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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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75. Case: Cultural Competence: Truth and Reconciliation in Action
View Case Study: 75. Case: Cultural Competence: Truth and Reconciliation in ActionCase 75: Cultural Competence: Truth and Reconciliation in Action Alex Sylliboy has been referred to the diabetes clinic and this is his first appointment. He identifies as Indigenous on the intake form. Andrew Sullivan, the nurse, has read recently that the experience of residential schools has long-lasting, intergenerational effects on health, but isn’t sure…
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66. Case: Blood Transfusions
View Case Study: 66. Case: Blood TransfusionsJoyce Skinner is a 38 year old woman with non-curative leukemia. She is the single mother of two children, ages 11 and 8, and her ex-husband is ‘out of the (parental) picture’. Since her leukemia diagnosis, Joyce has approached her progressive hematological cancer in an assertive manner, seeing it as her responsibility to fight to…
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54. Case: Professional Role
View Case Study: 54. Case: Professional RoleWhile doing a weekday home visit to an elderly patient, a VON nurse in a small community finds the patient’s son at home. The patient has mentioned that her son teaches at the local elementary school, but he has never been present during any of the nurse’s previous visits to the house. On a weekday…
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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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48. Case: Shared Experience
View Case Study: 48. Case: Shared ExperienceYou have recently started working as an RN in cardiology at the local pediatric health centre. One of the first cases you are involved with hits a little close to home. It involves a 2-year old patient named Kira who has a congenital cardiac abnormality. The clinical circumstances are similar to what you experienced with…
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47. Case: Collegial Responsibilities
View Case Study: 47. Case: Collegial ResponsibilitiesYou are a pediatric critical care specialist working in the ICU taking care of a newborn infant who suffered a severe, prolonged reduction in blood flow to his brain at the time of birth. The consulting neurologist has indicated that the infant’s prognosis for functional neurological recovery is very poor in the unlikely event that…
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36. Case: Fee-For-Service Care (Complementary/ Alternative Practices)
View Case Study: 36. Case: Fee-For-Service Care (Complementary/ Alternative Practices)A registered nurse is also a registered massage therapist and runs a private practice out of her home. Physicians often refer patients to her privately for massage therapy, but have also begun asking this RN to provide massage services while on duty in the hospital. She feels uncomfortable about this and after speaking with her…


