An elderly couple was living independently at home until the husband fell from a ladder just before his 90th birthday. The district nurse recommended they get a home care package, disabled toilet, and walk-in shower. However, it was unclear who would assemble their financial information for means testing, fill out forms, analyze finances to determine how home modifications could be funded, and organize the building modifications. The document discusses providing planning, advice, project management, home and personal care, and transportation services to help elderly people and their adult children preserve independence at home when work or family responsibilities present challenges.