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

PS-I was late to this thread because I figured it would be yet another litany of complaints about the poor nursing care you received. We get a lot of those here. Some of course are completely valid. Others are simply a reflection of the high nurse to patient ratio I mentioned above. When nurses have too many patients, the patients do not get the quality of care they deserve and that the nurse truly desires to deliver.

Thanks for writing about the good as well as the bad!!

Specializes in Pediatric Oncology, Pediatric Neurology.

Day made. Thank you for that.

Many, many positive vibes sent your way!

Specializes in Infusion Nursing, Home Health Infusion.

Please know that not all nurses dislike what they do.I have been a nurse for 35 years and I learned as a young nurse that even the smallest of things we do to help others matters! I am an IV specialist and place IVS and PICCS and I do know how my skill level is so very appreciated by patients and those requesting my help. I have worked incredibly hard to make certain I know exactly what I am doing and that I am highly skilled so that I can help others just like you! My dad said to me a few years ago....."iluvivt have you ever stopped to think of just how many people you have helped in your life".That is something to be proud of! I know how special nurses are and I wish more realized how even what seems routine to them is so terribly important to those needing it! Thank you for rattling our cages and I hope you are feeling well now!

Please know that not all nurses dislike what they do.I have been a nurse for 35 years and I learned as a young nurse that even the smallest of things we do to help others matters! I am an IV specialist and place IVS and PICCS and I do know how my skill level is so very appreciated by patients and those requesting my help. I have worked incredibly hard to make certain I know exactly what I am doing and that I am highly skilled so that I can help others just like you! My dad said to me a few years ago....."iluvivt have you ever stopped to think of just how many people you have helped in your life".That is something to be proud of! I know how special nurses are and I wish more realized how even what seems routine to them is so terribly important to those needing it! Thank you for rattling our cages and I hope you are feeling well now!

As someone who was only ever just "okay" at starting IVs, I really respect the nurses who are so good at this. I always joke that my boss could start an IV in the dark. It actually wouldn't surprise me.

Kudos to you. You're damn right you have helped a lot of people. Saving patients from those extra sticks and potential complications from same is really a valuable talent.

Specializes in Emergency/Clinic.

Welcome aboard!

I feel like I'm cheating by reading this since I'm not a nurse yet, but thank you so much for writing it. I'm so sorry for what you've been through, but I promise I'll keep your words in mind as I learn and try to remember to see things from a patient's point of view.

I wish you well.

Wow, such a very thoughtful note to all the great nurses out there! Your words put a lot into perspective...the little tasks we do that give you a little happiness ..I wish you all the very best!;)

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.

sadly I took care of one of these creatures the last 2 days. He's mad at me because I didn't respond to his call light fast enough (2 diet sodas, 2 cups of ice with lids, and two straws)! Sorry I was taking care of the little old demented lady with the fractured hip who is trying to fall again and has a bed alarm screaming for the 10th time this hour. Put my trash can at a 45 degree angle. Put this here and this there and do this and get that. It's a buffet for him. Never once a please or thank you. Perhaps that's why no one has visited, wife included for 21 days. My dear I'll take care of you and hang out in your room all day. A simple gesture of appreciation makes it all worth it.

Specializes in NICU, Newborn and Maternal Health.

It's stories like these that keep me going. Sometimes at the end of the day I wonder if I truly helped anyone or if all I did was stick needles into people and cause pain. Thank you for taking the time to write.

Thank you for your kind words to nurses and acknowledgement of our commitment to you. Also, you're welcome for the honor of taking care of you, the patient. If most patients or family were so kind, if the hospital provided enough staff, if the workload was not overwhelming, if we weren't so busy fighting to obtain your medication from the pharmacy, if physicians paid attention or just put their own orders in the computer, if the equipment worked, if we had supportive staff to do non-nursing tasks that consumes too much of our time, if we weren't getting the worst end of family anger or entitlement or administration who is ALWAYS looking for a way to fire somebody, the list is endless..... However, it may explain why so many nurses become disheartened in this system, and leave the bedside, which ultimately trickles down to effect patient care. Bottom line, thank you again for making it easier to care for someone kind....we simply don't hear it enough. Glad to hear you are recovering well.

Sincerely,

Peggy RN, BSN (ICU for 26 yrs!)

Thank you Pagesen for bumping this thread. It brought me to tears the first time I read the OP and it has again.

OP, I hope this bumped thread finds you in a good place. Thank you for your far reaching words of gratitude.

Thank you Pagesen for bumping this thread. It brought me to tears the first time I read the OP and it has again.

OP, I hope this bumped thread finds you in a good place. Thank you for your far reaching words of gratitude.

Yes Libby, this bumped thread finds me feeling better than I have in years, thank you for your kind words. The conversation here ended in May, and in June I fiiiinally went in for the surgery that has fixed these internal infections that have been plaguing me for 3 years (an ileocolectomy...and I managed to get out of it with no bag!!). I have a really good, gory photo of what was removed, and it was all fused together, tangled, black in a couple of spots (?) and apparently "rock hard". It's amazing that anything I ate got through such a lump. My surgeon said he "literally had to carve that mass out". Scar tissue and adhesions, combined with inflammation and leaky holes equals a whole lot of scary business. And of course...always...for every single minute there was a nurse by my side once again.

And again, I don't mean to sound pretentious, but just knowing that my gratitude and appreciation has moved some of you to tears, among other reactions...well I realized one day that this is the way I've somehow given back. Because when people do so much and take care of you at such an intense level, you just think "How could I ever repay this? How can I ever thank this woman for everything she has done for me at my worst moments?" And then I thought of this thread and everyone's comments, and said well maybe I gave back without even realizing it, just by writing a forum post. Isn't it funny how things come full circle like that?

Also..."AnonBoston" is such a bad username, I have no idea why I picked it. My name is Staci, I'm 44, and it's been awesome talking with you all here.