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Essay on doctor patient communication
Analysis of the movie
Interpersonal relationships and communication in healthcare
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“Wit” the Film
Hearing the phrase, “you have cancer” is often a patient’s worst fear coming to life as they know they will be stripped away of their identity and become a victim masked by illness. As though being in the hospital is not bad enough, with hospital gowns gaping open in all the wrong places, invasive examinations and horrifying tests, some terminally ill patients are facing dehumanizing treatment from their physicians. In Mike Nichols’ film “Wit” these dehumanizing practices are brought to light through the main character’s, Vivian Bearing’s, battle with stage IV Metastatic Ovarian Cancer. Bearing’s story highlights the dehumanizing atrocities of facing advance cancer and the importance of communication.
In the opening of the film, Bearing is shown being talked down to by her physician, Dr. Kelekian, as he rushes through Bearing’s diagnosis and his plan for treating her cancer. The quickness and emotionally
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Representing the importance of emotional support, Susie comforts Bearing in the final days of her life by simply talking to her and listening to Bearing’s fears about death and pain. Susie explains to Bearing that her cancer is not and will not be cured and she must decide on how she wants to die, which is information Dr. Kelekian never clearly explained to Bearing. Providing Bearing with the information about how she may choose how she wants to die, Susie returns control back to Bearing that Dr. Kelekian and Dr. Woodward had denied her. This sense of compassion and respect for the patient is crucial in patients making the best decisions for themselves. Without the thorough communication between Bearing and Susie, Dr. Kelekian and Dr. Woodward would have extended Bearing’s suffering to benefit their research. Susie’s compassion for Bearing puts the patient first and allows Bearing to accept death on her own terms as a do not rusticate
In Margaret Edson’s play Wit, a cancer patient promoted her end of life decision to her primary nurse rather than her supervisor doctor, and asks her primary nurse to take care of her till death. For result, there was one huge fighting between Vivian’s primary nurse Susie and doctor Jason when her heart stop beats.
The art in a social justice movement is used to further educate individuals while entertaining them; one example is the 1978s classic The Wiz. The Wiz was created during the Black Arts Movement to illustrate historical and political issues in the African American communities. If one watches The Wiz closely one can see the how the Scarecrow character is used to demonstrate how African American mental mislead. The Scarecrow was told over and over by the Crows he was not smart enough to get down off of “dis here pole”. The Scarecrow believed the Crows and felt he was dumb and not good enough. However, the Scarecrow was very smart, but due to years of being mental beat down he could see it. This has happened so many times in African American history. African Americans have
When making decisions regarding treatment of another person, it is important to respect the expressed wishes of the individual. John says that his mother would want to live as long as she could, but questions arise related to her quality of life and perception of prolonged suffering by prolonging the dying process. The book states that quality of life changes throughout one’s life and experiences.
Amy Heckerling’s movie Clueless focuses on an upper middle class 16-year-old girl, Cher, who lives in a nice neighborhood with her father and stepbrother, Josh. Cher and her friend, Dionne, take in a new girl, Tai, to help her fit into their high school. All of the major characters in the movie are in adolescence, which ranges from 10-19 years of age. In adolescence, teenagers undergo cognitive and emotional development. According to Piaget’s cognitive developmental theory, adolescents are in formal operational period from 11-20 years of age. During this period, adolescents develop abstract thinking and rational decision making. They experience two aspects of adolescent egocentrism, imaginary audience
Sex, love, depression, guilt, trust, all are topics presented in this remarkably well written and performed drama. The Flick, a 2014 Pulitzer Prize winning drama by Annie Baker, serves to provide a social commentary which will leave the audience deep in thought well after the curtain closes. Emporia State Universities Production of this masterpiece was a masterpiece in itself, from the stunningly genuine portrayal of the characters of Avery and Rose, to the realism found within the set, every aspect of the production was superb.
The film Wit clearly brings the biopsychosocial model to life. This model looks at both health and illness intertwined; and how biological, social, and psychogical factors play a role in one’s health. The main character, Vivian Bearing, was not very kind to people throughout her life. She also did not have many friends while growing up and going to school. Social support is important in maintaining health because it can help lower stress, and help one cope with a terminal illness. There are many types of social support such as tangible assistance, informational support, and emotional support. Emotional support is important as a person is going through a stressful situation, such as dealing with the burden of cancer. People who are generally
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
The Bad and The Beautiful (1952) and State and Main (2000) are films within films that unmask Hollywood Cinema as a dream factory and expose the grotesque, veneer hidden by the luxury of stars. The Bad and the Beautiful, directed by Vincent Minnelli, is a black and white film narrated in flashback form. The films theatrical nature requires more close-ups than wide-screen shots to capture the character’s psychological turmoil. For example, Fred and Jonathan’s car ride is captured in a close-up to signify their friendship; however their relationship deteriorates after Jonathan’s deceit. While the camera zooms out, Fred stands alone motionless. Here, Fred is captured from a distance at eye-level and he becomes ostracized by the film industry and
Instead of turning to death as an option, patients should realize that there are other ways to stop pain caused by illness or depression. For example, palliative care is available in today’s society. Palliative care is a medical specialty based solely on pain and is very advanced in today’s technology. If the patients that requested euthanasia were to undergo this treatment, they would not feel pain, or as much as they normally would, and the pain would be more tolerable (O’Steen). Also, in most situations, the longing for death or suicidal death, which was revealed to be clinical depression, can be treated by medicine and sympathetic counseling (Bonin).
