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Mr. Kaye is an 83 year-old who has been living independently with his wife in the home they’ve shared for 50 years.  Mr. Kaye has been in failing health over the last five years due primarily to gradual memory loss and complications from his diabetes. He has had several falls in the last three months, one of which was serious Picture of Mr. Kenough to send him to the hospital. Over time Mr. Kaye’s son Rob, who lives nearby, has noticed his father declining.  Several weeks ago he discussed this observation with his mother, but she minimized the symptoms and assured her son that she was perfectly able to care for Mr. Kaye at home. Rob raised the possibility of getting some kind of in-home assistance, but Mrs. Kaye declined.

Last week Mrs. Kaye died very suddenly of a heart attack. As the family arrived in town for the funeral several of Rob’s siblings stayed with Mr. Kaye. During that time they observed problems Mr. Kaye was having remembering to take his medications and maintaining his balance.  One day he would have taken his morning insulin twice if the family had not been there to intercede.

Picture of the son, RobThe children realized that it was unlikely Mr. Kaye could continue to live alone.  They planned a conversation with Mr. Kaye during a visit with Mr. Kaye’s primary care physician. As expected, Mr. Kaye was strongly opposed to leaving his home and told his children he thought he would decline more quickly if they put him in a place “full of strangers”.  After some negotiation it was decided that Rob would move in with Mr. Kaye at least for the short term and Rob’s son, a local college student, would stop in during the day while Rob was at work. The doctor wrote a prescription for physical therapy and Mr. Kaye agreed (reluctantly) to have physical therapy twice a week



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