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You are Dr. Payne and have been treating Ms. Notlistening for over a year for type 1 diabetes. You have prescribed sliding scale insulin and provided strict instructions on diet, exercise and proper monitoring of glucose levels. Despite your efforts, Ms. Notlistening continues to eat foods high in sugar, exercises excessively and is non-compliant with checking glucose levels and taking her insulin. She has been admitted to the ER in diabetic ketoacidosis three times in the last few months.

Written Discussion:

1) Discuss your duty to Ms. Notlistening and your decision to terminate her as your patient. Include in your rationale whether a physician can limit his/her duty to a patient. Your written discussion is limited to 500 words or less. Please provide a final Word Count with your submission.

2) Draft the following:

a letter terminating her care.

Use proper letter drafting format and include any necessary legal elements of continuing care or terminating the relationship. The letter should not be more than 1 page.



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