A Patient's Perspective - To all of the Nurses at allnurses.com

Today, I feel moved to write to you as someone who has spent no time being a nurse, and far too much time being a patient. There are times I've read some of the forum posts here, and I think to myself "oh, if only they knew how I feel"... So here, both for myself in some way, and for any nurse reading this, is my humble attempt at trying to explain my thoughts about you, and what you do. Nurses Announcements Archive Article

To all of the Nurses at AllNurses.com,

Of course, I should start with some basic background info. I have dealt with Crohn's disease since 1989 when I was 17 years old. I've had some rough times over the years, but nothing prepared me for what happened in 2013 after I turned 40, and once again at the end of 2015. In 2013 I had my second bowel resection...my first mistake here was choosing a general surgeon. I know, what the hell was I thinking? I wanted to be closer to home, that's why. And it nearly cost me my life.

What proceeded were multiple pockets of internal infection, as I was given no antibiotics, and developed an ileus (hole) at the resection site. I spent the next two months in the hospital healing from this. Countless failed IV's to the point that both of my arms were covered in bruises from hand to elbow. One failed PICC line. Three pigtail drains jammed into my body in places that I would never have imagined. TPN for a month. An IV pole with 8 different pumps on it, and a massive, open, infected surgical wound with a stoma bag to catch the infection. This was just in April of 2013.

Then in Sept. 2015 I started feeling the symptoms of what I thought was just a routine Crohn's flare-up. I thought okay, I'll call my GI, we'll give some additional meds a shot and I'll be fine. Instead, the pain increased, and my temp shot up to almost 103. I could barely move one night, called an ambulance, and was admitted to the hospital, again, for two months (Dec. 2015 and most of Jan. 2016). No surgery this time, but again, I had pockets of massive internal infections caused by my flared-up, and apparently still very ulcerated and leaky bowel. And much of the same process followed as it did the first time...multiple failed IV's, two PICC lines, and four drain tubes this time. Some of the nurses even recognized me from three years before.

So that's the gist of why I am "the patient" so often spoken of. And having spent SO much time among you all, I have learned a lot, observed a lot, and became thankful for so much more.

On a random Tuesday afternoon, while my spouse is at work so I can have health insurance and I am basically alone and fearing for my life all day, I am told that my first abscess drain will be inserted down in the Radiology department, and they'll be here in a few minutes to transport me. The following thoughts race through my head....umm, okay, I know I need that, but what does it entail? Will I be awake? I have high pain tolerance, but how much is this projected to hurt? Will they give me a 3-count before they jam it through? Will the area be numbed? Is there a box of tissues anywhere..?". I was scared out of my mind, and for that day, I just happened to have a student nurse with me. Just one girl, assigned to me for the day, making sure I was all good. I wept to her, a young woman 15-20 years younger than me, like a baby. I had already been through a lot of things by that point...other hospitalizations over the years, lots of pain...but nothing prepared me for the severity of this. It was unfamiliar territory for me, and when you don't know what to expect, that's scary as hell.

What I'm getting at is, that student nurse listened to me, stayed by my side handing me tissues, and held my hand through the entire drain insertion. She got me through one of the scariest times of my life when my loved ones could not be there. And I had just met her that morning.

Another day...yet another failed IV. They usually last 3 days. Then the vein collapses, and I get stuck 4 or 5 more times before a PICC line is decided upon. Now, when I say I have no problems with needles, that's the truth. But when they're digging in, moving around, in delicate areas, repeatedly, it gets to be a bit much. Yes, I'm what you all call a "hard stick". I'm sorry. Blame my grandmother, who also had this problem...

But what I'm getting at here is that there was one nurse in particular who was consistently present with me while "they" were trying to locate a vein in my arm. Having also been severely lacking in sleep (because you guys don't let us) I finally lost my sh-t. I looked to this nurse who was there, almost at the end of her shift at 11 pm, and said "Could you please stay with me until this is done?", and she smiled and told me everything was going to be okay, put her arm around my head so I wouldn't look, and just held me like that until the end. While I'm crying and just a pile of despondency in the bed.

And during those long overnights...that pretty much means: up all night because "vitals", and a blood culture for some reason ordered for 1 a.m., plus I need my pain meds (the self-administer button is gone now and I need it given through the PICC line), my commode is about to overflow, etc. But let me say something about all of this seemingly routine stuff.

