Chapter 12.2, Problem 9B

Summary Introduction

Case summary:

Person S and his wife are an old couple of about 70 years of age. Person S used to drive even at this age but his children were concerned about his safety.

Person S's wife is a type 1 diabetes and hypertension.

Person S is also hypertensive and he underwent a surgery.  In the month of September, Person S's wife had chest discomfort and breathing problem and she was hospitalized.

She underwent a surgery and she was moved to rehabilitation facility. Later Person S was given a flu shot by a nurse practitioner.

In rehabilitation, Person S's wife got physical therapy and did quite well. She was discharged from rehabilitation. After two weeks, she got a stroke and she was admitted in the hospital. In rehabilitation, she suffered from another stroke was admitted to a long-term care facility. Person S was very adamant to continue his drive, as he had to visit his wife every day. He was also worried how long they could afford for the long-term care facility, which is nearby to their home.

Characters in the case:

• Person S
• Person S's wife

To think: How Person S and his wife would experience if they were the members of a vulnerable population that is urban poor, recent immigrants, non-English speaking, and rural.