1. Social wellbeing
1.1. Attends community events and yarning sessions at home
1.1.1. Interested in attending local pag group if grand-daughter (lily) can attend
1.1.2. Misses Mob
1.2. Enjoys gardening and art
2. Life story
2.1. From Athertons tablelands in North Queensland
2.2. Daughter and three grandchildren in QLD
3. Functions
3.1. Looks after grandchildren
3.2. Koori Primary school teacher
3.2.1. Retired 3 yrs ago
3.3. Lived independently for several years
4. Health
4.1. T2DM
4.1.1. BSL book
4.1.1.1. BSLs have been fluctuating
4.1.1.1.1. diet changed
4.1.2. Managed by aboriginal health service
4.2. Hypertension
4.2.1. Managed by aboriginal health service
4.3. Decreasing kidney function
4.3.1. monitored by aboriginal health service
4.3.2. Recent diagnosis of CKD
4.3.2.1. Follow up kidney appointment
4.3.2.1.1. Requires transport, Aboriginal Community-Controlled Health Organisation (ACCHO) to organise
4.3.2.2. Medication management
4.3.2.2.1. Requires additional assistance to ensure taken correctly
4.3.2.2.2. taking caltrate for itchy skin
5. Enviroment
5.1. Currently living with Son
5.1.1. Son and his wife are busy working
5.2. Never been in hospital before
5.2.1. Family and friends have had bad experiences
5.2.2. reluctant to seek medical help despite health complications