I want you to look at my situation and contact me with my options

How I get on with the 'day-to-day'

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  Cleaning and laundry
  Can clean at least once a week Can clean but it's difficult Have a cleaner Need a cleaner
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  Bathing
  Can bathe or shower daily Can strip wash Can strip wash with help Cannot wash and need help
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  Toileting
  No problems Can use toilet but can't get to it Must use support to get on or off toilet Need help to get on or off toilet Unable to use toilet and need help
• 
  Dressing
  Can dress self every day Can dress with difficulty Need some help to dress Cannot dress and need help
• 
  Mental health
  Happy and healthy Happy but want to get out more OK but forget to take medication OK but forgetful or confused Suddenly forgetful or confused
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  Mobility
  Good mobility Good except getting out of a chair Good except using stairs Manage by furniture walking Totally immobile and need help
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  Getting out and about
  No problems getting out Go out but find bus or train difficult Has access to car Can get out of house with help Housebound
• 
  Cooking and preparing food
  Cook all the time Uses microwave or oven to reheat Can make beans on toast Can make own breakfast Can make a hot drink unaided Cannot make anything unaided
• 
  Medical issues
  General health good General health okay General health poor Receiving medical treatment In hospital