Wit 2020 by Bernadette Richards https://padlet.com/BJRichards/WitFeb2020 Comments, thoughts and themes as we progress through Wit en-us 2019-09-03 05:53:45 UTC 2020-02-10 00:40:17 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Balance.png Consent BJRichards https://padlet.com/BJRichards/WitFeb2020/wish/442778814 Did she give consent? Does she know what is happening?

]]> 2020-02-09 22:48:51 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442778814 https://padlet.com/BJRichards/WitFeb2020/wish/442780063 Does it matter who she is or is she just a sickness?]]> 2020-02-09 22:57:08 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442780063 Bedside Manner https://padlet.com/BJRichards/WitFeb2020/wish/442780258 Bedside manner, though not necessarily a legal issue, could it be an ethical or moral one? Potentially contributing to the trauma experienced by the patients?]]> 2020-02-09 22:58:17 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442780258 Listening https://padlet.com/BJRichards/WitFeb2020/wish/442780920 Does anyone listen to what she says?

]]> 2020-02-09 23:02:10 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442780920 https://padlet.com/BJRichards/WitFeb2020/wish/442781285 He's just grabbing her and moving her body without actually asking her to move move her legs etc. ]]> 2020-02-09 23:03:56 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442781285 https://padlet.com/BJRichards/WitFeb2020/wish/442781312 Has he (the young doctor) explained the examination that he is conducting and what it involves?]]> 2020-02-09 23:04:06 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442781312 https://padlet.com/BJRichards/WitFeb2020/wish/442781705 should he be conducting the exam given that he knows her?]]> 2020-02-09 23:06:09 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442781705 Choice of Doctors https://padlet.com/BJRichards/WitFeb2020/wish/442781798 Could she have requested a doctor who she didn't have a prior relationship with, no matter how minimal/professional the setting?]]> 2020-02-09 23:06:52 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442781798 https://padlet.com/BJRichards/WitFeb2020/wish/442782843 On the topic of showing care. I think the discussion the nurse had with the patient was an example of delivering good care. This care is important because it build trust with the patient. This trust is important because it stops issues escalating to ethical or legal issues.]]> 2020-02-09 23:13:06 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442782843 Support https://padlet.com/BJRichards/WitFeb2020/wish/442783126 How great of a role do the doctors/hospital staff have in ensuring that patients have a good support system? Contacting next of kin etc. Is it necessary to promote mental health of patients? Are they obligated to provide information about alternative support groups, other than family? (such as other patients with the same type of cancer?). What sort of counseling/mental health support does the hospital provide?]]> 2020-02-09 23:14:45 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442783126 https://padlet.com/BJRichards/WitFeb2020/wish/442783390 looks like they may be students - have they asked permission to be in the room for this?]]> 2020-02-09 23:16:23 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442783390 Being treated as a lab rat. https://padlet.com/BJRichards/WitFeb2020/wish/442783456 Having that many doctors in a room, poking at her without consent and talking about the patient as a series of symptoms dehumanises her.]]> 2020-02-09 23:16:44 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442783456 Doctors conduct was dehumanising and routine https://padlet.com/BJRichards/WitFeb2020/wish/442783727 2020-02-09 23:18:15 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442783727 https://padlet.com/BJRichards/WitFeb2020/wish/442783801 it seems that they are pressuring her to complete a full dose each treatment and not really giving her a choice]]> 2020-02-09 23:18:37 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442783801 https://padlet.com/BJRichards/WitFeb2020/wish/442784760 He goes against a recommendation made by his colleague because he believes that "she's tough" instead of considering her symptoms]]> 2020-02-09 23:24:06 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442784760 https://padlet.com/BJRichards/WitFeb2020/wish/442784772 the nurse shows more attentiveness to the patient rather than treating her as a medical 'object' - how important is the comfort provided to the patient through the process?]]> 2020-02-09 23:24:08 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442784772 https://padlet.com/BJRichards/WitFeb2020/wish/442785161 Young doc]]> 2020-02-09 23:26:04 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442785161 ethical research https://padlet.com/BJRichards/WitFeb2020/wish/442785230 Research/knowledge gain versus the wellbeing of the individual patient seems to be a consistent issue emerging. The doctors appear to be taking their trial of the ‘full dose’ over her personal and individual needs. ]]> 2020-02-09 23:26:25 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442785230 The Hospital https://padlet.com/BJRichards/WitFeb2020/wish/442785240 It seems that every doctor in this hospital seems overworked a little bit. Do they have enough doctors to give the patients the proper care they need? Could it be possible they are understaffed. Granted by law no doctor seems to be doing anything outside their role so their staffing levels appear legal. I feel they should have given the patient more care when she was clearly not okay.]]> 2020-02-09 23:26:30 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442785240 https://padlet.com/BJRichards/WitFeb2020/wish/442785610 The nurse is the only one exhibiting the level of care and bedside manner that should be required of all medical professionals.

