Practice dilemma - A colleague's refusal to treat
22 October 2009
The Dilemma - A 40-year-old woman complains after seeing your practice nurse. She has attended your surgery four times over the past six weeks complaining of cough and breathlessness. Despite stating she was very keen to stop smoking and having been referred to a smoking counsellor, she continues to smoke 20 cigarettes a day. She was coughing up green sputum and had evidence of a chest infection when she saw the nurse. The nurse refused to treat her on the basis she was continuing to smoke. How do you deal with the situation?
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