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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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97. Case: A Conversation About Vaccination with a New Parent
View Case Study: 97. Case: A Conversation About Vaccination with a New ParentYou 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…
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94. Case: Conventional vs Chinese Medicine
View Case Study: 94. Case: Conventional vs Chinese MedicineLisa Chun is a 12-year-old recently diagnosed with Crohn’s disease. She arrived as a refugee from China five years ago with her parents and her younger brother. She has integrated well into the community and is successful in school. She often acts as an interpreter for her parents. Lisa is prescribed corticosteroids and biologic therapies,…
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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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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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88. Case: Whose Problem Is It?
View Case Study: 88. Case: Whose Problem Is It?Case substantially modified from “Obesity in Kids: When Appeals to Vanity Don’t Work,” Virtual Mentor 8(10): 377-380, October 2006 – see virtualmentor.ama-assn.org Nicholas has the option of spending the summer in an intensive weight reduction program at a health facility in Ontario. This highly regarded program accepts only 10 adolescents each summer, based on medical…
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85. Case: Adam’s Story
View Case Study: 85. Case: Adam’s StoryAdam Snowdon, a 16 year-old Sydney boy, was diagnosed with ALS (Amyotrophic Lateral Sclerosis) 18 months ago. The disease has progressed rapidly over the past three months and over this period Adam has quickly begun losing the ability to use his right arm to the point now where it is no longer effectively functional. He…


