The 9th International Health Humanities Conference

Presentation information

Oral presentation

Research

[10] Oral presentation

[10-10] A narrative medicine approach to disaster response: Ethical dimensions of Katrina and COVID-19

*Yoshiko Iwai1, Leah T Rosen1, Sarah Holdren1, Nina Y Hu1,2 (1. Columbia University, Division of Narrative Medicine(United States of America), 2. Columbia University/New York-Presbyterian, Department of Pediatric Emergency Medicine(United States of America))

Presentation language:English

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While the Health Humanities field of Narrative Medicine traditionally analyzes stories shared between patients and physicians, we also study structural narratives that contextualize healthcare experiences. Revisiting historical disasters with a Narrative Medicine approach illuminates ethical challenges that may offer insight into navigating COVID-19. We have examined journalistic accounts of 2005’s Hurricane Katrina and COVID-19 to illuminate the unique bioethical challenges present at the forefront of clinical care. Utilizing theories of social suffering and structural violence, our analysis reveals a lack of disaster preparation and protocol, as well as complex ethical decision-making which exacerbates disproportionate suffering among vulnerable populations. These narrative analyses also show the valuable research methods Health Humanities can offer to disaster response, preparedness, and medical education during times of crisis. Ultimately, our investigations reinforce the need for systemic change. We also propose support systems for healthcare workers and educators, including the use of Narrative Medicine, to alleviate individual burden, prioritize quality care and uphold high moral standards. We hope the reviewers, and potential viewership of the International Health Humanities Conference, find this presentation to provide a uniquely situated narrative perspective on the COVID-19 pandemic that demonstrates the tangible impact of the stories we tell in this time.