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18. Case: When the “Truth” is Painful
View Case Study: 18. Case: When the “Truth” is PainfulMrs. Sally Parrot, a 73-year old widow, has mild dementia of a presumed neurovascular type. She resides in her own small apartment in Serenity, a private continuing care community in Bedford, where she receives some assistance with housekeeping, meal preparation and organization of her medications. Sally is actively engaged in Serenity’s structured activities and, in…
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13. Case Mind Over Matter?
View Case Study: 13. Case Mind Over Matter?Essie Marshall is well-known in the community for her many years of dedicated volunteer work and leadership. She is also well-known in the emergency department for her frequent visits. As one of the doctors describes her, “She’s a challenging patient, but not in the medical sense.” Today Essie is back in the emergency department, saying…
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12. Case: Should Steve Go Home?
View Case Study: 12. Case: Should Steve Go Home?Throughout his life, Steve was the athlete that everyone admired. He played all sports well, especially excelling at basketball. While being quite competitive, Steve was a team player who enjoyed being a part of the team experience. Unfortunately, while ‘horsing around’ with his friends last summer, Steve dove off a dock into water that was…
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11. Case: Truth-Telling
View Case Study: 11. Case: Truth-TellingThe patient is an 89-year-old gentleman with moderate dementia and a history of COPD, swallowing difficulties, a CVA, and recent aspiration. The investigation of his aspiration uncovered a lesion in his lung- the physicians felt it was likely to be cancerous. Thoracic surgery verified that it was lung cancer and a determination was made that…


