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Mrs. Sando Case Study Stuart J. Farber, MD

Mrs. Sando Case Study Stuart J. Farber, MD. Case Study: Mrs. Sando.

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Mrs. Sando Case Study Stuart J. Farber, MD

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  1. Mrs. Sando Case Study Stuart J. Farber, MD

  2. Case Study: Mrs. Sando Mrs. Sando is 69-year-old and has end-stage ischemic cardiomyopathy. She has become progressively ill and it has become extremely difficult to control her recurrent bouts of congestive heart failure. For the fifth night in a row she is brought in to the emergency room, severely short of breath, by her son. Her cardiologist has said there was "nothing left to do" except keep her comfortable. Mrs. Sando Age 69 Click image to play video clip.

  3. Case Study: Mrs. Sando In this clip, Mrs. Sando’s son responds in an angry and aggressive manner. Click image to play video clip.

  4. Case Study: Mrs. Sando Effective Responses(Click the response text to play an audio clip) Empathic:Your mom is fortunate to have someonewho cares so much for her.Reflective:It sounds like we have not been providingyou with what you need to help your mom.Open-ended:What are the most important issues to addressnow to help your mom?

  5. Case Study: Mrs. Sando Less Effective Responses(Click the response text to play an audio clip) Empathic:I understand, you're in the anger stage.Reflective:Being angry isn't going to help your mom.Open-ended:Why do you think you're so angry?

  6. Case Study: Mrs. Sando Nonexamples(Click the response text to play an audio clip) Empathic:You don't have to get angry at me.Reflective:You just need to settle down.Open-ended:We're doing the best we can to help your mother.

  7. Case Study: Mrs. Sando Family-Oriented Responses(Click the response text to play an audio clip) Effective:What can we do now to help you and your mom?Less Effective:Your attitude is disruptive and not helping your mother.Nonexample:You are upsetting your mother. Please go to the waiting room.

  8. Case Study: Mrs. Sando In this clip, Mrs. Sando’s son responds in a dispirited and caring manner. Click image to play video clip.

  9. Case Study: Mrs. Sando Effective Responses(Click the response text to play an audio clip) Empathic:You must be exhausted.Reflective:It sounds like we really need to discuss what's going on here.Open-ended:What's been happening with your mother?

  10. Case Study: Mrs. Sando Less Effective Responses(Click the response text to play an audio clip) Empathic:This is just the nature of this disease.Reflective:You mean you've been here five nights and the doctor still hasn't told you what's going on?Open-ended:What else do you need to know so that you don't have to come to the ER again tomorrow?

  11. Case Study: Mrs. Sando Nonexamples(Click the response text to play an audio clip) Empathic:This is hard on all of us. Reflective:She can't be hospitalized because of her insurance. Open-ended:I'll get the doctor to come in and go over this with you again.

  12. Case Study: Mrs. Sando Family-Oriented Responses(Click the response text to play an audio clip) Effective:You both must be exhausted.Less Effective:It's tough to be a caregiver.Nonexample:Could you step into the waiting room while we work with your mother?

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