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  • Case Study – My Patient’s Dying

    I had never seen it before. I had no experience on which to base my unsettling suspicions. Who is responsible for ensuring that Ms. P’s dying wishes are fulfilled to the degree possible?

  • Case Study – Mr. Jay’s Case

    Mr. Jay told his doctor he would prefer that resuscitation not even be attempted. Will paramedics know about Mr. Jay’s preference?

  • Case Study – Matter of Quinlan

    Evidence in the case included statements the patient made earlier referring to her “distaste for continuance of life by extraordinary medical procedures.” These statements were deemed by the court as remote, impersonal and lacking trial “probative weight.” The trial court refused the order to withdraw life-supporting apparatus. The father/guardian appealed.

  • Case Study – Managing Pain, A Family Affair

    Mrs. W is a sixty-year-old African American woman with a recent diagnosis of breast cancer with metastases to the bone and lung. Will she become addicted to the prescribed pain medication?

  • Case Study – It’s Too Much – First My Daughter, and Now This

    Fiona has custody of her two orphaned grandchildren and works as a housekeeper in a private home while the children are in school. Medical expenses are beyond Fiona’s budget. How can Fiona get – and pay for – healthcare?

  • Case Study – “If you prick me, do I not bleed?”

    Elizabeth is over 100 years old, with little cognitive decline. Her blood-thinning medication requires monthly blood draws, which are painful and distressing to Elizabeth. Is continuing the monthly blood draws the right thing to do?

  • Case Study – I Know What You’re Thinking

    An African American male patient, age forty-two, was admitted to a skilled nursing unit after surgery for head and neck cancer with lymph involvement, newly diagnosed.  What is presupposed by his “life on the streets”? by his active drug use in the past?

  • A Case of Clinical Ethics Consultation

    Goals of care may be in conflict. Assistance requested in complex case of anoxic brain injury patient with unreliable DPOA and potential conflict regarding goals of care.

  • The Case of Grace: Why Are They Doing All This?

    Shortly after she retired, Grace, who has never married, sold her home and moved into Happy Valley Nursing Home where she has lived the past nine years and has now slipped into what the doctor agrees is Alzheimer’s disease. Grace started exhibiting signs of illness, which after blood tests, appears to be related to abnormal function of her spleen.

  • Case Study – Good Death or Assisted Suicide?

    “My body is all worn out. I’m worn out. Don’t want to do this anymore, Doc. Just stop that little gadget that shocks me and the part that keeps my heart going. I want them stopped. Yes, the pacemaker, too. A magnet will stop it, right? Just do it. Please.”