Archive for » September 14th, 2009«
My answer remains a question, “Why are you here?” If you are here for the patient, to play before them on the world’s smallest stage — one-on-one, and you see you have created a pleasurable experience for your audience, have you not reached your goal?
Sticking with the theatrical allusion – everyone remembers with snickers, the performer who remains steadfast on the stage far too long, and the stage manager grabs the “hook” and pulls the entertainer off. In the hospital setting, most likely there is no stage manager with a hook. This means you must rely upon your own sensitivity to the patient’s ever-changing condition and ability to take in your performance. Your focus must remain upon the patient.
Even if you have a rehearsed or somewhat ‘canned’ performance, you must learn to know when to pack it up and bid your audience adieu. It is different with each patient, based on their condition, situation and individual ability to meet you in the small theatre for a moment in time. For this reason, it is far better to entertain playing off and with the patient, rather than repeating your schtick each and every room, throughout Rounds. It keeps it fresh for the entertainer, and it personalizes the bit for the audience!
I have observed clowns and family entertainers whose primary experience is in performing skits and full shows have difficulty with this. They are accustomed to performing their segment, and seeing it to completion, because the punch line, the lesson, or some conclusion is at the other end. In the healthcare setting, we may not get to “the other end,” in order to complete that adventure. Thus, the time spent in performance becomes fragmented, is less personalized for the patient, and no doubt the entertainer becomes frustrated.
The primary reason this form of performance does not work effectively on Rounds, is because that type of entertainment is geared for a controlled environment, not the prevailing “in-the-moment” setting in the healthcare venue. The other related reason is that in such a mode of performing, the entertainers often are mechanical in form, concentrating more on what they are doing than on the audience. I have seen some entertainers perform almost as if they are wind-up dolls, pulling every sight gag out from every pocket in every room they visit. This is not hitting the mark.
So, is it true – ”We shouldn’t leave while the patient is still enjoying us, should we?”
Next: The rationale for my Answer, based on my hospital clowning experience since 1997…
