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This post was written by Jennifer De Jesus a student in the Macaulay Honors College at Hunter and an avid movie watcher. She is also an employee of the Health Professions Education Center, which has one of the largest collection of health films in the New York City area.

“Mar Adentro” — “the Sea Inside”

the_sea_inside

 Based on a true story, “Mar Adentro” focuses on the life of Ramón Sampedro, a Spanish quadriplegic who campaigns for 29 years for euthanasia and the right to end his life.

At the age of 25, Ramón Sampedro sustained a complete spinal cord injury because of a diving accident near his fishing village in Galicia, Spain. Immediately after the accident, Ramón knew he wanted to commit suicide, a task now physically impossible. His unwavering desire for death, for almost three decades, was Ramón’s main argument for euthanasia. “The Sea Inside” captures Ramón’s legal appeals to the lower and higher courts in Spain, as well as his appeals to the European Commission on Human Rights in Strasbourg.

Although an enormous amount of sympathy is garnered by Ramón, the film provides many moments of heated arguments, fleshing out the many conflicts and nuances within the debates surrounding assisted suicides.

One of the most heart-wrenching scenes occurs as Julia, Ramón’s lawyer, friend, and love interest, falls down steps due to a heart attack, and Ramón (who is facing the opposite way) is only able to yell her name. The panic and fear, mixed in with anger over his inability to help or even see her, is multiplied with every shout, until the scene fades into the darkness.

Another equally powerful scene, filled with quick, witty banter between Ramon and a quadriplegic priest, continued to expand on the conversation on euthanasia. Unable to actually speak face-to-face due to an issue with the stairs, the men resort to speaking through a messenger, one of the priest’s helpers. The running up-and-down the stairs adds humor to such a serious topic, without detracting the valid and strong points made on each side.

“Mar Adentro” does a great job contributing to the conversation on death and dying, In Spain, is has become part of the  public health narrative  and legislation supporting palliative care and death with dignity.

“Living is a right, not an obligation,” Ramón states moments at the dramatic end of the movie, yearning to appeal to the notion of free will within us all.

This film (as well as the BBC documentary “Right to Die”) is an important resource for the conversation about death and dying.  Viewing it, alone or with someone, provides moments of reflection and food for thought that can contribute to a  balanced discussion on euthanasia.

This post was written by Jennifer De

Center for Medical Consumers

Center for Medical Consumers

Maryann Napoli joins Healthstyles host Diana Mason to talk about health care issues she’s reported on recently for the Center for Medical Consumers, where she serves as Associate Director. These include an update on recent research that suggests that patients with terminal illnesses may live longer and have a higher quality of life if they are provided with palliative or comfort care; a new “decisional aid” to help women make important decisions about treatment for breast cancer; whether and when people with sinusitis should take antibiotics; and an update on whether and when to get bone density testing. You can listen to the program on WBAI-FM on March 22 at 1:00 PM or WXRM-FM on March 26 at 11:00 AM.

[caption id="attachment_10172" align="aligncenter" width="580"] Center for Medical

hello-my-name-isLast week, the Hunter-Bellevue School of Nursing’s students and faculty, as well as guests from clinical agencies, heard an outstanding presentation on the Institute of Medicine’s report on The Future of Nursing and the relevance of the Affordable Care Act. Mary Ann Christopher, MSN, FAAN, the new president and CEO of the Visiting Nurse Service of New York, was the featured speaker. The students were clearly engaged in her presentation and had the opportunity to interact during the discussion period with Ms.Christopher. Repeatedly, the students who came to the microphone to pose questions and react to her presentation identified themselves by first name. As moderator, I asked them to give their full name on several occasions. But it was disturbing to see that they had to be prompted to do so.

This is a common occurrence when I’m with staff nurses, including those who are graduate students. I have been puzzled about why, then recently received an email from a colleague who earned a PhD last year:

“What do you think about nursing badges with the nurses’ first name only on the top line, yet physicians have their first and last name on the top line. I was told if I had my first and last name on the top line of my badge patients might confuse me with a physician.”

This is such rubbish and leads to physicians being called “Dr. Lastname” and nurses being referred to by their first names. Nurses can tell you that both nurses and MDs use first names with each other when the physicians are medical students, interns or residents; but once they become attending physicians, they expect to be called “Dr. Lastname” while still referring to the nurses by first name.

I know that some nurses are afraid that a patient might try to track them down at their homes if they include their last name, but why aren’t physicians? What about social workers or nutritionists or other providers? And why are nurses perpetuating this inequality?

What’s in a name? A lot.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

Last week, the Hunter-Bellevue School of Nursing's