text: import datetime
  
  # Interaction for patient with learning disabilities
  # "adj_to_care"
  
  # Learning disability interaction 1: Adjustments to care
  # This can mean (for example) adjusting lifestyle education so that it meets the needs of people with learning disabilities
  
  def adj_to_care(patient, environment, patient_time):
      encounter = {
          "resource_type": "Encounter",
          "name" : "ld_service",
          "start": patient_time,
      }
  
      entry = {
          "resource_type" : "Observation",
          "name": "ld_service", 
          "start": encounter["start"] + datetime.timedelta(minutes=15),
          "cost": 200,            # update for accurate cost
          "glucose": 0,           # glucose impact, to be updated
          "carbon": 50,           # update for accurate carbon
      }
  
      new_patient_record_entries = [encounter, entry]
  
      next_environment_id_to_prob = {0: 0.5, 5: 0.5} 
  
      next_environment_id_to_time = {
          0: datetime.timedelta(days=10),  # TODO: from initial patient_time (not last)
          5: datetime.timedelta(days=20),
      }
  
      update_data = {"new_patient_record_entries": new_patient_record_entries}
      return (
          patient,
          environment,
          update_data,
          next_environment_id_to_prob,
          next_environment_id_to_time,
      )
  