People who are treated like they no longer matter will act and feel like they no longer matter. In other words, patients look at healthcare providers as they would a mirror, seeking a positive image of themselves and their continued sense of worth. In turn, healthcare providers need to be aware that their attitudes and assumptions will shape those all-important reflections.
Is a health worker more likely to assume intoxication in a confused, homeless patient, before considering whether they have a metabolic disorder?
Do people with chronic mental illness provoke assumptions about malingering or somatoform disorders, even before an appropriate medical examination has been done?
Might an assumption of poor quality of life in a patient with longstanding disabilities lead to the withholding of life sustaining choices?
Privacy; Support; Care Tenor
- Treat contact with patients as you would any potent and important clinical intervention ･ - Professional behaviours towards patients must always include respect and kindness ･ - Lack of curative options should never rationalise or justify a lack of ongoing patient contact
･ Always ask the patient's permission to perform a physical examination - Although an examination may be part of routine care, it is rarely routine for the patient, so always, take time to set the patient at ease and show that you have some appreciation for what they are about to go through (&quot;I know this might feel a bit uncomfortable&quot;; &quot;I'm sorry that we have to do this to you&quot;; &quot;I know this is an inconvenience&quot;; &quot;This should only hurt for a moment&quot;; &quot;Let me know if you feel we need to stop for any reason&quot;; &quot;This part of the examination is necessary because . . .&quot;) ･ Limit conversations with patients during an examination (aside from providing them with instruction or encouragement) until they have dressed or been covered appropriately
･ Act in a manner that shows the patient that he or she has your full and complete attention ･ Always invite the patient to have someone from his or her support network present, particularly when you plan to discuss or disclose complex or &quot;difficult&quot; information ･ Personal issues should be raised in a setting that attempts to respect the patient's privacy ･ When speaking with the patient, try to be seated at a comfortable distance for conversation, at the patient's eye level when possible Given that illness can be overwhelming, offer patients and families repeated explanations as requested Present information to the patient using language that he or she will understand; never speak about the patient's condition within their hearing distance in terms that they will not be able to understand Always ask if the patient has any further questions and assure them that there will be other opportunities to pose questions as they arise
Roosevelt Sr. was a noted New York City philanthropist. He helped found the New York City Children's Aid Society, the Metropolitan Museum of Art , the American Museum of Natural History , and the New York Children's Orthopaedic Hospital. A participant in the dazzling New York society life, he was described by one historian as a man of both &quot;good works and good times.&quot;
What history is chiefly about is life…things need not have happened as they did. Life in other times past was never on a track, any more than it is now or ever will be. The past after all is only another name for someone else’s present. How would things turn out: They knew no better than we know how things will turn out for us. (McCullough; Brave Companion p. xix). April 1865 Lincoln’s Funeral Procession in NYC
Twenty-sixth President of the United States , and a leader of the Republican Party and of the Progressive Movement . He became the youngest President in United States history at the age of 42. He served in many roles including Governor of New York , historian, naturalist, explorer, author, and soldier. Roosevelt is most famous for his personality: his energy, his vast range of interests and achievements, his model of masculinity, and his &quot;cowboy&quot; persona.
Elliott was unprepared for adulthood without his father's guidance and discipline and, despite his good intentions, adopted a life more defined by parties and alcohol than banking and real estate.
When Elliott Roosevelt married Anna Hall on December 1, 1883, he was more bon vivant than junior partner in a real estate firm and had begun battling the depression that would plague him for the rest of his life.
Anna Eleanor (1884-1962), Elliott Jr (1889-1893), and Gracie Hall (1891-1941). When Eleanor was eight, Anna Hall Roosevelt contracted diphtheria and died at age 29.
American political leader who used her influence as an active First Lady from 1933 to 1945 to promote the New Deal policies of her husband, President Franklin D. Roosevelt , as well as taking a prominent role as an advocate for civil rights .
Thirty-second President of the United States . Elected to four terms in office, he served from 1933 to 1945, and is the only U.S. president to have served more than two terms. A central figure of the 20th century during a time of worldwide economic crisis and world war, he has consistently been ranked as one of the three greatest U.S. presidents in scholarly surveys .
The picture of tranquility Yet, Eleanor had no template for loving, sustained parenting While they had 5 children, their marriage was highly conflicted, complex, and both parents were preoccupied with other ambitions and goals that helped shape the country Between the 5 Roosevelt children, there were 21 spouses
Less than two years after her mother’s death, Eleanor's father Elliott died on August 14, 1894 from a seizure after a failed suicide - he tried jumping out of a window - and the cumulative effects of alcoholism. He was 34 years old.
Healthcare providers have a profound influence on how patients experience illness and on their sense of dignity Dignity conserving care has an important effect on the experience of patienthood The A, B, C, and D of dignity conserving care ﾑ attitude, behaviour, compassion, and dialogue ﾑ provide a framework to guide healthcare practitioners towards maintaining patients' dignity This framework can be applied to teaching, clinical practice, and standards at undergraduate and postgraduate levels and across all medical subspecialties, multidisciplinary teams, and allied health professions