Tom is a 75-year-old retired electrician who is currently living in a local shelter. His wife of 45 years died 3 years ago , and with her death, the pension that was sustaining the household ended. Tom was unable to meet his expenses. As a small business owner for 45 years, he had no pension of his own.  He was able to live on the proceeds of the sale of his home for a couple of years; however, his wife had managed their money for their entire marriage and without money management skills Tom’s money ran  out. He had been living on the streets until recently. Tom presents at the local Community Health Centre with significant weight loss, lack of appetite, weakness, and memory loss. He reports that he has a persistent cough even though he gave up smoking 2 years ago. He has not seen his own Family Physician, who is in a city 30 km away, in two years. His immediate family members, two sons, live in a different province. His former neighbours have tried to keep in contact with him, however Tom has been reclusive. Staff in the shelter have noted that he has periods of confusion in the evenings and that his sleep is significantly disrupted. The Nurse Practitioner (NP) assessing Tom has no health records to draw upon and he questions Tom’s ability to share an accurate health history.