NAME:    Doris McKenzie AGE: 74 years CASE: Recently moved to be near her son, daughter and grandchildren. Signed on with a new GP. GP gave check up: she has been diagnosed with diabetes but hasn't been following correct diet.

NOTES

African-Caribbean. Doris says she doesn't have time to think about her food. It turns out her husband Joe (78) suffers with dementia (memory loss). In two months they celebrate their Golden Wedding.

Doris is overweight and hasn't had a check up for some time. Insists she's doing OK. Ferociously proud and resists everything she thinks of as charity. Relies on family. Says she's having trouble with eyesight.

Doris loves Caribbean food and doesn't want to give it up.

RELEVANT FACTORS:

• Doris's diabetes. Hasn't had a check up for some time. Obese. Are there other effects of diabetes? There are – Doris is having double vision.
• Joe's increasing dementia. Communication? How does Doris look after him? How can Joe be helped?
• The forthcoming Golden Wedding is important to the family. Why else might this be an important event? You might think of the menu.