The image shows an elderly woman in a wheelchair with a prosthetic arm. She is holding the arm with both hands and appears to be adjusting it. The woman is wearing a white lab coat and has a serious expression on her face. In the background, there is a woman sitting on a chair and another woman standing next to her, holding a clipboard and looking at the woman in the wheelchair. The background is blurred, but it seems like the woman is in a medical office or clinic setting.