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Patient centered nursing care
Patient centered care in nursing example
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The movie Wit is a very inspiring and mind blowing movie. It was about an English Professor, Miss Vivian Bearing who is very well educated and well known to its intense knowledge about the metaphysical poetry of John Donne who was then diagnosed with stage four metastatic ovarian cancer. Miss Vivian Bearing is a strong intellectual woman who portrayed a very resilient character in the movie. She demonstrated a straight face with no tears and said, “Okay, go on” (Wit, 2001) as Dr. Harvey Kelekian mentioned to her about the diagnosis and the treatments involved. Also, when Dr. Kelekain mentioned about letting her family informed, she said “It is unnecessary” (Wit, 2001). She signed the consent for the chemotherapy at the same time she will …show more content…
serve as an experiment to the research and did not ask further questions about what will happen in the future and the seriousness of the side effects of the treatment. Thus, she did not let her emotions overcome her and thought of the diagnosis and all the treatments in perspective. As the movie goes on and as she grows increasingly ill, she suffers greatly with all the side effects of the treatment- fever, chills, vomiting, and abdominal pain. This time, she realizes that not everything can be put in perspective. She felt like she was alone and that the doctors that treating her in which includes her former student Dr. Jason Posner was just there for the research and she serves them their purpose. It was not about treating her to save her life from the illness but for research and research only. The only character in the movie that really took care and show empathy towards her was the nurse. Miss Susie was there to treat her the way she is, the person. Towards the end as she was really ill and her condition was going down, she was visited by her previous graduate school Professor and mentor, Professor Ashford. While talking to her, she admits her insensitivity towards other people and showing her vulnerability in which she cried. When Miss Ashford ask her if she wants John Donne poems, she said “no” (Wit, 2001). As her life comes to an end, Miss Vivian Bearing realizes and learned that human compassion is more important in the lives of each individual. Theorist Jean Watson’s theory of Human/ Transpersonal Caring showed a big influence in the movie, Wit. It was evidently shown that Nurse Susie exhibited genuinely of herself and how she cares about Vivian. She continuously show a helping-trusting and caring relationship with her by providing Vivian basic human needs in alleviating her sufferings and just being there physically as her support. Thus, she provided her with dignity and respected her decisions when she decided to be DNR. As what Watson’s theory says, “Caring is for the purpose of promoting healing, preserving dignity, and respecting the wholeness and interconnectedness of humanity.” (George 2010, p. 454) There are three major conceptual elements in Jean Watson’s theory; transpersonal caring relationship, the ten carative factors, and caring occasion/ caring moment.
I would personally use and I believe that transpersonal caring relationship was manifested throughout the movie. It is defined as human-to-human connectedness that is occurring in a nurse-patient encounter that each is touched by one another (George, 2010). Nurse Susie is the primary nurse of Vivian Bearing since admission. Since then, they both have built a unique relationship that was not common to other individuals. She demonstrated a caring-trusting relationship in which Vivian can talk to her in a casual manner and can express herself in a way that nobody will judge and would understand what she is been going through. For instance, they would talk over a deep conversation with popsicles as Nurse Susie comfortably raised her feet up. As evidence in one of the scene where Vivian realizes that she is not doing so well and showing her vulnerability and said, “I am scared…Now I am not sure of myself anymore. I am going to die” (Wit, 2001) and then Nurse Susie stood by her, holding her hands and offering relief to relax and be calm and responded in empathy that says “I understand… it’s okay… it’s alright” (Wit, 2001) and offered popsicles to have some relief. According to George (2010) caring- healing potentiates harmony, wholeness, and comfort and promote inner healing by releasing some of the disharmony and negative energy that may interfere with the healing process. Through this Nurse Susie provided comfort and healing just by listening to all the fears and pains that Miss Bearing has been dealing with. They both have established that nurse-patient relationship where both comfortable with each other. Thus, Miss Bearing felt relieved after that as she continue to fight for her life every day. Those small acts of kindness makes a big difference in the patients’
life. Another factor that makes me realize that signifies the Transpersonal Caring Theory was when Nurse Susie informed Miss Bearing about do not resuscitate (DNR). Nurse Susie is concerned about her well-being that she told her about the spread of the cancer and at the same time the truth about the treatment that the doctors gave her the strongest medication as they possibly can. And then she explained and educated her what is DNR and how the process goes. She presented Miss Bearing both choices whether she wanted to be no code or full code but she said, “no, just don’t complicate the matter... just let it stop” (Wit, 2001). Nurse Susie wanted her to make sure that she really want to be DNR as she kept on repeating the question. She then informed Dr. Kelekian to write the order. With this Nurse Susie revealed her strong moral commitment and her deepest concerns with her. She respected her decision to be no code as one of Vivian’s wishes. According to George (2010), the moral commitment and consciousness needed to protect, enhance and promote and potentiate human dignity, wholeness and healing that the person creates his or her own meaning of existence. Through this, Miss Bearing made a stand and decided on her own with the help of Nurse Susie to attain her last desires and wishes about her end-of life to maintain human dignity. Not only that, after Miss Bearing decided to be DNR she asked Nurse Susie that says, “Are you still going to take care of me?” (Wit, 2001) and as competent, compassionate and caring Nurse Susie she responded without any doubt that says “Of course I am” (Wit, 2001) while stroking Vivian’s hand. This implies that human to human relationship is still the main