ABSTRACT

Drawing on ethnographic research conducted by an American nurse, Caring in Context is an exploration of how most of the world experiences cancer, and how nurses bear witness and respond to the suffering of others when they have little means to help—or for complex reasons, choose not to.

This compelling book centers on nurses in a government cancer hospital in South India and examines key contexts that influence nursing practice and the delivery of healthcare, including hierarchical legacies of colonialism and the caste system, resource scarcity, power and perceived powerlessness, and gender inequities. These themes are illustrated through intersecting narratives, such as the story of Hameeda, an orphaned teenager with sarcoma who lives at the hospital until she becomes paralyzed, and Sister Meena, a nurse who strives to provide better care but encounters overwhelming structural obstacles and is chastised by her superiors for doing too much.

Offering a critical re-examination of the realities faced by clinicians, patients, and family members who struggle to deliver and receive cancer care, Caring in Context’s unique perspective and accessible style will appeal to a wide and interdisciplinary audience, from practitioners, academics, and advocates to anyone interested in the complex context of the human experience.

part I|28 pages

Introduction

chapter |26 pages

Introduction

part II|122 pages

South Indian Cancer Hospital

chapter 1|14 pages

In the Struggle

chapter 2|36 pages

What We Can Do, We Do

chapter 3|11 pages

If We Don't Shout, They Won't Listen

chapter 4|27 pages

Behind the Wall

chapter 5|17 pages

I Cannot Always Trust My Heart

chapter 6|15 pages

No Legs, No Life

part III|16 pages

The Community

chapter 7|14 pages

The Stigma That Cannot Be Washed Away

part IV|22 pages

Other Hospitals

chapter 8|20 pages

Cash for Compassion

part V|56 pages

Conclusions

chapter 9|11 pages

How Life Shines Through

chapter 10|30 pages

The Similarities in Our Differences

chapter 11|13 pages

Notes on Methods and Recommendations