Dear Arizona, Good for you for caring! [My company has 9 employees and they are like family to me] If the granddaughter is the primary person responsible for caregiving, she will need some help and some coaching! ARe you up for that part? If so, keep researching here. DEpending on her tx schedule, I would not count on her to work much after the 1st few weeks [especially with rad tx]. If she has already lost weight, it is a good thing she will have a peg and for most folks, that is not a hard thing to deal with. What is hard is keeping up with medication schedules, amount of hydration and calories on a daily basis, etc. The person who is sick usually doesn't feel like doing this BUT someone has to or you end up in the ER. It is also very important to have a 2nd pair of ears at all Dr appointments as this progresses, to take notes,to ask questions and to make observations of how things are really going at home. I would be worried about an 18 yr old being able to handle this responsibility. Hope you will stay really involved and we are glad you are here. Amy in the Ozarks