Assignment Task:
TITLE
WHAT: REPLY to the TWO Discussion Posts
FORMAT: APA with In-text Citation and Reference List
REFERENCES: TWO Peer-Reviewed references per post minimum within last 5 years
INCLUDE: Turnitin Report
PaTu
Discussion Post Reply #1
In the movie Wit, Dr. Vivian Bearing illustrates the five patterns of knowing: empirical, personal, ethical, aesthetic, and emancipatory, as she goes through her journey. Vivian, a professor of literature, delves into medical research to comprehend her ovarian cancer diagnosis, demonstrating the production of empirical knowledge. As is common in the empirical pattern presented by Chinn et al. (2013), she aims to understand the scientific aspects of her treatment. Vivian begins to approach personal knowing as she reflects on her life and relationships. Self-awareness emerges along with the understanding of how her detached manner weighs on others, which agrees with the personal pattern of knowing.
The film showcases healthcare professionals' ethical knowledge through their decisions. Susie Monahan, Vivian's primary nurse, creates a positive impact regarding ethical practice by showing nursing advocacy for Vivian's comfort and dignity, most notably at the onset of endof-life discussions (Bosanquet & Nichols, 2001). The medical team's more detached and research-focused view, on the other hand, is found to be at odds with Susie's caring approach to patient care, which is looked at in terms of the moral implications of patient care by Chinn et al. (2013). The film depicts aesthetic knowing in the art of nursing and medicine. The involvement of Vivian in her caregivers demonstrates the complex dialogue between clinical expertise and empathy, and it also showcases the artfulness of patient care.
Vivian's confrontation with the power systems in the healthcare system subtly weaves the inclusion of emancipatory knowledge into the narrative. Her journey shows the most impersonal aspect of the medical institutions, where systemic structures can depersonalize the care of patients (Bosanquet & Nichols, 2001). Due to this awareness, there is an invitation to have conversations about the importance of transformative practices in terms of patient autonomy and humanity that also resonate with the emancipatory pattern of knowing, as expounded by Chinn et al. (2013). It entreats the audience to reflect on the current norms and the ways in which healthcare can progress to meet individuals' both emotional and physical requirements.
Wit is based in part on John Donne's poem "Death Be Not Proud," which acts as a central motif for Vivian's intellectual and existential journey. She approaches the poem in a scholarly way, analyzing its metaphysical conceits without personal involvement. But the themes of the poem resonate more intensely since she is on the verge of her own mortality. The metaphorical death outlined in the line "Death, thou shalt die" turns from the abstract death theme to offering a source of comfort because the death of the physical body promises an existence beyond mere physical death (Frankl, 2006). As Vivian progresses toward an understanding of the poem, she moves away from intellectualism toward a deeper, more meaningful challenge to her mortality.
Wit is a film demonstrating nursing theories focusing on holistic and patient-centered care. In particular, the application of Jean Watson's Theory of Human Caring is evident, as these relationships between nurses and patients are authentic. Susie's genuine concern and presence provide emotional support that extends beyond routine medical care, embodying the caring factors identified by Meleis (2018). It also aligns with Patricia Benner's Novice to Expert model, highlighting the progression of clinical competence and showing the value of experiential learning in making empathetic and skilled practitioners. Through these theoretical frameworks, the film suggests showing compassionate, individualized care as a key aspect of efficient nursing. Need Assignment Help?
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Discussion Post Reply #2
The film Wit is touching as it underscores the importance of compassion, empathy, and ethics in healthcare. Throughout the film, Chinn and Kramer's five patterns of knowledge-empiric, personal, aesthetic, ethical, and emancipatory-are highlighted.
Empiric knowledge is shown through monitoring and documenting symptoms, as when Vivian used her call bell to report vomiting, prompting the nurse to offer an antiemetic. Personal knowing is evident in the empathetic relationship between Vivian and her nurse, Susie, who actively listened to Vivian's feelings. Aesthetic knowing appeared as Susie sensed Vivian's fear about death and took time to address her concerns. Ethical knowing was demonstrated when Susie advocated for pain management and discussed end-of-life care options. Lastly, emancipatory knowing was reflected in how Susie empowered Vivian to have a say in her care, including her wishes regarding code status during CPR.
John Donne's poem "Death Be Not Proud" asserts that death is temporary and does not have control over life. The poem encourages us not to give death power or to fear it because of the promise of an afterlife. Vivian's initial approach to death attempts to master it and maintain a sense of power throughout the process. She views death through the lens of her scholarly expertise and employs complex metaphors in her understanding. However, as Vivian's illness worsens, she attempts to hide from death-sheltering under her blankets and pillow.
Eventually, she realizes that she cannot escape death and begins to accept it rather than fear it.
In the film, Jean Watson's Theory of Human Caring is prominently illustrated, emphasizing its focus on health promotion and illness prevention. Nurse Susie embodies this holistic approach by providing warm and attentive support to Vivian during her illness. Their interactions highlight the healing power of empathy and understanding, demonstrating how compassionate care can transform patients' lives and foster genuine connections. Additionally, Katharine Kolcaba's Comfort Theory provides a deep understanding of end-of-life care by focusing on the essential needs of patients. This theory emphasizes holistic comfort, which integrates physical relief from pain, emotional and spiritual support, a calming environment, and strong social connections. Together, these dimensions contribute to a comprehensive comfort experience for patients in their final days.
I was profoundly disturbed by the manner in which Vivian was treated by the medical professionals in the film; she was regarded as though she were merely a subject for scientific experimentation. Further research could be conducted to explore the roles of healthcare providers in ethical dilemmas, particularly in cases involving terminal diagnoses, and to enhance the approaches and management of such situations.
This film speaks volumes about the unethical care demonstrated by the physicians throughout Vivian's treatment. From the very beginning to the very end, she complied with the doctors' recommendations, even as she described feelings of humiliation and suffering. The doctors insisted that she undergo the full course of treatment, disregarding her symptoms and side effects. Vivian mentioned that she was the first person to complete eight rounds of the highest dose of chemotherapy, treating it like a victory, stating, "I have broken the record."
It was clear that the chemotherapy dose was too high given her deteriorating condition. Despite her symptoms, the doctors continued to push her through the treatment. They belittled her experiences, telling her to think of her hospital stay as "a vacation," and assured her that "she's tough" and can handle it, without ever asking for her input on whether to continue with the current dosage or make changes.
In the end, Vivian passed away. Despite her wishes for a Do Not Resuscitate (DNR) order, a medical student advised the code team to perform CPR because "she is research," completely ignoring her code status. Throughout the film, Vivian frequently reflects on her life as a scholar and considers how she treated others, acknowledging her own lack of compassion and empathy. Perhaps this realization stems from her current experience of being treated by the doctors as if they do not care, allowing her to understand what it feels like to be neglected.