What preliminary Axis I diagnosis would give JKF and why? Use the DSM IV to look up the Axis I disorders and select one or two that best fit the clinical picture.
2. What, if any, medical danger(s), do you see or should you consider for either patient? Why?
3. What transference and countertransference issues would you expect to be present in working with Patient A? What Transference and countertransference issues might present themselves with Patient B?
4. Finally, based on all the above information. Who gets the available bed and why?
Complex patients are increasingly common in primary care and often have poor clinical outcomes. Healthcare system barriers to effective care for complex patients have been previously described, but less is known about the potential impact and meaning of caring for complex patients on a daily basis for primary care providers (PCPs). Our objective was to describe PCPs’ experiences providing care for complex patients, including their experiences of health system barriers and facilitators and their strategies to enhance provision of effective care.