Lionel is a 24-year old man with Down syndrome and significant intellectual disabilities, who lives at home. He is well-supported by a loving family and by all accounts has lived a happy life. His parents are his substitute decision makers for health decisions. He is minimally verbal, so one of his parents or a sibling…

Myrna is an elderly woman who until recently lived alone in the community. She has a long history of heavy alcohol use and has permanent related neurological deficits, including severe balance problems. She has had a number of falls in the community and has had repeated hospitalizations. She is currently an inpatient on a subacute…