At this point once a week visits from the nurse is all Rich will accept. We have had 3 years of his disablity so we are pretty use to handling his personal care. I'm also a nurse so he thinks I can handle everything. I set up his meds once a week though he keeps his pain meds at his bedside. I believe this helps him feel more in control and that is imporant. He is still very much alert and orientated so I have no problems leaving him by himself so I can get out. I know things will probably get much worse but right now it ain't bad.