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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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37. Case: A Question of Resources
View Case Study: 37. Case: A Question of ResourcesJoyce 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 stay…
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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…
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35. Case: Competing Interests?
View Case Study: 35. Case: Competing Interests?A medical device had been developed by a physician who provides care at your local hospital. The department he works in wants to begin to use that device on a regular basis. A process to guide this action has been developed by the physician in question and his team. They would like the ethics committee…
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31. Case: Stakeholders’ Role in Decision-Making
View Case Study: 31. Case: Stakeholders’ Role in Decision-MakingThis case concerns parental involvement in decision-making related to maintaining a residential facility for adolescent patients. Due to a lack of sustainable funding, in consultation with the operations team, the facility board has made a decision to close the facility. The requestor indicated that the parents of the adolescent residents were concerned because they felt…
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30. Case: Awards – Who Gets Them and Why?
View Case Study: 30. Case: Awards – Who Gets Them and Why?This case involves an organizational concern about inconsistency in the approach to applying for, being nominated for, and receiving awards. Specifically, the requestor identified that there wasn’t a process or policy in place to objectively review each application and there were inconsistencies in the process for selecting those to receive individual awards. Overall, the motivation…
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29. Case: Complicated Caring
View Case Study: 29. Case: Complicated CaringMr. Sundown is a 78-year old African Nova Scotian who is a patient in an internal medicine clinical unit at the Halifax Infirmary. He has a variety of serious medical conditions including diabetes, coronary artery disease, and advanced COPD. He is experiencing progressive respiratory failure on the basis of a difficult-to-treat pneumonia. Mr. Sundown has…
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20. Case: To Treat or Not to Treat
View Case Study: 20. Case: To Treat or Not to TreatStan Miller, a retired widower, sustains severe burns covering 80% of his body surface in a house fire secondary to a propane gas leak. He is initially assessed in the ED of the local hospital where he is sedated and intubated without any pre-resuscitation discussion about the seriousness of his thermal injuries and his care…
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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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13. Case Mind Over Matter?
View Case Study: 13. Case Mind Over Matter?Essie Marshall is well-known in the community for her many years of dedicated volunteer work and leadership. She is also well-known in the emergency department for her frequent visits. As one of the doctors describes her, “She’s a challenging patient, but not in the medical sense.” Today Essie is back in the emergency department, saying…