focus of nursing; taking good care of the sick and well regardless of any imperfections. Also, it is evidently shown in the movie that she stood up for Miss Bearing during her last moment here on earth. She insisted that she is DNR and protected her rights and last desires as Dr. Jason called for a code. Nurse Susie showed her compassion and practiced her good moral ethics in protecting the rights of the person, Miss Vivian Bearing. Movie Critique The movie Wit is a very powerful-moving story. It is a movie that is not like the ordinary drama that most people can relate to but it is all about living, dying and death. It also portrays the standards of care that is given within the healthcare system. I like the fact that they produced a movie that was very real to most of us. Mike Nichols, the director of the film did a very good job in portraying the healthcare system and at the same time creating various characters that have similarities to its real life job description. Emma Thompson who played as Vivian Bearing, an English professor who was diagnosed with metastatic stage four ovarian cancer did a marvelous job in making the character into play. However, I am most stunned to the character of Audra McDonald who played as Susie Monahan, the primary nurse whom have the compassion of taking good care of her and have a genuine heart to go beyond her capabilities to help and assist with her sufferings and at the same time serves as her only support. As I watched the movie twice, I have more positive views. One of them is it just a marvelous, life-changing and very educational story in which you can take away from. For me the movie Wit, revealed a true meaning of nursing. As a registered nurse this movie serves as my inspiration to keep going and be as compassionate as Nurse Susie. Audra McDonald did her part as a nurse who revealed a loving- caring relationship towards her. It was shown that nursing is all about caring and having that human connection that will help in the healing process. Nursing is not just treating the sick with their illness but being there as support helps them emotionally, psychologically and spiritually in battling their disease. Caring is just as powerful in the healing process. There is another character that made a teary- eyed. Professor Ashford, Vivian’s graduate school professor and a mentor who would encourage Vivian to go out and spend some time with friends then rather than in the library. She was the one who visited her in the hospital who climbs into bed with her, cradling her head in her lap, and reads from the children's classic The Runaway Bunny towards the end of her life. She knows Vivian very well and her dedication to John Donne’s poetry until the very last moment where she asked if she wants John Donne poetry and Vivian refused. With this she knew that Vivian realizes that not everything can be put into perspective and thus everything is falling away. I strongly suggest this movie to everybody not just people in medical field. This movie is a life-learning story in which everybody can relate or will relate in some point in their lives. It depicted the true meaning of nursing in which it is all about compassion and morality. As a registered nurse, I would always re-collect myself to become compassionate and practice what I have learned regardless of the challenges that I have in the field of nursing.
The movie “ Wit “ is a heart-breaking story about a middle-aged woman named Vivian Bearing who has been diagnosed with metastasized stage four ovarian cancer. She agrees to a vigorous “ full dose” experimental treatment of chemotherapy where she is treated less like a human but more like a guinea pig by her oncologist Doctor Kelekian and her former student Doctor Jason. She experiences harsh side effects from the chemotherapy that causes her to reflect upon her life through flashbacks. The flashbacks travel to various periods of her such as her childhood, graduate school and professional career, prior to her cancer diagnosis, where she comes to a realization that she too could have been more kind to individuals.
Leo Buscaglia once said, “Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” In the field of nursing, this concept could not be illustrated more profoundly. The trait of caring within nursing is arguably the most important trait that a nurse could possess. It can be defined in various ways, but to me, caring is the act of being moved or compelled to action by feelings of compassion, empathy, sympathy, anger, intention, sadness, fear, happiness, protection, enlightenment, or love in light of another human being. There are many aspects to the term “caring”. It is an ever-present shape shifter, swiftly
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
In the field of Nursing, the role of caring is an important, if not the most critical, aspect involved to ensure that the patient is provided with the most proficient healthcare plan possible. Jean Watson developed a series of theories involved with transpersonal relationships and their importance, along with caring, in the restorative process of the patient and healing in general. Although all of Watson 's caritas processes are crucial to the role of nurses and patient care, the fourth process is incredibly essential as it outlines the importance of the caring nurse-patient relationship. This paper serves to identify Watson 's fourth caritas process, how it can be integrated in nursing care and how it can be developed by current nursing
In Margaret Edson's Wit, Vivian Bearing is a professor with deadly ovarian cancer whose life circles around knowledge and education. For many individuals, balance is fundamental component in life. Supporting equilibrium between idealism and truth is a incredible part of living stable and satisfied life. Vivian expresses that the fact of being idealistic within her being and her career is important, but you must acknowledge the reality of living as well. When she knows she have cancer Dr. Kelekian tells her to be tough. Flowing into a flashback, she tells the audience, "And I know for a fact that I am tough. A demanding professor. Uncompromising. Never one to turn from a challenge. That is why I chose, while a student of the great E. M. Ashford, to study John Donne," (6). Bearing equates her intellectual curiosity to emotional toughness, since the barely thing she feels relaxed wrapping her head around is challenging literary text. Vivian uses her high standards of education to motivate herself to be tough in her last hours of cancer, but with all her knowledge she seems imbalanced in her life. The Vivian idea of idealism and truth of existence is to be full contributing to knowledge of everything she does.
