Josephine raised her only child Fay as a single-parent in Southern California. They have a close relationship. Two and a half years ago, Fay had been pursuing her PhD in public health when Josephine was hit by a car. Eventually she moved to the Bay Area to live with Fay. Her memory and decision-making skills have deteriorated to such extents that Fay now makes all decisions and provides her with constant caregiving support. This has impacted their mother-daughter relationship significantly. In addition, Josephine is not as mobile as she once was, has developed arthritis and suffers gastrointestinal issues. Due to the demands of caring for Josephine, Fay has had to put her studies on hold. As she faces potentially increasing expenses for Josephine’s care, having no income compounds Fay’s worry.