A Client Diagnosed with ALS Has to Decide Whether to Utilize

A client diagnosed with ALS has to decide whether to utilize a tracheostomy and mechanical ventilation to assist with breathing issues. The client may need to be placed in a skilled nursing facility because his spouse is working and they cannot afford 24-hour in-home care. What should be taken into consideration when making this decision?

A) That the client would receive proper medical support only in a facility
B) That the client might be placed in a facility far from home
C) Whether the caregiver's work will let her take temporary family medical leave
D) That once he gets the tracheostomy, the disease progression stops