Alexa and Richard, both age 90, have been married for over 60 years. They have 2 children, 7 grandchildren and 10 great-grandchildren. Three years ago, Richard’s health began to deteriorate. First, it was his prostate, which had to be removed. He never fully recovered from the surgery and lost his ability to concentrate for extended periods of time.
Richard is still competent, but needs assistance with getting in and out of chairs, toileting and dressing himself. Because of her age, Alexa is not able to function as Richard’s sole caregiver. Prior to his surgery, household chores were divided equally: Alexa kept house, did the laundry and prepared three meals each week; Richard ran the errands, did the grocery shopping, prepared four meals each week, paid the bills and managed the household finances. Now all of these activities have fallen on Alexa.
Richard is frustrated, anxious, and irritable because of his lack of mobility. Their daughter lives across the country, so she is unable to provide day-to-day support. Their son lives in the same community; however, he has a learning disability and lives in a group home. Alexa has resigned herself to the fact that she needs full-time help around the home, both day and night.
Alexa and Richard are enrolled in Medicare Parts A, B, and D. They have Medigap insurance, long-term care insurance, ...