I read someone here the other day post "this isn't what I expected, am I just here to deliver pain meds all day?" and I thought it was sad that she didn't realize what an important part of the patient's day that is. Are you kidding? We need that syringe you just walked down the hall to get. We look forward to feeling no pain for a few hours, and that it relaxes us for a little while. It's huge! And you do that for us. Not to mention, when I request my morphine at 2 a.m., it's kinda nice to have someone to say hello to at that hour. Because I'm awake, and you're awake...so hey, how are you getting through the night? Shift over at 7?...Yeah, I'm hangin' in there, thanks for the fresh apple juice and being here for me."

There were countless other procedures as well; a Foley catheter while wiiiide awake, as well as an NG tube, and an eventual 6 more drain tubes. And the entire time, in the middle of my fear and uncertainty, there was a nurse at my side. Holding my hand telling me I was going to be okay. And I was...and I am...and I would have never gotten through it without my nurses. Do you have any idea how goooood it feels to have a newly iced water or juice on your table? It's like Heaven in a cup, and you just brought it to me! Usually right away (haha) because I always add "when you get a minute" to every request I make). But YOU brought it to me, my wonderful, awesome, kicka-s nurse.

So I guess with seeing so many unhappy nurses on here, and my experiences being so recent, I wanted to post a thank you to all of you for what you do. You guide total strangers like me through the scariest moments we've ever faced. Pain meds help that...iced water helps...or whatever other little mundane creature comfort we might ask you to get for us. It's all a collective experience, and I've always tried my best to say my pleases and thank you's, and not be a pain in the ***, and be appreciative no matter how uncomfortable or sick I feel.

Please know, all of you wonderful, beautiful souls who take care of people like me....we thank you, we appreciate you, and we couldn't have gotten through it without you.

With love and gratitude,

A patient in MA

Specializes in Orthopedics, Med-Surg.

There was a time when we would regularly get little gestures of thanks from patients and/or their families but that has become the exception rather than the rule. I remember when our bulletin board would be covered with Christmas cards from former patients; now were it not for the cards sent by sister units, there'd be nothing on the bulletin boards but hospital news.

I'm not looking to have my ass kissed but the small gestures make a huge difference to those having to do this mostly thankless job day in and day out. Why the slippage? Perhaps it's because the management is demanding we do more with fewer staffers. We no longer have the time to do what we used to so regularly do when I was fresh out of school. As we do less for the patient, they do less for us. It's become more of just a straight business relationship, in the same way you don't tip the cashiers at McDonald's.

Your letter isn't the first I've read expressing thoughts like yours. It's just that it's been a really long time since I last read such words. I used to be proud to be a registered nurse; now I'm just glad I've retired. My total sympathy to those I left behind.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Thank you, OP, for your words. I got teary. I am a little (okay, maybe more than a little) burned out after a decade of ER + trauma nursing with the horrors of war (big reality check/perspective adjustment), and I always strive to be compassionate. It's not easy. This past week I came very close to leaving patient care completely for an informatics position, but at the last moment I decided to apply for a position that would take me only halfway from the clinical arena, and I was overjoyed to be offered that position. Your post reminds me of why I don't want to completely leave the bedside, and why I always make sure my ER patients have their callbells in hand — often it's the little things for us nurses that are the big things for the patients — a warm blanket, crushed ice, an update, a smile.

OP, one of my close family members has Crohns as does a good friend of my family. I have seen their struggles, and I wish you continued improvement to health!

This made me cry. I'm not a nurse, not even in Nursing School yet, but this motivated me to study that much harder. My son was diagnosed with Crohn's at age 11 and has not had any hospital stays (other than outpatient colonoscopy) but I am eternally grateful to the nurses who cared for and will care for him. Please know that your post gave me the energy to jump through all of the hoops I need to for admission, like Intro to Computers class (really? I'm using one right now.) Here's to good health in your future.

You have been through so much and I hope that the healing process continues for you. I'm glad to know that there were nurses there to give you support and provide what you call those little things. Having also been a patient too many times, along with being a nurse, I understand where you are coming from. And it has made me a better nurse. Getting fresh ice water, a wash cloth, pain meds, and explanations are an important part of care. It means everything when you are the one in the bed. No matter how busy I got or how difficult of a shift I was having, I never forgot to remember why I was there: it was for people like you. I no longer work the floor but I still advocate for patient rights.

I don't mean to toot my own horn here, but I literally cannot wrap my brain around the concept of an entitled and demeaning approach from a patient. Why would anyone want to treat their nurses with anything but respect and gratitude? You are there for us at our worst moments. Just because I am in pain and feel awful and scared, does not give me the right to treat other people like crap.

Okay, that sounded a bit self-congratulatory...but I really don't get it. The way I see it, the more respect you show your nurses, the more aware and motivated to help you they're going to be. Not only that, but you deserve our respect. You're emptying my commode..."oh, wow, I'm really sorry, that's so gross...agghhh...thank you, that couldn't have been pleasant" And I get a smile in return, "It's okay!"