In this piece Williams uses very effective persuasion. She starts off by telling you about how all the females in her family suffers from breast cancer. This brings a lot of emotion out of the audience that leads to added sympathy fro the author. I know I felt sorry for her. I was on her side from the start of the piece. Her tone was very sentimental. Then she goes on to state facts. Nothing wins an argument better than sound, strong fa...
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
Wit is a potent and emotional play that chronicles the last few months of Vivian’s life. With Vivian’s cancer as the main theme, Wit effectively shows the gradual change of Vivian’s attitude towards cancer and the inhuman treatments from doctors. Wit narrates a story of Vivian Bearing, an accomplished English literature professor who is diagnosed with metastatic ovarian cancer. However, in order to complete a research, her doctor, Harvey Kalekian gives Vivian eight months of experimental chemotherapy without clearly explaining the treatments and serious side effects. In addition, Kelekian’s fellow, Jason, as a former student of Dr. Bearing, shows no respect to Vivian. Jason does not consider Vivian as a patient or as his former professor, but a research object of cancer treatment. The play Wit introduces binaries between patients and doctors, students and professors, life and death. Among these different polarities, the comparison between life and death shows the greatest tension and implies the real meaning of death to readers. Death is kind of a rebirth of life. Edson efficiently describes the tension between death and life by making use of antithesis mostly.
The purpose of this paper is to provide an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophically complicated of existing nursing theories. The Theory of Human Caring, which has also been referred to as the Theory of Transpersonal Caring, is a middle – range explanatory theory. (Fawcett, 2000) The central point of which is on the human component of caring and actual encounter between the client and the caregiver.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
Caring lies in its moral foundation. Caring validates both the nurse learder and the patient as human. Caring is one the most critical ingredients for health, human development, human relatedness, well-being, and survival.
She proposed that caring and love are universal and mysterious (Wagner, 2010). Watson believes that health professionals make moral, social, and scientific contributions to humanity and that a nurses' caring ideal can affect human development (Wagner, 2010). Watson believes that it is imperative in today's society to maintain a caring ideology in practice (Wagner, 2010). Caring is a concept that focuses on having a respectful, non-judgmental, supportive attitude that contributes to the healing process. Watson's theory, in relationship to the metaparadigm of nursing, focuses on the relationship between the nurse and the patient (Wagner, 2010). According to Watson's theory, the nurse and patient form a caring relationship where both the patient and the nurse promote healing (Wagner, 2010). In general, the theory of caring reminds us that a nurse can have a great impact on the life of a patient. If I were to add a new conceptual metaparadigm, it would be the concept of caring since I firmly believe that without caring it will be almost impossible to have wellness at all. If I were to choose one metaparadigm concept to eliminate, I would opt to remove the concept of health since I think that in the concepts of caring and nursing the individual's health should be fully
This theory “Focuses on the human component of caring and the moment-to-moment encounters between the one who is caring and the one who is being cared for, especially the caring activities by nurses as they interact with others” (Kearney-Nunnery, 2016, p. 49). Healthcare systems have been focusing more on curing than caring. The costs of non-caring are quality, safety and medical errors. Inadequate staffing further distances the relationship between nursing and patients. When the patient feels like an object, they become dissatisfied (Pajnkihar et al., 2017). If management can apply a caring approach to administration, they will see the benefits of nurses spending more time with patients. This restores nursing to promote wholeness and healing. Focusing on a caring approach promotes adequate staffing to facilitate the nurse patient
Boykin & Schoenhofer defined key several concepts in their Nursing as Caring theory, which was originally published in 1993 (Alligood 2014). The first fundamental concept of the theory is that all are persons are caring. Caring is a process and throughout life, each person grows in the capacity to express caring. The defined Perspective of Persons as Caring is “fundamentally, potentially, and actually each person is caring”, even though a person may not know it (Alligood p.