1. Mr. and Mrs. Singh immigratedto Canada 25 years ago. While Mr. Singh, 88, has acomfortable working knowledge ofEnglish, Mrs. Singh, 82, has always been able to get bywith her standard answer, “NoEnglish,” and her husband taking over for her. Having livedand worked in a community ofpeople from their home country, they have always dependedon the support of their familyand community. The children have all moved out and work allover the country. Now, with theever-increasing list of health issues for both of them,living on their ownsometimes becomes extremely stressful. You have been assigned to help with theirhome care.

Brainstorm how to best look after this couple andsupport them in their home without them feeling insecure, isolated, and lonely. Whatadded fears could they be having? What possible health conditions could they both besuffering from at this age?

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