In the television series Grey’s Anatomy, produced by Shonda Rhimes in 2005, a few medical interns acquire the central focus, taken place in an hospital environment. Considering the topic of Grey’s Anatomy is solely around the medical field, they receive many out of the ordinary cases. In the duration of this particular television episode, a patient that goes by the name, Kalpana Rivera, was one of the more unusual cases in the Seattle Grace Hospital. Although, Kalpana is only present for one episode out of all eleven Grey’s anatomy series, she displays a noticeable amount of obscure signs, grasping the doctors attention. Kalpana Rivera, is a female adult, from Nepal India, who I believe has met the criteria for factitious disorder. Factitious …show more content…
Although, the behavior and context in the episode was enough to adequately determine Kalpana’s disorder. Even though Grey’s Anatomy only omits limited context about Kalpana, her conduct presented and brief circumstance overview, provides enough confirmation. Some of the behavior that Kalpana reveals as questionable throughout the episode emerges within seconds of the show’s introduction of her character. In the start of the episode, Kalpana absorbs her surrounding attention, of available medical staff, hovering over her bedside, while she proceeds to story tell. In the book, A Concise Guide for Medical Students, Residents, and Medical Practitioners, by Roberts, Layde, and Balon, they discuss how a factitious patients so called conceivable scenario’s may attract more medical attention. Roberts, Layde, and Balon state that the deceitfulness of the patient communicates “limited factual material mixed with extensive and colorful fantasies, and …show more content…
Some known contributing factors to this disorder consist of child abuse, a medical complication as a child, working in the medical field, or someone who obtains neuroticism or a poor sense of self. Individuals who suffer from factitious disorder face complicating circumstances and obstacles each day. An individual with factitious disorder can have disruption in their daily routine, put themselves at high risk for injury and self harm, suicide attempts, and death rates. Additionally, people with the disorder can experience consequences with interpersonal relationships and job stability. Typical treatment for a patient that posses factitious disorder may encompass a consistent medical provider, cognitive behavior therapy, psychotherapy, and in some cases family therapy. The approach I would execute would be a combination of all of these suggested treatments. My main focus would concentrate on psychotherapy by intertwining cognitive behavioral therapy. I would aim to promote a positive thinking process, reduce anxiety, and improve self destructive thinking and misbeliefs. I believe having one medical provider for a factitious patient would beneficial for not only the individual but surrounding people as well. This medical provider can generate all communication with other team members, monitor visits, and keep track of reported symptoms. Lastly, it was
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
A sudden urge to snoop through her boyfriend's phone, a sudden urge to rid her home of nonexistent bedbugs, and a sudden urge to distrust her closest friends. Although these impulses were atypical for Cahalan, she shrugged them off and attempted to continue her life as normal. Her “normal” life began to consist of incoherent rambling, emotional instability, and frequent seizures. Close friends and family decided it was time for a checkup, and convinced Cahalan to comply.
.... “The Strange Case of Marlise Munoz and John Peter Smith Hospital.” n.p.. 28 Jan. 2014. Web. 08 Feb. 2014.
There are certain aspects that may have provided better treatment, but probably could not have prevented the tragedy. Clear communication and understanding for the culture were essential aspects that were lacking during her treatment. Additionally, the presence of a questionnaire like the one developed by Arthur Kleinman would have bridged the gap between the patient and the provider (Fadiman, 1997, p. 260).
The book "Brain on Fire: My Month of Madness" by Susannah Calahan is a narrative telling the life changing story of an unimaginable descent into madness, and the genius, lifesaving diagnosis that almost didn't happen. Previously healthy Susannah never would have imagined waking up in the hospital one day with no recollection of her battle with a disease that not only threatened her sanity but also her life. A team of doctors spent a month trying to pin down a medical explanation of what exactly what had gone wrong. During this time, we learn more about Susannah's family, friends, and loved ones and how each of them affect her overall wellbeing. Eventually, with the help of one special
Because of Zeena’s obsession for medical attention, procedures, and medicine, I believe that she has Munchausen Syndrome. Zeena’s Muncha...
