During my clinical experiences at UNE one of the patient encounters I have had stood out to me in particular, a 66-year old patient with a diagnosis of failure to thrive in an adult.  Geriatric failure to thrive is a general state of decline in elderly patients characterized by profound weight loss, diminished appetite, poor nutrition and a lack of physical activity. Upon entering the patients room, it was clear that the patient was suffering from serious neglect. The patient lived alone and had a son who lived close by who was not involved in their life. The patient was incontinent, a full assist, apathetic to interaction with staff and due to lack of self-care and wasting of the body looked much older than 66. The patient had a PMH of severe alcohol abuse and had a history of numerous missed appointments.  This patient is picturesque of one that has simply fallen victim to a broken health care system. The staff at the patient’s PCP could have done better by following up with this patient to assess her well-being when it was noted that she was missing numerous appointments. Additionally, providing community resources to help assist the patient with ADLs and psychosocial support to identify clinical manifestations of depression that may have aided to the rapid state of decline in her health status. Involving these resources for the patient should have been a priority in the plan of care as it was clear from the time I assumed care that lack of personal care and nutrition had been occurring for an extended period of time. If I had had more time with this patient I would have liked to collaborate with a nutritionist, physical therapist, social worker and psychotherapist. Addressing this patient’s individualized needs as a team would increase the likelihood of positive outcomes.