1. World views Doug Bridge
Palliative Care Physician, Royal Perth Hospital
Clinical Professor, University of Western Australia

2. Healthy person’s world
Car
Travel
House
Health
Work
Family
money status power
Spirituality

3. Sick person’s world
work
family
health
spirituality

4. Dying person’s world
work
family
spirituality
health

5. family spirituality Dying person’s world = human = transcendent
work
family
spirituality
= human
relationships
= transcendent
relationships
health

6. Doctor’s view of a dying patient
legal &
ethical issues
urea electrolytes chest Xray
hydration
cost containment
not for resuscitation
medical
issues
morphine
family
respiratory rate
bilirubin constipation
spirituality