Wit follows Dr. Vivian Bearing’s journey through chemotherapy for treatment of stage four metastatic ovarian cancer. Dr. Bearing is a demanding professor of seventeenth century literature who is very knowledgeable, especially of John Donne who explores mortality in depth.
The movie starts with her diagnosis of advanced metastatic ovarian cancer. She is rushed through the facts of an experimental chemotherapy drug. She will have eight rounds, one every month, of chemotherapy and will be hospitalized for one week each round. After the eight rounds, she will have more testing done to see if the chemotherapy is working. She is pressured from the very beginning to withstand the full dosage of each round. Throughout the film, she looks back on communication
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Kelekian and Dr. Posner were likely to say to her about the advanced directive.
There are also many examples for non-therapeutic communication throughout the film. The film opens with horrible communication from Dr. Kelekian to Dr. Bearing about the advanced
WIT: WRITTEN ASSIGNMENT ovarian cancer she has. He barely pauses to give time to Dr. Bearing to digest what he has said
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or ask questions on things she is unclear of. Dr. Posner also brushes of the suggestion of lowering the dose of chemotherapy. He doesn’t even ask Dr. Bearing if she would rather receive a lower dose to save her some misery. He is also very unprofessional when giving Dr. Bearing her pelvic exam. He talks about being in her class and is extremely inappropriate with her. It was clearly seen that the things he was saying were making her uncomfortable.
Patients who see unprofessional behavior from healthcare workers can have a major effect on how they perceive the healthcare system. If patients feel uncomfortable or feel like their feelings or concerns don’t matter, they may lose faith in their healthcare team. Both doctors in the film behaved unprofessionally on numerous occasions throughout the film.
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Also as he exited, he left the door open for a few seconds. People were walking by and could have possible seen Dr. Bearing exposed. She was very uncomfortable throughout the entire exam but stays silent and lets the doctor finish what he is doing. This could leave her with little faith in him as her doctor and could lead to lost trust between them.
Nurses must maintain privacy and dignity for their patients. Again, the only healthcare worker to provide and maintain these things was Susie. She tried to maintain dignity when inserting a foley catheter while Dr. Posner made light of the situation. Susie still explained what she was going to be doing to Dr. Bearing even though she was not conscious. Dr. Posner told
Susie that it didn’t matter if she told her or not since she wasn’t conscious, but Susie was adamant that that was the right thing to do. Dr. Posner did not leave Dr. Bearing with much
WIT: WRITTEN ASSIGNMENT dignity or privacy throughout the film. He left her exposed during her exam and also talked
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about aspects in her life that were not appropriate while giving the exam. He made comments about how much time it took to put on the personal protective equipment just to look at her
The main character in the movie Juno is a 16 year old girl named Juno. She is witty, sarcastic and has a great sense of humor. Surrounded by the falling leaves of autumn, we find Juno drinking “like ten tons of Sunny D” as she decides to take three pregnancy tests to confirm her worst fear. She is pregnant. After a fateful and funny encounter with a pro-life schoolmate outside an abortion clinic, ("Fingernails? The baby already has fingernails?"), Juno decides to go through with the pregnancy. Juno breaks the news to her best friend and father of the baby Paulie Bleeker, as well as her parents. Surprisingly all parties seem very supportive of her plan to give the baby up for adoption. With the advice from her friend Leah she searches
I asked Andrezil why Schroeder and Jones would tell the nurses you were touching them inappropriately Andrezil stated, because, “They are just trying to get me in trouble”. I asked Andrezil did she ever get into a fight with Lee and she advised that she did but, doesn’t know why, she didn’t do anything wrong.
The resident physician violated confidentiality, because when he left the patient’s room and made a comment about “She-male,” everyone in that vicinity may have overheard him. Only the health care professional taking care of him should know about the patient being
Kelekian. In this light, she is treated in the same manner that she treated her students as Dr. Kelekian simply gives her the hard reality of her cancer, professionally and indifferent. On the other hand, in the case of Posner and Monahan, are both portrayed as twenty-eight year old individuals to emphasize their similar qualities but in a different way from Bearing and Dr. Kelekian. Both Posner and Monahan share a quality of being unable to understand Bearing’s condition. Posner merely looks at Bearing as a research subject and is indifferent to her declining condition, even going as far as to try to resuscitate her even when she requested not to be given CPR.
