Selecting a “typical” Jewish client is difficult. An ultra-Orthodox Jew has a particular set of special needs. Yet, it is more common to see a Jew who is a middle-of-the-road Conservative. Sarah is an 80-year-old woman who is a first-generation American. She was raised in a traditional Conservative home. Her husband died after 50 years of a strong marriage. She has three children. Although her home is not kosher, she practices a variation of kosher-style eating, avoiding pork and not making dishes that combine meat and milk.
Two months ago, she was diagnosed with pancreatic cancer. Surgery was attempted, but the cancer was already in an advanced stage. Chemotherapy was started, but the cancer has progressed and is not responding to the medications. She is having difficulty eating because of the pressure of the tumor on the gastrointestinal tract. Discussions are being held to determine whether or not treatments should be stopped and whether hospice care should be initiated. Her hospital room is always filled with visitors.
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