[Verified Answer]: Gabriella Gonzales is an 81 year old…

Gabriella Gonzales is an 81 year old female who lives at home with her wife Emily, who cares for her. Gabriella and Emily both have Type 2 Diabetes. Gabriella also has diabetic neuropathy which has contributed to recent falls, and diabetic ulcers that require constant wound care by Emily. At last check, Gabriella’s A1C was 11%, which Emily contributes to Gabriella’s refusal to take her Metformin. Gabriella also has some mild confusion and is often incontinent. Gabriella is eligible for nursing home care but Emily states “she will live with me until she dies,” although Emily realizes she cannot provide all the necessary care on her own. Gabriella’s health care is covered by Medicare and Medicaid and they are lucky enough to live close to Johns Hopkins Hospital. What is the best plan of care for Gabriella? What is the rationale for your decision?