Abstract
Let me make this clear. I do not look for “mission impossible” cases, but they always find me! A nurse case manager on a busy pediatric floor, I was trying to think through a challenging case one day when a new nurse working with me said in frustration, “Stephanie, how do you keep from giving up on cases like this?” My mind flashed back to three situations that stand out as mission impossible. I have seen so many struggles and disappointments in the quest to solve the impossible. However, I have painfully learned a fundamental truth in the past 20 years. In my practice, some of the most hopeless cases stand out as pivotal in drawing from that truth, which gives me strength.
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