The five card is one of conflicts and difficulties.It is more about the mental attitude as well as the physical situation. Asking for help and admitting you need help can be difficult for some people. The card may appear to show you that someone needs your help, but you must offer it and help them to see it is not charity.
Here the figures are struggling and there is help as they walk past a church, but they are either too proud to ask for help or cannot see that help is available. One is struggling to walk and the other looks down and cannot see where she is going. It maybe a message to help someone who is denial, either emotionally or physically. The card can also represent the querent who is in denial, who cannot see that they need help and the winter symbolizes struggling in harsh conditions.