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Crossing OverNarratives of Palliative Care$
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David Barnard, Anna M. Towers, Patricia Boston, and Yanna Lambrinidou

Print publication date: 2000

Print ISBN-13: 9780195123432

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195123432.001.0001

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Sadie Fineman: A Question of Denial?

Sadie Fineman: A Question of Denial?

Chapter:
(p.196) 11 Sadie Fineman: A Question of Denial?
Source:
Crossing Over
Author(s):

David Barnard (Contributor Webpage)

Patricia Boston R.N.

Anna Towers

Yanna Lambrinidou

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195123432.003.0011

This chapter discusses Sadie Fineman, an 80 year old with a large cancerous mass in her pancreas, and the denial of Ms. Fineman's family in accepting the gravity of the situation and her impending death. Ms. Fineman underwent a course of experimental therapy; however, her tumor continued to grow. In lieu of treatments, she and her family were offered palliative care, which they accepted on the grounds that Ms. Fineman would be home cared even though there were times when the nursing care she required exceeded the knowledge and skills of her family. Adding to this challenge, the Fineman family imposed that the word “cancer” should be avoided by the caregivers at all costs and in dealing with the patient. This arrangement kept the truth from Ms. Fineman until her last days, when she actually began to believe she was dying.

Keywords:   cancerous mass, pancreas, denial, experimental therapy, home cared, nursing care, truth

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