5 worse things a patient can do ... - page 4

what would you say are the 5 worse things a patient can do while admitted in a hospital? 5 bad things that would make his/her stay worse than it needs to be and makes more work for the staff or makes... Read More

  1. by   deeDawntee
    1) verbal and physical abuse. but in the ICU we soon have them restrained and medicated!!!
    2) Pooping allllllll over the bed. In the ICU we soon have a rectal tube.
    3) Vomitting alllllll over the bed. In the ICU we soon have an NG to suction and anti-emetics.
    4) Respiratory failure. In the ICU we soon have them intubated.
    5) V fib. Defib and antidysrhtymics.

    I'm sorry but death isn't the worst thing in the ICU. Death is often a blessing.
  2. by   gentlegiver
    This is my number 1!
    We had a CODE BLUE, all the nurses and Dr's were in the room trying to safe a young man's (35yrs old) life. The older man in the next room kept ringing his bell and demanding that "HIS NURSE" abandon the code to get him his meds as she was now 5 minutes late. I told him what was going on and that she would be there as soon as she could be. He said he didn't give a dam about the other pt get her A** in his room NOW! I then informed him that I would get his nurse, however, he must realize that were he to code She WOULD LEAVE HIS side to give meds to other pt's and if he didn't make it, oh well. I know that was probably the wrong thing to say, but, he then said that he could wait till they were done of the Code. He was very quiet the rest of the shift.
  3. by   Angie O'Plasty
    Quote from wannabemw
    My #1 this week: Dementia pts w/o any daily or prn meds for anxiety (or they don't work) & insist on calling out/shouting "nurse, nurse" and "help me, help me, would SOMEONE please help me?" (and the shift nurse & cna have been into the rm several times). This kind get's old fast & is trying on everyone in the unit, day & night.
    UGH, sounds like a pt I had on my unit this past week!!! Fortunately she was transferred to rehab yesterday so we won't have to listen to her constantly yelling for help all day (when we've been in and out of the room making sure she has everything she needs and repositioning her etc.). Screaming is one thing that makes me absolutely crazy, especially when it is a dementia patient who does it constantly and isn't able to understand when you nicely explain that screaming and yelling doesn't help anything (not their fault of course, and you feel really bad for them, but still hard to take for eight hours). It was so bad that patients in neighboring rooms were complaining and had to close the door. I (of course) had her on my assignment quite a few times, too. I did get a break one day because I had had her for the whole weekend and was about to go crazy b/c of the screaming so I asked the resource nurse not to assign her to me that day because I just needed a break.
    Last edit by Angie O'Plasty on Aug 4, '07
  4. by   gentle
    Quote from gentlegiver
    This is my number 1!
    We had a CODE BLUE, all the nurses and Dr's were in the room trying to safe a young man's (35yrs old) life. The older man in the next room kept ringing his bell and demanding that "HIS NURSE" abandon the code to get him his meds as she was now 5 minutes late. I told him what was going on and that she would be there as soon as she could be. He said he didn't give a dam about the other pt get her A** in his room NOW! I then informed him that I would get his nurse, however, he must realize that were he to code She WOULD LEAVE HIS side to give meds to other pt's and if he didn't make it, oh well. I know that was probably the wrong thing to say, but, he then said that he could wait till they were done of the Code. He was very quiet the rest of the shift.
    Interesting. I had a similar situation recently. I hollered LOUDLY at my CN, that I would no longer be caring for this patient. Yeah, I had the same ending too. Some of these patients are hurting; however, when given a more accurate perspective of what is happening, the understanding clicks.

    But for the ones who don't get it . . . :trout: and then I find :deadhorse. To heck with it.
  5. by   fronkey bean
    I think one of my biggest pet peeves is when family members start talking about some story they saw on 20/20, etc. about poor medical care and imply that they think you or your institution are like that story. I've had this happen more than once (and no I was not giving poor care, in one case I had just walked in the room at the beginning of the shift). Do they think we will give them five-star hotel service b/c they say they "would sue" if something like that happened to their family member.
  6. by   al7139
    Here are mine:
    1. The pt that thinks they are the only patient you have, and you are there to cater to their every need, gets mad whan you are not there immediately because your other patient is coding (not kidding, it happened to me).
    2. The pt who is confused and pulls out lines, foleys etc., but the MD wont order restraints, and the CLIN II wont' get a sitter for.
    3. The pt who has a family that is so demanding that you want to run screaming from the building ("My mother's sheets are wrinkled, they need to be straightened").
    4. The pt who constantly wants pain meds ( I really do try not to think "drug seeker" but sometimes you wonder).
    5. As a female, the male pt who is flirting and being WAY innapropriate in his comments (this is not a bad porn movie with nurses in 5 inch heels and fishnets!).
    But yes, in agreement with previous replies, the pt who dies is by far the worst (especially if it is unexpected).
    Amy
  7. by   nfahren05
    Quote from CCU NRS
    I will go in reverse order like the top ten list

    #5 Flinging Feces

    #4 Turning Blue

    #3 Code Black (charcoal induced vomitting and feces)

    #2 Code Blue

    and the #1 thing I hate for my patients to do


    Press Charges
    Ditto. I thought #5 was strictly a pediatric thing (along with the fingerpainting part,) even ickier to hear that adults are doing this, too. #1 is even worse when he/she was the one who decked you before getting slapped in restraints...
  8. by   Pepper The Cat
    My top 5

    Pts who refuse meds/treatments/tests etc, then complain because they are not getting better. This is my number one beef! If you aren't going to make an effort to work with us - GO HOME!

