Pain and suffering is something that we all would like to never experience in life, but is something that is inevitable. “Why is there pain and suffering in the world?” is a question that haunts humanity. Mother Teresa once said that, “Suffering is a gift of God.” Nevertheless, we would all like to go without it. In the clinical setting, pain and suffering are two words that are used in conjunction. “The Wound Dresser,” by Walt Whitman and “The Nature of Suffering and Goals of Medicine,” by Eric J Cassel addresses the issue of pain and suffering in the individual, and how caregivers should care for those suffering.
In “The Wound Dresser,” Walt Whitman describes his experiences as a caretaker to the wounded during the civil war, and the pain and suffering he witnessed. He shares graphic images of what he observed when caring for the wounded. Much like healthcare workers today, Whitman was a servant who with humility cared for those suffering and in pain. “Devotion, sacrifice and compassion” is how Whitman described the way one needs to care for the suffering. This is applicable to h...
I often ask myself, “Can I handle it?” I learned from other doctors that in order to provide the best care, a physician must be able to detach himself or herself from the patient; they say it would be better for both the doctor and the patient. But, with that kind of thinking, the doctor is not fully giving himself to the patient. So, is it right to not fully give oneself to care for the patient? Learning from Patrick Dismuke and those who loved him, it seemed that the hospital was able to care for him best by loving him. Nurse Kay, Patrick’s favorite nurse, not only answered his late night calls, but enjoyed talking with him. This always calmed Patrick down before and/or after surgery. Dr. Aceves was always optimistic and hopeful for the future of Patrick’s health, never giving up on him by pushing for surgery. He did this because he knew Patrick all 16 years and was emotionally attached to the boy, even though Patrick did not feel the same way. Thus, though I can understand that a physician must put a wall between himself or herself and the patient, there should still be a strong connection in which they would do anything for the patient’s comfort and
Resection was a process that “involved cutting open the limb, sawing out the damaged bone, and then closing the incision” (Jones, 1). Resection allows the patient to keep his limbs but it requires a great ordeal of time and skill. This also contributed to the common practice of amputation during the war. But there were cases where surgeons did use this method. Terry J. Jones said in his NY Times article, “resections were used more frequently after surgeons learned that amputations had a much higher mortality rate” (Jones, 1). In another article by Corydon Ireland, it describes Mitchell Adam’s, a Harvard lecturer, grandfather who served as a volunteer surgeon during the Civil War. In the article, “Adams was not a champion of hasty amputations, but argued for excision and other limb-saving measures. And he describes the everyday pressures of a country practice in Framingham, Mass” (Ireland, 1). This meant that not all surgeons at the time only wanted to amputate but strived for alternate methods. This new knowledge shows that some surgeons were more dedicated to thinking about the well-being of their patients than others and this opens up to other possibilities that may have occurred during the war. This allows an image to come to mind of a surgeon diligently operating on a soldier with care and compassion. However, even though there may be many possibilities, we can’t truly know every event that occurs during a
The practice of medicine is both beautiful and dangerous. It is known for its power of healing and innovation. However, it can also cause damage by medicalizing and simplifying very sensitive, complex topics. In Being Mortal, Atul Gawande explores the nature and process of death, including the precious, limited time leading to it. Gawande gives light to the fact that because of pharmaceuticals and modern technologies, people in their last stages of life often focus on hope, rather than recognizing the bitter reality. Also, Gawande describes the importance of different care facilities, such as hospice, and their role in helping the critically ill. Unfortunately, it often seems that the focus is not on the ill and their wishes, but rather the
3. The relation between the chronically ill patient and the body is of intertwined subjectivity, of one human dignity and human strength. This is made manifest through the patient’s continued struggle for life despite awareness of dwindling quality of health and diminishing quality of life.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
The scars of hard fought battles that destroyed businesses, homes and lands were a constant image in the south. Thousands of Union and CSA maimed amputees returned home with their physical damage clearly seen. The invisible scars on the hearts and bodies of the men weren’t as discernible. The hidden scars of seeing lives extinguished and the cries of the dying left scars that would make the able bodied weak.
