Wednesday, January 11, 2012

Frontline Facing Death video (by 20 Jan)

Comments, questions, observations about the film.

20 comments:

  1. The video we watched in class was very powerful and sad. Like we discussed in class, I think how the doctors handled and talked with the patients and their families was amazing. And the events the different families went through are unimaginable. I do not however agree with some of the decisions made by the families, especially the family of the old woman who was on the ventilator. After failing to breathe on her own after one day, I don’t think they should have put her on the ventilator again, especially after one year of being able to do nothing. I know her family will miss her when she passes on, but she can’t be happy lying in bed not able to do anything. John’s story really touched me, he never gave up on the idea and hope that he was going to make it out of the hospital and survive. Even, on the day they decided to stop treatment, lying in the hospital bed he still was reassuring his wife that everything was going to be okay. It is easy to give up and accept death, and I give credit to the people that fight to the end, because although there were no happy endings in this video, there are miracles that happen every day.

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    1. First I would like to agree with Amanda on disagreeing with putting the woman back on the ventilator when she began to fail to breath. I like how the doctors handled it as well, but not necessarily how the families handled it. I know it is a hard situation to go through, and hard to let someone go, but some of the families such as the woman who failed to breath and was put back on the ventilator didn't seem to be thinking actually about the decision that the patient would want to be made rather than what the family wanted. I understand it is complicated not to want to keep that person with you but if the only thing keeping them alive is machines I believe that person is most likely already gone to be with God and away from the pain. Death is an unknown mystery with many questions. Where do we go? When will we go? Will it be painful? Will my family be okay? These are all questions we won't know the answer to until we get there I guess.

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  2. I have mixed feelings about how to handle each of these situations.
    I think it's wrong to take a life from someone, especially when another person makes that choice for you. However, Marthe especially (the 85 year old with dementia) made me reconsider my thought. The fact that she could barely open her eyes, she couldn't speak and with dementia she mentally wasn't there, made apart of me feel like she would be better off in God's hands. But, if that were my family member I would have a hard time making that decision. You really don't know what you would do until you are put in their shoes. I feel sorry for any patient who has to make a life or death decision about their own lives. And also for the families of those patients who may have to make a life or death decision for their loved one, or even have to watch a loved one become defeated by a disease. It's a tough situation for anyone involved. Although, I do think the doctors handled the situation very well, especially the curly-haired doctor. The way she spoke to and explained the options to the patients and their families made it seem like she really cared for what was best for the patient or what the patient wanted. She made it seem like she would agree with whatever decision the patient chose and she didn't pressure them into choosing one way over the other. I think that's the way all doctors should approach their patients who are in situations like these. The video mentioned that about $20 billion of Medicare is spent each year on end-of-life patients and some call that a "waste". I think it's rude to say that money is wasted because it's money spent on attempts to keep someone alive.

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  3. The video was amazing at showing the true reality of the planning and work doctors go through for their patients. It also presents the other side to decision making for the family members or patients when it comes to their plan of care. I agree with Kristi that it is hard to have an opinion over the matter without being in the family's shoes. The doctors also did a great job to make sure the family members express their feelings about the situation. This was shown when a family member asked the doctors if they believe there was no hope for the patient. The doctors redirected the question to how she felt about the health situation their loved one is in. This communication gives the family members closure in their decision making process. Kristi also pointed out how the doctors presented various options so there can be the sense of hope. In my opinion there is no explanation why people die, but when it does happen it should be a day to celebrate the memories we had with them. Through personal observations I see situations mirroring the video when I go to work. Death is a natural process of life, but personally I believe it should be in God's hands. We have advanced so far in medical technology that we have the ability to prolong life. So ethically when is it the time to say enough is enough?

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  4. The video was one of the most moving videos that I have watched in a while, both emotionally and intellectually. It made me try to put myself in that situation and truly think about what I would do. As we discussed in class, we can prepare for moments like this in our lives, but will never truly know how we will react until we are in this situation. During the video, even when one of the sick men was on his deathbed, he would not accept that death was imminent. That really touched me and made me think in a way that I have tried to avoid before. It made me think about what I would want if I was dying, or what I would do if my parents were sick. It made me want to have conversations with the people I love in case something unexpected happens. The video also made me acknowledge the fact that this class is going to be both very interesting and engaging, but also very challenging. I am, and we all are, going to have to put ourselves in situations that we will not be comfortable with, and that we may have not thought about before, in regards to death. Personally, because I have no occupational experience with the sick or the dying, and most likely will not ever have any occupational experience with it, it will be harder for me to accept that this is what people go through every day. I sincerely hope that the doctors and nurses that we saw in the video will reflect how my doctors and/or my loved ones' doctors will treat me and my family when this difficult time comes.

