John is a retired manual worker in his early seventies who has diabetes and possibly dementia, but he refuses further medical examination. He often shows up at the GP’s surgery without an appointment. The GP has talked frequently to John and his wife about improving disease regulation through diet and exercise, but John has not managed to change his habits. Recently, John’s wife has been diagnosed with cancer and cannot support John as much as before. John lives in the countryside and he disagrees with his wife’s suggestion of moving to the nearby town, although he is at risk of losing his driver’s licence.