# 017 Patient-Centered Interviewing, 2nd ed


Medical College of Wisconsin (EPERC)


Clinical Case:  You admit Mary, a new patient, to the hospital. Mary has end-stage, metastatic pancreatic cancer. She has not seen a physician since she was given a terminal diagnosis 6 months ago at another institution. She is nutritionally depleted and has an apparent gastrointestinal obstruction causing significant bloating and discomfort. While you are admitting her she informs you that she is curing herself by drinking fresh fruit and vegetable juices. She refuses to discuss advanced directives because she “Does not trust you.”


August 2005

Resource Type:



Bruce Ambuel, PhD

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