Elizabeth Green is a 78 year Caucasian women who lives alone in an older, but safe, apartment complex. She lives on the first floor and is able to drive independently. Though she has friends, she has never married and has no immediate family in the area. Her multiple chronic disease processes (CHF, diabetes, heart disease) significantly limit her mobility. Her routine is to stay in the apartment and watch TV. She was recently discharged from the hospital following a CHF exacerbation. The case manager arranged for home health follow-up. The home health nurse finds her CHF to be well-controlled at this time. Her lungs are clear. However, the nurse is concemed about her relative lack of support systems and inappropriate medication use/poor health literacy. Approximately 20 bottles of pills are on her dining room table to include duplicate prescriptions. Ms. Green states, 1 drive, but its hard to get out. So far I’ve managed. Thank God I get my prescriptions through the mail.° Although Ms. Green reports that she understands taking her medication is important, she does not know why she is taking her medications specifically. She states, 1 take a pill for my diabetes, a water pill, and a heart pill.°

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