Based on the problem statement you wrote in Module 4,

Mr. B has been receiving home care services for several years. He has dementia and his needs have gradually increased, but he is capable of living semi-independently for now. His two daughters live nearby and at least one of them visits daily. Mr. B gets on well with the care staff and makes it clear to them that he wants to keep doing as much of his own housework and personal care as he can. However, his daughters express concern to the provider that he is no longer capable of making decisions that best meet his needs. They ask the provider to add grocery shopping, meal preparation, and gardening to their duties, tasks that Mr. B has been doing himself until now without mishap. The care staff who look after him directly tell the service coordinator they think this change is unnecessary and risks making Mr. B unhappy and affecting his confidence. The provider has to balance the wishes of Mr. B’s family with Mr. B’s own preferences. The main priorities are Mr. B’s safety, his well-being, and respecting his wish to keep doing his daily tasks. There are certainly safety and nutrition issues to consider. So far these have not arisen but may as Mr. B’s dementia progresses. A care coordinator with experience in dementia meets with Mr. B to talk about these issues. Mr. B understands the concerns being raised by his daughters and decides that the risks discussed with him are outweighed by the importance of the benefits he gets from doing his own grocery shopping and meal preparation.

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