Pain is much easier to endure if we know that it has purpose. We can accept pain, if we know it will lead to a better outcome. Doctors tell us that pain is a friend. Without it, we would not know something is wrong. The nerves in the body radiate sensations when the body is harmed. This leads to seeking aid because we feel the pain of the injury.
In 1931, the French medical missionary Dr. Albert Schweitzer wrote, "Pain is a more terrible lord of mankind than even death itself." Today, pain has become the universal disorder, a serious and costly public health issue, and a challenge for family, friends, and health care providers who must give support to the individual suffering from the physical as well as the emotional consequences of pain (1).
During the Civil War, 620,000 soldiers died from combat, starvation, disease, and many more suffered a variety of life threatening injuries. Walt Whitman, an author, poet, and Civil War nurse wrote two literary pieces titled “The Artilleryman’s Vision” and “The Letter to His Mother.” These literary works of art have a similar theme stating, war can be physically and mentally traumatizing to the soldiers, but it is also a necessity for a country to obtain and maintain its freedom. Walt Whitman's contradictory pieces ¨The Artilleryman's vision” and ¨The letter to his mother¨ shows his Civil War experiences through his use of certain characters, speakers from different points of views, and the gruesome events that occurred during the war.
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
Nursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that “fixed” their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that care focuses on many factors. The model demonstrates understanding of how suffering, disease, and illness can be associated by many factors seen at the different levels in society and the medical sciences (source). Caring for each component is important to the healing process.
Hospice is giving dignity, support and love to end of life patients. Hospice works with the patient’s pain to give the patient comfort, not to hurry death or hasten the dying process, but to relieve symptoms that are sometimes associated with grief and dying. In my experience, I have witness the positive effects associated with comfort care for both patients and love ones. Dying patients grieve for various reasons. Sometimes it is mentally, physically, emotional or psychological and it affects their love ones as well as their level of comfort. Our promise to every patient we take care of is “To provide exceptional care, to guide the patient and their family on their journey, and to respect their choices. Their comfort, needs and wishes come first. They can count on us when and where they need us” (Hospice and Palliative Care, 2013).
How is someone supposed to convey a normal state of mind when pain is encompassing his or her being? Experiences of pain are very common in the healthcare system, yet there are still gaps in distinguishing between the different types of pain that people experience. In addition, pain is physical, emotional, spiritual, and in some instances a combination of them all. Throughout literature, pain is represented and treated in various ways by conveying a patient’s experience and interpreting the meaning of pain and how it can shape an individual. Pain is subjective and each person experiences pain in unique ways. Representations of pain can take place in many forms; pain is personified, pain is self-perpetuating, and pain is selfish. In the
We as health care professionals need to work side by side with the families to provide the best care and decisions that are right by our patients. We have to be mindful of the cause and effect our course of treatment depicts for our patients. No individual wants to live in pain or misery, we all want to be healthy and happy and are willing to go great lengths to achieve this goal. Death is the final stage of life, but as we live and get older we start to prepare for death as to not fear death but accept it. Health care professionals may benefit from the opportunity to acknowledge, normalize and integrate death and dying into the continuum of life, both for themselves as well as their patients. (Sinclair, 2011) With advancements in technology and medicine we are living longer and fuller lives, and given time quality of life will only continue to improve.
"There is much pain that is quite noiseless; and that make human agonies are often a mere whisper in the of hurrying existence. There are glances of hatred that stab and raise no cry of murder; robberies that leave man of woman for ever beggared of peace and joy, yet kept secret by the sufferer-committed to no sound except that of low moans in the night, seen in no writing except that made on the face by the slow months of suppressed anguish and early morning tears. Many an inherited sorrow that has marred a life has been breathed into no human ear." George Eliot (1819-80), English novelist,editor. Felis Holt, the Radical, Introduction (1866).What is pain? In the American Heritage Dictionary, pain is referred to as "an unpleasant sensation occurring in varying degrees of severity as a consequence of injury, disease, or emotional disorder." The word is rooted in Middle English, from an Old French piene, from Latin poena, meaning "penalty or pain", and from Greek pointe, meaning "penalty." Pain is a very realistic problem that many individuals face daily.