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98. Case: Talking About an Adverse Event

You are a respiratory therapist working in a large hospital seeing a range of patients, but primarily working with the teams in the Emergency Department and ICU. With one complex patient in ICU there was a miscommunication that resulted in improper settings being used for ventilation and this resulted in the patient having a longer-than-expected…
View Case Study: 98. Case: Talking About an Adverse Event
97. Case: A Conversation About Vaccination with a New Parent

You 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…
View Case Study: 97. Case: A Conversation About Vaccination with a New Parent
95. Case: MAiD and Depressive Disorder

An assumption for the purposes of the case – these circumstances are happening in the perhaps not-too-distant future after the Supreme Court of Canada has struck down Bill C-14’s ‘reasonably foreseeable death’ criterion. Sally York is a 54 year-old, single, unemployed woman who has a longstanding history of treatment-resistant major depressive disorder. Her mother experienced…
View Case Study: 95. Case: MAiD and Depressive Disorder
94. Case: Conventional vs Chinese Medicine

Lisa 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,…
View Case Study: 94. Case: Conventional vs Chinese Medicine
91. Case: Franklin Isn’t Safe at Home

Franklin Pictou is a 68 year old with limited mobility receiving post-surgical follow up care in the home. He wishes to remain in his dwelling, which is not especially clean and poses hazards to him (uneven stairs, loose carpets, wood stove for heat, and mould) and to health care providers (bed bugs). He chooses to…
View Case Study: 91. Case: Franklin Isn’t Safe at Home
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…
View Case Study: 90. Case: What is Best for Angela?
89. Case: Who Has a Right to Know?

Kevin is a14-year-old admitted to hospital with persistent headache, muscle spasms, tremors, significant motor impairment, fever, cough and symptoms of liver damage. A diagnosis of lipoid pneumonia has been made and his clinicians are very suspicious that he has been inhaling nitrite compounds. Eventually they are able to confirm this when one of the team…
View Case Study: 89. Case: Who Has a Right to Know?
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…
View Case Study: 88. Case: Whose Problem Is It?
78. Case: Health Care for New Canadians

Supported Decision Making and the Rights of Persons with Disabilities Freya Pedersen is a 23-year-old with a developmental disability. The surgeon is discussing an upcoming surgery with Freya and her parents. Freya tries to express herself, but it is hard to understand her speech. The surgeon is in a rush and just hands the consent…
View Case Study: 78. Case: Health Care for New Canadians
74. Case: Compulsive Hoarding – Mary

Mary is a 72 year old woman who has been a compulsive hoarder for the last 10 years. She can only move from room to room through pathways. She would like to move closer to her daughter and grandchildren, but she feels overwhelmed by the amount of stuff she has in her house. Despite the…
View Case Study: 74. Case: Compulsive Hoarding – Mary

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