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Wit: Susie’s Nursing Metaparadigm
One of the pivotal characters in the movie Wit (2001) is that of Susie Monahan. Susie a nurse who has little knowledge of the poetry of John Donne so dear to the protagonist Vivian Bearing. Yet Susie shows expert mastery of the role of a healthcare provider in relation to her patients. Regarding the nursing paradigm of patient, environment, health, and nursing, Susie again and again demonstrates that she regards the patient as central in the ethical responsibilities of the nurse (Nikfarid, et al., 2018). Other characters, particularly the physicians and researchers handling Vivian’s case, place their own research needs above the needs of the patient. Vivian, although highly educated, admits she knows little of cancer research and does not fully understand she is being used as a test subject for research from which she is unlikely to benefit. For Susie, the patient is always first and foremost the focus of nursing care. Because Vivian is critically ill and has no family members to act as her advocate, Susie takes on that role.
At the beginning of the play, Vivian is encouraged to take part in a grueling chemotherapy regime that—the audience comes to realize...
Susie alone strives to act as an advocate for the patient, not for the research interests of the study. She also takes into consideration the patient’s environment, which is a hospital which is extremely focused upon advancing research. Again, the individual patient’s own interests may be forgotten as a result. With this in mind, using the resources of medical ethics and the legal system, Susie discusses the possibility of a DNR (do not resuscitate) order with Vivian. Susie empowers the patient with knowledge that Vivian can understand, despite Vivian’s weakened state, and allows Vivian to know that despite the external pressures of the environment in which Vivian, Vivian still has autonomy.
The definition of health (or wellness) embraced by Susie is one in which the patient is still capable of enjoying her life and meaningful activities. By the end of the play, Vivian is unable to read, interact with those whom she cares about, or to have much pleasure in her existence. She is in a state of constant pain. Susie, by offering Vivian the option of signing a…
Nursing metaparadigm is a declaration or series of declarations that identifies occurrences that include a range of philosophical beliefs and directs the approach to the identified assumptions. A metaparadigm is defined as the most comprehensive perspective of a field that serves as a summarizing unit or outline with which more limited structures or concepts develop. In this case, each field or discipline identifies an interesting or relevant phenomenon that it
Nursing Metaparadigms and Practice-Specific Concepts Since Florence Nightingale, there have been a number of so-called grand theories of nursing advanced, and these grand theories have been used by other nursing theorists to conceptualize metaparadigms of practice that continue to influence clinical practice today. In addition, the central concepts of nursing are person, nursing, environment and health have formed the basis for other nursing theorists such as Jean Watson's Philosophy and Science
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Nurse Practitioner Models of Care -- Dorothea Orem The objective of this work in writing is to choose a model of nursing care. The model chosen is that of Dorothea Orem. Orem's 'Self-Care Deficit Theory' is a general theory of nursing and one of the most utilized models in nursing in contemporary times. Dorothea Orem - Background Dorothea Orem was born in 1914 in Baltimore, Maryland. Orem earned her nursing diploma in the
Nursing Autobiography I began my career in healthcare as a patient care technician (PCT) in a large hospital. Working throughout the hospital as a float PCT, I gained experience with a diverse group of patients on every unit in the hospital. I eventually took a position in the ICU and stayed there for 5 years. I enjoyed caring for patients and began taking classes toward my nursing degree. After completing the LPN
Personal Nursing Philosophy My Nursing Autobiography I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that