ABSTRACT
A 70-year-old woman was brought into hospital by the ambulance service after being found vomiting and responding to auditory hallucinations in the street. The patient was agitated and distressed and declined to give further history regarding her presentation to hospital. She told the team that she had been travelling around Europe as a missionary for the past 25 years, had arrived in the United Kingdom from Greece 2 weeks ago, and had since been living in bus shelters. No further history could be elicited. A passport was found in her bag with recent Greek and Italian stamps. She refused to participate with mental state or capacity assessments.
