From the provider’s perspective in the emergency room and their perspective and barriers and facilitators to accessing care wanting to know why patients succumb to the disease and what the solution is
Might ask us a question about a facilitator or barrier
In the context of an essay, she’ll ask us to critique facilitators and barriers
Identified Barriers
Lack of pain management protocols in emergency departments
Insufficient training on SCD for emergency staff
Pain Medication Barriers
Delays and reluctance in prescribing adequate pain relief
Misconceptions about addiction and drug-seeking behavior of SCD patients
Co-occurring Symptoms and Illness
Chronic pain, anemia, infections, and acute chest syndrome
Importance of awareness of comorbid conditions for effective treatment
Bias in Emergency Treatment
Stigma and stereotypes regarding SCD patients
Discriminatory treatment practices leading to inadequate care
Facilitators to Care
Integrated multidisciplinary teams and improved communication
Challenges posed by time constraints and busy ER environments
Provider Knowledge and Actions Required
Understanding SCD’s complexities
Providing empathetic, unbiased treatment and effective pain management strategies
She would like us to think about the language in the paper and the discourses they use in the context of different practices while working on the material
The specialists are working on biological materials and making them lively or not depending on the work they do with it, regarding the different ways they engage with the embryo as “children” or “trash” that needs to be discarded
Focus on language and metaphor usage by healthcare practitioners
How terminology shifts based on context of care with embryos
Insider-outsider complexities between providers and patients
Response to Author’s Claim
Importance of anthropological perspectives on embryological practices
Discussing moral implications and societal views on embryos
Essay Question: Commitment with gestational mother and surrogate parents to surrogacy and the ethical concerns regarding termination of the embryo
Doctors role in surrogacy and their commitments, gestational surrogacy occurs via contracts
Complexities inherent in legal contracts between parties involved
Impact of emotional and financial commitments on surrogate and intended parents
Discussion on disrupted commitments within the narrative
She asks us to look at the differences in responses regarding the moral dimension of living in a “healthcare desert”, not just about the number of miles but the deeper issues emotional and socially
Health Care Deserts
Defined as regions with inadequate access to healthcare services
“Healthcare desert” contributes to loss of trust in other providers
There’s a sense of shame in asking for help, which makes individuals seem incapable
The American ideology for independence juxtaposes the need to ask for healthcare
Health Issues Impacting Rural Women
Access to comprehensive reproductive health services, mental health, and chronic illness care
Intersectionality of Rurality and Health Disparities
Rurality combined with factors such as socioeconomic status and race affects healthcare access
Concept of Distance
Distance as a critical framework; not just physical, but also social and emotional separations
Travel as a part of ordinary life isn’t problematic for them, but it’s the distance created when they see it as being left behind “abandoned” from healthcare, the sense that they have to beg to have it provided
How rurality is recognized in varying contexts (economic, cultural, political perspectives)
Inequality in a rural context targets distance in spacial and miles to travel, forced mobility to receive care, and the moral understanding of distance
Rural Women’s Views on Distance
Preferences for local healthcare providers and familiarity impacting care access
Spatial Imaginaries Concept
Linking rural distance and travel experiences to women's health narratives
Barriers & Challenges Identified
Travel issues, financial expenses, time loss, and lack of information about services
Moral Framework and Discussions
Issues of fairness, justice, and the moral implications of unequal healthcare distribution
Mistrust within Rural Health Experiences
Distrust towards medical professionals and institutions as significant as distance-related barriers
What’s lost is the capacity to trust when forced to go far distances due to providers being strangers though they may be close
Missing Mayberry: Exploration of racial dynamics and health perceptions
Experiences of Surrogacy: Free vs. compensated pregnancy complexities
Masculinity Dilemmas: Discussion on sexuality and intimacy among different cultural groups
Politics of Disability: Analysis of violence and disability politics in urban settings
Embodiment and Gender Transitioning: Study of necropolitics among transwomen in a socio-political context
Indigenous Reproductive Mobilities: Examining forced travel for childbirth within indigenous communities