Starting with the “Grand Rounds” scene, the play begins to really reflect on the doctor-patient relationship. Although we see up to this point, the powerful connection that is forming between Susie and Dr. Bearing, there seems to be no warmth or human emotion in her relationships with Dr. Kelekian and Jason. This scene is especially important because it shows us how impersonal Dr. Bearing feels the teaching hospital and its doctors are towards her. We start to see Vivian lose herself because she finally realizes that as a teacher, she behaves and treats her students the same way that the doctors behave and treat her. This lack of interaction becomes a prevalent theme throughout the play, and we see Dr. Bearing start to transform while gaining a fresh but different perspective, not only in her profession but also in life.
Teaching hospitals are meant to train future professionals while ensuring that they provide the uppermost care for their patients. However, what some teaching hospitals fail to maintain is a strong and positive doctor-patient relationship. You would think that television shows and films
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Bearing says “in Grand Rounds, they read me like a book. Once I did the teaching, now I am taught.” There is a part from the film, in the Grand Rounds scene, which shows Vivian’s body basically being used as a “book,” as if she were lifeless and of no importance. Because of the atmosphere and lack of interaction with her care providers, all Vivian does while she lies there all day is think about the nature of the hospital. This becomes a turning point in not only her experience with cancer, but her experience with life. What you might think we would learn about Vivian is that she feels sorry for herself due to the situation she is in. However, what we can see from this scene and her flashbacks is that Vivian feels remorseful because she is just as guilty as her doctors, because she too portrays a depersonalized demeanor towards her
However, when Dr. Posner seems to exhibit this same attitude towards her when he is discussing her treatment, she begins to wish she hadn’t been so difficult because she now wishes that he would be more personal and accommodating towards her. It is here that Vivian really begins to re-evaluate her life and choices and further develops her attitude. She becomes a bit more lighthearted, even sharing a laugh here and there, and develops a close relationship with her nurse, Susie. After consciously having no visitors, Dr. Ashford comes to see her. It is revealed through flashback that Dr. E.M. Ashford is the one person who Vivian’ regards with the upmost care and respect. She is a former professor of Vivian’s, who was very tough on her. Vivian feels as though she helped turn her into the scholar she is today. Her close connection with the professor is apparent when Dr. Ashford becomes her only visitor. By the time she arrives, Vivian is not her former self. She is extremely sick, and very weak. Vivian tells Dr. Ashford that she “feels so bad” and then she begins to cry (1122). Dr. Ashford comforts her, and begins to read a children’s book to Vivian in an attempt to calm her. Through this she manages to lull Vivian asleep. When it is time to go, she leans over to give Vivian a kiss goodbye and leaves. It is after that scene, that Vivian’s heart gives out and she
Bearing, a hard teacher of poetry. Vivian could see herself in Kelekian. In their separate fields they both held doctorates. But in each profession there are words that one outside of the field would believe that their meaning of particular words mean something different. The passage, “Insidious means undetectable at an-….Insidious means treacherous” (Edson, 8) Dr. Bearing interrupts Dr. Kelekian because she is used to being around her students, and being known as the one who knows everything. Which is also what she believes to be to in everything. Here, she is still seen as the ‘teacher’ or the one who has more influence and power over the other in this particular moment in the play. The go back and forth on the idea about learning as much as you can, and in the end Vivian wins out. As the chapter progresses we can see Vivian explaining her position and why people should look up to her. “I am, after all, a scholar of Donne’s Holy Sonnets….And I know for a fact that I am tough. A demanding professor. Uncompromising. Never one to turn down a challenge…” (12). This quote sets up the idea that Vivian, as just coming into the hospital, still has the authority and influence over others. She still holds the knowledge above everything else, which is also all that she
Vivian’s character goes through a transformation throughout each stage for her cancer. In the beginning of the movie/play she is presented with the horrible news that she has stage 4 metastatic ovarian cancer. She seems to handle the news fair well (professionally) and even agrees to a “new” aggressive 8 month treatment at a full dose level; that will be researched. After her treatments begin in the hospital we start to see her having flashback. These flashback show her being callousness towards two of her former students, “You can come to this class prepared, or you can excuse yourself from this class, this department, and this university. Do not think for a moment that I will tolerate anything in between”. As the treatments continue she see she is looking for a more personal level of communication with others; she seems to find a little bit in Susie (senior nurse) assigned to take care of her.
There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and clients.
Each department works together to create a smooth streamline transition for every patient. The employees, from customer service to administration to physicians, work on the same level with one another and share in the passion of treating and healing their patients. The employees continue their focus of their patients to the patient’s family as well.
Vivian’s physical suffering is caused by her illness, which slowly deteriorates her identity. In W;t, Vivian’s physical character is enhanced by her power through Language and it’s discourse. As time progresses, cancer slowly cause’s her to suffer physically, and therefore inverts her powerful identity. On page 25, Vivian’s body is clinically deconstructed, the
Vivian recalls undergoing tests by various medical technicians and being the subject of grand rounds. She remembers sharing a love of language and books with her father. She flashes back to her experiences as a student of Dr E. M. Ashford, an expert on John Donne. Bearing later finds herself under the care of Dr Jason Posner, an oncology research fellow who has taken her class on John Donne. At the hospital, she recognizes that doctors are interested in her for her research value and, like her, tend to ignore humanity in favor of knowledge. Gradually, she realizes that she would prefer kindness to
Within the hospital, you see one patient at a time and you furthermore might have tons a lot of obstacles to figure around: atomic number 8 tanks, IV’s, catheters, feeding tubes. Whereas throughout my patient observation, I watched a lot of specific treatments take place—anywhere from knee replacements, to ACL’s tears, to severely sprained ankles. I discovered heat application and ultrasound procedures on backs and shoulders. There, you're employed most of the time with multiple patients directly. I thought, before finishing my observation hours that I might relish a clinic setting a lot of, however when experiencing each, I’m founding the father of the hospital setting.
In this assignment I will throw light on my first clinical week that I had to observe the effective communication skills on the med surgical floor. As I started my day, the charge nurse was assigning patients to the dayshift. As the patients were assigned, the nurses started their shift report from the night shift in the break room. In this report, they discussed the patients diagnosis, previous medical history, labs and all pertinent information about each assigned patient. On the med surg floor, we get the opportunity to experience all areas of patient care with patients coming from surgery, emergency department, direct admit, and transferred from
The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for
developing a rapport with ones patients and that a little compassion and understanding can mean the world to a
Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.
Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
For the most part, hospitals are places where one comes for healing and it is place where our clients should feel safe and away from harm. Nurses have an important role as a patient advocate and are to provide all clients with safe, compassionate, and quality care at all times. Nonetheless, the hospital can also be a dangerous place for inpatients. It is a foreign environment to clients and there may be alterations in their medical condition in regards to their physical and/or mental status. With this said, there is a need to improve upon how we care for our clients, especially those who are at most risk for various incidents.