ABSTRACT

A single 65-year-old woman presents for her sixth visit in as many weeks. She attends with non-specific, vague concerns. She seems anxious about her physical health and requests repeated examinations and tests to be reassured that she is okay. She has a history of mild anxiety but nothing else of note. On conversation you discover that she has recently retired and a close friend of hers has died. She and the friend had intended to travel on her retirement. She now wonders whether she is in a fit state to be travelling. She has spent quite a lot of time researching illness in her age group and wants to know how she should take care of herself so she has a happy and healthy retirement. She seems particularly worried that she is likely to get cancer of the uterus as she has never had children. She is also concerned that because her parents died of heart problems in their 70s, her own risk is high.