 i am a case manager with a client who needs long term if not permanent accessible housing with medical care please advise if your facility could accept him as a resident he is paraplegic requires 12 hours of tpn intravenously daily with an ostomy ileostomy which he manages independently he currently lives at a friends house and receives 8 hours daily of hha services for mobility and transfers assistance with le dressing bathing and home tasks like taking out the trash and tidying home nursing visits 2 3 times week for labs monitoring and changing the dressing on his iv access port home pt once per week and he attends various outpatient medical appointments on a regular basis which must be arranged with wheelchair transportation he receives weekly deliveries of the tpn solution which must be refrigerated 