1. Ivan is a middle class man from the 19th century who lived in Russia. He was a lawyer and a bureaucrat. He was married to Praskovya. The vignette described Ivan as a capable, cheerful, good-natured and social man. He was attracted to others who were in higher positions and likes their politeness, speech, and manners. Although he was given the position as examining magistrate and even then, he did not abuse his powers. In the beginning of the vignette, Ivan wanted to be an independent man with the luxuries of the rich. However, after the accident, he came to understand the sorrow of others.
In the vignette, the relationship between the physician and patient was authoritarian, and there was no patient-physician relationship to truly understand the concerns and the impact of his illness on the patient’s life. It almost seems that the physician did not take the patient’s concerns seriously. In addition, as his symptoms were worsening, although he consulted other physicians and he received contradictory answers, thus confusing the patient and decreasing the trust in the physician’s abilities. A patient centered relationship allows patient to build trust in the provider. I think that if the physician were more empathetic to the patient, the patient would not have had to look for answers to his questions in medical texts and other physicians. In fact, if there were open communication, maybe the doctors would have been able to find the injury and provide the necessary treatments, before it was too late.
2. Merriam Webster dictionaries define despair as a situation in which an individual feels that there is hope or that the situation that they are in will not change (Merriam-Webster). If a patient has fee...
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... on the patient’s needs, all allows one to provide patient centered patient care.
I would use this experience in my future nursing practice by making sure to treat each patient with respect. In addition, I will try not to let other individual’s opinions affect the way I interact with patients. I will also establish rapport with my patients by communicating with them and letting them know that I am there to help them. In addition, as I start my nursing career, and when I interact with nursing students and staff, I will try not to give my opinions about patients.
Harkness, G. & DeMarco, R. (2012). Community and Public Health Nursing: Evidence
for Practice. Lippincott Williams & Wilkins,
Merriam-Webster (n.d.). Despair - Definition and More from the Free
Merriam-Webster Dictionary. Retrieved from
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