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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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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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50. Case: Overlapping Relationships
View Case Study: 50. Case: Overlapping RelationshipsDuring a routine physical examination at your rural practice, one of your teenage patients shares that he has seen another teenage patient using cocaine at your neighbour’s house. Some Values and Ethics Issues to Consider
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49. Case: Reality Check?
View Case Study: 49. Case: Reality Check?A clerk and resident are frustrated after a morning of taking histories from and doing physical examinations of patients referred to the GI Clinic. As you (the attending clinic gastroenterologist) are going over the morning’s work with them, the clerk and resident complain that most of the patients seem to have less clinically significant symptoms…


