Heat Risk & Chronic Disease
A neighbor reports that an older adult living with diabetes seems confused inside a home with no working cooling during extreme heat.
Good starting point
Case library
Each case is a fictional San Antonio resident whose health concern sits alongside structural access barriers — travel time, housing conditions, clinic hours, language access. You choose priority questions, mark only the risks the case supports, judge urgency, and plan referrals, then read feedback against that case's answer key.
The cases come in pairs. Each pair shares a subject area but turns on a different decision, so the same set of facts does not always lead to the same answer.
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Start with an Introductory case to learn the sequence.
Two contrasting cases
A neighbor reports that an older adult living with diabetes seems confused inside a home with no working cooling during extreme heat.
Good starting point
An older adult with high blood pressure has had no cooling for two days during an extreme-heat advisory, feels well, and has a daughter with air conditioning who can host her today.
Good starting point
Two contrasting cases
A parent of two young children has food for tonight only and no reliable way to reach food assistance or a pediatric clinic.
Good starting point
A man with food assistance nearby cannot reach it: the pantry is four miles away on a road with no footpath, and the on-demand van service does not list his part of the city.
Some complexity
Two contrasting cases
A parent facing eviction reports her 8-year-old's asthma has worsened since moving in with relatives, and his rescue inhaler is nearly empty.
Some complexity
A father calls about shelter paperwork, and mid-call describes his 6-year-old struggling to breathe with no relief from her inhaler.
Complex decision-making
Two contrasting cases
A Veteran who has withdrawn for three weeks describes thoughts of not wanting to wake up, and there is a firearm in the home.
Complex decision-making
A woman who lost her job three weeks ago describes constant worry and broken sleep, and says clearly that she has no thoughts of harming herself.
Some complexity
Two contrasting cases
A pregnant resident who speaks an Indigenous language from Oaxaca has had no prenatal visits at about 32 weeks and reports no warning signs today.
Complex decision-making
A pregnant resident at about 30 weeks describes a severe headache that will not go away and changes in her vision, relayed through a neighbor, and no interpreter in her language is available yet.
Complex decision-making