Posts Tagged ‘empathy’

Whistle-blowing, ethics and patient care

Monday, April 20th, 2009

Whistle-blowing, ethics and patient care:
some thoughts and lessons

Margaret Heywood, 58, a nurse at the Royal Sussex Hospital, Brighton, UK, was struck off by the Nursing and Midwifery Council for failing to ‘follow her obligations as a nurse.’ Concerned about the treatment of elderly patients, in July 2005, she filmed conditions in her hospital, undercover, for the BBC Panorama programme. (Reported by BBC News, 16 April 2009: http://news.bbc.co.uk/2/hi/uk_news/england/sussex/8002559.stm)

I am not in a position to comment on the detailed rights and wrongs of this case (though there seems to be strong evidence in favour of the nurse’s position), but the controversy raises issues which are important for all of us and for achieving the best possible healthcare.

Following discussion of this case, some specific lessons and recommendations appear at the end of the post.

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Something for the pain (book review)

Friday, April 10th, 2009

Something for the pain
One doctor’s account of life and death in the ER
Paul Austin
W W Norton and Company, 2008
ISBN: 978 0 393 06560 2
www.paulethanaustin.com

This is a great book, written by a man wrestling with all the challenges and contradictions of emergency doctoring. His competence, intelligence and humanity make his practice distinguished and his writing riveting and illuminating. The technical and emotional journey is a tough one, but his acute awareness and thoughtful introspection enrich this memoir with vivid and instructive accounts of relationships with patients and colleagues; of failures and successes; of the emotional impact of facing the daily drama of the ER: how much time is there for empathy and compassion? How far should suffering be kept at a distance? What is there to offer to the bereaved?

Austin’s practice seems to be a perfect blend of technical competence and expert communications – even though there are times when he fails by his own high standards. Against all the odds of pressure and disorder, he struggles to maintain his humanity in relations with patients and colleagues – even those whose weaknesses or obstreporousness compromise the work.

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