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  5. The video we watched in class was very powerful and very emotional for me. My grandmother had passes away over break and my family and I went through the very same thing. We had to make decisions for her and we had to go by what her living will said. So not only did this movie put things in perspective, it also made me relive the ENTIRE week I had spent at the hospital on Christmas. I almost wanted to walk about of the classroom. I know everyone faces death in the long run, but under certain circumstances it is hard to face reality when it creeps up on you so unexpectedly. I felt that the woman who had been on the ventilator for over a year was not living. Her family could not let go of her and could not face the fact that she had been dying. My grandmother never wanted to put herself through the agony and hurt and my family knew that. I am going to have to face the facts and realize I will be dealing with death the rest of my life considering I will be a nurse. I can only hope that when I am on my death bed, that there will be nurses and doctors like the ones on the video who will help my own family through the rough times and help them make the decisions.

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  6. As a Forensic Biology major I try to separate the life from death of an individual because I wish to one day work with the dead investigating how they died. I don't feel that this video hit me as hard as some of the other students, not that I am heartless, but that I think about death and realize that it will happen to us all at one point or another. Hopefully not in such awful ways as these people have experienced through their cancers and other diseases. This video was interesting to see both sides of the dying patients through the families and the doctors that were taking care of them. I could tell that the doctors sincerely cared for their patients and that they did not want to have any influence in the decisions that the families made considering the patients. I feel that prolonging the lives of patients in these situations is not a good path to follow. By continuing their suffering they hope to have a positive outcome, when more likely than not it will have detrimental effects on the future of the patient. In my opinion life is not meant to be prolonged by machines, when it is our time it is our time. I say this now, not having been in the situation when I have to choose to pull the plug or not for them, but if it were me I’d want my family to let me go in peace and not let me and them suffer any longer.

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  7. This video was definitely a very interesting film to me because this was really the first time I was actually able to see what patients and doctors have to deal with when it comes to life and death. I think because I am not in any of the medical majors I did was not as emotional about the film as others were and I think that's because I have never even been close to having to deal with anything that they have. I do think this film does give you a great look into the people of have to literally make life or death decisions daily.

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  8. The video, 'Facing Death,' was a very touching movie. I am the type of person who does not even like to set foot into a hospital unless it is a happy event, and or I know the person will walk out of the hospital fine. The two people who touched me the most in this video were John and Albert. They were both fathers to younger children. John had daughters that looked about my age, I put myself in their shoes and thought wow I don't know if I could handle that. They were very brave and tried to stay strong for their dad, when possible. Both men faught hard which was so impressive even when they knew there was not much hope. I was also very impressed by both mens' wives. They were so couragous and stood by their husbands at their weakest. Dr. Osman (curly hair) is an amazing doctor and her hope and constant help with her patients was great. More doctors need to be like her, having hope but still being truthful with those they work with. Like said in class I wish they would have shown some of the nurses perspective since they spend such a large amount of time with the patients. This movie was interesting, sad, and gave me some new thoughts on death.

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  9. This video was very touching for me. As I watched it, an old memory resurfaced about my great-grandma when she was in the hospital. My grandma was admitted to the hospital and my family had to decide whether or not we should keep her alive by machines, the same way that the patients were in this video. I thought that the way the doctors and nurses explained to the families about what was going to happen to their loved one may have made the situation a little bit easier in trying to decide what to do. The situation that Marthe was in with not being able to do anything for herself was the very similar to my great-grandma. I don’t think that it is right to take someone’s life away from them, but if the only way that a person is staying alive is on a machine I think that the circumstances should be reconsidered. Each situation is different, but this video helped to open my eyes on how it is hard to take the machines away from a loved one if that means they will no longer be there.

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  10. This movie was very moving for me. Not only emotionally but personally. Just as Brittany has had a personal experience with this situation, I to have been through this situation as well. I lost my grandfather in 2007. As a result, watching this movie did a lot for me. The first thing it did was make me replay the last memories that I have of my grandfather which eventually made me tear up. The second thing this movie did for me was reinforce how when your in a situation like this nothing is easy. Finally, the movie also made me think about how God calls everyone at different stages in their lives back to Him and when that happens no matter what stage in life that person may be in, the family of the deceased will never be ready to say goodbye no matter how much time they are given.

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  11. I really enjoyed this video and felt that it is very realistic. We learn about situations like this during school and get to see hands on how nurses/ doctors deal with these types of situations in the clinical setting. The doctors did a very good job at being an advocate for the patient as well as the family. Situations not only involve the patient and the health care team members but a lot of the time, health care team members must be there for the family as well. I wish this video displayed more nurses with the patient and family and didn't just focus around the doctors.

