Premium Essay

Michael Ignatieff's "Deficits"

In: English and Literature

Submitted By leejolly
Words 5891
Pages 24
Case report

Cultural differences in truth-telling to cancer patients: Chinese and American approaches to the disclosure of ‘bad news’
Dong Xue1, Jane L Wheeler 2, Amy P Abernethy 2
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Integrated Traditional Chinese and Western Medicine, Peking University School of Oncology, Beijing Cancer Hospital, Beijing Institute for Cancer Research, Beijing, PR China, 2Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA A central challenge of the palliative care clinician, and of the oncologist who sees patients with advance disease, is that of ‘breaking bad news’. As this conversation requires that the clinician divulge extremely sensitive and personal information, and usually incurs an emotional response from the patient, truth-telling to advanced cancer patients is not only a challenging task but also one likely to be handled differently in cultures according to differing norms for interpersonal behavior and communication. China and the United States, with their deepset communitarian vs. individualistic ethics, respectively, typify divergent cultures. This paper discusses cross-cultural differences in norms of truth-telling to cancer patients, that is, the extent to which physicians inform patients themselves of their disease status when prognosis is poor; China and the US are used to illustrating potential differences in approach and consequent cross-cultural misunderstandings. In an increasingly mobile global community, in which information technology and telecommunications span cultures and patients are increasingly well informed, clinicians around the world would be well advised to become aware of the communication styles and expectations, and to make an effort to understand the norms, of their patients’ cultures of origin....

Similar Documents

Premium Essay

Michael Ignatieff's "Deficits"

...Introduction The former liberal party leader and writer Michael Ignatieff in his essay “Deficits” described the way his mother suffered from from Alzheimer’s disease and the effect on his family. He expressed his own feelings towards his mother’s difficulties with Dementia of Alzheimer’s disease. 1. She started to forget everything including her glasses and her husband. 2. She was forgetting about the place she lives. She is forgetting the present. 3. She lost her independence and became totally dependent on her son. 4. The way that Michael Ignatieff talks about these problems. Thesis Statement: Michael Ignatieff wrote about three ways his mother suffered with Alzheimer’s and the effect on him when she began to forget things, forget time and place, and became dependant on him using real life stories. Paragraph One: The first stage of Alzheimer’s disease is when people start to forget about little thing, but then people forget about close relatives. “It begins the minute Dad leaves the house. Where is George? … sometimes I try to remember to count the number of times she asks me this question but I lose track.” (Ignatieff, 2013, p. 213). Ignatieff is using a real conversation to describe how is mother is forgetting about little things and about her husband. Two people are talking in the form of a dialogue. Sympathetic (continue this idea with a personal example) ParagraphTwo The second stage of the disease when people start to forget......

Words: 489 - Pages: 2

Premium Essay

Deficits

...Michael Ignatieff's essay "Deficits" is a personal essay that gives a reader deep insight into the thoughts and emotions of a man as he witnesses his mother degrade. I think that is what that is about. So the thing is, I really just kind of want to gain access to this site and why would I want to write an essay for that? I am not entirely sure and so I am writing this document in order to see if it will work. This will be entertaining if someone reads it or something. Anyway, guess what? There are absolutely no membership fees at TermPaperWarehouse.com. Well that is simply incredible. Insane. Extraterrestrial. You're so hypnotising. Thank goodness it's Friday, people. Thank goodness. Oh wait, it's not even Friday. I have become sad. Now I am going to give you some tips for formatting a paper in MLA format. To my understanding, you should start by writing a sequence of four lines in the top left corner with your name, your teacher or professor's name, the course name, and the date. The title should be centered and the essay should follow, double spaced, with indents at the start of each new paragraph, of course! You should also number the pages, each number preceded by your last name. Do not create a title page unless one is specifically asked for. Hopefully that is correct information, so that this essay can be at least a little bit helpful. I am not even really sure what this website is. However, I am simply thrilled to hopefully find out soon. Furthermore, I sometimes find......

Words: 382 - Pages: 2

Free Essay

How Effective Ignatieff Was on Depicting the Impact of Alzheimer's Disease on the Family

...“Deficits” by Michael Ignatieff Frankie ………………. Questions about Meaning Based on Ignatieff’s account, the effects of Alzheimer’s on patients include forgetfulness, aging fast and a feeling of loneliness. The patient is detached from the reality of life. The narrator tells us that his mother (a patient) spent a week with her grandson. But after a week with him, she looks puzzled and says “He’s a nice little boy. Where does he sleep, I mean, who does he belong to?” (p.214).This shows she forgets quite easily and fast. The family members are faced with the responsibilities of taking care of the patient performing even the basics that the patient would comfortably do if he or she did not have the condition. They are also tasked with making sure that the patient follows medication. The narrator says “My brother usually stays with her my Dad is out of town. Once or twice a year, it’s my turn. I put her to bed at night. I hand her the pills-small green ones that are supposed to control her moods-and she swallows them” (p.214). The caretakers and the family members in this case are the ones with a harder time with dealing with the disease. Ignatieff talks of fear that was “her mother’s secret”. This fear comes from her childhood air raid experience where she watched a mother sheltering a baby and thinking that she was all alone. (p.215).This shows that childhood experiences have strong ramifications on later life. The author’s relationship with his mother is cordial and......

Words: 605 - Pages: 3

Premium Essay

The Major Effects of Alzheimer's Disease

...The major effects of Alzheimer’s disease The former liberal party leader, Michael Ignatieff said in his essay, “Deficits” (2010) “Sometimes I try to count the number of times she asks me these questions but I lose track” (p.108). Ignatieff is expressing his own feelings towards his mother’s Dementia of Alzheimer’s disease. Dr. Alois Alzheimer, a German physician discovered a patient that suffered from a severe dementia due to brain abnormalities. Alzheimer’s disease is the second most-feared irreversible illness in America, following Cancer. It affects as many as 5 million Americans, a number that could soar to 16 million by 2050 (Hoffman, Froemke, and Golant, 2009, para 1). These numbers are due to the fact that there is no cure. The major effects of this specific disease can be depicted by Ignatieff (2010) in “Deficits” and also scientific studies that create a clear picture of how an individual is affected through the brain, how the individual does not have that sense of security and those caregivers who are trying to cope with the disease to that individual. The brain is a vital organ in the human body, when the brain is affected; the entire functions of the body are affected. In most individuals affected by Alzheimer’s, memory loss is usually the first sign. The individual begins to lose memory of recent events and later the ability to complete regular tasks declines as nerve cells break down. In the book, “The Everything Health Guide to......

Words: 1546 - Pages: 7

Free Essay

As, Ca, Pdf

...ISSUES FOR IIM INTERVIEW  PROCESS © EssaysforIIM.com......

Words: 128478 - Pages: 514