I recently worked a home care case where the patient was an adult "child" who never aged out. He is completely dependent physically but mentally is functioning quite normally. Parent's instructions are to take his computer away (that he uses to communicate - as his only form of communication) at 130 am turn off lights and tv and make him go to sleep, yet the patient is 31 years old. He prefers to stay up all night and sleep all day. Any home care nurses out there encountered conflict between parents and children (adult child in this case) and how did you handle it? Personally I think it's cruel to take away someone's only form of communication, yet this same patient will keep asking you for treatments all night long at about 4x's the rate indicated on their chart.