The cost of housekeeping services are never a deductible medical expense; only personal care services may be deductible under certain conditions. However, the cost of housekeeping services incurred to enable you to work may qualify for a dependent care tax credit. To be eligible for this credit, the nonworking spouse must be physically or mentally incapable of self-care. Whether your wife meets this condition is up to your doctor.
A mutual-fund distribution allocated to gains realized on the sale of fund portfolio assets. You report the distribution as long-term capital gain even if you held the fund shares short term.