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Patient centered nursing care
Patient centered care in nursing example
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The movie Wit is a very inspiring and mind blowing movie. It was about an English Professor, Miss Vivian Bearing who is very well educated and well known to its intense knowledge about the metaphysical poetry of John Donne who was then diagnosed with stage four metastatic ovarian cancer. Miss Vivian Bearing is a strong intellectual woman who portrayed a very resilient character in the movie. She demonstrated a straight face with no tears and said, “Okay, go on” (Wit, 2001) as Dr. Harvey Kelekian mentioned to her about the diagnosis and the treatments involved. Also, when Dr. Kelekain mentioned about letting her family informed, she said “It is unnecessary” (Wit, 2001). She signed the consent for the chemotherapy at the same time she will …show more content…
I would personally use and I believe that transpersonal caring relationship was manifested throughout the movie. It is defined as human-to-human connectedness that is occurring in a nurse-patient encounter that each is touched by one another (George, 2010). Nurse Susie is the primary nurse of Vivian Bearing since admission. Since then, they both have built a unique relationship that was not common to other individuals. She demonstrated a caring-trusting relationship in which Vivian can talk to her in a casual manner and can express herself in a way that nobody will judge and would understand what she is been going through. For instance, they would talk over a deep conversation with popsicles as Nurse Susie comfortably raised her feet up. As evidence in one of the scene where Vivian realizes that she is not doing so well and showing her vulnerability and said, “I am scared…Now I am not sure of myself anymore. I am going to die” (Wit, 2001) and then Nurse Susie stood by her, holding her hands and offering relief to relax and be calm and responded in empathy that says “I understand… it’s okay… it’s alright” (Wit, 2001) and offered popsicles to have some relief. According to George (2010) caring- healing potentiates harmony, wholeness, and comfort and promote inner healing by releasing some of the disharmony and negative energy that may interfere with the healing process. Through this Nurse Susie provided comfort and healing just by listening to all the fears and pains that Miss Bearing has been dealing with. They both have established that nurse-patient relationship where both comfortable with each other. Thus, Miss Bearing felt relieved after that as she continue to fight for her life every day. Those small acts of kindness makes a big difference in the patients’
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
In this piece Williams uses very effective persuasion. She starts off by telling you about how all the females in her family suffers from breast cancer. This brings a lot of emotion out of the audience that leads to added sympathy fro the author. I know I felt sorry for her. I was on her side from the start of the piece. Her tone was very sentimental. Then she goes on to state facts. Nothing wins an argument better than sound, strong fa...
In Margaret Edson's Wit, Vivian Bearing is a professor with deadly ovarian cancer whose life circles around knowledge and education. For many individuals, balance is fundamental component in life. Supporting equilibrium between idealism and truth is a incredible part of living stable and satisfied life. Vivian expresses that the fact of being idealistic within her being and her career is important, but you must acknowledge the reality of living as well. When she knows she have cancer Dr. Kelekian tells her to be tough. Flowing into a flashback, she tells the audience, "And I know for a fact that I am tough. A demanding professor. Uncompromising. Never one to turn from a challenge. That is why I chose, while a student of the great E. M. Ashford, to study John Donne," (6). Bearing equates her intellectual curiosity to emotional toughness, since the barely thing she feels relaxed wrapping her head around is challenging literary text. Vivian uses her high standards of education to motivate herself to be tough in her last hours of cancer, but with all her knowledge she seems imbalanced in her life. The Vivian idea of idealism and truth of existence is to be full contributing to knowledge of everything she does.
The movie “ Wit “ is a heart-breaking story about a middle-aged woman named Vivian Bearing who has been diagnosed with metastasized stage four ovarian cancer. She agrees to a vigorous “ full dose” experimental treatment of chemotherapy where she is treated less like a human but more like a guinea pig by her oncologist Doctor Kelekian and her former student Doctor Jason. She experiences harsh side effects from the chemotherapy that causes her to reflect upon her life through flashbacks. The flashbacks travel to various periods of her such as her childhood, graduate school and professional career, prior to her cancer diagnosis, where she comes to a realization that she too could have been more kind to individuals.
