)Roger McClucky, 70-year-old male recently diagnosed with Alzheimer’s Disease dementia following evaluation of forgetfulness, difficulty processing new information, and increased confusion. With his declining memory and hearing impairment Roger’s d

Roger McClucky, 70-year-old male recently diagnosed with Alzheimer’s Disease dementia following evaluation of forgetfulness, difficulty processing new information, and increased confusion. With his declining memory and hearing impairment Roger’s daughter, Lisa, is concerned about his ability to care for himself and is interested in care options to assist him in staying in his home. Medications: NKDA, memantine (Namenda) one tablet daily. Social history: Roger lives alone in a two-bedroom home in a rural community. Roger came to the community as a migrant worker 40 years ago and worked as farm help for a local farmer providing manual labor in the fields. Roger is active in his church and attends with the men’s Bible study weekly. His daughter lives nearby and visits Roger multiple times per week. Community Assessment: Roger lives in a small rural community with a small downtown. On the Main Street there is a grocery store, a family-owned pharmacy and milk shake shop, gas station, diner, second-hand store, and an outreach family practice clinic. There are two churches, one on the north side and one on the west end of town. The houses are spaced “a country mile,” separated by farmland and fields. Most of the side roads are gravel. There are no public transportation options.