The Yellow Wallpaper

I thought it was interesting that the author seemed to connect the gap seen between the doctor-patient relationship and an overbearing marriage.The wall I could see somehow symbolized the speakers physical and mental state. She felt trapped in her own home,in her own family, with everyone watching her every move and all she wanted to do was get away. It made me think about pain, the patient, and the doctor's advice. I remember reading somewhere that the worse thing to do for pain relief is to rest. In some cases, it would be better to 'walk out' the pain. This reading I think is a testament to that. Rest made her restless, she just had to think, to write and excercise her creative/imaginative mind and she got better.(assuming she still is'nt sick or mentally imbalanced).The house and more importantly the wall captivated her, helped her think. I think it was made to be yellow because it is a color associated with illness(abnormal discoloration). The only exhausting and perhaps saddest thing is that she had to hide how she felt and what she did.The reading also shows that sometimes the patient knows best. When she started talking as if she were the woman in the wall, that really made the reading interesting, almost gave it a scifi/ fantasy feel(unless she's crazy).I wonder what's next for her.

Research log continued

Research log continued

 

Sacco-Peterson, M, and L Borell. "Struggles for autonomy in self-care: the impact of the physical and socio-cultural environment in a long-term care setting." Scandinavian Journal of Caring Sciences 18.4 (2004): 376-386. CINAHL. EBSCO. Web. 10 Apr. 2011

This article studies the cultural and social beliefs that affect the degree of autonomy exercized by individual patients.It also looks at the physical inability for patients to care for themselves. Many factors affect who is control in terms of our own healthcare, what we personally think  and our own physical capabilities is important and I plan on using patient's opinions on how the doctor-patient relationship should be  as examples of the societal/personal beliefs play in patient autonomy

Dreyer, A, R Forde, and P Nortvedt. "Autonomy at the end of life: life-prolonging treatment in nursing homes -- relatives' role in the decision-making process." Journal of Medical Ethics 35.11 (2009): 672-677. CINAHL. EBSCO. Web. 10 Apr. 2011

This article discusses the inability of patients to form competent decisions and the use of relatives as substitutes to gain consent.The goal is to protect patient autonomy despite the fact that relatives are not knowledgable of end to life care and  therefore may not be able to make appropriate decisions. I plan to use the article to show the importance of being informed and how it plays in patient autonomy.

 

 

Moser, A, R Houtepen, and G Widdershoven. "Patient autonomy in nurse-led shared care: a review of theoretical and empirical literature." Journal of Advanced Nursing 57.4 (2007): 357-365. CINAHL. EBSCO. Web. 10 Apr. 2011.

Article looks at the role of nurses in helping to foster patient autonomy as well as patients  thoughts on patient autonomy. The article  discusses and divides the idea of autonomy between a positive view and a negative view,the negative view centering around personal freedom to do "whatever" and the positive more centered towards decision making. I hope to use this article to better describe the role that care givers play in patient autonomy because this issue concerns care givers as well as the patients.

 

 

Erer, S, E Atici, and AD Erdemir. "The views of cancer patients on patient rights in the context of information and autonomy." Journal of Medical Ethics 34.5 (2008): 384-388. CINAHL. EBSCO. Web. 10 Apr. 2011.

 

This article sites the opinions of cancer patients about patient autonomy and information  being given to patients.Different aspects of autonomy received varying views. A majority agreed that patients should have control in health decision making but few on refusing a potential treatment that could save the patien'ts life.A lot depended on how questions were phrased. Why is it not clear cut? What we think about autonomy is important in how patients practice self determinism when receiving medical treatment. I hope to usse this article to support this idea.

 

 

Scanlan, C, and IH Kerridge. "Autonomy and chronic illness: not two components but many." American Journal of Bioethics 9.2 (2009): 40-42. CINAHL. EBSCO. Web. 3 Apr. 2011.

 

It explores the question" what is autonomy?"It attempts to touch on the different aspects of autonomy, notablby the autonomy of "will, thought,and action".Each is explored extensively with specific examples. I hope to use this  in my paper to focus on the concept of freedom of action and how this helps in connecting between my experience and patient autonomy.

 

Waltz with Bashir

The scene that stands out the most to me was the child's head protruding from the rubble and more specifically the former soldier's mentioning of how the child reminded him of his own daughter. That they had the same curly hair and were probably about the same age.The goal may be to show the effects of  dramatic life events such as war on the human mind. The film, until the very end that is,kind of felt like something that would go on in someones head.The film did revolve around memories. It was awkward, frightening,violent, confusing and introspective at times.Just like the human mind can be, especially under psychological stress I think. Maybe the best way to capture the psychological aspects of war and the human mind was through animation.Yet I do not think it would be effective to use animation to describe or discuss a war and that's why I think the film ended with real live scenes of this event with no narration.These scenes, unlike a majority of the film, spoke for themselves.

Research log continued

Hannon-Engel, S. "Regulatory oversight: do psychiatric patients have the right to refuse active treatment?." Archives of Psychiatric Nursing 25.1 (2011): 21-23. CINAHL. EBSCO. Web. 3 Apr. 2011.

 provides a more defined example of where patient's self determinism is at odds with medical protocol, and even the law.

Agran, M, K Storey, and M Krupp. "Choosing and choice making are not the same: asking "what do you want for lunch?" is not self-determination." Journal of Vocational Rehabilitation 33.2 (2010): 77-88. CINAHL. EBSCO. Web. 3 Apr. 2011.

goes more into defining autonomy, what it is and is not.

Epright, MC. "Coercing Future Freedom: Consent and Capacities for Autonomous Choice." Journal of Law, Medicine & Ethics 38.4 (2010): 799-806. CINAHL. EBSCO. Web. 3 Apr. 2011.

When is self- determination out of the question? who is'fit' to make decisions for themselves

Scanlan, C, and IH Kerridge. "Autonomy and chronic illness: not two components but many." American Journal of Bioethics 9.2 (2009): 40-42. CINAHL. EBSCO. Web. 3 Apr. 2011.

What is the exact relationship as well as a detailed example

Duncan, RE, and SM Sawyer. "Respecting adolescents' autonomy (as long as they make the right choice)." Journal of Adolescent Health 47.2 (2010): 113-114. CINAHL. EBSCO. Web. 3 Apr. 2011.

exploring the limits of self determinism and age.