-
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…
-
98. Case: Talking About an Adverse Event
View Case Study: 98. Case: Talking About an Adverse EventYou 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…
-
62. Case: Formula Feeding Resource Book
View Case Study: 62. Case: Formula Feeding Resource BookAndrew Godwin is a relatively new staff person working for Public Health. He is learning about the WHO Code of Marketing Breastmilk Substitutes and the importance of promoting breastfeeding as a norm in Nova Scotia, as part of the Healthy Eating Strategy. He has received several phone calls from new parents asking him why the…
-
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…
-
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…
-
34. Case: To Tell or Not to Tell
View Case Study: 34. Case: To Tell or Not to TellThe head pathologist of the regional hospital informs the head pathologist of the tertiary care centre that the post-mortem examination of a former patient, Mrs. Dempsey, has revealed that she suffered from a neurological infection called CJD (Creutzfeldt-Jakob Disease). The tertiary centre pathologist reports this to the VP of Acute Care who determines through investigation…
-
32. Case: To Report or Not
View Case Study: 32. Case: To Report or NotDr. B is the epidemiologist and director of infection control for an academic health centre. The reportable disease statutes and regulations in Dr. B’s province specify that hospitals and other health care facilities throughout the province are required to track nosocomial infections (infections not present in patients prior to their admission to the hospital) and…
-
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…
-
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…


