Background

Andrew, aged 75, was diagnosed with Alzheimer's disease about a year ago. He lives independently, but his health has declined over the past six months. Andrew’s daughter, Clementine, is worried about him.

Today, Andrew has come to see Dr Singh. Andrew is accompanied by his daughter, Clementine, after several weeks of worsening abdominal pain.

After listening to both his and his daughter’s concerns and examining Andrew, Dr Singh recommends a hospital referral for an ultrasound scan to find the cause of his pain. At this suggestion, Andrew becomes visibly distressed and repeatedly insists on not going to the hospital. Clementine explains that her father’s reluctance to go to the hospital stems from the loss of his wife, who died in hospital last year.

Andrew begins to downplay the severity of his pain, insisting that it is manageable and not worth making a fuss over. He expresses his strong wish to remain at home instead of going to the hospital for further investigations.

Clementine says to Dr Singh that she’s worried about her father's pain and lack of sleep. She urges Dr Singh to proceed with the referral and assures him that she will make sure that her father attends the appointment.