Atul Gawande is an American surgeon, professor, notable author, and writer for the New Yorker. In his 2015 article “Overkill,” he describes many of the flaws the American healthcare system holds. Throughout the article, Gawande intertwines personal stories, patient stories, and expert testimonies to make his argument stronger. Gawande argues, “Millions of Americans get tests, drugs, and operations that won’t make them better, may cause harm, and costs billions.” Or in many cases, he redefines over testing and “low-value” care as providing “no-value” care.
Aiken (2002) study shows that the nursing shortage has negatively affected communication, nurse patient relationships and timeliness of care and overall competence of nurse’s professional identity. For example, the Francis report in 2013 at the mid Staffordshire foundation trust investigation had bad indication on nurses, healthcare and all the staff in connection to the negative and culture that caused harm to patient. In order to resolve this issue the NHS has to reflect on the nurses’ professional identity, encourage nurses, provide support, and reorganise the work environment (Buerhaus, 2007). A research study conducted by Johnson and Johnson (2012), found that nurses fear that talking about their technical skills and medical knowledge somehow risks their reputation for caring and compassion.
Atul Gawande author of the nonfiction novel, Complications: A Surgeon’s Notes on an Imperfect Science, writes in the second section of his book that mystery fills the lives of doctors as the medical world are constantly changing. Doctors are often expected to have answers for questions that they do not yet possess. Gawande illustrates his thesis using a doctor’s experience with a severely obese patient.. A gastric-bypass is a serious operation that significantly restricts the amount a food a person can consume; the underlying outcome is extreme weight loss. However, the question is why a particular person, in this case “Mr. Caselli”, becomes grossly overweight?
1. IOM: Nurses should be leaders and partners with physicians and health care professionals. Nurses work first hand with most of the material that is wasted in the health care setting, they would be able to identify needed changes, and be able to track progress much easier and effectively than other health care providers. 2. Heller:
Siddhartha Gautama, who might later be called as Buddha, was conceived in Lumbini, Nepal practically around the year 563 BC. his folks where two critical important individuals. Siddharthas fathers name was Shuddhodana. His mom, Queen Maya. Siddhartha got his name from one of his moms dreams.
Rhetorical Analysis on an Exposia of Nursing Ethics In the essay “ Nursing’s Code of Ethics, Social Ethics, and Social Policy,” Marsha D. Fowler explains the history of Nursing ethics and what should be utilized in today’s society. Fowler explains to her readers what nurses should promote within the healthcare field. The purpose of her essay is to persuade her audience, whom are Nurses or someone who has background knowledge, into taking action. In order to explain the importance of ethics, Fowler uses two primary arguments emphasising, nurses need to have a stronger voice in policy making and they need to follow the code of ethics which was set for them.
Chapter Comparison on Femininity and Economic Factors Chapter 4 and 5 of the McPherson text focus on the third generation of nurses which occurred from 1920-1942. Chapter 5 provides better information on nursing in this inter-war era for the reasons of well-rounded observations, stylistic flow, and area of focus. While both of these chapters focus on different issues during this era, and chapter 5 goes on to discuss 1942-1968, chapter 5 presents the information in a clearer manner. Observations
Challenges in providing spiritual care The need for spiritual care is clearly stated and identified for a holistic care; however, there are certain challenges that exist in providing spiritual care. It is believe that many healthcare providers including the doctors and nurses find it very challenging to initiate discussions or dialogs with patients touching aspects on their spirituality. Researchers had mentioned that, some nurses feel discomfort in having discussions on spiritual care as they do not see it as their scope of services or even as their role (Tiew & Creedy, 2010) . Some of the nurses find that such discussions are too intimate or interfering for them.
representation of a parallel and diverse socio-political system in film and art thus becomes an act of activism. The repressive, authoritarian, male -centric Bhraminical film texts call for a recentring of the hegemonic ideological atmosphere in Kerala cultural scenario. As popular mode of representative culture, cinema always took a different turn in its history for more than a century. Dileesh Pothan’s Maheshinte Prathikaram being an example for dissent, celebrates the beauty of a village of multi-cultural, pluralistic society keeping away from the influence of the governmental or ideological source of repression. A close analysis of the two recently released Malayalam movies, Action Hero Biju and Maheshinte Prathikaram will give us a clear cut picture of these two conflicting flows of socio cultural streams running active in the ideological sphere of Kerala.
Conflict management styles refers to the key perspective of how an individual deals with conflict in order to strike a balance in satisfying personal needs and goals between self and the other party,(refer to text book). The key argument is the different conflict required different management style, an individual free to choose anything style that is suitable to his or her conflict, but if the wrong style is deployed, the conflict could be worsen or remain unresolved, (Weeks, 1994 as cited in Ang, 2013). There are five primary orientation of conflict management styles, “avoidance”, “competition”, “compromise”, “accommodation” and “collaboration”, (Blake & Mouton, 1964; C. Brown, Yelsmer, & Keller, 1981; L. Brown, 1983; Canary & Cupach,
The Frontline special on Being Mortal, written by Atul Gawande, shows the difficult side of healthcare that many doctors struggle with, how to confront death with patients. He brings light to topics like terminal illness and facing mortality. Atul Gawande is an oncologist whom, like many doctors, still wonders how to tell patients that their treatment is no longer working. He decided to collaborate with different physicians to gain a better understanding of how to approach the situation.
In his book, entitled Complications: A Surgeon’s Notes on an Imperfect Science, author Atul Gawande explains what gastric bypass surgery is and also states that it is one of the strangest surgeries he has ever performed. In stating this, Gawande brings up the question of a human’s control over appetite. This paper will consider Atul Gawande’s discussion of adult obesity, including the question of will power. Also, I will explain Gawande’s position that adults have no self control when it comes to their appetites.
In response to hospitals being under staffed with nurses, Theresa Brown argues that hospitals must have a sufficiently large nursing staff in her article “When No One Is on Call”. She effectively builds her argument by using personal anecdotes and statistics. Brown begins the speech by recalling a personal story when she was in nursing school with understaffed busy nurses. A patient needed their pain medicine dose adjusted, the patient’s pain subsided, but the patient experienced shortness of breath and low oxygen levels. Brown informed the patient’s nurse that the patient needed narcan to reverse the impact from the pain medicine.
“To do what nobody else will do, a way that nobody else can do, in spite of all we go through; that is to be a nurse,” was once said by Rawsi Williams. Unfortunately, not everyone gets to witness the amazing work of a nurse because of the constant negative portrayal of nurses in the media. The work of a nurse tends to be over looked every day in the media. “Nurses are nursing against the odds— striving to provide safe, high-quality, effective care in a healthcare system that is being savaged by obscene cost-cutting, nurse shortages and gross misrepresentation through media stereotypes,” said best by Ian Peate (Peate, I., 2016). The media’s perception of nurses is completely wrong.