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Philip Y. Kao PhD thesis - Research@StAndrews:FullText

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up and toileting. When I returned, however, Anita was very sedated. The resident<br />

physician at Tacoma Pastures, who was also Anita’s personal doctor, decided to<br />

increase her medication. Jane, another caregiver who really liked Anita, told me that this<br />

was Tacoma Pastures’s way of dealing with problems. As a result, no male caregiver was<br />

assigned to her section again, and when I did work in Little Red, my section comprised<br />

of the other side of the corridor.<br />

Anita’s condition soon worsened. She became very weak, and appeared dry in the<br />

mouth and dehydrated all the time. Whenever she was in the dining room, she did not<br />

eat, and even when the caregivers would feed her soup, the soup would just spill out of<br />

her mouth and onto her bib. Eventually, Anita became bedridden. I never saw her<br />

daughter once, although I knew from the med tech and other caregivers that she had<br />

come to Tacoma Pastures to visit with the head nurse on the fourth floor and with the<br />

resident centre director. Jane told me after Anita passed away that, “The meds really did<br />

her in. It’s a shame. But what can you do?” Jane fed Anita water through a syringe that<br />

Jane had purchased herself from a local pharmacy store. Anita grew more faint and died<br />

in bed one late morning.<br />

Eve and Kent<br />

Eve was born in Germany, and came to the United States to practice medicine. Before<br />

she moved to Tacoma Pastures, she was famous for being one of the first woman<br />

optometrists in the area. In addition to her medical career, Eve was also an amateur<br />

violin player. She never married, but kept a close circle of friends who often provided<br />

her with much support. She was getting too old to drive and felt that she needed to give<br />

up her participation in the community orchestra. Her friends, however, insisted that she<br />

should continue. During her last year in the community orchestra, her friends often<br />

drove her to rehearsals, especially on those wintry nights where the country roads iced<br />

over. As a caregiver in her section, I came to Eve’s room at around 6:45 a.m. After I had<br />

passed out cups of water to everyone in the section, I entered her room and turned on<br />

the bathroom light. I turned on the sink, and took down a small washcloth to get it<br />

warm and wet. After wringing the washcloth, I operated Eve’s mechanical bed and<br />

raised the upper part. She had lost much of her ability to speak due to a stroke, but she<br />

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