Chapter 2: Conflict of Interest: Comfort Measures Only
Overview:
- Case studies and examples of how to meet family members needs as well as that of the resident
- Guidance on how and to what limit cultural considerations should be given to residents from another culture when death is imminent
- Reasons to care even more profusely if a resident had dementia
- A case study about whether a patient can choose or whether they were acquiescing to the system
- How to treat death with a long-term resident in comparison to a short-term one
- Guidance on how to treat all relationships- especially the non-conventional
Description:
This chapter focuses on the resident’s lived experience in its complexity; encompassing cultural, temporal and social relationship factors.
Topics:
- Conflict of interest: comfort measures only
- Cultural considerations: I want to go home
- Dementia: why bother?
- The short-term resident: Ron’s choice
- The long-term resident: This is my home
- Relationships: together or not?
Speaker / Author:
Rosalie Hudson
Rosalie Hudson is Director off Nursing at Harold McCracken House in Melbourne, Australia, where a palliative care philosophy provides the framework for the care of residents who are dying, and a partnership philosophy guides all relationships. Rosalie’s postgraduate research in gerontic nursing and theology has stimulated further insights for several journal articles and for this second book on living and dying in a nursing home. Personhood, death and community are the themes for her PhD thesis, inspired by the ordinary and extraordinary experiences in a rather special nursing home. Rosalie is married with a daughter, two sons, two daughters-in-law and three grandchildren.
Jennifer Richmond
Jennifer Richmond’s first career was in nursing. In hindsight, she says, the highlight of her nursing years was a long association with Melbourne’s Harold McCracken House. During this time her creative partnership with Rosalie yielded a valued friendship and a number of nursing publications. At Harold McCracken House Jennifer worked with many extraordinary and gifted staff, one of whom is novelist Michel Faber whose photographs appear in this book. After the privilege of an editing association with Ausmed Publications and a postgraduate qualification in editing and writing, Jennifer now writes fiction and works part-time as an in house medical and scientific editor for a major publisher. She lives in inner city Melbourne with her family, which includes dogs Minnie and John.
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