He has macular degeneration. He is not cooperative. We have tried to suggest alternative care options and he is very opposed to help. He cannot see but drives, has an iliostomy and needs help with cleaning ect... around his house and is gradually needing more help with this but he is angry and defensive and will not cooperate with our suggestions. How can we get him to be open to this discussion and resolutions? He wants to remain in home but will not allow for services such as cleaning ect.. and still wants to drive.