Consequences of Bad Choices - page 6

I was recently involved in a multidisciplinary team evaluation of a patient who attempted suicide by placing a shotgun in his mouth. He survived the attempt but was left with only half a face. I... Read More

  1. by   hbscott
    Quote from hitechlvn
    Excellent learning material. I am wondering how you can present such material that makes one's mind salivate and instantly people start with "HIPAA" or "Privacy violation" when this type of presentation is how we learn to do our jobs? I was wondering if any of the medical team sat down and conducted an in depth interview with the wife so they could better determine if she was a factor in the attempt or if she would be a negative factor in the rehabilitation of the patient?
    The wife was consulted but remained distant to the care team. In my opinion mutual trust was never established with the wife and that prevented any progress for providing care in that regard.

    -HBS
  2. by   Noney
    Very interesting thread.


    I been thinking about the different views on gender. If you had presented it as a case of a lady who had shot herself in the head and the husband had 2 previous wifes commit suicide I wonder how different our reactions would have been.

    Noney
  3. by   hbscott
    Quote from Noney
    Very interesting thread.


    I been thinking about the different views on gender. If you had presented it as a case of a lady who had shot herself in the head and the husband had 2 previous wifes commit suicide I wonder how different our reactions would have been.

    Noney
    As a former "male nurse" <gasp> I can assure you there is more gender bias ingrained in our collective personalities than we care to admit.

    -HBS

    :wink2:
  4. by   gwenith
    My thoughts were - how do we know for sure that the wife hass had tow previous husbands commit suicide - was this just rumour - how much fact was there? It would not be the first time that something said in an aside to a member of staff has been blown out of proportion.

    On the other hand I was watching the first part of the Katherine Folbigg story - Austrlia's worst female serial killer. When I was reading this story I kept hearing the words of the policeman "We did not want to believe that it was the children's mother who had done this and we would have believed almost anything else." Katherine Folbigg killed 4 children before the police were almost accidentally involved. Sometimes there is no legal charge because the police are unaware of the "crime".
  5. by   hbscott
    Quote from gwenith
    My thoughts were - how do we know for sure that the wife hass had tow previous husbands commit suicide - was this just rumour - how much fact was there? It would not be the first time that something said in an aside to a member of staff has been blown out of proportion.

    On the other hand I was watching the first part of the Katherine Folbigg story - Austrlia's worst female serial killer. When I was reading this story I kept hearing the words of the policeman "We did not want to believe that it was the children's mother who had done this and we would have believed almost anything else." Katherine Folbigg killed 4 children before the police were almost accidentally involved. Sometimes there is no legal charge because the police are unaware of the "crime".
    We received the report about the wife's marital history through social services in a multi-disciplinary care team meeting. I did not ask how she obtained the information.

    -HBS
  6. by   gwenith
    I don't doubt your veracity - it is just I have seen these sorts of rumours start before and they can have serious consequences.
  7. by   hbscott
    Quote from gwenith
    I don't doubt your veracity - it is just I have seen these sorts of rumours start before and they can have serious consequences.
    I didn't feel slighted at all. You raise a very legitimate question and as my response implied we acted on information provided by the social worker. How did we know the social worker had her facts straight? Good question!

    -HBS
  8. by   ShelleyERgirl
    Quote from TexasNS
    Now that got my mind going...

    We have another victim/patient that alot of us were not even considering. Lets say the woman is innocent. Could you imagine the trauma she is going through? This woman needs help as well.
    That is a really good point, I never thought of that, darn me and my little ol' suspicious mind.... Actually, if this woman is completely innocent, then I would definitely say she has some codependent issues going on! What a great thread HB! I will modify my original position and hope that both patient and wife can get that help they need.
  9. by   ShelleyERgirl
    Quote from CCU NRS
    not medically competent or not communicationg?
    I would think both in this case, obviously the poor man was not in his right mind or he wouldn't have shot half of his face off and two, I think HB said he wasn't A & O but I might have read it wrong.
  10. by   hbscott
    Quote from navynurse29
    I would think both in this case, obviously the poor man was not in his right mind or he wouldn't have shot half of his face off and two, I think HB said he wasn't A & O but I might have read it wrong.
    The Rest of the Story

    Now that I got everybody thinking it is time to reveal the rest of the story. I consulted on this case a little farther back than what most people thought. In fact this patient has been treated and released. He has a new face and a 2nd chance at life.

    While the patient was unconscious the wife was allowed monitored visits and when the patient was fully alert and oriented he chose to meet with his wife in an area off the hospital floor he was staying. His wife would bring him things from time to time but one day she just stopped coming by. The patient soon discovered that his joint checking and savings account had been emptied and his soon to be ex-wife had run off with her girlfriend.

    I wanted to present this "case study" as an example to some of our students on the practice dilemmas they will sometimes face in their various working environments. This case study is currently being published in several journals. I thought I would share it with our audience since nursing care was an essential component of his recovery.

    The wife was consulted but remained distant to the care team. In my opinion mutual trust was never established with the wife and that prevented any progress for providing care and treatment to her if so indicated.

    -HBS
    Last edit by hbscott on Mar 16, '04
  11. by   ShelleyERgirl
    Thanks HB, I posted before I finished reading. Then, I have to modify my recently modified position( ) and say that I will have to go back to my ol' suspicious mind's original way of thinking! BTW, thanks again HB for such a thought provoking thread.
  12. by   teeituptom
    thought provoking
  13. by   timewood
    the roles were reversed and the pt was a woman who was wife number 2 out of 3 suicide???
    I personally have been a thankful CODA member...and have seen many lurid examples of females who are charismatically evil and abusive (more males though...).
    I am here to learn more so that I can be the best nurse for my pts as possible. Thank you for posting this thought-provoking case.

    I strongly feel that Verbal Abuse by Patricia Evans should be required reading esp. for nurses.

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