You are caring for a 96 year old Hasidic woman who is on mechanical ventilation

Question

You are caring for a 96 year old Hasidic woman who is on mechanical ventilation and in a deep coma. The physicians feel that continued medical interventions are futile. She has no advanced directives but has a son and a daughter. The family want everything done "to give their mother a chance to recover". How do you respond to the family in a culturally sensitive way? What do you understand about the cultural implications of the family's decision? What resources are available to help you? How can this be resolved?

Explanation / Answer

As a family member, the intension to provide the best health care is of prime importance. Continuing therapy till the death may leave some satisfaction over the cultural beliefs. End-of-life care can be improved by taking help of physicians, nurses and other family members. The services must be according to the attitude of the patient.

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