More than half of those who are homeless or considered “marginally housed” have had a traumatic brain injury (TBI) at some point in their lives, and a quarter of them experienced a brain injury that was considered moderate or severe, according to a study published online by The Lancet in December.

The attending physician has requested that case manager Eloise prepare Mrs. White for discharge five times, but each time, the night before the discharge day, the patient experiences a medical complication.