You are working in rural acute care and a 56 year old female is brought in by EMS after a skiing accident with a suspected closed tibia-fibula fracture (mid boot-top third tib-fib fracture).

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You are working in rural acute care and a 56 year old female is brought in by EMS after a skiing accident with a suspected closed tibia-fibula fracture (mid boot-top third tib-fib fracture). She tells you she is very shaken about her sudden disability. She becomes very weepy. Physical exam: vital signs are stable and she has good circulation, warmth, colour and movement (CWCM) to her foot. She has never had an actual diagnosis of any mental health disorder with the exception of mild postpartum depression after her first baby (27 years prior). She has hypertension, diabetes, dyslipidemia and a new diagnosis of osteoporosis (Evident from the x-ray). She has a family history of thyroid problems but has not had this to date. She is very weepy during her hospital stay and becomes withdrawn. She doesn’t want to be a burden to her family and doesn’t know how she can go back to work. What do you do?

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