She was clearly homeless. Her charcoal-grey hair was shaggy and dirt-encrusted, as if she didn’t recognize the pleasure of a shower or a comb. She hunched over the edge of her bed, her bony legs drooping to the pristine floor and her feet stuffed into lace-less Vans-knockoffs. As I eased closer, an overpowering odor enveloped me, the putrid stench of a sordid body and moldering clothes.
I willed forward, ignoring the nausea that was overcoming the back of my throat. I knew I had to. This was what I signed up for when I joined Assessing Residents’ CI-CARE (ARC), a student-run organization at the UCLA David Geffen School of Medicine. I had agreed to brave any situation and communicate and connect with all patients in need, no matter who
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Like a loving mother, she reached out and combed the patient’s stiff and tangled hair with her hands. She whispered, “Don’t worry, I’m here for you.”
The aide’s act of compassion left me speechless. I knew she was seeing the same grime and hopelessness; she smelled the same toxic aura. Yet, she gave her full self to that woman, and without any visible faltering. She made the patient feel encouraged, safe, and loved. She stepped forward and cared. I lay hidden – awed and humbled. As the pungent odor concomitantly ebbed, I could finally exhale. In that moment, she was a caregiver. I was just an undergraduate – a scared and cowardly undergraduate. I sank down, in my defeat and disappointment, realizing how much I had yet to learn about medicine. To have compassion – simply as Latin roots imply, to be able to suffer with – we need empathy. We can’t fake compassion; empathy is a required prerequisite. Empathy is so essential to human-interaction, so obviously required in healthcare and medicine, yet so hard for many to define and master. When I was asked during my ARC interview whether I would be repulsed by the smell or by the appearance of certain patients, I confidently replied “No.” I was so sure based upon no foundation at all. But in this moment, I began to feel so vulnerable and fragile, so incapable of compassion or empathy. I have failed tests, lost student body campaigns, and even misspelled Mississippi at least 50 times since my 4th grade states test. I
When a new resident is admitted, their family provides a history of the resident’s life: their loves, their fears, and their tragedies. As a physician assistant collects and analyzes the medical history and symptoms of a patient with an undiagnosed illness, I analyze the personal histories of the residents at my facility so that I am able to understand the best way to care for them. As a physician assistant collaborates with their supervising physician to provide high quality healthcare to patients, I collaborate with the director of nursing and the other nursing assistants at my facility to improve our residents’ quality of life. As a physician assistant is trusted by their patients and their supervising physician, I am trusted by the families of the residents I care for as their loved ones adjust to life as it changes with the loss of their memory.
For my book review assignment, I decided to choose the book titled “The Other End of the Stethoscope: 33 Insights for excellent patient care”. This story deal with Marcus and how he experiences the good and the bad of patient care after suffering severe injuries from a drunk driver. The reason I decided to choose this book is because this book provided a great perspective from the patient point of view of how a patient is cared for and treated in the hospital setting. One of the most important themes from the book was to understand the relationship between the caregiver and the patient, which is patient care. Marcus states the relationship between the health care provider and the patient are similar to that of a relationship between a parent and a child. The patient depends on us and looks to us for support and comfort. One of the fundamental components of forming good patient care is to be compassionate. Compassionate care could mean the difference between life and death for a patient. From reading this book, I understand that giving compassion to someone can take all shapes and forms. As a healthcare provider, we could make such a difference for a patient in need. You could have such a huge impact on patient, even if you only deal with one for a few minutes. Simple ordinary gestures of kindness such as telling a patient you are here for them or a simple smile can give a patient a good impression of the kind of care he or she will receive. For Marcus, it was the medical
I will also explore how my understanding of empathy will influence how I empathize with patients in my future practice using the Tanner’s model of clinical judgement.
The disinfectant smells of the hospital became almost like a ironic sign that I should never be in serious trouble with my health, again. In the past I always felt bitter after walking into the hospital to see family members in pain and suffering. And now, I am the one who is facing a serious illness. I find pleasure in providing help to children in need, but I do not want to be the one in need. Going through this experiences has changed me for the
The importance of empathy in any helping profession, medical or social, cannot be overstated. The workers that exemplified it in their practice did the best that they could with their limited resources.
On the sixth day of my internship, I finished the pat feeding all the other patients, their lunches and was getting ready to check on Mr. Peter. When I entered his room, he was not there. Instead, there was a middle aged man sitting on the bed which belonged to Mr. Peter, and kept repeating the words “He is gone, oh lord he is gone” with a broken voice. I suddenly felt frozen with grief and anger. How can someone so lively be gone in such a short period of time? Why couldn’t the doctors and nurses help him? This was the harsh side of medicine, which I was not previously exposed to. At that moment I questioned myself, “Do I really want to go into a field that cannot always
For as long as I could remember, I have seen my father rushing to the hospital in a white coat, answering pagers in the middle of important family conversations and attending night calls even in the most terrible weather. I had always wondered; what could be so important that it belittles every other responsibility in his life. It was only after many years of anguish and protests that it finally made sense to me. This defining moment of realization occurred when I first met a patient in his office. I saw how the gratitude in the patient’s eyes can provide a sense of fulfillment that triumphs all other feelings in the universe. It was human life that was most important. Being a doctor does not make you a mere healer but also gives you the responsibility of a caregiver. I had never felt more proud of my father and that was the day I felt the urge to relive this feeling many times over. It was there in that moment that I decided to pursue a career in medicine.
