In Wife Rena Teary, Rena Miller details her personal experience with institutional ethnography. Rena gain firsthand experience with her community palliative care system as the wife of Vietnam War veteran who been diagnosed with terminal cancer associated with Agent Orange exposure. Institutional ethnography is differs from other types of interpretive methodologies in that its intent is to understand how everyday experience is inextricably bound to relations of dominance and subordination (Smith 1995 as cited in Miller, 2005). Miller (2005) sought to understand what made her dismiss most of the palliative care help offered. She later discovered that resistance was primarily from her feeling like the object of problem as she describes it of the professional work by the complex interaction of organizational practices, discourse and practices (Miller, 2005).
In addition to analyzing her own journal, Rena Miller also analyzed Palliative Care at Home Manual and her husband, Jim’s care file which she obtained through the regional health office. When Rena first looked …show more content…
The Open Flow Sheet was used to identify “problems” found in their interactions. The document also provided an overall sense of the flow or progress of the team’s work from each contact with the family. The first “real” problem Nurse N. reported was that Rena appeared teary and had requested counseling services. While Rena does not record becoming teary during her interaction with Nurse n in journal she does remember crying often but didn’t personally believe it was a problem but a welcomed relief from period of feeling empty and dry. Nurse began working on the problem of “Wife Rena Teary” in numerous ways. She encouraged Rena to express her emotions, helped to find a (support) group and coordinating to locate a hospice counselor whom later called Rena to set up an appointment (Miller,
In addition to analyzing her own journal, Rena Miller also analyzed Palliative Care at Home Manual and her husband, Jim’s care file which she obtained through the regional health office. When Rena first looked …show more content…
The Open Flow Sheet was used to identify “problems” found in their interactions. The document also provided an overall sense of the flow or progress of the team’s work from each contact with the family. The first “real” problem Nurse N. reported was that Rena appeared teary and had requested counseling services. While Rena does not record becoming teary during her interaction with Nurse n in journal she does remember crying often but didn’t personally believe it was a problem but a welcomed relief from period of feeling empty and dry. Nurse began working on the problem of “Wife Rena Teary” in numerous ways. She encouraged Rena to express her emotions, helped to find a (support) group and coordinating to locate a hospice counselor whom later called Rena to set up an appointment (Miller,