Professional Documents
Culture Documents
Health Assessment
Presentation
My Sisters Keeper
KATE:
A PATIENT
WITH PROMYELOCYTIC
LEUKEMIA
Barno Zaitkhanova
Course NRS-434VN-0501
Prof. Becky Hauserman
Sept 10th, 2016
Overview
My Sisters keeper is a film about a couple whose lives are centered
around
their daughter Kate who is a patient with promyelocytic leukemia.
This presentation focuses on Kate Fitzgeralds Character.
Introduction and overview of Kate Fitzgerald
Assessment using Gordons 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
Nutrition/Metabolic
-The Family takes a lot of care and precautions preparing foods because of
the childs condition
-Family prepare hygienic and organic foods
Pattern of Elimination
-Due to Kates 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.
Assessment Continued
Pattern of Activity/Exercise
-Sometimes Kate is too weak and tired to do any activities, she is encouraged
by the family.
-Loves to go to the beach, enjoys shopping. Goes on date with boyfriend.
Cognitive-Perceptual Pattern
-Kate does not have any sensory deficits, reads books, listens to music
- Pain is a common factor and is managed with prescription painkillers
-She is judgmental and wants to end her life by avoiding kidney transplant,
which she know is a temporary solution.
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
Assessment Complete
Pattern of Coping and Stress Tolerance
-Kate does her best to cope with the disease and her family helps her as
well. This is portrayed when Kates mother shaves her head in order to
make her feel pretty.
- she is encouraged by her boy friend, and when he dies, she is supported
by the family.
seem that the children have been taught from child hood to respect, love
and support each other.
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
Additional Observations
Cultural: The family is very integrated and is ready to sacrifice do
everything to save Kate. 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.
Religious: No religious affiliation
Ethnic: Caucasian or White American
Spiritual: Not shown
Resources
www.cancercare.org
Provides counseling, education, information, financial assistance,
support groups and publications to patients and families.
www.cancer.org The American Cancer Society
Fights cancer with research, support, education, counseling and
treatment referral, treatment tools and information
Phone.no 1-800-227-2345
Nursing Considerations
Nursing Diagnosis
- Intense pain
- Nose bleed
- Nausea due to chemotherapy
Conclusion
My Sisters 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 Sisters 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.
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/g
ulanick39.html
Nanda. (2011). Nanda Nursing Diagnosis and Interventions for Leukemia.
Retrieved from http://nursing-care-plan.blogspot.in/2011/12/2-nandanursing-diagnosis-and.html
Saunders. (2012). Nausea .NURSING DIAGNOSIS. Retrieved from
http://www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cf
m?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