    Pts who call their families at home and say "the nurses are ignoring me" because they had to wait 5 minutes for that jug of fresh water.

    Pts who want me to tell them whats wrong with their roommate, the person who just walked past them in the hall, and so forth.

    Families who want to speak to the doctor RIGHT NOW - even though its the weekend and their doctor isn't on call.

    People who tell me that "I saw someone on TV with this exact problem and they got better much quicker - or the doctor cured them right away". Guess what? This ain't TV!
  9. by   TrudyRN
    blindly trust that staff and doctors are doing everything correctly
  10. by   TrudyRN
    Quote from Purple Princess
    I'm a CNA and just started a new job at a nursing home.The other aides have worned me that the residents know I'm new and will do everything to get me to cater to them and tell me how to do my work, oh they usually do it this way... lots of pillow fluffing, snack runs, and tonight when we were still doing care a woman wanted a knife to cut the skin off her apple, omg like that's a life or death need! The kitchen was closed and I wasn't searching the unit for a knife to cut her stupid apple. And others want all their things put in a special spot just perfect. And there's only me and two try to bug me at the same time. I just had to tell one woman to wait til I was done cause I couldn't do them both at the same time. Last week it took me an hour to get someone showered cause she's one of those prissy types that wants things done a certain way and tends to become conveniently helpless. So I feel your pain. Oh yeah, last night someone needed to go potty and needed 2 assist and the two aides that could have helped me were eating while the rest of us were working. We wait til after dinner is done before any of us go to lunch. How annoying.
    Someone who has been self-reliant all her life and is now dependent should be understood to be mourning her losses, not called prissy, IMHO. Try to understand that your residents have nearly all lost their spouses, their homes, their independence, their dignity, their privacy, their health, their savings, their careers, not to mention their time and the money to freely meet with family and friends and they are just a tad bit depressed about these huge, huge, huge losses. Try putting yourself in their place before you decide they are unreasonable or prissy for wanting some tiny bit of control over their really horrible situations.

    I know you are busy but how long should the woman wanting a knife have to wait? What's an appropriate time frame in your view?
  11. by   TrudyRN
    Quote from SCRN1
    How about a patient who is perfectly capable of moving themself deciding to just lay there dead weight while we strain our backs to move them from a stretcher to the bed? Or to try to do anything to them?

    I've had some who've been gotten up for the first few times depend on us to hold them up while they ambulate to the bathroom, to a chair, down the hall, etc. when all they had done was something like shoulder surgery. No clue what happened to their legs during that surgery, LOL.


    I don't know if you've ever had surgery but, even if it's not been done under general anesthesia, one usually feels weak and woozy post-op. Also, fear plays a big part in the life of a post-op patient. And don't forget pain.

    I'm kind of stunned by the lack of compassion and understanding of human nature and of the hospitalized patient's experience I'm reading in so many of these posts. I think we need to try to put ourselves in the patient's place so we understand how hard it is being a patient. Yes, some people are totally gross or rude or stupid. But many are also just scared and uninformed. We are there to take care of them and teach them, not get angry at their ignorance or crudity. Yes, I'm human and do sometimes feel annoyed or disgusted by some of the things I hear or see at work but I also try to remember that I am the nurse, they are the patients, I'm there for them, not vice versa. WWJD?
  12. by   talaxandra
    Quote from ang75
    5-Steal your roomates NG tube in order to give yourself an enema. Yes, i really had this happen. I couldn't even speak I was soooo shocked. I don't know how she thought she was gonna accomplish that. And what was she gonna do with it when she gave up? Give it back? NASTY NASTY NASTY people.
    Oh good god - no other words. I have no other words.
  13. by   UM Review RN
    Quote from tinnekke
    You just described the day-to-day behaviors of one of our Residents. (I work LTC.) The woman is NOT demented. She is a little hard of hearing, but that's it. She will hit the call light say she needs a nurse NOW, and when I get there she wants her slippers or she wants her blinds closed. One time she called the midnight shift saying she needed to get to the bathroom. When the CNA got there, she asked the young woman what time it was. When told it was just barely midnight she told the CNA (and I am not kidding) "Go away, I don't need you." When she's out in the common areas, she will just yell "nurse, nurse" whenever she wants something, and if you try to find out what might be up with her, she loses all patience with you and tells you to go away. One time she knocked a PRN med that she requested out of the hands of one of the staff because she decided after she asked for it that she didn't want it. I tell you, my days would be much more relaxed if I didn't have that woman as a daily thorn in the collective sides of all the staff. :angryfire She really drives me crazy. Each day I go in telling myself today will be different, and inevitably, no matter how calm I keep myself, at some point that woman has me needing to go outside and get some air before I yell or cry. She rode me so bad one day, even the CNAs felt sorry for me. I was so close to tears, she even noticed and let up on me, and actually asked me why I was so upset. I finally got to tell her that I just get incredibly frustrated because she will complain about not feeling well and not let me do anything to help her, but get more and more unpleasant because she isn't feeling well. Oh well...

    Early stages of dementia or depression is my guess. How about a neuro check? Failing that, a psych eval.

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