Integrated Care for Complex Patients

Part I. Overview

1. Introduction
Steven A. Frankel, James A. Bourgeois

2. Optimized Primary Care for Complex Patients
Steven A. Frankel, James A. Bourgeois

3. Clinical Complexity: The Challenge of Complexity in Medical Practice
Steven A. Frankel, James A. Bourgeois

4. Models for Managing Complex Cases in Both Inpatient and Outpatient Settings
Steven A. Frankel, James A. Bourgeois

5. Primary Care Practice: The Structures and Methods Associated with Community-Based Primary Practice
Steven A. Frankel, James A. Bourgeois

6. Community Care, an Optimal Setting for the Treatment of Complex Cases
Steven A. Frankel, James A. Bourgeois

7. Introduction to Case Narratives and Narrative Analysis of Our Collected Cases
Steven A. Frankel, James A. Bourgeois

Part II. Case Narratives

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

9. A Boy with Poor Psychosocial Development and Eventual Psychotic Disorder: A Pediatrician’s Struggle to Prevail in a Hostile Treatment Environment
Steven A. Frankel, Jan Maisel

10. Development of a Major Substance Use Disorder From a Patient’s Birth Through His Early Twenties
Steven A. Frankel, Jan Maisel

11. Two Adolescent Brothers with Postviral Encephalitis Neurological Syndrome and Associated Psychological Overlay involving Parental Enmeshment
J. Richard Mendius

12. An Adolescent Boy with Allergic Sensitivity and Anaphylaxis as an Infant, Crippling Parental Overprotection, and Unconfirmed Epilepsy
J. Richard Mendius, Steven A. Frankel

13. Management of a Teenager with Anorexia Nervosa: a Family Medicine Perspective
Elizabeth Etemad

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

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

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

17. Escalating, Interrelated Systemic Medical and Psychiatric Illnesses with Unrelenting Suicidality
Catharine Clark-Sayles

18. Severe Anorexia Nervosa Requiring Hospitalization and Parenteral Feeding: Ethical and Legal Complications
David Palestrant

19. Sleep Apnea Treatment Refusal, Grandiosity and Suicide
Mehrdad Razavi, Thomas W. Miller, Wendi Eden

20. Pain Management Progressing to Addiction in a Young Man with Quadriplegia
Deepak Sreedharan

21. Complex Regional Pain Syndrome (CRPS) and Progressive Medical and Psychiatric Deterioration
Alvin Lau

22. End-of-Life Management Where There Is Family Opposition to Physician Recommendations
Curtis (Kip) Roebken

23. Advance Care Planning for Patients with Current and Future Medical Complexity
Lael Duncan

24. Narrative Analysis of Complex Patient–Clinician Interaction from Our Sample
Carla Graf, Gina Intinarelli

25. Reflections and Conclusions
Steven A. Frankel, James A. Bourgeois

Nyckelord: Medicine & Public Health, Psychiatry, Primary Care Medicine, General Practice / Family Medicine, Internal Medicine, Intensive / Critical Care Medicine