Nursing & Humanities, Alice Munro
SLIDES FOR A PRESENTATION OF HUMANTIES AND NURSING: CHRONIC AND TERMINAL CARE ISSUES PRESENTED IN ALICE MUNRO'S "THE DAY OF THE BUTTERFLY," BELLE & SEBASTIAN'S "IT COULD HAVE BEEN A BRILLIANT CAREER," AND TONY KUSHNER'S "ANGELS IN AMERICA"
"The Day of the Butterfly" by Alice Munro is a quiet portrayal of elementary schoolgirls in 1950s Canada learning one of their classmates has a terminal illness.
"It Could Have Been A Brilliant Career" performed by Belle and Sebastian is a song about a young stroke victim and his caregiver.
"Angels in America" is a television-film adaptation of the Pulitzer-Prize-winning play by Tony Kushner, and depicts the AIDS epidemic in 1986 before any cure or medication had been discovered.
FOUR
From the standpoint of a professional Nurse, these artistic depictions of terminal and end-of-life illness teach us emotional lessons about the experience of survivors -- they ask not only how does the patient feel, but ask also how does the caregiver feel as well.
FIVE
Learning about these issues can be important for a nurse's handling of chronically or terminally ill patients, but these issues can only be learned by examining works of art -- they aren't taught in an anatomy class.
SIX
Alice Munro's "The Day of the Butterfly" is a short story first published in 1952, about the awkward experiences of Helen, a schoolgirl, in dealing with the terminal illness of Myra Sayla, one of her elementary school classmates.
SEVEN
"Day of the Butterfly" is about how death affects small children, but here the adult response to Myra's illness -- to throw a bogus birthday party for her at the hospital, aware that she may not live to her next birthday -- is somehow hollow and awkward.
EIGHT
In 1952, standards for end of life care were very different than today -- doctors frequently withheld the diagnosis from a terminally ill patient, while informing his or her family, as in this scene between Burl Ives and Paul Newman from "Cat on a Hot Tin Roof." [Show scene where Paul Newman informs Burl Ives that the doctors lied to him and he is dying of cancer.]
NINE
Four things that distinguish "The Day of the Butterfly" as a short story:
Descriptive imagery: "This sound made Myra's future turn shadowy, turn dark"
Symbolism: the blue butterfly brooch given by Helen to Myra
Emotional sophistication: Teacher tells the schoolgirls "Do you think you would be very happy if you were left back there?"
Irony: Birthday party held on the wrong day to cheer up Myra
TEN
Even shorter than Munro's story, songwriter Stuart Murdoch's lyrics for "It Could Have Been A Brilliant Career" paint the picture of a stroke victim in his early 20s and his girlfriend, turned caregiver.
ELEVEN
While we listen to the song, you may want to read along with the lyrics, by Stuart Murdoch, the lead singer and songwriter of Belle & Sebastian:
He had a stroke at the age of 24
It could have been a brilliant career
Painting lines in a school that was too well-known
Painting lines with a friend that had gone before
She challenged everyone to a fight
But the prefects all backed down
And they ran her out of town
Cause she drank and swore and spoke
Out of turn, she was the village joke
She had a stroke at the age of 24
It could have been a brilliant career
Getting clients to finance her strategies
Filling time in on Safeways on Saturday
She wears the clothes of an emperor
But her paintings are a sham
And they're going for a grand
When the dealers come to view
Do they ever see the real you?
He had a stroke at the age of 24
It could have been a brilliant career
Selling lies to the boys with the old dansettes
Pulling the wool, playing the fool, it's no wonder that
He is dribbling spit tonight
And the one he sent away
Was the only one who stayed
With a spoon and a decent book
And you can tell by the way she looks
He is sorry and resigned
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