Death is defined as the cessation of all vital function: end of life (Merriam Webster dictionary, 2018). As a health professional, we frequently exposed to dying patients and death in the course of the work. This experience makes individuals conscious of their own mortality, often giving rise to anxiety and unease. But we as health professionals we are forced to act as if nothing happened and continue with the schedule of the day but deep down this is also affecting us physically, emotionally and mentally.
Clinical experience
This reminds me of my first 3rd-year block when I was working in one of the tertiary hospitals. On that day, I was in a medical ward treating a patient who was very sick the patient was in a terminal ill stage. I have been treating this patient for almost a week, one day when I was busy treating her, the patient just started marking weird sounds like grunting. I immediately stop my treatment and call the sister who was in charge of the ward she quickly ran to the ward and when she saw the patient she told me to go take the BP machine, which I did and when she check the patient’s BP it was 45/30 so I could see that I don’t have to continue the physio treatment I decided to stop and documented down everything that just happened, after that I left the ward.
When I came back after lunch I saw that the curtain where closed so I went an opened to see why the curtains were closed only to find out that the patient has died. I started blaming myself that if maybe I did not treat the patient, the patient was not going to die. The death of this patient affected me even though I did not know the patient I was deeply hurt, Since that day I started being conscious of my own death, I developed death anxiety, I struggled to sleep because when I sleep I will just think of that patient. I started being scared of treating patients that were in the terminal stage. according to ( Thiemann, et al., 2015) Health professionals have more frequent and intense contact with death and dying than most in society. Such contact may trigger death anxiety in some of the individuals. It is found that health professional’s especially medical students have a higher incidence of psychological distress than other students, which may in part be a result of their exposure to death and dying .
from the clinical experience that I went through since that day I wouldn’t want to treat patient that were terminal ill before I treat the patient I will first check the patient’s folder and read the patient’s notes to see if the patient is in the terminal stage because in my mind I have already had this thought that those patient are going to die, why waste my time and treat someone who is going to die? Why treat someone who might die in my hands or after treating them and cause trauma to myself? but the question is, is it supporse to be like this? are we supposed to judge patient’s according to their notes on the floder ?
Based on the literature above it is therefore conclusive that death affects health professionals in different ways and some of them end up making the decision that affects the patient’s in a negative way due to them failing to cope with deaths that they have to face every day in hospitals. I myself was also affected, losing the patient that I have been treating for a long time it really broke my heart so much, I personally feel that we as the medical student must receive mental awareness and psychological support after every block at least this will help us to determine how to handle stress, and make choices that at the end of the day will not affect anyone in a bad way.
Reference list
Merriam-Webster, D. (2018). America’s most-trusted online dictionary.(2017). Merriam-webster. com.
Thiemann, P., Quince, T., Benson, J., Wood, D., & Barclay, S. (2015). Medical students’ death anxiety: Severity and association with psychological health and attitudes toward palliative care. Journal of pain and symptom management, 50(3), 335-342.
3 thoughts on “How death impacts health professional students in clinical settings”
Hello Masindi, thank you for sharing this deep and personal tragedy you had to face alone during a stressful time.
Content: Your post heading and body links well to the assignment topic. Some sentence structure errors but overall good writing and a smooth read. I can relate to the part where it is difficult to treat a patient the one minute and the next time you just hear your patient has passed away, I have had a few patients who just passed away and they weren’t even critically ill. It truly does make you wonder if your treatment session has an affect to their passing.
Argument: I like the way you constructed your writing, starting off strong with some facts and explaining your experience with some facts to support it in between. You have a logical flow to your writing, just be careful to not repeat yourself too much- in your last paragraph you start off by saying “in conclusion” therefore I don’t think it is necessary to say in your second sentence again “concluding” because you are already busy concluding all your thoughts.
References: Referencing correct- in text and reference list at the end. Good facts in the text to support your writing.
Writing: Some spelling and sentence construction errors;
4th row ” forced to act as nothing happened”- add in “if” after the word “as”
6th row “On this day”- “on that day” past tense
22nd row ” I wouldn’t what to treat”- change ‘what’ to ‘want”
26th row ” myself?. but”- the full stop isn’t necessary
26th row “support”- should be changed to “suppose”
27th row “note’s on the floder ?”- “notes in the folder?”
29th row ” in a negative due”- “in a negative way due”
Overall a good read, the above mentioned mistakes are some of the things I spotted that you can correct, please just have a look at your sentence structures again.
I really enjoyed reading your piece, I do hope you can find some use in this comment. Good luck with further preparations. 🙂
Wiana Muller
Hi Masindi.
Thank you for sharing such a heartfelt experience, I really enjoyed reading your piece. The content of your work links quiet well with the task at hand and the holistic content of Ethics.
The errors I highlighted are entirely the same as what Wiana has also picked up. Please pay attention to your grammar and punctuation, otherwise, overall read is informative and educational.
All the best with your final work.
Cebisa Ndamase
Content; Your content is pretty good, it is very straightforward. it certainly did trigger even myself to think deeper and try to prepare myself for such situation. overall your content is within the expected standard.
Argument; the way you posit your argument is such a way that resonate with the most of us, and I like the fact that you substantiated it with proper reasoning.
References; very good referencing
Writing; as indicated by Wianna with regards to spelling other than that you are onto something. Honestly, I really like the suggestion you made in your closing argument