Amazing.

This. The reason you cant "wrap your brain around a demeaning & entitled approach from a patient" is because you are naturally a kind human being who just wants to be treated like a human being. Simple as that. You would not believe some of the abuse we nurses put up with. Honestly. You cant make up the stuff we see and deal with. Thank you so much for being kind. Your post was so insightful for me and I will treasure it. Actually, I'll probably print it out and keep it with me as a reminder that, sometimes, it really is the little things that matter.

What you are going through sounds horrible. Horrible. Scary. Expensive....and I kept thinking of the words "cumulative grief." Chronic illness is rough! Such vulnerability. My dtr has some health issues, and I've had some of my own....none as difficult as what you are going through.....but being a patient and "on the other side" helps remind us to be better nurses.

Thank you for your post. Best wishes for a fast recovery with years of normalcy to follow!

Oh, and a tip - make sure you mention "FYI, I'm a really hard stick" when someone wants to draw blood or put an IV you.....no sending in nursing students or newbie phlebotomists/nurses to try on someone like you. No need to be a pin cushion unnecessarily. Sometimes this cant be prevented, but sometimes it can.

Hugs to you

Specializes in Rehab, Med Surg, Home Care.

Some of our patients are entitled/ have an attitude but I truly believe most are just scared, in pain and preoccupied.I can't tell you how much we appreciate you making a special effort to give us your kind words. We don't hear them often and don't really expect to, but when someone lets us know our efforts made a difference to them, we get that extra boost that helps us go in and start our shift knowing just why we are there.

What a lovely letter. I am a licensed nurse but do not practice at the moment. Instead I am a HUC in a Neuro Icu. I see all the wonderful things our nurses do. Unfortunately, a lot of our patients are not even awake as most are intubated. Families are mostly wonderful but I would hope that nurses would allow that perhaps that one entitled or nasty patient or family perhaps just cannot help themselves, whether it is from the disease itself, pain or just being fed up and frustrated. As a former nurse and unit member, I am not expecting a thank you, I just want the patients to feel better and be pain free. A thank you is very nice though.

Thank you so much for sharing your story. I love being a nurse and when I hear stories like yours it just reaffirms that I am doing what I feel like I was called to do in life. Bless you.

Thank you for this. I got licensed in June of last year and started out in a critical care unit (where let's be honest.. You don't get a lot of gratitude bc most of patients are unconscious) and later moved to a telemetry floor. I felt like a failure at first but have now learned there are reasons for every situation you're put into. Mine is getting to see the smiles on the mornings I say goodbye to patients who say "go get some rest, and thanks for all you've done..."

I am in awe of your strength. You are an inspiration to me. My mom passed away at a young age a few years back. She suffered from colon cancer, diabetes, and intestinal and stomach tumors. I am working towards nursing school because I have seen both sides. I know the feeling I get when I would drive to stay with her at the hospital. A sinking, aching pain in my gut. Fear that this may be her last day. She had wonderful nurses who helped her through the end. I stayed 16 hours at the hospital as she slowly and painlessly left this world. I remember looking to nurses to tell me this is a joke,I am a young new mom and I need her with me. I need her advice and I need her to be the grandma she always wanted to be. I wanted a nurse to tell me that if I do this or that I will get her back. They cried with me and some had to leave the room b/c they were swept away with emotion. I guess what I am saying is that I was gone and freaking out. What I needed is what those nurses gave me. ...strength and unwavering compassion. Nurses are there for the patients and the families. The nurses and I knew morphine would be necessary in order to manage her pain. I remember that the doctor did not give ok until near 2 hours later. My mom was writhing in pain. The nurses were there. Nurses were there even when a decision was not in their hands. Always there. That means more than having total medical power in my opinion. Making the most out of a dire situation. Thank you nurses for being so wonderful to patients line my beautiful mother and for helping the families. I have run into a few prenursing school students who say they would love to work with kids but then they have to deal with the parents. I think that is so unbelievably sad. A patient is more than a person in a bed...they yoo have people who love them. I have had time to heal and I want to give back the gift that was given me when I become a nurse. Thank you all!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Thank you for sharing.....it's always important to gain perspective as a nurse for me. And hugs to you.....Crohn's is debilitating. You seem to handle your troubles with such grace....

Dear poster, you have really been through a lot and you are so, so strong and brave. Your post completely made my day and you reminded me of why I became a nurse and why I really do love what I do, even at this time in my life that I am feeling the burn out and exhaustion. Thank you for this, I think you are going to make a lot of nurses smile. Good luck to you.