Integrated Care for Complex Patients

Chapter 1 Introduction

Chapter 2 Optimized Primary Care for Complex Patients

Chapter 3 Clinical Complexity: The Challenge of Complexity in Medical Practice

Chapter 4 Models for Managing Complex Cases in Both Inpatient and Outpatient Settings

Chapter 5 Primary Care Practice: The Structures and Methods Associated with Community-Based Primary Practice

Chapter 6 Community Care, an Optimal Setting for the Treatment of Complex Cases

Chapter 7 Introduction to Case Narratives and Narrative Analysis of Our Collected Cases

Chapter 8 Longitudinal Treatment of a Case of Panhypopituitarism, Pseudotumor Cerebri, and (Ultimately) Factitious (Munchhausen’s) Disorder by Proxy

Chapter 9 A Boy with Poor Psychosocial Development and Eventual Psychotic Disorder: A Pediatrician’s Struggle to Prevail in a Hostile Treatment Environment

Chapter 10 Development of a Major Substance Use Disorder From a Patient’s Birth Through His Early Twenties

Chapter 11 Two Adolescent Brothers with Postviral Encephalitis Neurological Syndrome and Associated Psychological Overlay involving Parental Enmeshment

Chapter 12 An Adolescent Boy with Allergic Sensitivity and Anaphylaxis as an Infant, Crippling Parental Overprotection, and Unconfirmed Epilepsy

Chapter 13 Management of a Teenager with Anorexia Nervosa: a Family Medicine Perspective

Chapter 14 Man with Downhill Post-CVA Course Complicated by Loss of Wife’s Support Due to Her Own Illness

Chapter 15 A Convoluted Treatment Odyssey of a Severely Drug-Addicted Bipolar Disorder Woman in Her Early 20s

Chapter 16 A Professionally Successful Man with the Midlife Onset of Severe Depression and Associated Suicidal Intent

Chapter 17 Escalating, Interrelated Systemic Medical and Psychiatric Illnesses with Unrelenting Suicidality

Chapter 18 Severe Anorexia Nervosa Requiring Hospitalization and Parenteral Feeding: Ethical and Legal Complications

Chapter 19 Sleep Apnea Treatment Refusal, Grandiosity and Suicide

Chapter 20 Pain Management Progressing to Addiction in a Young Man with Quadriplegia

Chapter 21 Complex Regional Pain Syndrome (CRPS) and Progressive Medical and Psychiatric Deterioration

Chapter 22 End-of-Life Management Where There Is Family Opposition to Physician Recommendations

Chapter 23 Advance Care Planning for Patients with Current and Future Medical Complexity

Chapter 24 Narrative Analysis of Complex Patient–Clinician Interaction from Our Sample

Chapter 25 Reflections and Conclusions