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Harriet Preacher is a 35-year-old woman from Roseville in Sydney. She was admitted to your hospital last night and is currently in the intensive care unit. She was admitted via ambulance after an episode of lack of consciousness, followed on arousal by complaints of severe neck and headpain. On scan, she was diagnosed as having had a small bleed from an aneurysm, which was clipped in theatre prior to admission to the ward. Mrs Preacher has a picture of two children beside her bed and they appear to be a boy and girl in their early teens. She is currently being visited by her husband Sean, who tells you that she is very upset at missing the children's school drama production this evening and that she has asked Sean to bring her in some food to replace the hospital food, which she says is flavourless.
Questions
1. Which pieces of the above information are examples of 'knowing the patient' using Liaschenko and Fisher's topology: case knowledge, patient knowledge and person knowledge?
2. Explore your clinical work on your next shift and note examples of case, patient, and person knowledge.
3. How do these different ways of 'knowing the patient' help you determine the basis for your care? Students should reflect on Harriet's story in Case Study 2.2 (Chang & Daly, 2020 p26 and 27).
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