Moving a noncompliant patient to long-term care against her wishes

This new section in Annals of Long-Term Care, which will appear periodically in the Journal, focuses on real-world, difficult cases that clinicians have encountered in their practice. Each of the articles in this section will include a case report, followed by a roundtable discussion about the case along with teaching points and clinical pearls from clinician faculty at collaborating medical schools. The case presentation in this article was written by the geriatrics fellows and faculty from Mayo Clinic, and the discussion that follows was compiled from a transcript of a monthly telephone conference hosted by Aurora Health Care. The "Wisconsin Star Method" was used to evaluate and address the most difficult aspects of the case, and this method is described in this article.