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Ageism in the health care system
Chapter 6 medicine and ethics
Ageism in the health care system
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Atul Gawande, the writer of Being Mortal: Medicine and What Matters in the End, is a surgeon and a professor at Harvard Medical School. This is an inspiring book that unwraps people’s mind to scrutinize and question our current practice of medicine and care. The flow and organization of the topics are structured chronologically and easy for readers to have a clear depiction of the progression of the book. He explains and elaborates his ideas and assumptions on struggles with morality, through real voices of patients and his own personal encounter. The first few topics were lighthearted, more on procedural terms such as the demographics of care in the United States and India and the evolution of care. This heightens to themes that are close to one’s heart as he uncovers the relationship amongst medicine, patient, and the family. It also deliberates on the concerns after medicine becomes impotent and society is ill-equipped for the aging population, which highlight the decisions and conversations one should or might have pertaining to death. He makes …show more content…
Even if we hold such conversations, would people be less passive, dare to seek the truth in their health and speak of what is significant in their lives? Medicine has ironically brought older adults closer to health institutions, where they see these homes as odious and see themselves as abandoned. If I must be scrupulous, it would be having to postulate concrete examples on the environment and resources for the older adults, perhaps through nationwide initiative or authorize advance medical directives compulsory. Most crucially, to instill the philosophy of assisted care in a positive light and not as alienation. With that, it could lessen the negative connotations on how the elders perceive themselves in the assisted
The writing style of the author is quite interesting to me. Atul Gawande’s honesty, a major aspect of his writing style, beautifully highlights the good and bad of any medical profession. For example, Gawande’s argument over the use of patients for resident training
While the majority of the book critiques the healthcare system, Chapter 13 focuses more on key actions and personality traits that help Dr. Stone relate to patients. Although this noteworthy, compassionate physician attempts to develop an understanding of his patients’ values and goals, he still fails Mrs. Jackson by trying to retain cultural competency by tiptoeing around end-of-life decisions. Conversations about feeding tube placement and DNR orders could have minimized Mrs. Jackson’s unnecessary
Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part.
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
In this specific case the father of the severe ill child, took her life under acknowledgement of her intense pain and incurable health condition. For Kant, the good moral act is based on the ability and possibility of the universalization of a determined conduct or action that is led by a natural human Good Will. We can see Kant’s own thought condensed in some of today’s bioethical and medical deontology; being a normative ethical system, supported on the ideal of what should be (free choice field) more than what it is (nature and physics laws), we face the reality of death as part of life, and human life as value in itself. In fact, we have been witnessed dilemmas, so how medical codes have arisen, being more specific and involving in more complex we cannot just trust in a system based on a fixed code, but to analyze each case, from a set of universally accepted principles, stablish the basis of procedure, in the studied case for example in the best possible and merciful way to terminate the life of an extreme suffering human
The approach of physician-assisted suicide respects an individual’s need for personal dignity. It does not force the terminally ill patient to linger hopelessly, and helplessly, often at great cost to their psyche. It drive’s people mad knowing they are going to die in a short period of time, suffering while they wait in a hospital bed.
Everyone has or will experience a loss of a loved one sometime in their lives. It is all a part of the cycle of life and death. The ways each person copes with this loss may differ, but according to Elisabeth Kübler-Ross’s novel On Death and Dying, a person experiences several stages of grief: denial, anger, bargaining, depression, and, finally, acceptance. There is no set time for a person to go through each stage because everyone experiences and copes with grief differently. However, everyone goes through the same general feelings of grief and loss. There are also sections in Kahlil Gibran’s “The Prophet” that connect to the process of grieving: “On Pain,” “On Joy and Sorrow,” and “On Talking.” Kahlil Gibran’s “The Prophet” reflects on Kübler-Ross’s model of the different stages of grief and loss.
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
Atul Gawande is, undoubtedly, one of the biggest names in medicine today. He has written four New York Times Bestsellers and is a frequent contributor to The New Yorker and the New York Times. It’s his books (Complications, Better, The Checklist Manifesto, and Being Mortal), though, that I would love to talk to him about.
The medical field is designed to save lives and this article “No Risky Chances,” by Author Atul Gawande’s published in the online magazine Slate, reminds medical professionals one very important thing that there is no risky chances my determining treatment options, professionals need to consider options, professionals need to consider options, professionals need to consider options that are aligned with the patients personal choice which can range from maintaining life by any means necessary to continued comfort until death. Either way it is important for medical staff to be trained not only in saving life’s but also in preparing for patient death.
Miller discuses many themes concerning death and illness. It has come to be that society view illness as a time of suffering and burden, where families and individuals are afraid of becoming sick with a chronic illness because of all the pain and suffering that comes along with it. Illness has become about prolonging life with a multitude of excess problems and a more painful life. Families and caregivers become overburdened while the patient suffers while wishing their illness to be anything but a burden to their caregivers. Death in our society is viewed very differently to different people within different settings. In a hospital for instance, death is treated as an emptiness. The existence of bright rooms, white floors, machines ringing, and tied up tubes as a patient dies is very mechanical and represents a businesslike experience as the patient is immediately forgotten after they die while their bodies are quickly shuffled out the door to make room for the next chronically ill patient. Society today views death and illness with unease and apprehension because of the fear around it where people view the hospital environment as a place for acute trauma and illness not a place of healing where one can die with dignity. On the other hand, death in places like Dr. Millers Zen Hospital have developed rituals around topic so when a patient dies there is recognition of the patient’s individuality as a human being. The Zen hospital’s rituals involve
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
In Shapiro’s poem, the person expressed how his loved one’ suffering had turned to cause him pain as well. The persona was disturbed by the patients suffering and pain to a point of lacking sleep. In the piece, “The Care of the Patient,” by Pearbody (1927), he says that doctors should aim at developing an intimate relationship with their patients, including knowing the patients right from their home surroundings. This is the first step towards learning the conditions of the patients’ loved ones and understanding how best to help them in their suffering. However, minding the suffering of the patient’s loved ones does not mean that doctors owe anything to them. Doctors should only give their best, treating patients from their hearts. A doctor should, however, always tell the truth to both patients and their loved ones even when healing is not an option. If no cure is available, doctors should instead of giving false hopes to patients and their loved one, try to prepare them to accept death as an unavoidable eventuality. This according to me, can relieve some of the unnecessary fear and
As medical procedures and techniques have become more advanced, doctors are able to do much more to try and save a patient's life (Warriach). In some cases, however, this process is only delaying the inevitable and causing the patient even more suffering. If euthanasia were legal, patients could willingly choose to end this long process of torment, specifically in terminal cases where both would lead to the same result: death. In a hospital, a patient's life gets dragged on despite the condition by medical tools and devices such as respirators (Warriach). The only way to cease the patient’s anguish is by ending all means of life support. If euthanasia were presented as an option, it would save the patient, along with their family, from immense pain and
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.