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Movie Character Health Assessment "My Sisiter's Keeper"

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Movie Character Health Assessment "My Sisiter's Keeper"

  1. 1. Movie Character Presentation My Sister’s Keeper Kate a patient of promyelocytic leukemia
  2. 2. • Overview My Sister’s keeper is film about a couple whose lives are centered around their daughter Kate (patient of promyelocytic leukemia). • This presentation focuses on Kate Fitzgerald’s Character. • Introduction and overview of Kate Fitzgerald • Assessment using Gordon’s Functional Health patterns • Personal assessment of Kate • Cultural, geographic, religious, ethnic or spiritual considerations • Nursing Diagnosis • Normal and Abnormal health patterns • Nursing interventions • Community Resources
  3. 3. Background of Movie and Character •My Sister’s Keeper is a film about a couple whose lives are centered around their daughter Kate •From a young age, Kate was diagnosed with leukemia and doctors gave her little time to live. •Her parents undertake a decision to duplicate Kate’s chromosomes by genetically conceiving another child (Anna) in order to use her anatomy to save Kate’s life. •Anna, finds out about her conception, and later files a lawsuit against her own parents. Anna claims the lawsuit is for her ‘right to life’ and to grant her the decision-making privilege regarding what to do with her own body. This is what she has viewers believing until we later find out that the actual motivation behind the lawsuit was because Kate decides to end her life and put an end to her suffering. •The family becomes torn between the tension of the lawsuit and struggling to keep Kate ‘happy’ and alive. (CMN4100, 2010). Kate Fitzgerald • Is a 16year old diagnosed with leukemia at age 2 • Lives with father, mother a brother and a sister • She is progressively getting weaker and treatments are no longer effective. • Has renal kidney failure, is receiving hemodialysis and getting chemotherapy treatment for leukemia . • Has a short love affair with a fellow patient Taylor
  4. 4. • Functional Health Pattern Assessment Health Perception/Health Management -Kate is well aware of the disease -Follows the medications and advices from the doctor and family -Kate’s sickness is covered by insurance -Does love going to the beach but avoids sun exposure. • Nutrition/Metabolic -The Family takes a lot of care and precautions regarding food since Kate has been diagnosed by Leukemia. -Family prepare a hygienic and organic food • Pattern of Elimination -Due to Kate’s kidney failure, she gets hemodialysis treatment, she has a dialysis catheter, so urination frequency is monitored by either the nurse or the family. - Pattern of Bowel is not displayed in the movie.
  5. 5. Assessment Continued • Pattern of Activity/Exercise -Sometimes kate is too weak and tired to do any activities, she is encouraged by the family. -Love to go to the beach, enjoys shopping. And in one scene was with her boy friend enjoying the date. • Cognitive-Perceptual Pattern -Kate does not have any sensory deficits, reads books, listens to music - Pain is a common factor and is managed by medication prescribed by the doctor. -She is judgmental and wants to end her life by avoiding kidney transplant, which she know is a temporary solution. • Pattern of Sleep and Rest -Sleeps well most of the time, but some time cannot when she has blood vomiting in the nights and pain -Kate is encouraged by the family to take rest as much as she can. -She takes nap during day when she feels tired.
  6. 6. Assessment Continued • Pattern of Self Perception and Self Concept -Kate is bold enough to accept the disease and keeps smiling throughout the film -Feels that she should not be a burden on her sister or family anymore • Role/Relationship Patterns - The family portrayed in this film is closely bonded and also broken apart (CMN4100, 2010). - Starts dating a fellow patient Taylor, and is loved and encouraged by him - Responsible as a elder sister, does not want Anna suffer more because of her. • Sexuality/Reproductive Patterns Has normal feeling of being loved, she dates and at one point have sex with Taylor.