This requires respect and compassion and prioritizing their comfort and values. I believe that as future physicians, we must be open to the different identities and perspectives of each individual in order to try to understand their beliefs and concerns. This level of empathy allows us to connect with patients on a deeper level and treat them with better quality care. Given this, I was immediately drawn to Georgetown’s Literature and Medicine program. Having taken a similarly named course during my undergraduate career, I recognize how literature, fiction or non-fiction, can create a compelling narrative that draws us into the mind of the writer and the characters. Medically related narratives raise issues that we will be confronted with later on in our careers, such as the respective responsibilities of the patient and physician, the role of medical ethics, and the value of compassion and empathy. This program will help me to become a more reflective and empathetic individual that places the beliefs and comfort of the patient at the forefront of my professional practice, and can competently cater to the needs of a diverse
Cognitive therapy, which involves changing dysfunctional thought patterns. Family therapy, which helps to educate the family about the disorder, recognize its presence as well as work through issues that have developed in the family because of dissociative identity disorder. And also Hypnotherapy which can be used in conjunction with psychotherapy and can help clients access repressed memories, control problematic behaviors, such as self-mutilation and eating disorders, and help fuse thier other personalities during the process. Some indications that therapy might be needed include sysmptoms like: memory loss, a sense of being detached from themselves and their emotions, distorted Perception, a blurred sense of identity, significant stress or problems in life, inability to cope well with emotional or professional stress, and mental health problems, such as depression, anxiety, and suicidal thoughts and behaviors. DID requires a medical diagnosis, and treatment should always be conducted by professionals that specialize in dissociative identity disorder as it is a rare and challenging condition to treat. There are also contraindications onvolving the treatment of DID. Caution needs to be taken while treating people with DID with medications because any effects they may experience, good or bad, may
As Katelyn talks, she transforms from an average college student to one with a serious illness, a condition that almost 24% of college students had been diagnosed with in 2003, at one time in their life.
Perhaps the greatest problem faced throughout this tale was that of miscommunication. The Merced Community Medical Center or MCMC for short was the place where Lia was being treated. This hospital was the Merced county's only hospital and unlike most rural county hospital it is state of the art, ."..42,000-square foot wing ... that houses coronary care, intensive care, and transitional care units; 154 medical and surgical beds...."3 This was a teaching hospital made up of interns mostly, but also with some great doctors like Peggy Philp and Neil Ernst. Peggy and Neil are married and have children. They graduated together at the top of their class, and have created quite a practice for themselves. Although MCMC is a great rural hospital, it also has the same problems as most rural hospitals do which is the health care crunch, where most of the money goes to the urban hospitals and then the leftover money is spread among th...
As Dr. Spivey tries to discuss his theory she puts an end to it because she is focused on trying to find dirt on each patient. Nurse Ratched uses the Therapeutic Community as a scapegoat to find ways to torture and manipulate the patients. In the meeting she asks the patients if they have done anything that they kept secret, which leads to them opening up and confessing many secrets. After each confession it was clear that she was pleased because she kept saying “Yes, yes, yes.”
As the story begins, the unnamed doctor is introduced as one who appears to be strictly professional. “Aas often, in such cases, they weren’t telling me more than they had to, it was up to me to tell them; that’s why they were spending three dollars on me.” (par. 3) The doctor leaves the first impression that he is one that keeps his attention about the job and nothing out of the ordinary besides stating his impressions on the mother, father and the patient, Mathilda. Though he does manage to note that Mathilda has a fever. The doctor takes what he considers a “trial shot” and “point of departure” by inquiring what he suspects is a sore throat (par. 6). This point in the story, nothing remains out of the ordinary or questionable about the doctor’s methods, until the story further develops.
Whittemore R. (2000). Graduate student scholarship. Consequences of not "knowing the patient". Clinical Nurse Specialist. 14(2), 75-81.
She controlled every movement and every person’s actions and thoughts. She made the doctors so miserable when they did not follow her instructions, that they begged to be transferred out if. “I'm disappointed in you. Even if one hadn't read his history all one should need to do is pay attention to his behavior on the ward to realize how absurd the suggestion is. This man is not only very very sick, but I believe he is definitely a Potential Assaultive” (). This quote from the book illustrated how Nurse Ratched controlled her ward. She manipulated people into siding with her regardless of whether it was the right decision. This was malpractice by Nurse Ratched because she did not allow the doctor, who was trained to diagnose patients, to do his job properly. Instead, she manipulated the doctor to diagnose the patients incorrectly in order to benefit her interests rather than those of the
Reality therapy is a practical therapeutic method developed by Dr. William Glasser, which focuses on here and now rather the past, problem-solving rather than the issue at hand, and making better choices with specific goals established. Reality therapy is a time-limited, no-nonsense approach that Glasser developed and taught as a method of counseling which is based on choice theory, which states: “all we do is behave, almost all behavior is chosen, and we are driven by five basic needs” (William Glasser Institute, 2010).