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.
Robert Ho and Natalie Chantagul are authors of the journal Support for Voluntary and Non-voluntary Euthanasia: What Roles Do Conditions of Suffering and the Identity of the Terminally III Play?. Robert Ho is a professor of biology and anatomy. Natalie Chantagul has a phD in physiology. It is not seen as morally wrong to euthanized a patients, if done by the request of the patient and only if requested by the patient (Ho and Chantagul 253). Many times patients request euthanasia in order to reduce the pain and suffering Patients also seek to be euthanized, because they feel that they are a weight on their loved ones (Ho and Chantagul 254). It is difficult for people living with terminally illness and have to endure pain and suffering and not be able to opt for terminating their life. The people that do chose euthanasia, do it because they do not want their loved ones to endure their pain and suffering as well and they do not want to feel that they are a cargo on their family. There is new research suggesting that the treatments used for patients on life support ,do not meet their needs nor do they meet the patients will (Gardner 226). Nurses try to ease the pain of the patients who are terminally ill, but many times these patients feel humiliated and undesirable when they continue to live in this desperate situation (Gardner
Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established. It was Dr. Quill’s observation that “she was an incredibly clear, at times brutally honest, thinker and communicator.” This observation became especially cogent after Diane heard of her diagnosis. Dr. Quill informed her of the diagnosis, and of the possible treatments. This series of treatments entailed multiple chemotherapy sessions, followed by a bone marrow transplant, accompanied by an array of ancillary treatments. At the end of this series of treatments, the survival rate was 25%, and it was further complicated in Diane’s case by the absence of a closely matched bone-marrow donor. Diane chose not to receive treatment, desiring to spend whatever time she had left outside of the hospital. Dr. Quill met with her several times to ensure that she didn’t change her mind, and he had Diane meet with a psychologist with whom she had met before. Then Diane complicated the case by informing Dr. Quill that she be able to control the time of her death, avoiding the loss of dignity and discomfort which would precede her death. Dr. Quinn informed her of the Hemlock Society, and shortly afterwards, Diane called Dr. Quinn with a request for barbiturates, complaining of insomnia. Dr. Quinn gave her the prescription and informed her how to use them to sleep, and the amount necessary to commit suicide. Diane called all of her friends to say goodbye, including Dr. Quinn, and took her life two days after they met.
This movie starts off as Jordan Belfort, the main character in the movie, losing his job as a stockbroker in Wall Street. After losing his job, he goes and gets a job in a Long Island brokerage room. In the brokerage room, he sells penny stocks. Thanks to him being aggressive in his selling skills, he was able to make a profit. With the new income, he gives his wife a bracelet and she asked him why doesn’t he go after the people that can afford to lose money, not the middle-class people or lower income people. That is when he gets the idea to get a lot of young people and train them to become the best stock brokers.
The film, Of Two Minds, is based on real life accounts of individuals living with bipolar disorder. Before watching this film, I had an idea of what bipolar disorder is , but after viewing this film I was completely mistaken. Previously, I thought being bipolar was going from a “normal” mood to an angry or sad mood in a matter of seconds and could be simply fixed by taking medicine. But my previous thoughts were completely wrong and bipolar disorder is very serious and complicated. I didn’t know the severity of this disease and I think a lot of the general public is uneducated about bipolar disorder as well as mental illness. Terri Cheney describes having bipolar disorder as, “Take the best day you ever had and multiply it by a million, it 's like a flu but one hundred times worse. It 's having flu in your mind."
A person who is terminally ill will be able to leave this world without having to go through the process of the intense suffering predicted by a doctor. Why should a human being have to suffer on his/her last days on earth? Would they be truly living, or would they be imprisoned in a hospital room for the remaining days depressed and not in control of their life like they used to? They lose their quality of life. Marc Siegel, a doctor, talks about the two roles of a doctor, to prolong life and to ease suffering. He explains how sometimes they conflict with each other, and how the number one priority is to respect a patient’s wishes. He says that they, “…when pain predominates, when the patient is in agony, when reducing morphine cannot bring back quality of life. When the only choice is pain or death, doctors routinely¬ – with their patients’ advance approval – help them choose death” (821). The terminally ill patient does not suffer at the moment of death like she would if she would let nature take its course. Not only would they have a painless death, they would be able to choose when, where, and with whom they want to die. They will be able to say all the goodbyes they want, they could leave this world having made peace with everyone, and they would have the opportunity to really enjoy their quality of life. They will have the opportunity to not go through all the excruciating mental