ANTH 227 Lecture 9: Week 6 Wednesday

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214): key = understand which stories are constructed and what(cid:310)s the place of patients within them. We need to make sense and create sense out of (medical) situations. Create sense: shaping the (cid:309)one thing after another(cid:310) character of ongoing action into a coherent narrative structure with beginning, middle, and end. Narratives (cid:553)making a whole(cid:554) meaning + moral (cid:312)how do we speak of emplotment as something made and unmade as time unfolds? (cid:313) (p. 812) Clinical encounter = unfolding story (cid:312)the moral(cid:313) is key in creating meaning. Moral/existential negotiation is often hidden behind the clear-cut technical encounter (frank develops this further) Frank (cid:312)asking the right question about pain(cid:313) (cid:312)life is an unpreventable death, and that"s alright (p. 214) Nurse to recognize her own suffering and start from there. Describe her pain in her own terms (cid:309)alignment(cid:310) vs. (cid:309)alienation(cid:310) Stay with the patient (be there to do whatever can be done) vs. discontinuity of care (multiple teams, subspecialities, etc. )

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