While in the hospital, Cahalan's roommate warned her "The nurses here are bad news" (89). This likely fed the paranoia she was already experiencing, as she was now afraid of the healthcare staff. Cahalan even tried to escape from the hospital, which led Dr. Russo to add "Transfer to psych [ward] if psych team feels this is warranted" on her file (92). Later, a nurse even asked Stephen "' Has she (Cahalan) always been so slow?"' (120). Additionally, NYU medical students would randomly arrive in her room to learn about the disease, which not only invaded her privacy but hurt her as well, "'In about 50 percent of the cases, there is a teratoma in the ovaries. If this is the case, this patient may have her ovaries removed as a precaution.' As spectators nodded their heads, I caught this somehow, and began to cry. [...] His voice bounced around the hospital room. 'Never come back,' [...] Instead of apologizing, he waved his hand, urging the other interns to follow him toward the door, and made his escape." (160). It is never a good sign when patients in the hospital are warning about the hospital staff. I have concluded from this that the hospital definitely had issues in the past. I reviewed the hospital's reviews on google, and my conclusion was confirmed, as the hospital was reviewed with 3.8 stars out of five. Additionally, the fact Dr. Russo was willing to transfer Cahalan to a psych ward infuriated me. It made me feel like the doctor was giving up on the patient, and I do not feel this is every acceptable, not only in healthcare but in life in general. Also, I tried to place myself in Stephen's shoes when the nurse asked Stephen if Susannah had always been slow. I cannot imagine the strength it took of him to hold himself back, as I likely would have lost my mind over such an unprofessional comment such as that. Finally, having a group of medical students randomly enter your
From start to finish actually you see different instances where the doctors weren’t really being respectful. Let’s start with the opening scene when Dr.McKee was performing surgery on the patient whom attempted to commit suicide and jump of a building. They were in there having a good time singing and dancing and joking around saying “next time make it 10 flight or less” which isn't appropriate to say at all given the circumstances. You see how everyone thinks Dr.McKee is so cool along with Dr.Kaplan with him and they sort of have this cool doctor club vibe going, and when Dr.Blumfield asked for help who is a little more sensitive with the patients and cares a lot more he was looked at as the lame doctor and was always made fun because of the way he practices his skills with his
The movie “Wit” introduces us to a seventeenth-century English/poetry professor Vivian Bearing, who was diagnosed with metastatic stage IV ovarian cancer. Vivian is a special patient with a deadly diagnosis, and who is interesting for doctors due to the possibility of using new treatments. Problem with it was Vivian diagnosis was severe and she agreed to undergo tests, more experimental treatment, and more pain. We see Vivian suffering and absence of friends and family, personally, it was really hard to see that the only person who takes care of her was one of the nurses on staff. This was an emotional story of Vivian which at times I smiled, cried and felt angry towards some of the medical staff and disease.
The scenario also states that the nurse tried going through the admission process by asking the patient some questions. This process was carried out in the presence of Mr. Jones daughter. Clearance was never sought from Mr Jones as to whether he was comfortable going through the questioning process in the presence of the daughter which was a violation of Mr Jones’s right to confidentiality (IBID).
The first theme presented in the film is patient provider communication. From the start of the film, the interaction between patient and doctor is shown. Research has shown one of the issues we face in health care today is patient communication. When Oncologist Harvey Kelekian presented Vivian with the diagnoses, he explained to her treatments in the use of jargon. Jargon is the use of complex terms to describe a medical condition. In many cases, jargon keeps the patients from asking questions (Taylor, 2015). While Vivian may understand, the words when you first get diagnosed patients do not pay attention often-missing important information about their care. Throughout the course of her treatment, the student doctor by the name of Jason Ponser shows more examples of bad communication. Jason is a prime example of doctor nonperson treatment. You can see this through how when Jason enters the room he is often not focusing on the patient (Edson, 2013). Jason also is very cold and does not seem to care much for the patient but only the research aspect ,Vivian vocalizes her concern for him several times throughout the film. This can
And the fact he deemed it unnecessary to speak to the patient is a huge violation of the doctrine of consent and portrayed him to be an insufficient health leader by not following the guidelines put forth in all hospitals to abide by to ensure it’s best to the patients. His incompliant ways can affect the future of the hospital putting in jeopardy many jobs and lives.
At the age of 48, she is diagnosed with stage-four metastatic ovarian cancer. Dr. Kelekian wants her to take eight high-dose experimental chemotherapy treatments for eight months. He warns her that she will need to be "tough" to rely upon large reserves of inner courage and willpower.
According to the ANA (American Nurses Association), it is the duty of nurse to protect the patient’s rights, safety, health and advocate for the patient. By treating the patient in an open area, invades their privacy, can cause embarrassment and most of all jeopardize trust between the patient and care giver. This negligent care could also lead to legal ramifications in the future against the hospital. By breaking this trust, the patient may also omit valuable information that could affect their treatment ultimately causing them harm. Some patients may become noncompliant with their prescribed treatment. It is essential that effective communication between patient and care provider occurs at all times. . Healthcare providers are obligated to give safe and effective care.
Especially since she was just trying to know that her husband would not be hurt by mowing the lawn. Based on what I have learned thus far in the class, I know that no matter how ridiculous the concern may sound I need to respect the patient and allow them to voice their concern. I would have listen to the wife of the patient and would have reassured her that while I know that she is worried about her husband he should be okay to mow the lawn and then I would have ended the conversation by letting the patient’s wife know that if she or her husband have any other worries or questions that they could contact me. The ethical lesson that is to be learned from Dr. McKee’s unethical error is that patients and their family members need to be treated with dignity because they are trusting the physician with their life and that should not be taken for granted.
Throughout the film there are emotional challenges, along with the physical; we get to see how the care providers can deal with these. Film Summary
This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”