Our elderly client had pneumonia and a urinary tract infection. The nursing home staff failed to send her to the hospital for a few days despite observing a change in her condition. She ended up in the hospital where she was treated for the pneumonia and infection. The hospital also found that she had a couple of pressure ulcers. However, the defense had a strong argument that a significant factor in causing them was our client’s refusal to eat and to get out of her wheelchair.