How do we best support carers and the patients they look after?

The strain of caring is evident here and he looks lost in terms of what to do for the best. 

What's the best way to acknowledge the strain that the patient is describing here?

Consider the management choices and make a decision as to what's in his and Parvati's best interests. 

What would be culturally sensitive, while looking after Parvati and Mr Patel's care?