The movie I decided to watch was Wit directed by Mike Nichols. Vivian Bearing (Emma Thompson), a 48 year old well-known English professor who had a Doctorate in Philosophy, reflected back on her life as she went through the process of terminal ovarian cancer. Dr. Bearing was a strict and at times an emotionless professor who taught 17th century poetry. When going through the process of chemotherapy and other painful treatments in the attempt of curing her cancer, Dr. Bearing learned about the importance of humanity.
The person that reflected upon the situation and emotions felt through the experience of palliative care due to cancer was the patient, Dr. Bearing. She shared her thoughts through the process in which she was dealing with on
For this professional practice, I decided to interview a professional who deals with the subject of death and dying on a regular basis. The interview was conducted at Calvary Hospital which is located at 1740 Eastchester Road in the Bronx. Calvary Hospital was established in 1899 and works in connection with the Roman Catholic Archdiocese of New York. Calvary Hospital is a non-profit institution and it has a total of 225 beds. This hospital is one of the largest which focuses on end-of-life hospice and palliative care. Other programs include inpatient care, pain management, home care with bereavement and support programs for families and friends, therapeutic recreation, and music therapy. All these
Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely
He told me a story of a friend he had who had cancer and she made the choice to stop the chemotherapy. Her arms had scabs and she decided enough was enough. She knew she wasn’t going to get better. She talked about death as if she were going to a party. He described how she appeared to be at peace because she lived a fulfilling life. Mr. E felt that she encouraged and motivated him more than he to her.Mr. E felt that the greatest joys of getting older were family and seeing it grow. He also felt that being loved and having others think highly of you were great achievements.Looking back on his life Mr. E felt that the only thing he could have done differently was to be more patient, smarter, more humane and not make as many mistakes. “You look back and think that you were not able to see things that are obvious” (E. Privacy, personal communication, October 10, 2012).
The first half of this clinical placement, I was on a palliative ward. While others might find it difficult caring for patients at the end stage of life or in great deal of pain, I find that it gives me a great deal of satisfaction that I was able to provide care for these client in my own unexperienced way of palliative care. Being a patient myself of a very serious illness in the past, the goal of a palliative care team which is to provide quality of life during these difficult stages of the client, hits close to my heart. I might consider working in the palliative care unit in the future.
Over the past five weeks, I have learned what palliative care really is all about. I found that there were areas that really changed my perspective as well, about what palliative care is. Some of these include, but are not limited to, when palliative care is used, how difficult is can be to get patients the pain management they need, as well as how many different complimentary therapies are available to patients.
The movie “Wit” is a great educational tool for healthcare professionals in terms of dealing with terminally ill patients. It teaches that nurses and medical professionals should always remember that their patients are not a case nor illness nor experiment but rather human beings with souls and pains. Palliative care is one of the most disputed issues of worldwide importance. While bureaucrats in different countries are making laws on the use of palliative drugs, patients with excruciating pains learn how to “take deep breaths and be strong” (Nichols & Brokaw, 2001). That is what nurse Susie Monahan from “Wit” advises her dying patient Vivian Bearing suffering from unbearable pains due to stage IV ovarian cancer after eight painful rounds
“I have cancer. Insidious cancer, with pernicious side effects…[And] it appears to be a matter, as the saying goes…of life and death” (00:05:45-00:06:17). This was said by Dr. Vivian Bearing, the main character of Wit, a 2001 movie directed by Mike Nichols. In this movie, Vivian is a professor in seventeenth century poetry, specializing in the Holy Sonnets of John Donne and is slowly dying of advanced ovarian cancer. The film itself serves as an epic, in which the director uses the poetry of John Donne to elucidate the meaning behind her irrevocably inevitable death. Within the movie, Vivian recites several of Donne’s poems, which further lends explanation behind the occurrences within the film.
Vivian Bearing is the main character within the play Wit by Margaret Edson. Wit centers on Vivian’s journey after learning she has ovarian cancer. As the story progresses, Vivian’s characters grows and changes with each passing moment. Edson does a magnificent job of displaying this character development through Vivian’s actions and dialogue.
Briefly describe the patient and his/her situation, diagnosis and prognosis, brief history of the disease, and how/why the patient entered palliative-focused care.
Palliative care is a relatively new concept, stemming from the hospice movement of the 1960s. This type of care focuses on the quality of life of its patients at any time in their treatment process. Palliative care is a concept that is often used synonymously with hospice care. Although it can be congregated with hospice care, they are not the same thing. Thus, it can easily be misunderstood. Sherner (2015) explains that both clinicians and people alternate palliative care and hospice. Unfortunately, she says, these people believe that palliative care implies the patient is refusing curative care. The purpose of this analysis is to explore the concept, clarify the meaning, and differentiate the concept of palliative care.
Gilda also witnessed her mother struggle with cancer, and watched the Hospice nurses and staff provide care and support to Gilda’s mother and family, and ultimately decided that she too wanted to assist people cope with grief and loss and the end of process. On the other hand, both Michele and Pamela started their careers in the medical field outside of Hospice and found their way to the Hospice program with time and experience. Pamela believed that there was a need for LPN is within the Hospice agency, and started her work as an LPN working with Hospice patients in their homes. Michele started as a nurse when she started working for Hospice and after a few years, she was promoted to a care provider liaison, working with and advocating on behalf of Hospice patients who reside in assisted living facilities.
Based on Margaret Edson play, the 2001 film “Wit” is regarding an english professor Dr. Vivian Bearing who is specialized in the study of John Donne’s Holy Sonnets. Dr. Bearing is diagnosed with stage four metastatic ovarian cancer and agrees to undergo an antagonistic experimental treatment. In the processes of her treatment she quotes a famous line from the Holy Sonnet by John Donne “…and death shall be no more, death thou shalt die!”(Wit, 2001). Dr. Bearing’s anguish in not only her bodily pain but the treatment has a great strain on her mental health. In the course of her treatment, Dr. Bearing monitors her experience at the hospital and point out that she simply became a test subject for research and not a patient. The film deals with
In the BJ Miller’s video, he discussed about palliative care and shared a story with
I have always believed that health cannot be optimized through the treatment of disease only. Rather, health should be addressed on a biological, physical, psychological, social, and spiritual continuum. Palliative care addresses an often-overlooked aspect of the patient experience, which is symptom management of their chronic illnesses. Health care professionals tend to treat acute episodes of
I too think this lecture was one of my most memorable Hunter College moments and I agree that Ms. Berman did a great job discussing palliative care. I was in total disbelief at first when she stated that she had stage four cancer and then I was amazed that she was able to stand in front of us and appear to be totally healthy. I always heard that palliate care was a good think to have but never realized how good it could really be until I saw Ms. Berman.