Jean was 70 years old and had a successful career. Her family was caring and her siblings and children were involved in her life. At one point, she lived in a senior community but was not able to stay there because of her increasingly difficult behaviors. She was moved back to her own home and was living alone with part-time, non-medical agency caregiving services in place.

Below are some of her behaviors:

• Napping 2-3 times during the day
• Smoking cigarettes and drinking alcohol
• Got up several times during the night
• Moods and negative behaviors included agitation, anger and aggression
• Medication compliance was questionable at best
• Poor diet and not exercising adequately