[RN 4 U]

Hello everybody. I am a new nurse and I had my first patient who was a drug user yesterday. I took care of him but found it difficult to deal with having a patient like him as he was basically using the system to get his drugs. His problems all came from using drugs and that is why he was there, but this man was in no pain or having no anxiety attacks but requested pain medication around the clock stating no relief, mind you he was laughing, being disrespectfuly at times and wanted me to wait on him hand and foot. I refused to cut up his salad, because there was nothing wrong with hands. I took good care of him but i did not want to be really bothered with him as there were really sick people in the hospital that needed my attention. I just do not know why drug users are allowed to get away with this. The hospital is basically providing all their drugs. Was I wrong to feel this way?

[EricEnfermero]

Definitely sounds like a frustrating situation. Here's how I keep things in perspective: We have separate systems in the US that have different goals. In the healthcare system, we try to make people's physical and emotional problems better. In law enforcement, they catch and detain the bad guys. In the judicial system, they pass judgment on people and seek punishment for crimes. I just have to remind myself which system I work for whenever I feel the urge to do something besides try to make people better.

[prmenrs]

I'd just suggest focusing on why he was admitted to the hospital in the 1st place. Work w/fellow staff to set some limits. And be careful not to let him play one staff member against another.

I went to nursing school in a nice, private community hospital. Then I went to work in a University teaching hospital that had been a county hospital w/in 2 years prior to that.

I saw more pts w/DTs in the 1st week than I had seen the entire 3 years @ the other hospital. I was in a state of shock for a bit!

[RENAISSANCE RN]

Very Frustrating.. I guess you just have to say that he is a human being and you did a very good job of treating him like one.


You will run into many more like him, I am afraid. I know of a case while I was in Nursing School. I was observing the ER and a patient ( known drug user) stabbed himself in the leg with a knife to get pain meds.


Merry XMas and continue to be a great Nurse

[Fiona59]

Personally, I would rather look after a "druggie" than someone who is kept alive because their family "can't bear to say goodbye" when they know there is no hope for recovery and stop visting after six months and when they do show up THEIR guilt makes them critique and micromanage their "loved" ones care.

Just remember "there go I bar the grace of God."

[Schatzi RN CEN]

This is a very difficult subject and it can be very hard to maintail a professional attitude. We do have to remember, though that addiction is an illness. The patients we see are usually master manipulators, but besides that they are also victims of their addictions.

That being said I have to admit that this is something I have to remind myself of constantly, because these people are abrasive, manipulative lyers and can make it very hard to remember that somewhere behind that addiction is a sick human being.

[VivaLasViejas]

Originally Posted by Schatzi RN CEN

This is a very difficult subject and it can be very hard to maintail a professional attitude. We do have to remember, though that addiction is an illness. The patients we see are usually master manipulators, but besides that they are also victims of their addictions.

That being said I have to admit that this is something I have to remind myself of constantly, because these people are abrasive, manipulative lyers and can make it very hard to remember that somewhere behind that addiction is a sick human being.

Well said.

[jesa]

instead of frustration maybe you should educate yourself on addiction. drug addiction is a disease, your patient is in the hospital. feel thankful you are not plagued with addiction and treat every patient with the same respect, regardless of their disease

[hoyt69]

Empathy is a big part of nursing. We don't get to choose what illnesses our pt.s' have. Please educate yourself on addiction.

[BKRN]

Originally Posted by hoyt69

Empathy is a big part of nursing. We don't get to choose what illnesses our pt.s' have. Please educate yourself on addiction.

I did not find her post to be offensive at all. Good grief, she never said that this pt disgusted her. She was simply voicing her fustrations, which we have ALL felt. To the OP, You have to realize that Drug addiction is a disease, a very sad one. With these type of pts you do have to set boundries while still providing excellent care. I understand your frustrations though.