They are interdependent and rely on immediate family for housing and financial assistance when in great need. Mrs. LL’s two healthy adult children allow the patient to stay with them for short periods of time but choose not to get too involved with my patient’s medical problems because of her long-standing history of non-compliance and manipulation. Overall, the husband is in better health than Mrs. LL and doesn’t understand the seriousness of her co-morbidities. He is primarily seen by my preceptor and has a history of alcohol abuse, tobacco use, and diabetes. His lack of desire to promote change within the household stems from his fairly stable health, lack of motivation, and health illiteracy. Over the years Mrs. LL’s family has diminished and ignored the seriousness of her health status. The symbolic interaction theory strengthens the notion that through constant social interaction with her husband and children, Mrs.LL has fashioned her behavior taking into account the avoidance behavior of her husband and children through a process called “joint action” (Aldiabat & Le Navenec, 2011). Consequently, Mrs.LL’s social interactions have caused her to form a poor self-concept and continue unfavorable health…