Category / Case Studies / Patient/Physician Relationship
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The Case of Immigrant Populations: Cultural Competence in Health Care
Delivering health care to non-English speaking immigrant populations requires knowledge and appreciation of the patient’s culture. Acquiring the skills to bridge the two worlds calls for self-awareness by the practitioner and a commitment to cultural competence by the organization.
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The Case of Herman: Rejecting Doctors Orders
Herman, a fifty-five-year-old farmer, has come into the office of Dr. X complaining of an increase in the symptoms of a chronic problem.
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The Case of Helga Wanglie – Futile Treatment
Does the suggestion of withdrawal of life-sustaining technologies reflect moral decay in our culture?
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The Case of Ginger: Autism and Blood Cancer Treatments
A 30-year-old woman, “Ginger,” is in the clinic, having been diagnosed several years ago with myelodysplastic syndrome (MDS, a blood disorder). There is a high chance that the disease will progress to acute myeloid leukemia (AML), with lower chance of survival, so physicians had started chemotherapy.
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The Case of Freda: Nursing Staff in Moral Distress When Patient’s Wishes Not Followed
Freda is a thirty-two-year-old woman in an advanced fixed stage of multiple sclerosis. Freda’s inability to swallow has caused her to lose weight to the point that she is clinically malnourished. Freda’s mother insists on insertion of a gastric feeding tube, which puts the nursing staff in a high state of moral distress.
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The Case of a 20-Month-Old Boy
A 20-month-old Puerto Rican boy was admitted to the inpatient unit for failure to thrive associated with a decrease in appetite. The mother suspects it is empacho. Assumptions are important in ethical analysis. If you do not believe there is such an illness as empacho, how do you relate to the parents of this child?
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Case Study – Tatiana Tarasoff: A Duty to Warn
When a therapist predicts that his patient is a danger to another person, does he have a duty to warn that person of the danger
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Case Study – Our Pregnant Daughter Didn’t Want This.
Is a healthcare directive legally in effect if the patient is pregnant?
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Case Study – Family Opposition to Organ Donation Despite First Person Consent
JD has not regained consciousness and is apt to remain permanently in a vegetative state. A decision is made to withdraw life support. Is organ donation a possibility?
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Case Study: One Small Cut that Killed
The family wants answers, and so far, all they know is that he came in with one small cut and suddenly died.
