A woman who lives next door to her neighbor, who has lived with her for over two years, has noticed a significant decline in her cognition, which she believes could be caused by a urinary tract infection. She seemed lethargic, distracted, and confused. The woman's family has not been friendly towards her, but she believes there is something there that could be a problem. If she refuses to see a doctor, contact the family. This could come across as criticism for neglect, but may lead to action. If her health continues to worsen, contact Adult Protection Services.