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101. Case: A Question from Family About Outcomes
View Case Study: 101. Case: A Question from Family About OutcomesYou are caring for a patient following a severe stroke. The attending physician has been very clear with the family that it is unlikely that the patient will survive and that, if he does, it will be with very significant impairments. Still, the family takes any movement or facial change as an indication that he…
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90. Case: What is Best for Angela?
View Case Study: 90. Case: What is Best for Angela?Angela Flores is a six year old with some minor developmental delays caused by traumatic birth. She has recently been diagnosed with a brain tumor and her prognosis is poor. The health care team is trying to determine goals of care and a develop treatment plan. Angela lives with and is cared for by her…
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79. Case: It’s the Little Things
View Case Study: 79. Case: It’s the Little ThingsSupported Decision Making and the Rights of Persons with Disabilities Freya Pedersen is a 23-year-old with a developmental disability. The surgeon is discussing an upcoming surgery with Freya and her parents. Freya tries to express herself, but it is hard to understand her speech. The surgeon is in a rush and just hands the consent…
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62. Case: Formula Feeding Resource Book
View Case Study: 62. Case: Formula Feeding Resource BookAndrew Godwin is a relatively new staff person working for Public Health. He is learning about the WHO Code of Marketing Breastmilk Substitutes and the importance of promoting breastfeeding as a norm in Nova Scotia, as part of the Healthy Eating Strategy. He has received several phone calls from new parents asking him why the…
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60. Case: Health Care Providers Under Quarantine
View Case Study: 60. Case: Health Care Providers Under QuarantineMy story starts in early April, during a routine day shift in our minor care area. A previously well middle-aged man, recently returned from Hong Kong, presented with fever. Because SARS was already recognized and we’d gone through the recent experience of a crash intubation with our first case at Vancouver General, this patient was…
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56. Case: Family Friends/ Family Doc
View Case Study: 56. Case: Family Friends/ Family DocDr. Jones has been a close friend of the Smith family since coming to town 18 years ago. The Smith’s oldest child, Sally (15 years), has come to the office to have a physical to be on her school’s track team. Her mother has brought her to the office, but as usual, Dr. Jones sees…
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55. Case: What is My Obligation?
View Case Study: 55. Case: What is My Obligation?A family physician in a small, remote community assesses a patient, who is a local schoolteacher, as developing a post-partum psychosis. He feels he lacks adequate training or experience to manage her care. He recommends she seek treatment at a distant large mental health centre but she refuses to travel to the centre because of…
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53. Case: Disease Stigma
View Case Study: 53. Case: Disease StigmaA patient has been followed by you, his family doctor, for several medical issues and is being seen for a minor work-related injury. He is very negative and tearful but will not acknowledge his symptoms when asked. You believe he is depressed and you know you can provide treatment for his depression. However, the patient…
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50. Case: Overlapping Relationships
View Case Study: 50. Case: Overlapping RelationshipsDuring a routine physical examination at your rural practice, one of your teenage patients shares that he has seen another teenage patient using cocaine at your neighbour’s house. Some Values and Ethics Issues to Consider


