A&Ox4, although you suspect some mild memory loss/cognitive impairment.

Sheila is the 82-year-old wife of Mark, an 85-year-old home health patient. Mark has 

mild-moderate dementia, but can still engage in decision making with assistance and 

Sheila is A&Ox4, although you suspect some mild memory loss/cognitive impairment. 

Mark has multiple medical conditions, is quite frail and in the past month, has fallen 2 

times and has fractured his humerus. Sheila is loving and caring, but is very burnt out 

as the caregiver and you are concerned if she can continue to manage care for Mark. 

The doctor and neighbors feel that they are not safe at home. You have spoken with 

them at length, several times, about the risks/consequences of remaining at home, 

given Mark’s multiple falls. However, they refuse to leave home, and have not 

verbalized any commitment to obtain home care assistance.

1. What concerns you in the scenario?

2.Would you file an APS report? Why or why not?

3.What would you do to overcome potential challenges?

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