You have been referred the case of Carla Washburn, a 74-year-old woman, whose sister has called your agency on her behalf. Widowed twenty years ago, Ms. Washburn recently lost her 25-year-old grandson, whom she raised from childhood, in Afghanistan. Recently, she fell off a ladder at home and has been in great pain ever since. She refuses to see a doctor. As you delve into the case, you will see many levels to this problem. Can you help her?