The Elephant in the Room - page 3

We know that lifestyle choices affect our physical health. Smoking, drinking alcohol to excess, eating too much junk food, inactivity....these things cause real physical problems for many people. ... Read More

  1. Visit  LadyFree28 profile page
    2
    Quote from tokmom
    This just isn't isolated to the E.D. These are the people that get admitted, want their dilaudid and we spend thousands of dollars trying to figure out what is wrong with them.
    It's also in LTC.

    I've been brave enough to spot the elephant and pull it out for the benefit of my patients; risky, yes, but effective...even if it means pulling out my mental health book once in a while...it's necessary, since I dance with my elephant I've been willing to point it out more than ever.
    LakeEmerald and tokmom like this.
  2. Visit  LadyFree28 profile page
    2
    Quote from LakeEmerald
    We start out as nurses wanting to help heal the sick, but realize we can only help fix their bodies. We can't fix their lives, though we wish we could. Beautiful dream, though.
    Eh, we don't fix...we goal set...I've equated nursing in terms if our "art" part is like life coaching...I give your the knowledge, you have to do the work; if you can't don't or won't do the work, I will do what I can WITHIN REASON. It's an empowering approach; helped me stay sane THIs long.
    canoehead and madwife2002 like this.
  3. Visit  Anna Flaxis profile page
    0
    Quote from Mully
    Great post!

    Sometimes it's not so easy to identify who the elephant is.
    His name is Trauma, often. Sometimes it's Alienation, Pain, or Anxiety.
  4. Visit  lp36245 profile page
    2
    If you're interested in exploring this topic further, I recommend Anita Moorjani's book "Dying to be Me." Anita had stage 4 Hodgkin's Lymphoma and was given 36 hrs to live, when she had a near death experience. During her NDE, she learned that all disease begins as a result of disturbances in a person's energy field before physical symptoms manifest. She says she was given a choice to return to her body and she did. A month later, her cancer spontaneously regressed and today she is cancer-free.

    I suspect a lot of us nurses intuitively know that a person's thoughts and especially emotions play a big role in setting the stage for disease. Of course, lifestyle behaviors play a big part too. But this is where the US health care system is failing. It disregards the mind-spirit-body connection and writes off alternative treatments that address this as "fluff." It can be very frustrating to work in the health care system knowing this. I often feel helpless and unable to recommend things that I know would really help my pts.
    knytenurrse and LakeEmerald like this.
  5. Visit  canoehead profile page
    3
    To some extent mental health issues exist BECAUSE the patient doesn't want to talk about ior deal with the pain. Trying to get someone to deal with "the elephant" would be almost impossible without an ongoing relationship- and that doesn't happen in the ER. If the patient is convinced that her physical symptoms are from a physical cause...we can't risk making her feel sidelined because all her symptoms are from mental health problems. Even when just a portion of the problem is emotional and 90% is physical, patients may think we're blowing off the real cause if we start talking emotions.

    I see this as best addressed by the PCP, but not all PCPs are able or willing to do so.
  6. Visit  NickiLaughs profile page
    0
    Great post! Our docs are getting brave, if they see that the pt has already had recent work ups at our place, we do tell them, "you are not getting DIlaudid." Amazing the cures we are giving as they walk right out the door pulling their own IV out. I had 2 last shift...
  7. Visit  1fastRN profile page
    1
    Quote from NickiLaughs
    Great post! Our docs are getting brave, if they see that the pt has already had recent work ups at our place, we do tell them, "you are not getting DIlaudid." Amazing the cures we are giving as they walk right out the door pulling their own IV out. I had 2 last shift...
    I just hate the inconsistencies between docs. Some are adamant about "not feeding the beast" and they deny the patient pain meds. Others just medicate them because it's the easy way out.

    On the other hand, there are docs who don't medicate anyone.... even the ones who are truly in acute pain.
    LakeEmerald likes this.
  8. Visit  Sassy5d profile page
    0
    Ah, the elephant in my ER is called 'HCAPS' or 'press ganey survey'
  9. Visit  knytenurrse profile page
    0
    Awesome article. Can soooo relate


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