Caring lies in its moral foundation. Caring validates both the nurse learder and the patient as human. Caring is one the most critical ingredients for health, human development, human relatedness, well-being, and survival.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
She proposed that caring and love are universal and mysterious (Wagner, 2010). Watson believes that health professionals make moral, social, and scientific contributions to humanity and that a nurses' caring ideal can affect human development (Wagner, 2010). Watson believes that it is imperative in today's society to maintain a caring ideology in practice (Wagner, 2010). Caring is a concept that focuses on having a respectful, non-judgmental, supportive attitude that contributes to the healing process. Watson's theory, in relationship to the metaparadigm of nursing, focuses on the relationship between the nurse and the patient (Wagner, 2010). According to Watson's theory, the nurse and patient form a caring relationship where both the patient and the nurse promote healing (Wagner, 2010). In general, the theory of caring reminds us that a nurse can have a great impact on the life of a patient. If I were to add a new conceptual metaparadigm, it would be the concept of caring since I firmly believe that without caring it will be almost impossible to have wellness at all. If I were to choose one metaparadigm concept to eliminate, I would opt to remove the concept of health since I think that in the concepts of caring and nursing the individual's health should be fully
In the field of Nursing, the role of caring is an important, if not the most critical, aspect involved to ensure that the patient is provided with the most proficient healthcare plan possible. Jean Watson developed a series of theories involved with transpersonal relationships and their importance, along with caring, in the restorative process of the patient and healing in general. Although all of Watson 's caritas processes are crucial to the role of nurses and patient care, the fourth process is incredibly essential as it outlines the importance of the caring nurse-patient relationship. This paper serves to identify Watson 's fourth caritas process, how it can be integrated in nursing care and how it can be developed by current nursing
Therapeutic nurse-patient relationships lay the groundwork for successful care and rehabilitation of a patient in any setting. Whether the patient is in a nursing home, hospital, or receiving home care, a therapeutic nurse-patient relationship is vital to the care of the patient. A therapeutic nurse-patient relationship can be defined as a professional relationship between the nurse and the patient that, “focuses on the client, is goal directed, and has defined parameters” (Craven & Hirnle, 2009, p. 329).
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
This theory “Focuses on the human component of caring and the moment-to-moment encounters between the one who is caring and the one who is being cared for, especially the caring activities by nurses as they interact with others” (Kearney-Nunnery, 2016, p. 49). Healthcare systems have been focusing more on curing than caring. The costs of non-caring are quality, safety and medical errors. Inadequate staffing further distances the relationship between nursing and patients. When the patient feels like an object, they become dissatisfied (Pajnkihar et al., 2017). If management can apply a caring approach to administration, they will see the benefits of nurses spending more time with patients. This restores nursing to promote wholeness and healing. Focusing on a caring approach promotes adequate staffing to facilitate the nurse patient
The purpose of this paper is to provide an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophically complicated of existing nursing theories. The Theory of Human Caring, which has also been referred to as the Theory of Transpersonal Caring, is a middle – range explanatory theory. (Fawcett, 2000) The central point of which is on the human component of caring and actual encounter between the client and the caregiver.
Wit is a potent and emotional play that chronicles the last few months of Vivian’s life. With Vivian’s cancer as the main theme, Wit effectively shows the gradual change of Vivian’s attitude towards cancer and the inhuman treatments from doctors. Wit narrates a story of Vivian Bearing, an accomplished English literature professor who is diagnosed with metastatic ovarian cancer. However, in order to complete a research, her doctor, Harvey Kalekian gives Vivian eight months of experimental chemotherapy without clearly explaining the treatments and serious side effects. In addition, Kelekian’s fellow, Jason, as a former student of Dr. Bearing, shows no respect to Vivian. Jason does not consider Vivian as a patient or as his former professor, but a research object of cancer treatment. The play Wit introduces binaries between patients and doctors, students and professors, life and death. Among these different polarities, the comparison between life and death shows the greatest tension and implies the real meaning of death to readers. Death is kind of a rebirth of life. Edson efficiently describes the tension between death and life by making use of antithesis mostly.
Boykin & Schoenhofer defined key several concepts in their Nursing as Caring theory, which was originally published in 1993 (Alligood 2014). The first fundamental concept of the theory is that all are persons are caring. Caring is a process and throughout life, each person grows in the capacity to express caring. The defined Perspective of Persons as Caring is “fundamentally, potentially, and actually each person is caring”, even though a person may not know it (Alligood p.