A female patient is 79 years old and has 5 children and 11 grandchildren. She had tripped over a wet floor 4 years ago and fractured her right thigh bone and she is almost bedridden ever since. She has lost control of her urinary bladder and wets her clothes most of the days. She has good eyesight and hearing, but she has lapses and gaps in her memory. She can still recognize her children and grandchildren, she tries to talk to them, but often it is incomprehensible.
Every weekend and on holidays one or the other of her grandchildren visit her, cheers her up with their talks and tricks. She greatly enjoys their presence and they also believe her presence a blessing. She groans and moans at night. Her daughter, the one who usually takes care of her, found that she was refusing all kinds of feeds for the last few days and then her family decided to take her to a hospital. The doctor…
