For an elderly couple living independently who requires assistance, what is the most suitable plan suggested by the nurse?

The most suitable plan for an elderly couple living independently who requires assistance is to keep them in their home with a home health aide. This option supports their desire for independence and familiarity while ensuring they have the necessary assistance for daily tasks. Staying in their own home can enhance their quality of life by providing a comfortable and familiar environment, which is often crucial for elderly individuals.

Having a home health aide allows for personalized care tailored to their specific needs without the stress of relocation. It also enables the couple to maintain their routines and social connections within their community. This approach allows for support with medication management, personal care, and household tasks, balancing safety and independence effectively.

Placing them together in an assisted-living facility might provide the necessary support, but it could also involve a significant adjustment period and a loss of their familiar environment. Moving to a nursing home would likely be too drastic, as these facilities are more structured and may not meet the couple's needs for both companionship and a more independent lifestyle. Encouraging them to move in with a child can place emotional and physical burdens on family members and might not be the best solution for maintaining their autonomy as a couple. Thus, using a home health aide strikes the best balance between assistance and independence.