Patient: MMC, 7, Widow, worked in commerce all her life and declares herself b

Patient: MMC, 7, Widow, worked in commerce all her life and declares herself brown. History of stroke 7 months ago with mild dysarthria and right paresis. HAS. depression. Physical examination shows PA = 150x90 mmHg, edema MMII +/4, limitation of movement on the right side, with difficulty transferring in bed, limitation of movement and speech alteration with deviation of the labial commissure. In use of: AAS, simvastatin, escitalopram, lamotrigine, mirtazapine, amlodipine. From the AVE, is restricted to the home, socializing is limited to Sunday masses. The health unit team makes frequent control visits. caregiver: Brother JBMC, 7, smoker (3 straw cigarettes a day). DM2. widowmaker, worked in a commercial distributor as a freight loader; declares himself brown. Wife died of untreated cervical cancer. ACS reports that he “has no social life, “Just take care of your sister”. The unit's team also takes care of your health, medicines, etc. Go shopping. Has few friends, lately he hasn't visited any. A neighbor helps sporadically, when he has to go out to pay bills or do shopping. Take your sister to church, but he doesn't think he's religious. Family members: Mother and father who died in the elderly age group, mother due to complications of hypertension (Post-AMI CHF), and father due to the development of progressive vascular dementia and alcoholic encephalopathy. AOAC Husband, died 10 years ago also from a stroke. Irmã AMMC, 6, lives in another city 240 km away, come to the end of year parties. Married to a 6 civil servant, that has after-effects of a road accident, bedridden. He has two children, a 46 year old, heterosexual marriage, a granddaughter; another 4, that is stuck, Solteiro. Sister ABMC, looking 60 years old, homosexual marriage, moved abroad. Brother JCMC, 58 years, who lives in the same house, but does not support brother JBMC. Lives in a room at the back of the house, with his second wife VPV, 3, after divorcing MCCO h