]]> 2020-02-09 23:28:19 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442785610 Sending home patients https://padlet.com/BJRichards/WitFeb2020/wish/442785737 If she were a less competent patient, who hadn't picked up on the symptoms at home as she did, how would the outcome have changed? Would her whole experience with treatment be different? How can the hospital staff assess how capable a patient is at living independently with this illness? How does a patient's own intellect/career impact this?]]> 2020-02-09 23:28:55 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442785737 Force https://padlet.com/BJRichards/WitFeb2020/wish/442786077 How much force/ pressure can a nurse or doctor put on a patient to have a test done? 

]]> 2020-02-09 23:30:43 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442786077 https://padlet.com/BJRichards/WitFeb2020/wish/442786342 Are docs legally able to take a patient into treatment/tests against their will?]]> 2020-02-09 23:31:41 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442786342 https://padlet.com/BJRichards/WitFeb2020/wish/442787683 Conversation about cancer being "awesome" is completely unprofessional and wrong coming from the doctor to patient ]]> 2020-02-09 23:38:48 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442787683 https://padlet.com/BJRichards/WitFeb2020/wish/442787841 umat/ucat would destroy the young doc]]> 2020-02-09 23:39:32 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442787841 Files https://padlet.com/BJRichards/WitFeb2020/wish/442788154 Should they just be able to leave patient files on the desk rather then securing them? Seems like a breach of confidence.]]> 2020-02-09 23:41:24 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442788154 https://padlet.com/BJRichards/WitFeb2020/wish/442788591 Why has nobody scheduled a bloody psych consult???

]]> 2020-02-09 23:43:46 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442788591 https://padlet.com/BJRichards/WitFeb2020/wish/442788939 The nurse seems to be the first person to entertain the idea that she might be apprehensive or afraid of all the changes.
 ]]> 2020-02-09 23:45:42 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442788939 https://padlet.com/BJRichards/WitFeb2020/wish/442789434 As much as I love the nurse's character, should she be the one saying all this to her?]]> 2020-02-09 23:48:50 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442789434 https://padlet.com/BJRichards/WitFeb2020/wish/442789463 She "read between the lines" but she shouldn't have to - it's ridiculous that no one explained this regardless of whether she had an inkling or not.]]> 2020-02-09 23:49:03 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442789463 https://padlet.com/BJRichards/WitFeb2020/wish/442789925 how do they know she is of sound mind to make that decision?]]> 2020-02-09 23:51:52 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442789925 https://padlet.com/BJRichards/WitFeb2020/wish/442790247 There seems to be a problem with the work environment in which this research trial takes place in and therefore a failing in the health care system. It also seems to be something the nurse is aware of, as seen in her reaction towards Jason’s initial consult and her comment “they should have told you” when she reveals the treatment is not working. However, no one in the film has taken pro-active steps to report the problems which are evidently present, opening the possibility for further failings of the health care system.]]> 2020-02-09 23:53:51 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442790247 Patient Autonomy https://padlet.com/BJRichards/WitFeb2020/wish/442790868 Patient autonomy didn't seem to be taken into account when it came to the pain relief control. While it is important to control pain meds to avoid addiction or overdosing; I feel patient autonomy in that scene should of been considered by the doctor.]]> 2020-02-09 23:58:02 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442790868 https://padlet.com/BJRichards/WitFeb2020/wish/442790900 Did he actually obtain proper consent for the morphine drip? Is a slight nod sufficient?

]]> 2020-02-09 23:58:08 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442790900 https://padlet.com/BJRichards/WitFeb2020/wish/442790957 can we all just agree these doctors are trash and they must be cancelled immediately 

]]> 2020-02-09 23:58:30 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442790957 Exploitation of her lack of understanding https://padlet.com/BJRichards/WitFeb2020/wish/442791753 The doctors are constantly taking advantage of the fact they are in an absolute position of power over the patient. When making decisions, regardless of ‘consent’ or ‘informed consent’, the patient would be influenced by what the doctor wants over what they want due to this imbalance. 

]]> 2020-02-10 00:01:31 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442791753 https://padlet.com/BJRichards/WitFeb2020/wish/442792198 i understand this is irrelevant but wow jason makes me so mad]]> 2020-02-10 00:03:44 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442792198 It is interesting how the doctors' research is completed at the cost of patients. This is similar to the paradox that Viv touched on https://padlet.com/BJRichards/WitFeb2020/wish/442793187 Had Vivian not realised her medical treatment was used for research purpose, is it ethical to continue with the research without informing the patient?]]> 2020-02-10 00:09:29 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442793187 https://padlet.com/BJRichards/WitFeb2020/wish/442794094 did she end up signing a DNR?]]> 2020-02-10 00:14:51 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442794094 DNR https://padlet.com/BJRichards/WitFeb2020/wish/442794298 Should they not have checked the chart first? Or are they required to respond automatically in situations like this?]]> 2020-02-10 00:16:14 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442794298 https://padlet.com/BJRichards/WitFeb2020/wish/442794374 What are the implications if the nurse hadn't been there and recognised the doctor's error? What if she had been resuscitated?]]> 2020-02-10 00:16:40 UTC https://padlet.com/BJRichards/WitFeb2020/wish/442794374