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96. Case: Surgery, Supported Decision Making and Capacity
View Case Study: 96. Case: Surgery, Supported Decision Making and CapacityAlex is a 27 year old resident in a supported living facility. She has a diagnosis of developmental delay. She is close with her younger brother, Anton. Alex has identified Anton as someone who helps her to make decisions. The organization that runs the facility where Alex lives has recently adopted a policy in favour…
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93. Case: Mr. Rattan Wants to Stay
View Case Study: 93. Case: Mr. Rattan Wants to StayMr. Rattan has been a resident at Ocean Wind, a retirement community offering a range of options for accommodation, for the last ten years since his partner died. Currently he has a studio apartment in the assisted living wing, which provides assistance with ADLs. Mr. Rattan has been diagnosed with dementia. In the last few…
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92. Case: End of Life with Dementia
View Case Study: 92. Case: End of Life with DementiaMr. Shah lives in a continuing care facility. A nurse recently commented; “My patient, Mr. Shah, has an advance directive that he wrote last year and that requests medical assistance in dying when he is no longer able to recognize his wife. His dementia has worsened quickly and recently he’s asked who his wife is…
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44. Case: Whose Business Is It?
View Case Study: 44. Case: Whose Business Is It?Brent Wathorn, 78, has been living at Halfway Lake Manor for about 6 years. His main complaint has been that he is lonely and has had difficulty connecting with the other residents. This has been a source of distress for staff at times, as they would like him to feel more ‘at home.’ Norma Carkner,…
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38. Case: Managing Human Resources
View Case Study: 38. Case: Managing Human ResourcesThe Bluenose Villa is a long-term care facility licensed under the Nova Scotia Homes for Special Care Act. It is owned and operated by a rural, non-profit health organization. At a recent meeting of the senior management team and Board of Directors to establish next year’s annual budget, the CEO, Ms. Seahead, shares her concerns…
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24. Case: Changing Care and Care-Giving
View Case Study: 24. Case: Changing Care and Care-GivingKevin Henderson is an 83-year old man who is hospitalized in an internal medicine clinical unit at the local hospital. Kevin has a variety of serious medical conditions including severe Alzheimer’s disease, diabetes, coronary artery disease and advanced chronic obstructive lung disease. He is slowly recovering from a difficult-to-treat pneumonia, which required treatment with intravenous…
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21. Case: Balancing Concerns
View Case Study: 21. Case: Balancing Concerns“Where’s the door to my bathroom? Can’t a man get some privacy?” “Uh oh, that’s Elias again. We’d better make sure he’s alright.” “How many times are we going to have to go through this with him? Maybe we should just put the bathroom door on again.” “The only problem is that on his ‘bad’…
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17. Case: Too Much to Expect?
View Case Study: 17. Case: Too Much to Expect?92-year old Ellie MacPherson has recently moved to a long-term care facility. She had found that the increasing difficulty she was experiencing due to arthritis with getting dressed, making her meals and getting out of the house meant that she could no longer live on her own. Ellie brought a number of her favourite clothes…
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14. Case: I Want to Go Home!
View Case Study: 14. Case: I Want to Go Home!A widower (age 88) lives alone, but has family living nearby. Recently he had a stroke and regained consciousness after being admitted to hospital. He was deemed to have cognitive capacity. His adult children approached the physician in charge of his case along with the unit’s Nurse Manager and requested that the patient be placed…


