The Veteran has established service connection for bilateral CTS, right and left knee osteoarthritis, but not for wrist arthritis or a respiratory condition. The decision is mixed as some issues are granted while others are denied.

The Board denied the Veteran's eligibility for enrollment in VA's Program of Comprehensive Assistance for Family Caregivers (PCAFC) due to her not requiring personal care services for a minimum of six continuous months based on an inability to perform one or more activities of daily living, a need for supervision or protection, or a need for regular or extensive instruction without which the ability to function in daily life would be seriously impaired.

The Board remands all service connection claims for further development and to correct a pre-decisional duty to assist error.

The Board granted a 100 percent evaluation for the service-connected depressive disorder and denied an evaluation in excess of 20 percent for the right shoulder strain, while remanding claims for service connection for carpal tunnel syndrome and TDIU.

The Board has determined that the Veteran's home modifications and equipment purchases are necessary to enable him to function more independently in his family and community without assistance, or with a reduced level of assistance.,However, additional equipment purchases and/or home modifications, such as an overhead cover for a wheelchair lift at the front of the home, a cover over the front walk, installation of a central air conditioning system, an addition to the home to include installation of a new bathroom downstairs, extension of the rear of the main bedroom to create space for a walk-in closet and a work-out room on the floor below; and creating access to an existing outdoor kitchen located near the pool area, are not necessary.,The Veteran's service-connected conditions do not necessitate these additional modifications.