What are some of the main medical, mental, social, or environmental challenges facing this person?
A Russian woman of approximately 69 years, citizen in the U.S., has Medicaid and lives alone in a small house in the New York City. She was able to take care of her basic functions, and could go to the refrigerator where she kept a breakfast and lunch laid out for herself. However, she is unable to take care herself alone. Days pass and her memory loss increases. One day,she imagined that she had to visit someone, so she left the house and went to a neighbor's for a ride. Evidently, she said some incoherent things, she can't remember where her glasses were and were she had left her handbag( on the table next to her)--and after much opening and closing of the bag, the glasses remained unused. So the neighbor took her to the local hospital thinking that she needed medical help. After this incident, the Department of Human Resoruces became involved and provide home care program and senior house etc. for her.
There are many challenges in this case study. I would suggest that there might be some level of early onset for Alzheimer's Disease. The description that scientists use to articulate it in the early stages is "insidious," in that the onset of it is stealth and not entirely evident. The fact that the woman was able to prepare things for herself, and then suffered a moment or two where this became difficult would indicate to me that Alzehimer's Disease is a challenge that might be present. The dementia that is often a part of the disease might be present in the need to "visit someone" and then speaking in an incoherent manner. It sounds like to me that some tests to be able to detect if Alzheimer's is at play or where the woman is in her stages of Alzehiemer's. The age of the woman and the sex might be two indicators that Alzheimer's is present. Casts of the disease are present in patients over 65 and women at slightly higher risks than men would indicate as such.