While in most circumstances, empathy is a crucial tool in understanding the patient and their problems, there is also a distinct line drawn between the appropriate amount of empathy and going overboard. Healthcare professionals should be aware that while empathy is an important factor of their jobs, it is just as important to not become emotionally involved in patients’ lives. A careful balancing act is needed in order to sustain the appropriate level of empathy without letting the emotional rollercoasters of patient lives interfere with the work and personal life of the healthcare professional.
I wandered throughout the hospital hallways. An unfamiliar place to me, thus I began to explore. It was 9 am and some patients had already lined up to see their physicians. I was shadowing Dr. Waterman, a family medicine resident. I followed her on the morning patient rounds, she would introduce me to her patients, asking for their permission for me to observe. As the shadow, I tried to remain imperceptible but observant. That day, I got exposed to different medical disciplines. In one case was an 83-year-old Caucasian female with dementia. She had come with her two children who broke down in tears when she couldn’t even remember who they were. Dr. Waterman’s response transcended beyond patient care and got families involved. She would report
The memory of George’s struggles provides a continuous reminder of why I am pursuing a career in medicine and serves as a perpetual source of motivation. I have a responsibility to those less fortunate than me to work my hardest and to continuously improve, so I may grow to ensure that others do not needlessly suffer as George has. Moreover, the knowledge of healthcare inequities I have gained will allow me to bring the concerns of underserved populations to the Wake Forest School of Medicine and help foster the growth of physicians who are dedicated to aiding the disadvantaged. Medical school will undoubtedly be wrought with challenges; however, I am confident that dedication to ameliorate others’ suffering will allow me not only to thrive, but also enrich the learning experience of my peers.
Compassion can be displayed in many ways, from a gentle touch of reassurance to “listening deeply” to what is being said (Stein, 1994, quoted by Gibson, Swartz & Sandenbergh, 2014:16). In this case , compassion would be clearly evident by taking time to understand and listen to each patient’s story and their feelings about what happened, illustrating my desire to understand them. (Chochinov,
Slurring, “Joe” staggered into the clinic. It was only 10 am, and alcohol pervaded the air. Joe nearly always came in drunk, but we kept our doors open to him, so he kept coming back. His provider stayed patient through his setbacks and frustrations, tapping the resources around her to treat Joe’s alcoholism, diabetes, and hepatitis. As he started to heal I met the Joe who likes volunteering and loves gardening. I watched in awe as Joe’s provider catalyzed his healing and I yearn to follow her example as a doctor. Joe’s journey, defined by the partnership between a patient and provider, is a memorable success in the sea of experiences that drives me to pursue a career in medicine.
During my junior year at Pace University, I volunteered at the New York Presbyterian Hospital – Weill Cornell, in hopes of gaining more experience in a health care setting. I felt as though my former experience volunteering at Northern Metropolitan helped shape me to have an appropriate understanding of what it meant to assist patients. For a little over a year, I volunteered in the Acute Care for the Elderly Unit. Every Saturday, l dedicated four hours per week to visiting patients
The summer before 11th grade, I volunteered at the Baylor College of Medicine Sue and Lester Smith Breast Infusion Center. While there, I assisted the nurses with making the breast cancer chemotherapy patients get comfortable with snacks and blankets, organizing medical supplies. However, since all these tasks didn’t take too long, I often had majority of my day to spend time with the patients. I gave them company during their 2-4 hour long chemotherapy treatment and listened to their anecdotes about life and advice for me as I continued high school. By the end of the summer, I knew all of the patients inside out ; name of their dogs, their favorite ice cream flavor, their most memorable vacations. However, one of the patients really affected my take on life.
Perfume by Patrick Süskind follows Jean-Baptiste Grenouille through an incredible journey of survival, perseverance, and ascension to godlike power. It, being set during the Enlightenment, depicts a time where people let curiosity reign and science flourish. Nevertheless, although people were becoming more scientific in their thought, religion was still a part of people’s lives. The presence of religious elements in the novel, however, serves to be more than just a descriptive tool to flesh out the world of the novel. Because of the biblical parallels that present Grenouille as a messiah-like figure, and also further comments on religion through narration, the reader is often pushed to consider the nature of faith and the faithful. In effect, Süskind uses Grenouille and the world of Perfume to examine and critique the functions and foundations of worshipping a god.