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97. Case: A Conversation About Vaccination with a New Parent

You are a nurse practitioner working in a family practice. A first-time parent brings their child in for a 2-month checkup. The parent seems nervous when vaccines are mentioned as a routine part of the appointment. You ask the parent specifically about vaccination, and the parent is hesitant. They say that they “can’t get idea…
View Case Study: 97. Case: A Conversation About Vaccination with a New Parent
91. Case: Franklin Isn’t Safe at Home

Franklin Pictou is a 68 year old with limited mobility receiving post-surgical follow up care in the home. He wishes to remain in his dwelling, which is not especially clean and poses hazards to him (uneven stairs, loose carpets, wood stove for heat, and mould) and to health care providers (bed bugs). He chooses to…
View Case Study: 91. Case: Franklin Isn’t Safe at Home
75. Case: Cultural Competence: Truth and Reconciliation in Action

Case 75: Cultural Competence: Truth and Reconciliation in Action Alex Sylliboy has been referred to the diabetes clinic and this is his first appointment. He identifies as Indigenous on the intake form. Andrew Sullivan, the nurse, has read recently that the experience of residential schools has long-lasting, intergenerational effects on health, but isn’t sure…
View Case Study: 75. Case: Cultural Competence: Truth and Reconciliation in Action
74. Case: Compulsive Hoarding – Mary

Mary is a 72 year old woman who has been a compulsive hoarder for the last 10 years. She can only move from room to room through pathways. She would like to move closer to her daughter and grandchildren, but she feels overwhelmed by the amount of stuff she has in her house. Despite the…
View Case Study: 74. Case: Compulsive Hoarding – Mary
73. Case: Compulsive Hoarding – Bessie

Bessie is 65 years old and is living with schizophrenia. She has recently been discharged from hospital, and is now receiving mental health support services at home. For a while the team has attempted to visit Bessie twice a day. She initially refused to let the team into her apartment and has now allowed health…
View Case Study: 73. Case: Compulsive Hoarding – Bessie
65. Case: Conflict in an Ethics Consultation

The next three cases are from our Advanced Clinical Consultation Workshop facilitated by Paul Hutchinson, Imagined Spaces. These cases were submitted to us from Paul. I find it is often team conflict that can lead to an ethics consult and this will find its way into the consultation space. This can present in a couple…
View Case Study: 65. Case: Conflict in an Ethics Consultation
64. Case: Implementing an Anti-Obesity Strategy

The local health district is in the final stages of adopting a comprehensive organizational anti-obesity policy. Its development was led by a working group of diverse stakeholders from across the district and included an extensive consultation process. One aspect of the policy that generated a lot of discussion and debate at the working group was the suggestion…
View Case Study: 64. Case: Implementing an Anti-Obesity Strategy
63. Case: Breastfeeding Concerns

Natasha is 15 years old and you, an RN, are meeting her for the first time at a prenatal visit. Her boyfriend, Josh, is 17. Natasha is planning on feeding her baby breast milk substitute as she thinks it will be easier. She has heard that it is harder to lose “baby weight” while breastfeeding, and…
View Case Study: 63. Case: Breastfeeding Concerns
61. Case: Ending the Fluoridation of Water – A Public Meeting

The local town council has received a petition signed by more than 500 residents requesting the discontinuation of fluoride in the town’s water supply. Before making a decision on the matter, the council has decided to hold a “town hall” meeting to seek more input and help to educate its members and the audience about…
View Case Study: 61. Case: Ending the Fluoridation of Water – A Public Meeting
59. Case: HPV Vaccine for Boys

PEI is expanding its human papilloma virus (HPV) vaccination program to include grade six boys. Girls have been receiving the HPV vaccine since 2007. HPV is the most common sexually-transmitted infection among young adults. It can lead to genital warts and, in girls, cervical cancer. For boys it can also lead to cancers of the…
View Case Study: 59. Case: HPV Vaccine for Boys

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