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67. Case: What is Angela’s Choice?
View Case Study: 67. Case: What is Angela’s Choice?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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57. Case: Caregiver Stress
View Case Study: 57. Case: Caregiver StressDr. Morrison has been the only physician in his small community of 1,500 people for about 15 years and is known as the “Town Doc.” When he first moved to town, he quickly became friends with many people and involved in the community. However, the longer he practiced, the more awkward his social life became.…
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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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51. Case: Confidentiality and Privacy
View Case Study: 51. Case: Confidentiality and PrivacyJoanne Baker, a nurse practitioner in a small community, prescribed a partial opiate agonist to a young man, Brian, for treatment of prescription opiate dependence. Brian is talented and plays on the same soccer team as Joanne’s son. Three weeks later, Brian is found unresponsive after an overdose of opiates, requiring intubations and medical evacuation…
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42. Case: “Oops, Did I Say Too Much?” The Ethics of Confidentiality
View Case Study: 42. Case: “Oops, Did I Say Too Much?” The Ethics of ConfidentialityYou work with a variety of patients and families, and often see firsthand both the joys and disappointments that can come with trying to manage mental health issues. Over time, you have developed some special expertise in working with patients with schizophrenia and often are asked by family doctors for assessments and/or support with treatment…
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15. Case: Acceptable Judgement?
View Case Study: 15. Case: Acceptable Judgement?Sara Thornton, an unemployed 19-year old woman, lives with her 28 year old sister, Fran, and Fran’s boyfriend, Alan. Both sisters were diagnosed with bipolar I disorder in their mid-adolescence. They are both estranged from their alcoholic mother, the only living parent. Fran has learned to manage her illness reasonably well through lifestyle changes, participation…
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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…


