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Cloey Brigham 0369393 Dr. Laurel O’Gorman WGSX-2456 EL 12 September 28, 2020 Worksheet 2

1. According to Paterson in Ontario Midwives: Reflections on a Decade of Midwifery in what way does the “discourse of risk” undermine the midwifery philosophy of care? Before regulation, midwives were referred to as women-centered and governed by clients (Patterson, 2004). This was based strictly on a philosophy of care which put mothers in the middle of the birthing process and the midwives as partners in birth but not at all viewed as experts. Since the new regulations, midwifery is governed by hierarchy and state centred (Patterson, 2004). This change imposed discourses of risk and expertise in the midwife practise. These discourses are significant for practising midwives since they stand for potential shifts in the practice, undermining the philosophy of care where midwifery is based (Patterson, 2004). For example, changes in the client base show that only 60% of births attended by midwives are taking place at home. Since regulation, high barriers to entry of the practise have limited access to rural midwives (Patterson, 2004). Patterson, S. L. (2004, September). Ontario Midwives: Reflections on a Decade of Regulated Midwifery. Retrieved September 28, 2020, from https://search-proquestcom.librweb.laurentian.ca/docview/217446798/fulltext/950590CA7A5E4077PQ/1? accountid=12005 2. In Module 2 Part V Morton Hunt points to a number of ways that women can improve their relationship with their health practitioner. What does he claim are the benefits of “tell the truth” and “do your homework” in terms of obtaining the best health care possible? Morton hunt lists many ways to have a satisfying relationship with your healthcare practitioner, but he only points out two that are “worth dealing with in depth.” Those being, “tell the truth” and “do your homework” (Kechnie, 2012). It is important to be very honest with any healthcare provider about everything including eating habits, exercise,

how much you smoke or drink, if you have altered your medication yourself or if you stopped taking it completely and so on (Kechnie, 2012). Second, it is critical to review your family history because tracing your family history can provide your physician with information that can contribute to potentially saving your life one day. There is evidence that many health problems both rare and common are hereditary and linked between families (Kechnie, 2012. A woman should always try her best to develop the best possible relationship with her physician that she can in order to receive the best healthcare possible. Kechnie, M. (2020, September 28). Module 2: Part V – Empowering Women as Health Care Consumers. Retrieved July, 2012, from https://d2l.laurentian.ca/d2l/le/content/141923/viewContent/1240509/View 3. In the article by Wendy Levinson, “When Most Doctors are Women: What Lies Ahead?", the author asks, “How then, will a feminized medical profession affect society?” (472). After reading the section on Societal Delivery of Care (472), what are the pros and cons of an increase in female doctors? Do you think the pros out weight the cons or do you think the reverse is true?

The medicine profession is becoming a female based occupation. Evidence can prove than women are well equip to please patient centered care as well as their one on one relationships with patients (Levinson, 2004). Twenty-six communication studies suggest that female physicians are more apt to involve their patients as active partners in their care plan. Women also typically use a democratic style of communication that supports collaborative relationship as they discuss the patient’s preferences, treatment options and put in their best efforts to engage patients in decision making (Levinson, 2004). Women have also shown more sensitivity to the patient’s emotional concerns by offering more emotional support, reassurance and encouraging discussions than female physicians (Levinson, 2004). Studies do not consistently show higher patient satisfaction despite these positive behaviours shown by female physicians (Levinson, 2004). I think the pros definitely out way the cons. For me personally, I know that my level of comfort when visiting the doctor is important to me. Therefore, if I have a female who is comforting and interested in helping me make decisions rather than just leaving

me to make my own decision based on medicine alone and not my own emotional concerns, I would rather have a female. W. L. (2004, September 21). When Most Doctors Are Women: What Lies Ahead? Retrieved September 28, 2020, from https://search-proquestcom.librweb.laurentian.ca/docview/222244597?accountid=12005...