• Her sister, Marion Gull (Kanenwisher) and her brother-in-law Albert Gull were scheduled to arrive at Elvina's home on the next day. Marion had experience as a Registered Nurse, and she would watch and control the medication and treatment of Elvina. At the current day and the previous few days the control was under her adopted daughter Marie Ann Cheatham.
• Her biological son (closest living relative) was scheduled to arrive after two days at Elvina's home. He would review and change the medical treatment of Elvina. He would get a second opinion from a cancer research facility on the east coast. He would discover incorrect "Do Not Resuscitate" notation in her treatment plan. He would move Elvina to a professional Hospice Care Facility in Vancouver, rather than unprofessional and inadequate home care. He would discover financial issues that could result in the loss of hundreds of thousands of dollars to Marie Ann Cheatham if Elvina did not die before they could be changed..
• Marie Ann Cheatham refused to let the main Hospice Care Nurse look at Elvina in the morning to assess her condition. No Hospice Care Nurse had seen Elvina since the previous morning.
• Marie Ann Cheatham had received telephone authorization the previous night to administer a form of morphine to Elvina based only on Marie Ann Cheatham's word that Elvina was in pain.

• There would not be any visitors in her house.
• Marie Ann Cheatham would be alone with her in the mother-in-law apartment behind the house.
• The night shift nurses would be on duty at the Hospice Care office 20 miles (40 minute drive) away in Vancouver, Washington.

This describes premeditated murder and possibility including conspiracy if her husband Daniel T. Cheatham was involved actively or passively by doing nothing to prevent it and/or not reporting relevant facts to the police.  

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