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  12. This video was very moving in the sense of the extreme amount emotional and physical pain the individual had to go through. Knowing that you only have days or even hours to live will stress anyone out. Watching the distress of the family knowing they cannot do anything to save the person they love was upsetting as well. My grandfather was also placed on life support and my family was put in that position to make the tough decision. So watching the video I could relate to the families. It is also amazing how far desensitized or “poker faced” the health care team have become to delivering life changing news to the families. As a future health care provider this video gave good perspective of the reality of what we have to deal with as well as how to handle it.

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  13. It is touching to see how everyone else can relate this video to their own lives in some way. Often times when someone deals with the death of a loved one, they isolate themselves from others because 'they just don't understand how I feel.' However, in reality many people our age have lost someone and have witnessed someone going through some kind of major hospitalization. The ethical dilemma is clear: what is the point when enough is enough? It was easy to see that the doctors and nurses had to balance their professional opinion with their sympathy for both the patient and the family, especially when the family is not in agreement over what to do. Death is one of the few times our autonomy is questioned. What decisions should be ours, our families or our doctor's? This video showed that the lines are often blurred and it takes an objective mind to make a reasonable decision about anything. What if a treatment would work and was failed to be put into action because no decision could be made in time to perform the treatment? The only answer is for people to take what they have learned and start figuring out these questions for themselves and their families.

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  14. I found the video we watched in class very moving. I can only imagine being placed in such a position and how hard it must be. As someone entering into the medical field it was very interesting to have an inside look into the families and patients going through such situations. I could relate to both the families and medical staff's opinions. I can understand how families would not want to give up on a loved one and keep them alive no matter what. However, I could also relate to the staff's opinions on the quality of life the patient will have left and whether they would truly want to go on that way. I feel this film would be valuable for people of all walks of life becuase it raises questions about life and death that everyone will face in some aspect at one time.

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  15. This video was very enjoyable to me. It gave an interesting perspective from the families and the doctors concerning the care of the sick individual. I think it was an eye opener for people who are not involved in the medical field. However, like one of our classmates said, I do wish they would have shown how the nurses cared for the patients as well. Nurses are with the patients 24/7 and it would've been nice to see their interactions with the families and all they do to help the patient. This video did not hit me as hard as it did for some of my classmates. Being a nursing major, we are put in situations like this all the time and death is just something that we have to deal with on a daily basis. Each situation is unique concerning the the moral issues surrounding the patient whether to keep them alive by machines or not. It takes a lot of thought to make these decisions but I personally believe that if the quality of life is not going to improve, then why should this person continue to suffer?

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  16. Even though I didn’t watch the video “Facing Death,” with this year class I still remember how touching the movie was. I think that it’s great that you offered the movie for this course because it really goes together perfectly. Majority of the class is composed of nursing majors and I think that something like this is a great boost of awareness for them to see what some can expect to see throughout their career. I remember when watching the video thinking about how amazing the men who fought were to think and know that you won’t get any better but to still at the same time want to pursue life and not give up is truly an amazing thing. I’m really looking forward to what the future holds for this class I think it will be an amazing course.

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  17. I liked how the video introduced us to each patient and their families and allowed each family to tell us why they wanted to keep their relatives alive with the support of the machines. The whole time I was watching this video I was reminded of the experience I had earlier this year with my Grandfather. He passed away because of a ruptured aneurism in his brain. We had to keep him on a ventilator until my Aunt got back in from out of town. The whole time I watched this movie I was thinking about what I would want for my own end of life experience. I came to the conclusion that I don't to be kept alive on a machine. When it is my time to go I want to go.

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  18. I liked this video because its very true to what happens when a person is heading towards end of life. They didn't sugar coat or over-exaggerate it. It made me realize how hard it is to let go when that time comes. Everyone says they want to die in peace and typically at home but 75% die in a hospital or nursing home.When it comes to a loved one I couldn't imagine going home and giving up. The reality is that their chances of living are so slim but they continue to have that courage and motivation to beat the odds and be that 3% (or whatever it is) that survive. As sad as it was, in a way it was also inspiring to see the strength that some of the patients had to keep fighting.

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  19. Going into nursing and expecting to be in these situations one day, it was very interesting to see what goes on in these situations from the "outside". It allowed to see the different emotions that each person involved experiences and see the different point views of the situation. It was very touching to see the last moments of a person's life and how strong some patients can be in clinging on to their last days and still having hope for the future. I can understand the family's need to keep their loved one alive even if it means they can talk, walk, or comprehend anything going on around them; but if it came down to it I would not want a loved one or myself for that matter to suffer from pain and inability to express their pain or other needs in their last days.

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