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Heat Risk & Chronic Disease

Training note: Older adults with chronic disease, lack of cooling, medication vulnerability, and prolonged absence from normal activity during extreme heat may require immediate welfare check or emergency escalation. This simulator is for training only and does not replace emergency protocols.

1

Review the Case

Read the resident profile and situation carefully. Look for clues that may indicate health or social risks.

Resident Profile

Mr. Ruben Garza

74 years old · Male

ZIP Code

78207

Primary Language

Spanish

Insurance

Medicare

Presenting Situation

Mr. Garza is a 74-year-old diabetic man living alone in a low-income neighborhood on the west side of San Antonio. His neighbor called the Metro Health line stating he has not been seen outside in three days during a record heat wave. He has no air conditioning and takes insulin.

Observable Indicators

These details were noted during the initial encounter. Consider what they might suggest.

  • No air conditioning in the home
  • Age 74 – high heat vulnerability
  • Insulin-dependent diabetes
  • Lives alone with no daily check-in
  • Three-day absence from normal activity
  • Record heat advisory in effect

Context: This resident is located in San Antonio, Texas (Bexar County). Consider local resources including FQHCs, county health services, VA facilities, and community organizations.