In Kenbridge Constr. Co. v. Poole, 25 Va. App. 115, 486 S.E.2d 567, 569 (Va. Ct. App. 1997), the claimant fractured his skull during an industrial accident and, as a result, suffered from cognitive brain damage. 486 S.E.2d at 568. His caretaker wife was assigned a number of tasks, all under the direction and control of the claimant's physicians. Id. To carry out these tasks regularly, the claimant's wife was "trained to administer enemas and suppositories, take stool samples, take blood pressure readings, and monitor heart rates." Id. She also received cardiopulmonary resuscitation (CPR) training. Id. Additionally, the wife remained in close contact with the claimant's physicians, monitored his medications, and performed physical therapy with him. Id. at 568-69.