¬¬1. Title and credits
The Doctor, directed by Randa Haines, screenplay by Robert Caswell is a movie loosely based on the book written by Dr. Edward Rosenbaum in 1988 titled, A Taste of My Own Medicine. It was produced by Laura Ziskin at Touchstone Pictures/ Silver Screen Partners IV. It was filmed in 1991 and filming took place in Los Angeles, CA, San Francisco, CA, y Reno, Nevada. The movie is 128 minutes long. It was nominated for three awards in 1992 but earned no wins. The nominations are the following:
CFCA award to Elizabeth Perkins for Best Supporting Actress, CFCA award to William Hurt for Best Actor, and lastly it earned the nomination of the Young Artist Award for Best Family Motion Picture in the drama category.
2. Cast
The cast is composed of the following actors:
William Hurt, who plays the Dr. Jack MacKee, Christine Lahti who plays his wife, Anne MacKee, Elizabeth Perkins as June Ellis, a terminally ill cancer patient who befriends Dr. Jack MacKee, Mandy Patinkin who plays Dr. Murray Kaplan who is Dr. MacKee’s fellow surgeon and friend, Adam Arkin, who is Dr. Eli Blumfield, the physician who operates on Dr. Jack MacKee, Charlie Korsmo who plays Nicky MacKee, his son, and lastly Wendy Crewson as Dr. Leslie Abbott, the ENT (Ear Nose and Throat Doctor) who diagnoses Jack of his cancer.
3. Plot summary
Dr. Jack MacKee is a charismatic, successful yet cold surgeon who lives by the motto “you go in, you fix it, you get out.” He treats his patients with general disrespect through use of sarcasm, jokes, and detachment. However, he is diagnosed with throat cancer and soon discovers the struggles of patienthood. He is diagnosed by Dr. June Abbott, a pragmatic and cold doctor very similar to himself.
Through his treatment,...
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...e M. "For Film Director Randa Haines, `Doctor' Is The Right Prescription." The Morning Call [LeHigh Valley] 10 Aug. 1991: n. pag. Web. 24 May 2014.
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Randa Haines Films As Director:
1979: Under This Sky (for TV).
1980: The Jilting of Granny Weatherall (for TV).
1982: Just Pals.
1984: Something About Amelia (for TV).
1985: Alfred Hitchcock Presents (co-director) (for TV).
1986: Children of a Lesser God.
1991: The Doctor.
1993: Wrestling Ernest Hemingway.
1998: Dance With Me.
In her personal essay, Dr. Grant writes that she learned that most cases involving her patients should not be only handled from a doctor’s point of view but also from personal experience that can help her relate to each patient regardless of their background; Dr. Grant was taught this lesson when she came face to face with a unique patient. Throughout her essay, Dr. Grant writes about how she came to contact with a patient she had nicknamed Mr. G. According to Dr. Grant, “Mr. G is the personification of the irate, belligerent patient that you always dread dealing with because he is usually implacable” (181). It is evident that Dr. Grant lets her position as a doctor greatly impact her judgement placed on her patients, this is supported as she nicknamed the current patient Mr.G . To deal with Mr. G, Dr. Grant resorts to using all the skills she
At this point, the movie picks up at the Bronx in 1969. Dr. Malcolm Sayers arrives at Bainbridge Hospital for an interview. Dr. Sayers is a researcher who has little experience with human patients. The idea of being a doctor in a
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.
Dr. Gawande emphasizes the value of making mistakes, and how it is a core component of his daily life as a physician. His mistakes are dependent on the “good choices or bad choices” he makes, and regardless of the result that occurs, he learns more about himself as a physician, and more about his connection with patients (215). Critic Joan Smith of The Guardian newspaper mentions that although his various stories about “terrifying” mistakes that doctors make induce fear and a sense of squeamishness within the reader, it is the “emphasis that human beings are not machines” that is “oddly reassuring” (Smith). For example, in the essay, “When Doctors Make Mistakes”, Gawande is standing over his patient Louise Williams, viewing her “lips blue, her throat swollen, bloody, and suddenly closed” (73).
Randall Patrick McMurphy is the protagonist of this novel. He is also a manipulator but unlike Ratched, McMurphy has good intentions. He decides to step up and help the patients because he sees no one is going anywhere. His method to helping the patients was to change everyone’s opinion and help them realize Ratched’s strictness and useless methods. He does this by explaining the pecking party, “And you want to know somethin’ else, buddy? You want to know who pecks that first peck? ..Harding waits for him to go on.. It’s that old nurse. that’s who.” (Kensey,58)
Person centred care is defined as health care professionals work together for people who use the health care services. Person centred care also helps to support the patient’s knowledge and also helps the patient to develop an understanding of their health condition and also gives them the confidence to effectively manage and make educated decisions about their own health and also the health care in which they receive. (Health Foundation 2014). This suggests that each individual needs to be treated with the same amount of respect and they also need to be treat equally. Furthermore, the RCN (2015) argue that important principles of Person Centred Care are respect, dignity and compassion. As professional it is important that
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Randall Patrick McMurphy is introduced by asking, "Do I look like a sane man?" Surprisingly enough, the answer was yes; in fact, McMurphy's sanity takes the ward by storm. None of the patients have met anyone like him. The other patients seem timid and quiet, yet McMurphy is cocky, loud, and confident. He doesn't seem to belong in the hospital at all. Everything about McMurphy marked a sane, logical, and capable man. You could tell that he was a hard working man, and even Dr. Spivey suspected a misdiagnosis, but nevertheless McMurphy was in for an experience of a lifetime.
Patient-centered care recognizes the patient or designee as the source of control and full partner in
Treating all patients with dignity, respect, and understanding to their cultural values and autonomy. Each patient comes with their own religious belief. With patient-centered care as health care providers, we have to have ways to work around a patient with different beliefs. Catering to their culture differences and needs is a must in order to fulfill their needs.
Hubbard, R. G., & O'Brien, A. P. (2010). Economics (3rd ed.). Boston, MA: Pearson Hall.
The Health Foundation describes patient centred care as being a type of health system where patients take control of their
American medicine in the late 20th century seems considerably less romantic. Protocols and seven-minute patient visits are supposed to leave physicians tracking blood pressure readings and calibrating Prozac prescriptions. There's no time for wisdom in an HMO, or so the wiser and more ancient of current physicians lament. So it was with certain trepidation that I spent a day last December in an internist's office.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
The doctor contains his professionalism, but as it goes on, pieces of frustrated irregularities begin to surface. As the doctor learns that the parents say no, that the girl says she doesn’t have a sore throat, he purs...