  7. 7. Assessment Complete • Pattern of Coping and Stress Tolerance -For Kate self management is a misnomer, since her disease is actually shared by her family. This is portrayed when Kate’s mother shaves her head in order to make her feel ‘pretty’. - she is encouraged by her boy friend, and when he dies is supported by the family. • Pattern of Values and Beliefs - Though the movie does not display any following of religion or belief, it seem that the children have been taught from the child hood to respect, love and support each other.
  8. 8. Personal Assessment • • • • • Kate avoids being social, but likes to hang out with her family members Though she is sick shows enthusiasm in dating, love, shopping Loves her family especially her sister Anna Wants to enjoy the remaining life, by stopping medication and going to the beach Was depressed when she comes to know that her boyfriend had died and attempts suicide
  9. 9. Analysis of Health Assessment • Normal assessment findings -Regular teenage girl who wants to shop, go to the beach, date etc. -She is creative, does a album of memories beautifully -Shares personal secrets and matters with Anna • Abnormal or risk-based findings -When comes to know about the death of her boyfriend attempts suicide - day by day is getting weaker, fatigue - There is a nose bleed due to leukemia (yahooanswers, 2008). Additional Observations Cultural: The family is very integrated and is ready to sacrifice themselves to save another. Genuine support given to the family by the mother and father. Family portrays importance of effective interpersonal interaction between family members. Geographical : The Family lives in California in the movie (Wikipedia.org, n.d). Religious: No religious following is shown in the move or not known Ethnic: Caucasian or White American Spiritual: Not shown
  10. 10. www.cancercare.org Resources American Cancer Society. http://www.cancer.org. Phone.no 1-800-227-2345 Nursing Considerations Nursing Diagnosis - Intense pain - Nose bleed - nausea due to chemotherapy
  11. 11. Health Promotion, Prevention, Maintenance Health Promotion :Avoid high doses of radiation, avoid exposure to the chemical benzene, and avoid smoking or second hand smoke and other tobacco use Health Prevention: Monitor fluid intake and output, Inspection of skin / mucous membranes for petechiae, ecchymoses area; noticed bleeding gums, blood color of rust or vague in feces and urine, bleeding from the puncture further invasive. Implementing measures to prevent tissue injury / bleeding (Nanda, 2011). Health Maintenance: Anticipate need for pain relief, Respond immediately to complaint of pain, Determine the appropriate pain relief methods. Pharmacological methods and nonpharmacological methods (Gradishar, Muzio, Filipski, & Klopp, n.d). Administer the antinausea medications as ordered 1-24 hours before initiating chemotherapy and routinely for the expected period of nausea and vomiting for the specific chemotherapeutic agents being administered (Saunders, 2012) -
  12. 12. Conclusion My Sister’s Keeper was an effective way to portray sensitive health issues such as patients’ rights, family support & conflict, health communication, ethics, human rights and medical emancipation. The emotions evoked from the film allowed viewers to reflect on their own health and think critically about the often overlooked, yet fundamental concerns with patients and their well-being. The principles that stem out of My Sister’s Keeper are difficult to face as they challenge morality and humanity. The messages of this film highlight the importance of understanding the several dimensions of hardships and struggles, beyond illness and disease that patients must undergo.
  13. 13. References CMN4100. (2010). A Film Analysis... My Sister's Keeper. Retrieved from http://cmn4100msk.blogspot.in/ Gradishar, D., Muzio, L., Filipski, A., & Klopp, A. (n.d). Pain. Nursing Diagnosis Care Plan. 4ed. Retrieved from http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gulanick39.html Nanda. (2011). Nanda Nursing Diagnosis and Interventions for Leukemia. Retrieved from http://nursing-care-plan.blogspot.in/2011/12/2-nanda-nursing-diagnosis-and.html Saunders. (2012). Nausea .NURSING DIAGNOSIS. Retrieved from http://www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm?did=61 Wikipedia.org, (n.d). My Sister's Keeper (film). Retrieved from http://en.wikipedia.org/wiki/My_Sister's_Keeper_(film)#Changes_from_book yahooanswers, (2008). Why does Leukemia cause nosebleeds? Retrieved from http://answers.yahoo.com/question/index?qid=20081216125805AAwqqEi

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