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- May 19, '12 by Tess Deco RNYes! All you can really do with a patient like that is to emphasize the importance of knowing their own health history and medications but sometimes that is just the kind of relationship a couple has ..probably for years! Our job as nurses is to get the information we need however we can ..so it really doesn't matter who provides it.
Except current symptoms and pain level ..if the patient can talk, that info needs to come from the patient!
- May 19, '12 by Cul2I don't deny that there are people who are helpless before they arrive at the hospital and then continue the behavior there, and are often enabled. But there are many people who are not helpless who become so when they enter the hospital. Why is that? It's more a factor of the hospital culture and perhaps the general culture of what hospitals are "supposed" to be than it is the personality of these patients. Human beings pick up quickly and subconsciously the atmosphere and "rules" of their surroundings. They either adapt or fight. For sick people, it's just easier to adapt and go along with the program, even if they don't agree. But hospitals have tremendous potential to influence patients as to how to behave. I recommend the book "Influencer" by Patterson et. al. There's much hospitals can do to lead many patients along the path to self-care, if they utilize recent research about how to influence people.
- May 19, '12 by ~*Stargazer*~Quote from Cul2I don't buy this. If this was true, then all patients would assume helplessness upon admission to the hospital. But not all patients do. So, there *must* be a component of the *individual's* makeup that comes to bear.I don't deny that there are people who are helpless before they arrive at the hospital and then continue the behavior there, and are often enabled. But there are many people who are not helpless who become so when they enter the hospital. Why is that? It's more a factor of the hospital culture and perhaps the general culture of what hospitals are "supposed" to be than it is the personality of these patients.
Anyway, I'm not really interested in this discussion. My original comment was tongue in cheek, and not meant to inspire serious commentary.
- May 20, '12 by GitanoRNand the beat goes on....
- May 20, '12 by Cul2you said: "i don't buy this. if this was true, then all patients would assume helplessness upon admission to the hospital. but not all patients do. so, there *must* be a component of the *individual's* makeup that comes to bear."
i had said: "[color=#333333]i don't deny that there are people who are helpless before they arrive at the hospital and then continue the behavior there..."
why would this have to be true for all patients? this isn't an all or nothing world. people are different. and whether you're interested in this topic or not -- i think it comes to the heart of this discussion, which too often is stereotyping patients. i realize it would be easier if everyone were the same, but, that's not the case. i am sometimes astounded at the lack of psychological insight i find on some of these threads.
- May 20, '12 by ~*Stargazer*~I read your post. I know what it said.
The original post, and the topic of this thread, was an observation of human behavior that we nurses encounter frequently. Sometimes we can make stereotypes from these observations. That's the interesting thing about stereotyping, is that it has such a negative connotation, but yet there are studies that suggest that stereotyping is typically quite accurate.
I agree that there are a lot of comments on AN that do seem to be a bit lacking in areas such as psychological insight and emotional intelligence, but that phenomenon is not limited to AN.
Which brings me to a side note, I understand you are not a nurse. May I ask what your occupation is, and what you expect to gain by participating on a discussion forum for nurses?Last edit by Silverdragon102 on May 22, '12 : Reason: TOS
- May 20, '12 by Spidey's momQuote from gitanorn:d yes it does . . . . .and the beat goes on....
i didn't see this thread initially.
my experience with my own husband and his consult with a new physician regarding diabetes was interesting. i decided to sit there and listen to my husband's take on his symptoms and the disease process.
the physician knew i was a nurse and my face must have shown my disbelief :icon_roll at times in my husband's answers because the doc asked me what i thought.
i gently disagreed with many of my husband's answers - he had sugarcoated many of his symptoms.
so, maybe the wives know their husbands won't 'fess up to the real truth and they go along to make sure the doc knows the real truth.
it is frustrating for me because diabetes is a dangerous condition and if you don't take it seriously and the doc doesn't have truthful information . . . bad things can happen.
i like the thoughts people had earlier in the thread about wives being the gatekeepers for medical care in the family - who makes the appts for the kids for their immunizations? who takes them to the doc for flu symptoms x10 days? who gets their eyes checked? usually mom.
- May 20, '12 by BluegrassRNIf I am in attendance, my husband always defers to me. When I say something about it to him, he says "You're the professional, you're the one who knows what you're talking about!"
He hates to go to the doc, and up until a couple of years ago, despite my best efforts and those of his physician, he could not tell you the exact purpose of his meds. He's very bright, has several degrees, holds a professional position of great responsibility...but will not take responsibility for some of these personal things. Now that one of our children shares his medical issues, he's suddenly become much more knowledgeable about the meds, symptoms, and treatments; but it took our child developing this to make him responsible.
He won't ask questions at the doc's if he doesn't understand something; he'll want me to explain it when he's home. Whether I was there or not.
It's given me quite a bit of insight into how people who have a mental block against health information work. If my smart, capable husband is overwhelmed and reluctant in learning about his meds and health, what is it like for the general population? It's changed how I teach about diet, meds, and activity, for sure.
- May 20, '12 by canesdukegirlMy husband is also in the medical profession. He has severe GERD, and will sometimes sit bolt upright in the middle of the night clutching his stomach. I ask him if he has taken his Prevacid. He responds, "No. I don't LIKE to take pills all the time!" (Insert picture of me cursing all the way down the stairs at 2 am to fetch his medication.)
I had to practically DRAG him to our GP when he had experienced wheezing and coughing for more than a month. He refused to take Mucinex (the whole 'I don't like to take pills mantra, again), he refused to let me give him chest PT ("stop WORRYING over me!) and flat out refused to get a chest x-ray. Only when he experienced severe pain in his chest did he agree to see the GP. He had bilateral pneumonia and intercostal chondritis. What frustrates me is that he likely knew that he had both of these conditions, but thought that he could just 'get through it'. AAARRRGGGHH!!!